Agency
Functional Gainz Therapeutics, LLC
Functional Gainz Therapeutics, LLC was paid $742K by Medicaid between Oct 2020 and May 2023, across 2 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 70% of everything it billed.
33Billing provider infoFUNCTIONAL GAINZ THERAPEUTICS, LLC
PHARR, TX 78577
PHARR, TX 78577
33aNPI1750774857assigned 03/13/2015
33bProvider typeHome Health Agency
28Total paid$742K
24GClaims7,957
24DCodes billed2
24AFirst – last monthOct 2020 – May 2023
Compared with peers
Next to other Home Health Agency providers in Texas
Rank by total paid#782 of 1,243
Median peer was paid$1.86M
This provider vs. median0.4×
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 | 980 | $95K | |
| 2021 | 4,161 | $388K | |
| 2022 | 2,370 | $220K | |
| 2023 | 446 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 70% | 5,101 | 834 | $520K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 30% | 2,856 | 525 | $222K |
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 officialCASTELLANO, FERNANDO (ADMINISTRATOR)