Clinic
Gaylord Hospital, INC.
Gaylord Hospital, INC. was paid $14.59M by Medicaid between Jan 2018 and Nov 2024, across 52 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 48% of everything it billed.
33Billing provider infoGAYLORD HOSPITAL, INC.
WALLINGFORD, CT 06492
WALLINGFORD, CT 06492
33aNPI1730137753assigned 05/04/2006
33bProvider typeRehabilitation Clinic/Center
28Total paid$14.59M
24GClaims334,453
24DCodes billed52
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rehabilitation Clinic/Center providers in Connecticut
Rank by total paid#1 of 9
Median peer was paid$6K
This provider vs. median2,248×
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 | 49,516 | $2.28M | |
| 2019 | 48,426 | $2.14M | |
| 2020 | 38,598 | $1.67M | |
| 2021 | 52,410 | $2.32M | |
| 2022 | 50,109 | $2.08M | |
| 2023 | 50,623 | $2.22M | |
| 2024incomplete | 44,771 | $1.88M |
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 | 48% | 124,632 | 33,999 | $6.99M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 7.0% | 31,850 | 10,611 | $1.02M |
| 97113 | 6.9% | 18,503 | 6,065 | $1.00M | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 4.1% | 9,089 | 1,984 | $594K |
| 97129 | 3.7% | 7,472 | 2,048 | $539K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 3.7% | 20,060 | 7,930 | $534K |
| 97010 | 3.6% | 15,600 | 5,637 | $520K | |
| 97161 | 2.5% | 5,945 | 5,504 | $361K | |
| 97162 | 2.5% | 6,733 | 6,209 | $361K | |
| 96116 | 2.4% | 799 | 673 | $356K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 2.3% | 5,620 | 4,962 | $342K |
| 97116 | 2.1% | 12,482 | 4,302 | $306K |
40 more codes
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 2.0% | 33,932 | $287K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.8% | 542 | $259K |
| 97127 | 1.7% | 2,825 | $248K | |
| 96132 | 1.3% | 826 | $195K | |
| 96118 | 1.3% | 229 | $186K | |
| 97163 | <1% | 1,904 | $78K | |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 15,374 | $71K |
| 90837 | Psychotherapy session, about an hour | <1% | 921 | $68K |
| 96125 | <1% | 299 | $48K | |
| 97542 | <1% | 1,298 | $48K | |
| 97035 | <1% | 1,480 | $43K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,048 | $33K |
| 97166 | <1% | 463 | $26K | |
| 96133 | <1% | 816 | $23K | |
| 97165 | <1% | 194 | $12K | |
| 97130 | <1% | 7,210 | $12K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 364 | $8K |
| 64642 | <1% | 34 | $6K | |
| 97014 | <1% | 72 | $5K | |
| 64644 | <1% | 32 | $4K | |
| 97139 | <1% | 120 | $3K | |
| 0011A | <1% | 174 | $2K | |
| 97032 | <1% | 36 | $2K | |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 62 | $1K |
| 62370 | <1% | 19 | $1K | |
| 0012A | <1% | 92 | $1K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 53 | $449.13 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $411.10 |
| 97164 | <1% | 14 | $29.52 | |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 951 | $6.99 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 855 | $6.33 |
| G8980 | Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting | <1% | 103 | $0.63 |
| G8991 | Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 136 | $0.59 |
| G8990 | Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 103 | $0.46 |
| 91301 | 0% | 360 | $0.00 | |
| 96139 | 0% | 12 | $0.00 | |
| 96136 | 0% | 595 | $0.00 | |
| 96137 | 0% | 553 | $0.00 | |
| 95874 | 0% | 542 | $0.00 | |
| 96138 | 0% | 12 | $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 officialIVY, MICHAEL (CMO)