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Original Medicare doctor bills
$73,592
Medicare paid this office $73,592 for 64 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Therapy procedure using functional activities
62
$55,082
$24
Therapy procedure using manual technique, each 15 minutes
55
$8,504
$17
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
49
$2,790
$7
Evaluation for physical therapy, typically 30 minutes
37
$2,460
$63
Application of blood vessel compression device
39
$2,188
$7
See all 7 services
Every Original Medicare service billed
Therapy procedure using functional activities
62
$55,082
$24
Therapy procedure using manual technique, each 15 minutes
55
$8,504
$17
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
49
$2,790
$7
Evaluation for physical therapy, typically 30 minutes
37
$2,460
$63
Application of blood vessel compression device
39
$2,188
$7
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
14
$1,606
$10
Application of ultrasound, each 15 minutes
16
$438
$9
Who their Medicare patients are
64 Original Medicare patients in 2024. Average age 75 · Women 56% · Health risk score 0.95. 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 63% · Cancer 22% · Coronary heart disease 20% · Chronic kidney disease 19%.
The office billed $210,171, Medicare allowed $96,911 and paid $73,592; for 3,703 services of 10 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
2024
64
3,703
75
0.95
$210,171
$73,592
2023
73
6,272
73
0.98
$367,264
$123,850
2022
106
6,544
73
0.99
$390,211
$142,611
2021
119
5,695
73
1.01
$337,365
$126,095
2020
37
1,114
73
0.90
$51,981
$20,036
2019
70
2,221
75
1.28
$102,231
$52,881
2018
87
1,869
73
0.93
$81,780
$36,731
2017
208
8,084
74
0.99
$349,586
$167,739
2016
128
3,544
73
1.13
$151,563
$73,129
2015
115
5,017
74
0.88
$210,207
$102,151
2014
116
5,659
72
1.04
$239,050
$112,602
2013
127
6,379
71
0.90
$272,290
$137,719
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 exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
73
$99,886
$21
Therapy procedure using manual technique, each 15 minutes
64
$13,158
$18
Evaluation for physical therapy, typically 30 minutes
59
$5,473
$83
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
43
$2,539
$8
Application of ultrasound, each 15 minutes
22
$1,319
$9
Application of blood vessel compression device
27
$993
$8
2022: 7 services
Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
105
$92,186
$21
Therapy procedure using manual technique, each 15 minutes
63
$15,226
$18
Therapy procedure using water pool to exercises, each 15 minutes
14
$14,142
$26
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
42
$9,329
$26
Evaluation for physical therapy, typically 30 minutes
77
$6,923
$82
Re-evaluation for physical therapy, typically 20 minutes
16
$1,294
$62
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
33
$1,097
$8
2021: 8 services
Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
118
$66,979
$22
Therapy procedure using manual technique, each 15 minutes
89
$26,124
$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
54
$11,671
$27
Evaluation for physical therapy, typically 30 minutes
47
$4,058
$85
Evaluation for physical therapy, typically 20 minutes
30
$2,692
$84
Re-evaluation for physical therapy, typically 20 minutes
31
$2,654
$62
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
26
$1,589
$9
Application of blood vessel compression device
19
$1,004
$8
2020: 3 services
Original Medicare services billed in 2020
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
36
$13,300
$18
Therapy procedure using manual technique, each 15 minutes
26
$3,795
$19
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
12
$724
$9
2019: 5 services
Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
68
$25,080
$21
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
60
$18,344
$26
Evaluation for physical therapy, typically 30 minutes
38
$2,988
$73
Therapy procedure using functional activities
11
$949
$29
Therapy procedure using manual technique, each 15 minutes
16
$914
$19
2018: 9 services
Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
82
$22,059
$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
51
$6,194
$25
Therapy procedure using manual technique, each 15 minutes
41
$2,645
$17
Therapy procedure using functional activities
21
$1,424
$32
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
39
$1,247
$9
Evaluation for physical therapy, typically 20 minutes
17
$944
$56
Evaluation for physical therapy, typically 30 minutes
11
$580
$53
Application of blood vessel compression device
22
$539
$9
Therapy procedure in a group setting
21
$511
$12
2017: 8 services
Original Medicare services billed in 2017
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
206
$112,570
$21
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
131
$27,024
$26
Therapy procedure using manual technique, each 15 minutes
125
$12,176
$19
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
113
$5,269
$9
Application of blood vessel compression device
94
$4,353
$11
Evaluation for physical therapy, typically 30 minutes
35
$2,367
$66
Re-evaluation for physical therapy, typically 20 minutes
32
$1,490
$38
Evaluation for physical therapy, typically 20 minutes
23
$1,460
$63
2016: 6 services
Original Medicare services billed in 2016
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
128
$48,232
$21
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
77
$13,248
$27
Therapy procedure using manual technique, each 15 minutes
75
$4,211
$19
Application of blood vessel compression device
66
$2,623
$11
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
79
$2,450
$9
Physical therapy evaluation
28
$1,806
$62
2015: 8 services
Original Medicare services billed in 2015
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
115
$72,840
$22
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
70
$8,863
$28
Therapy procedure using manual technique, each 15 minutes
73
$5,365
$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
94
$4,750
$9
Application of blood vessel compression device
65
$3,902
$11
Physical therapy evaluation
50
$3,356
$63
Therapy procedure in a group setting
42
$1,452
$12
Application of medication using electrical current, each 15 minutes
12
$856
$23
2014: 7 services
Original Medicare services billed in 2014
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
113
$74,064
$22
Therapy procedure using manual technique, each 15 minutes
83
$15,570
$19
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
95
$6,671
$9
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
57
$5,827
$29
Physical therapy evaluation
87
$5,154
$57
Application of blood vessel compression device
57
$4,575
$11
Physical therapy re-evaluation
17
$709
$32
2013: 9 services
Original Medicare services billed in 2013
Therapy procedure using functional activities
108
$38,852
$27
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
117
$37,389
$23
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
116
$27,518
$21
Therapy procedure using manual technique, each 15 minutes
115
$14,310
$20
Physical therapy evaluation
103
$7,170
$64
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
106
$6,302
$9
Application of blood vessel compression device
57
$3,246
$12
Physical therapy re-evaluation
30
$1,187
$37
Application of ultrasound, each 15 minutes
18
$502
$9
Medicaid work
$593 in 2024
Medicaid paid $593 for 4,536 billed services this clinician did in 2024, up to 76 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 2024
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes
2,653
$329
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES
1,431
$163
THERAPEUTIC EXERCISES
147
$79
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.
232
$22
ELECTRIC STIMULATION THERAPY
61
$0
Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a 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.
12
$0
Medicaid work by year
2024
4,536
6
76
$593
2023
3,887
6
127
$40
2022
11,180
8
145
$0
2021
3,707
7
124
$0
2020
222
2
48
$0
2019
1,731
6
64
$0
2018
68
1
29
$0
See the largest Medicaid services in earlier years
2023
Largest Medicaid services in 2023
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.
174
$23
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES
965
$18
ELECTRIC STIMULATION THERAPY
90
$0
Application of a modality to 1 or more areas; vasopneumatic devices
29
$0
THERAPEUTIC EXERCISES
2,604
$0
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes
25
$0
2022
Largest Medicaid services in 2022
ELECTRIC STIMULATION THERAPY
758
$0
Application of a modality to 1 or more areas; vasopneumatic devices
230
$0
THERAPEUTIC EXERCISES
6,008
$0
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities
273
$0
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises
842
$0
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES
2,417
$0
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.
455
$0
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes
197
$0
2021
Largest Medicaid services in 2021
ELECTRIC STIMULATION THERAPY
250
$0
THERAPEUTIC EXERCISES
2,603
$0
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities
330
$0
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises
191
$0
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES
193
$0
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.
94
$0
Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a 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.
46
$0
2020
Largest Medicaid services in 2020
ELECTRIC STIMULATION THERAPY
56
$0
THERAPEUTIC EXERCISES
166
$0
2019
Largest Medicaid services in 2019
THERAPEUTIC EXERCISES
1,074
$0
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities
206
$0
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises
285
$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.
15
$0
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.
134
$0
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes