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Neleigh M Fowler, PT

Physical Therapist in Private Practice · Lincoln

NPI 1013498617

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
2

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

2 locations · Lincoln Orthopedic Physical Therapy PC · 47 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Neleigh M Fowler’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$21,091

Medicare paid this office $21,091 for 39 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Therapy procedure using functional activities33$6,989$25
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes36$5,185$20
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33$4,390$17
Evaluation for physical therapy, typically 20 minutes31$2,192$64
Therapy procedure using manual technique, each 15 minutes24$1,586$15

Who their Medicare patients are

39 Original Medicare patients in 2024. Average age 74 · Health risk score 0.93. At or below the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 69% · Chronic kidney disease 28%.

The office billed $77,135, Medicare allowed $28,064 and paid $21,091; for 1,051 services of 8 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024391,051740.93$77,135$21,091
202343892731.07$62,938$17,313
202280848760.79$62,781$20,165
202124301761.03$22,181$8,079
202018288730.70$19,879$7,408

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 6 services

Original Medicare services billed in 2023
Therapy procedure using functional activities33$4,839$25
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes41$4,657$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes31$2,487$20
Evaluation for physical therapy, typically 20 minutes33$2,401$69
Therapy procedure using manual technique, each 15 minutes24$1,635$14
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care16$483$6

2022: 7 services

Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes72$6,351$22
Therapy procedure using functional activities28$3,440$27
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes45$2,919$24
Therapy procedure using manual technique, each 15 minutes49$2,615$18
Evaluation for physical therapy, typically 20 minutes35$2,590$72
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care21$469$8
Training for self-care or home management, each 15 minutes19$418$22

2021: 4 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20$2,709$24
Therapy procedure using manual technique, each 15 minutes18$1,854$21
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11$1,049$32
Evaluation for physical therapy, typically 20 minutes11$1,020$93

2020: 3 services

Original Medicare services billed in 2020
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18$3,503$27
Therapy procedure using manual technique, each 15 minutes16$1,295$21
Training for self-care or home management, each 15 minutes11$321$27

Medicaid work

$0 in 2018

Medicaid paid $0 for 83 billed services this clinician did in 2018, up to 24 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2018
THERAPEUTIC EXERCISES66$0
Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.17$0
Medicaid work by year
201883224$0

Professional record

NPI
1013498617
Licence
CA PT295223
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
1306 the Alameda Apt 221, San Jose, CA, 95126
NPI first listed
2018-08-22
NPI last updated
2020-07-15
NPI record certified
2020-07-15

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 8250 Woodman Ave, Panorama City, CA, 91402