Essential Physical Therapy & Pilates, LLC

Essential Physical Therapy & Pilates, LLC was paid $52K by Medicaid between Jan 2018 and Sep 2023, across 3 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 91% of everything it billed.

33Billing provider infoESSENTIAL PHYSICAL THERAPY & PILATES, LLC
MONTPELIER, VT 05602

33aNPI1922334051assigned 10/24/2009

33bProvider typePhysical Therapy Clinic/Center

28Total paid$52K

24GClaims1,014

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Physical Therapy Clinic/Center providers in Vermont

Rank by total paid#5 of 11

Median peer was paid$36K

This provider vs. median1.5×

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	176	$12K
2019	290	$19K
2020	25	$1K
2021	303	$12K
2022	124	$3K
2023	96	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	91%	891	377	$47K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	6.2%	83	31	$3K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	2.6%	40	16	$1K

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 officialLAMB, JAMES (PRESIDENT)