Clinic
South Fork Physical Therapy Rehab
South Fork Physical Therapy Rehab was paid $1.34M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 71% of everything it billed.
33Billing provider infoSOUTH FORK PHYSICAL THERAPY REHAB
ONEIDA, TN 37841
ONEIDA, TN 37841
33aNPI1699840397assigned 11/21/2006
33bProvider typePhysical Therapy Clinic/Center
28Total paid$1.34M
24GClaims90,412
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physical Therapy Clinic/Center providers in Tennessee
Rank by total paid#7 of 38
Median peer was paid$104K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2018 | 8,672 | $114K | |
| 2019 | 9,862 | $133K | |
| 2020 | 11,697 | $164K | |
| 2021 | 13,405 | $219K | |
| 2022 | 16,622 | $247K | |
| 2023 | 19,344 | $283K | |
| 2024incomplete | 10,810 | $182K |
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 | 71% | 40,012 | 10,256 | $951K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 14% | 22,074 | 5,928 | $187K |
| 97161 | 6.3% | 2,610 | 2,339 | $85K | |
| 97014 | 2.6% | 3,679 | 1,196 | $35K | |
| 97035 | 2.0% | 5,200 | 1,434 | $27K | |
| 97116 | 1.9% | 3,336 | 1,037 | $26K | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 1.9% | 11,746 | 3,142 | $26K |
| 97016 | <1% | 737 | 219 | $4K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 67 | 54 | $862.34 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 61 | 48 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 96 | 27 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 222 | 57 | $0.00 |
1 more codes
| G8942 | Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 572 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialGILBERT, RAMMY (OWNER)