BAY MTU
NPI: 1699824557
· SAN LORENZO, CA 94580
· Pediatric Physical Therapist
· NPI assigned 01/09/2007
$277K
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, SUSAN (CHIEF THERAPIST) |
| NPI Enumeration Date | 01/09/2007 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,252 |
$85K |
| 2019 |
3,482 |
$71K |
| 2020 |
836 |
$20K |
| 2021 |
505 |
$14K |
| 2022 |
704 |
$16K |
| 2023 |
1,329 |
$31K |
| 2024 |
1,976 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| X3920 |
|
2,139 |
1,831 |
$72K |
| X4100 |
|
1,816 |
1,571 |
$61K |
| X3908 |
|
1,600 |
997 |
$33K |
| X4102 |
|
1,334 |
1,174 |
$22K |
| X4110 |
|
1,063 |
717 |
$22K |
| X3922 |
|
1,252 |
1,110 |
$21K |
| X3928 |
|
777 |
582 |
$16K |
| X4120 |
|
565 |
440 |
$12K |
| X3910 |
|
1,469 |
916 |
$9K |
| X4112 |
|
977 |
658 |
$6K |
| X3926 |
|
54 |
53 |
$1K |
| X4104 |
|
38 |
38 |
$790.02 |