SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.

NPI: 1871171405 · PORTLAND, ME 04102 · Speech-Language Pathologist · NPI assigned 04/02/2021

$123K

Total Medicaid Paid

2,383

Total Claims

672

Beneficiaries

Codes Billed

2023-06

First Month

2024-12

Last Month

Provider Details

Authorized Official	TARVIN, MICHAEL (VICE PRESIDENT)
NPI Enumeration Date	04/02/2021

Other providers sharing the same authorized official: TARVIN, MICHAEL

Provider	City	State	Total Paid
NOVACARE REHABILITATION OF OHIO INC	COLUMBUS	OH	$158K
LOUISVILLE PHYSICAL THERAPY PSC	LOUISVILLE	KY	$153K
NOVACARE REHABILITATION OF OHIO INC	COLUMBUS	OH	$60K
CARITAS REHAB SERVICE LLC	LOUISVILLE	KY	$47K
KENTUCKY ORTHOPEDIC REHABILITATION LLC	LOUISVILLE	KY	$46K
JEFFERSONTOWN PHYSICAL THERAPY LLC	LOUISVILLE	KY	$15K
SELECT PHYSICAL THERAPY HOLDINGS INC	HERNDON	VA	$13K
KENTUCKY ORTHOPEDIC REHABILITATION LLC	ELIZABETHTOWN	KY	$11K
KENTUCKY ORTHOPEDIC REHABILITATION LLC	LOUISVILLE	KY	$10K
KENTUCKY ORTHOPEDIC REHABILITATION LLC	JEFFERSONVILLE	IN	$0.00

Year	Claims	Total Paid
2023	587	$26K
2024	1,796	$98K

Code	Description	Claims	Beneficiaries	Total Paid
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	1,617	448	$73K
92609		766	224	$51K