Macera, Daniel
Macera, Daniel was paid $72K by Medicaid between Feb 2020 and Aug 2024, across 4 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 49% of everything it billed.
33Billing provider infoMACERA, DANIEL
JOHNSTON, RI 02919
JOHNSTON, RI 02919
33aNPI1699188615assigned 06/06/2014
33bProvider typePhysical Therapist
28Total paid$72K
24GClaims3,301
24DCodes billed4
24AFirst – last monthFeb 2020 – Aug 2024
Compared with peers
Next to other Physical Therapist providers in Rhode Island
Rank by total paid#77 of 271
Median peer was paid$29K
This provider vs. median2.5×
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 | 525 | $14K | |
| 2021 | 897 | $18K | |
| 2022 | 893 | $17K | |
| 2023 | 674 | $15K | |
| 2024incomplete | 312 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 49% | 1,554 | 450 | $35K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 25% | 792 | 361 | $18K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 18% | 738 | 239 | $13K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 7.5% | 217 | 132 | $5K |
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.