Caden Durham
Physical Therapist in Private Practice · Tiverton
- 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 · Pappas Physical Therapy LLC · Merrimack Valley Physical Therapy
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Caden Durham’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$18,466
Medicare paid this office $18,466 for 44 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 42 | $5,417 | $17 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 40 | $4,964 | $21 |
| Therapy procedure using functional activities | 34 | $4,267 | $27 |
| Evaluation for physical therapy, typically 30 minutes | 17 | $1,303 | $77 |
| Therapy procedure using manual technique, each 15 minutes | 21 | $619 | $16 |
See all 6 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 42 | $5,417 | $17 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 40 | $4,964 | $21 |
| Therapy procedure using functional activities | 34 | $4,267 | $27 |
| Evaluation for physical therapy, typically 30 minutes | 17 | $1,303 | $77 |
| Therapy procedure using manual technique, each 15 minutes | 21 | $619 | $16 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 14 | $336 | $7 |
Who their Medicare patients are
44 Original Medicare patients in 2024. Average age 70 · Women 71% · Also on Medicaid 46% · Health risk score 0.92. 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 75% · Diabetes 43% · Depression 27% · Chronic kidney disease 25%.
The office billed $40,745, Medicare allowed $23,448 and paid $18,466; for 861 services of 12 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.
Medicaid work
$6,865 in 2024
Medicaid paid $6,865 for 141 billed services this clinician did in 2024, up to 26 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.
| THERAPEUTIC EXERCISES | 108 | $5,757 |
| Application of a modality to 1 or more areas; hot or cold packs | 33 | $1,108 |
| 2024 | 141 | 2 | 26 | $6,865 |
Professional record
- NPI
- 1154009033
- Group
- Pappas Physical Therapy LLC · Merrimack Valley Physical Therapy
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 1650 Lyndon Farm Ct Ste 300, Louisville, KY, 40223
- NPI first listed
- 2023-07-10
- NPI last updated
- 2026-08-21
- NPI record certified
- 2026-08-21
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 18625 Sutter Blvd, Morgan Hill, CA, 95037