Gaines, Benjamin
Gaines, Benjamin was paid $51K by Medicaid between Nov 2019 and Jun 2022, across 2 billing codes. Its largest line is 97161, — 54% of everything it billed.
33Billing provider infoGAINES, BENJAMIN
SEBASTIAN, FL 32958
SEBASTIAN, FL 32958
33aNPI1801263199assigned 08/21/2015
33bProvider typePhysical Therapist
28Total paid$51K
24GClaims1,579
24DCodes billed2
24AFirst – last monthNov 2019 – Jun 2022
Compared with peers
Next to other Physical Therapist providers in Florida
Rank by total paid#203 of 720
Median peer was paid$13K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2019 | 84 | $1K | |
| 2020 | 332 | $7K | |
| 2021 | 570 | $17K | |
| 2022 | 593 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97161 | 54% | 143 | 140 | $28K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 46% | 1,436 | 518 | $23K |
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.