OIG EXCLUDED — This provider appears on the federal exclusion list
Mohamed Elmandouh
Compared to Physical Therapist Peers
Total spending distribution among 20 providers in this specialty
This provider's total spending of $133K is at the 25th percentile among 20 Physical Therapist providers.
Total Paid
$133K
$132,586
Total Claims
6,285
Beneficiaries
3,220
2.0 claims/patient
Avg Cost/Claim
$21
🔍 Analysis
Provider Overview
Mohamed Elmandouh is a Physical Therapist provider based in New York, NY. From 2020-08 through 2021-09, this provider received $133K in Medicaid payments across 6K claims serving 3K beneficiaries, billing 7 distinct procedure codes.
Key Findings
- 📊Spending grew 7282% from $2K in 2020 to $131K in 2021.
- 📊Saw a 73.8× spike in 2021 ($2K → $131K), a sharp year-over-year increase.
- 📊Billing stopped in 2021-09, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 39% of total spending.
$52K
1,606 claims
$32.61
$24.49
Therapeutic exercises, each 15 min
$52K
1,606 claims · 39.5%
$23K
1,555 claims
$15.09
$16.79
Manual therapy techniques, per 15 minutes
$23K
1,555 claims · 17.7%
$21K
1,110 claims
$19.14
$18.18
Self-care/home management training, per 15 minutes
$21K
1,110 claims · 16.0%
$14K
284 claims
$50.65
$47.89
Physical therapy evaluation, low complexity
$14K
284 claims · 10.8%
$10K
1,207 claims
$8.49
$8.83
Electrical stimulation, unattended
$10K
1,207 claims · 7.7%
$10K
506 claims
$19.79
$20.04
Therapeutic procedure, neuromuscular reeducation, per 15 minutes
$10K
506 claims · 7.6%
PT evaluation, moderate complexity
$861
17 claims · 0.6%