Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOUNTAIN PHYSICAL THERAPY AND SPORTS REHABILITATION LLC

NPI: 1740382050 · EATONVILLE, WA 98328 · Physical Therapy Clinic/Center · NPI assigned 09/05/2006

$468.72
Total Medicaid Paid
26
Total Claims
14
Beneficiaries
1
Codes Billed
2018-10
First Month
2018-10
Last Month

Provider Details

Authorized OfficialPERRAS, ROBERT (OWNER/MANAGER)
NPI Enumeration Date09/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $468.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 26 14 $468.72