Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AL › MONTGOMERY › PRO IMPACT PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC

PRO IMPACT PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC

NPI: 1780813618 · MONTGOMERY, AL 36117 · Physical Therapist · NPI assigned 07/13/2009

$2K
Total Medicaid Paid
104
Total Claims
26
Beneficiaries
2
Codes Billed
2022-11
First Month
2022-11
Last Month

Provider Details

Authorized OfficialELLIS, CHARLES (PHYSICAL THERAPIST)
NPI Enumeration Date07/13/2009

Related Entities

Other providers sharing the same authorized official: ELLIS, CHARLES

ProviderCityStateTotal Paid
TRAILWAYS, INC LAS VEGAS NV $769K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 104 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 52 13 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 52 13 $588.00