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Original Medicare doctor bills
$70,794
Medicare paid this office $70,794 for 94 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Therapy procedure using functional activities
90
$28,351
$30
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
90
$26,453
$22
Therapy procedure in a group setting
69
$5,945
$12
Evaluation for physical therapy, typically 20 minutes
47
$4,374
$81
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
48
$3,862
$19
See all 6 services
Every Original Medicare service billed
Therapy procedure using functional activities
90
$28,351
$30
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
90
$26,453
$22
Therapy procedure in a group setting
69
$5,945
$12
Evaluation for physical therapy, typically 20 minutes
47
$4,374
$81
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
48
$3,862
$19
Therapy procedure using manual technique, each 15 minutes
13
$389
$17
Who their Medicare patients are
94 Original Medicare patients in 2024. Average age 75 · Women 65% · Also on Medicaid 14% · Health risk score 1.02. 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 68% · Diabetes 27% · Coronary heart disease 24% · Depression 19% · Cancer 17% · Atrial fibrillation 13%.
The office billed $215,052, Medicare allowed $90,476 and paid $70,794; for 2,968 services of 11 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
94
2,968
75
1.02
$215,052
$70,794
2023
87
1,492
75
1.08
$92,008
$35,712
2022
198
1,943
73
1.30
$90,604
$43,304
2021
68
447
72
1.10
$22,316
$11,417
2020
55
315
74
1.23
$16,799
$4,758
2019
204
2,024
74
1.31
$109,062
$41,480
2018
103
1,414
74
1.26
$74,938
$29,888
2017
37
796
72
1.26
$38,413
$16,851
2016
21
865
73
1.22
$33,544
$21,637
2015
12
99
76
1.25
$8,535
$2,946
2014
50
365
72
1.03
$14,702
$9,825
2013
14
189
77
0.95
$7,316
$4,777
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 to re-educate brain-to-nerve-to-muscle function, each 15 minutes
87
$17,267
$24
Therapy procedure using functional activities
43
$7,132
$28
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
43
$3,250
$19
Therapy procedure in a group setting
59
$3,097
$12
Evaluation for physical therapy, typically 20 minutes
33
$2,999
$86
Re-evaluation for physical therapy, typically 20 minutes
25
$1,776
$52
2022: 6 services
Original Medicare services billed in 2022
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
162
$20,125
$26
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
156
$12,662
$19
Evaluation for physical therapy, typically 20 minutes
56
$4,101
$70
Therapy procedure using manual technique, each 15 minutes
78
$3,878
$16
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
57
$1,120
$7
Evaluation for physical therapy, typically 30 minutes
15
$982
$65
2021: 5 services
Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
51
$3,641
$23
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
48
$3,544
$30
Therapy procedure using manual technique, each 15 minutes
44
$2,211
$19
Evaluation for physical therapy, typically 20 minutes
20
$1,705
$81
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
14
$249
$9
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
49
$1,930
$18
Therapy procedure using manual technique, each 15 minutes
45
$1,415
$14
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
35
$523
$7
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
185
$16,574
$24
Therapy procedure using manual technique, each 15 minutes
181
$12,028
$18
Evaluation for physical therapy, typically 20 minutes
87
$5,640
$60
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
142
$3,919
$9
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
27
$2,649
$29
2018: 4 services
Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
93
$13,153
$25
Therapy procedure using manual technique, each 15 minutes
81
$8,245
$19
Evaluation for physical therapy, typically 20 minutes
65
$4,881
$66
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
74
$3,204
$9
2017: 4 services
Original Medicare services billed in 2017
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
31
$8,601
$25
Therapy procedure using manual technique, each 15 minutes
30
$3,778
$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
26
$1,279
$9
Evaluation for physical therapy, typically 20 minutes
14
$987
$71
2016: 4 services
Original Medicare services billed in 2016
Therapy procedure using functional activities
20
$11,158
$27
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
21
$7,598
$22
Physical therapy evaluation
21
$1,439
$65
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
14
$1,165
$21
2015: 1 service
Original Medicare services billed in 2015
Physical therapy evaluation
11
$739
$67
2014: 3 services
Original Medicare services billed in 2014
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
38
$6,543
$24
Physical therapy evaluation
34
$2,393
$65
Therapy procedure using manual technique, each 15 minutes
17
$592
$20
2013: 3 services
Original Medicare services billed in 2013
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
13
$1,583
$23
Therapy procedure using functional activities
14
$1,304
$29
Therapy procedure using manual technique, each 15 minutes
12
$716
$19
Medicaid work
$14,518 in 2022
Medicaid paid $14,518 for 7,471 billed services this clinician did in 2022, up to 197 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 2022
THERAPEUTIC EXERCISES
3,897
$10,508
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES
820
$2,129
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.
184
$878
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
189
$839
Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.
17
$164
UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX
2,364
$0
Medicaid work by year
2022
7,471
6
197
$14,518
2021
6,255
6
182
$6,296
2020
2,933
4
197
$7,297
2019
3,203
5
127
$6,740
2018
231
3
16
$549
See the largest Medicaid services in earlier years
2021
Largest Medicaid services in 2021
THERAPEUTIC EXERCISES
2,074
$4,968
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES
1,633
$658
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.
142
$600
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
48
$60
Application of a modality to 1 or more areas; hot or cold packs
940
$10
UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX
1,418
$0
2020
Largest Medicaid services in 2020
THERAPEUTIC EXERCISES
1,151
$6,253
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES
890
$684
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.
89
$360
UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX
803
$0
2019
Largest Medicaid services in 2019
THERAPEUTIC EXERCISES
1,308
$5,142
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES
919
$760
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.
302
$739
UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX
586
$95
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
88
$5
2018
Largest Medicaid services in 2018
THERAPEUTIC EXERCISES
88
$469
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
66
$69
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES
77
$11
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
Medicare’s overall office score
88.9 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
NPI
1770849531
Licence
CA PT293202, NJ 40QA01603100, NY 034747-1
Trained
New York University School of Medicine, 2013 · 13 years ago