ST. Clair, Edward
ST. Clair, Edward was paid $48K by Medicaid between Nov 2020 and Jun 2024, across 3 billing codes. Its largest line is 97112, Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination — 73% of everything it billed.
33Billing provider infoST. CLAIR, EDWARD
FRANKLIN, PA 16323
FRANKLIN, PA 16323
33aNPI1669409777assigned 06/26/2006
33bProvider typePhysical Therapist
28Total paid$48K
24GClaims1,593
24DCodes billed3
24AFirst – last monthNov 2020 – Jun 2024
Compared with peers
Next to other Physical Therapist providers in Pennsylvania
Rank by total paid#143 of 774
Median peer was paid$8K
This provider vs. median5.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 53 | $2K | |
| 2021 | 112 | $3K | |
| 2022 | 734 | $23K | |
| 2023 | 553 | $15K | |
| 2024incomplete | 141 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 73% | 1,086 | 488 | $35K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 22% | 343 | 126 | $11K |
| 97014 | 5.1% | 164 | 71 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.