LAKE CITY PHYSICAL THERAPY P A
NPI: 1952521411
· HAYDEN, ID 83835
· Physical Therapist
· NPI assigned 04/26/2007
$886K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: DIBIASE, SHEREE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
647 |
$22K |
| 2019 |
1,936 |
$77K |
| 2020 |
3,385 |
$141K |
| 2021 |
5,499 |
$251K |
| 2022 |
4,329 |
$205K |
| 2023 |
3,410 |
$140K |
| 2024 |
1,263 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
10,010 |
4,207 |
$456K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
6,072 |
2,945 |
$285K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,314 |
1,605 |
$108K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,073 |
559 |
$39K |