Buck Jack, LLC Dba the Shandy Clinic
Buck Jack, LLC Dba the Shandy Clinic was paid $679K by Medicaid between Sep 2022 and Nov 2024, across 2 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 84% of everything it billed.
33Billing provider infoBUCK JACK, LLC DBA THE SHANDY CLINIC
PUEBLO, CO 81005
PUEBLO, CO 81005
33aNPI1891443370assigned 03/14/2022
33bProvider typePhysical Therapist
28Total paid$679K
24GClaims2,848
24DCodes billed2
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other Physical Therapist providers in Colorado
Rank by total paid#33 of 202
Median peer was paid$109K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2022 | 755 | $162K | |
| 2023 | 1,532 | $364K | |
| 2024incomplete | 561 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 84% | 2,184 | 213 | $572K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 16% | 664 | 183 | $108K |
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 officialDENN, TANNER (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Buck Jack LLC | Colorado Springs, CO | $32.80M |
| Buck Jack LLC | Colorado Springs, CO | $259K |
| Buck Jack LLC | Colorado Springs, CO | $128K |
| Buck Jack LLC | Fountain, CO | $73K |
| Buck Jack, LLC | Colorado Springs, CO | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.