Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ptsma, INC

Ptsma, INC was paid $4K by Medicaid between Jan 2018 and Apr 2024, across 8 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 37% of everything it billed.

33Billing provider infoPTSMA, INC
BRISTOL, CT 06010
33aNPI1992076293assigned 01/18/2012
33bProvider typePhysical Therapist
28Total paid$4K
24GClaims4,800
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers

Next to other Physical Therapist providers in Connecticut

Rank by total paid#24 of 50
Median peer was paid$3K
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DUGGAN, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
20181,698$74.98
20191,380$116.90
2020135$0.00
2021246$0.00
2022825$1K
2023310$1K
2024incomplete206$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 37% 922 267 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 34% 604 183 $1K
97150 Therapeutic procedure(s), group (2 or more individuals) 21% 1,075 350 $918.75
97010 5.0% 42 12 $213.20
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.6% 1,157 395 $110.96
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 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 <1% 46 40 $0.01
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 29 27 $0.01

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 officialDUGGAN, JOHN (VICE PRESIDENT)
Same official

Other billing entities under DUGGAN, JOHN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.