Ace Physical Therapy & Sports Medicine Institute, LLC
Ace Physical Therapy & Sports Medicine Institute, LLC was paid $1.39M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 76% of everything it billed.
33Billing provider infoACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC
HERNDON, VA 20170
HERNDON, VA 20170
33aNPI1821033564assigned 06/17/2006
33bProvider typePhysical Therapist
28Total paid$1.39M
24GClaims111,420
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physical Therapist providers in Virginia
Rank by total paid#8 of 91
Median peer was paid$69K
This provider vs. median20×
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 | 9,008 | $102K | |
| 2019 | 8,724 | $105K | |
| 2020 | 11,932 | $104K | |
| 2021 | 19,107 | $243K | |
| 2022 | 21,667 | $278K | |
| 2023 | 29,463 | $366K | |
| 2024incomplete | 11,519 | $190K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 76% | 26,460 | 4,423 | $1.06M |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 8.6% | 25,966 | 4,339 | $119K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 6.5% | 26,391 | 4,402 | $90K |
| 97162 | 6.0% | 1,729 | 1,501 | $83K | |
| 97164 | 2.2% | 806 | 665 | $31K | |
| 97014 | <1% | 2,624 | 550 | $6K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,650 | 324 | $1K |
| 97010 | <1% | 25,692 | 4,304 | $1K | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 0% | 102 | 27 | $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 officialERCOLE, MICHAEL (DIRECTOR/OWNER)