PRO-ACTIVE SPORTSMED PLLC
NPI: 1861612335
· TUMWATER, WA 98501
· Orthopedic Physical Therapist
· NPI assigned 04/26/2007
$380K
Total Medicaid Paid
Provider Details
| Authorized Official | GILDNER, VINCE (CLINIC DIRECOR) |
| NPI Enumeration Date | 04/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,280 |
$68K |
| 2019 |
2,314 |
$69K |
| 2020 |
1,724 |
$61K |
| 2021 |
1,746 |
$63K |
| 2022 |
2,010 |
$64K |
| 2023 |
1,597 |
$47K |
| 2024 |
223 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,306 |
1,967 |
$283K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,588 |
1,762 |
$97K |