PETERSON PT LLC
NPI: 1669480968
· PRESCOTT, AZ 86305
· Pediatric Sports Medicine Physician
· NPI assigned 08/03/2006
$305K
Total Medicaid Paid
Provider Details
| Authorized Official | PETERSON, BREK (OWNER/PHYSICAL THERAPIST) |
| NPI Enumeration Date | 08/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
81 |
$5K |
| 2019 |
1,145 |
$54K |
| 2020 |
1,191 |
$54K |
| 2021 |
1,905 |
$60K |
| 2022 |
1,314 |
$57K |
| 2023 |
1,409 |
$45K |
| 2024 |
662 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,822 |
1,439 |
$297K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,974 |
584 |
$7K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
911 |
274 |
$402.19 |