Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PTSMA, INC

NPI: 1992076293 · BRISTOL, CT 06010 · Physical Therapist · NPI assigned 01/18/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DUGGAN, JOHN controls 20+ related entities in our dataset. Read more

$4K
Total Medicaid Paid
4,800
Total Claims
1,529
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialDUGGAN, JOHN (VICE PRESIDENT)
NPI Enumeration Date01/18/2012

Related Entities

Other providers sharing the same authorized official: DUGGAN, JOHN

ProviderCityStateTotal Paid
REHABCLINICS SPT INC DEVON PA $5.04M
NOVACARE OUTPATIENT REHABILITATION EAST INC ROCKLEDGE PA $3.01M
REHABCLINICS SPT INC CINCINNATI OH $1.44M
NOVACARE OUTPATIENT REHABILITATION EAST INC VADNAIS HEIGHTS MN $1.35M
NOVACARE OUTPATIENT REHABILITATION EAST INC ROGERS MN $1.27M
NOVACARE REHABILITATION OF OHIO INC CLEVELAND HEIGHTS OH $1.15M
NOVACARE OUTPATIENT REHABILITATION EAST INC SARTELL MN $550K
INDIANAPOLIS PHYSICAL THERAPY AND SPORTS MEDICINE INC INDIANAPOLIS IN $502K
REHABCLINICS SPT INC RICHBORO PA $350K
PROFESSIONAL THERAPEUTIC SERVICES INC HUBER HEIGHTS OH $179K
REHABCLINICS SPT INC HORSHAM PA $153K
NOVACARE OUTPATIENT REHABILITATION EAST INC COLLEGEVILLE PA $131K
START INC CONCORD MA $82K
VIBRA HOSPITAL OF SAN DIEGO, LLC SAN DIEGO CA $35K
NOVACARE OUTPATIENT REHABILITATION EAST INC LANSDOWNE PA $17K
DOUGLAS AVERY & ASSOCIATES LTD WALDORF MD $10K
REHABCLINICS (SPT), INC. CONSHOHOCKEN PA $9K
REHABCLINICS SPT INC HATBORO PA $6K
DOUGLAS AVERY & ASSOCIATES LTD LEONARDTOWN MD $3K
SELECT SPECIALTY HOSPITAL - AKRON LLC AKRON OH $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,698 $74.98
2019 1,380 $116.90
2020 135 $0.00
2021 246 $0.00
2022 825 $1K
2023 310 $1K
2024 206 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 922 267 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 604 183 $1K
97150 Therapeutic procedure(s), group (2 or more individuals) 1,075 350 $918.75
97010 42 12 $213.20
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,157 395 $110.96
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 925 255 $0.66
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 46 40 $0.01
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 29 27 $0.01