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Albert M Sgambato

Physical Therapist·Cranston, RI·NPI: 1265079008SharePrint ReportML Risk: 83%

Compared to Physical Therapist Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $59K is at the below 25th percentile among 20 Physical Therapist providers.

Total Paid

$59K

$59,337

Total Claims

2,511

Beneficiaries

1,216

2.1 claims/patient

Avg Cost/Claim

$24

🔍 Analysis

Provider Overview

Albert M Sgambato is a Physical Therapist provider based in Cranston, RI. From the 2018–2024 period, this provider received $59K in Medicaid payments across 3K claims serving 1K beneficiaries.

24% growthsince first billing year

Yearly Spending

2022
$26K
+24%
2023
$33K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 58% of total spending.

97110Normal range

Therapeutic exercises, each 15 min

$34K

1,027 claims · 57.7%

Your Cost: $33.31/claim|Median: $24.49
1.4× median
97140Normal range

Manual therapy techniques, per 15 minutes

$10K

641 claims · 17.2%

Your Cost: $15.88/claim|Median: $16.79
0.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$6K

341 claims · 10.4%

Your Cost: $18.12/claim|Median: $20.04
0.9× median
97161Normal range

Physical therapy evaluation, low complexity

$6K

136 claims · 9.3%

Your Cost: $40.54/claim|Median: $47.89
0.8× median
97014Normal range

Electrical stimulation, unattended

$2K

300 claims · 4.1%

Your Cost: $8.18/claim|Median: $8.83
0.9× median
97162Normal range

PT evaluation, moderate complexity

$526

12 claims · 0.9%

Your Cost: $43.84/claim|Median: $46.10
1.0× median
97035Normal range

Ultrasound therapy

$169

25 claims · 0.3%

Your Cost: $6.74/claim|Median: $7.31
0.9× median
G0283Normal range

$103

29 claims · 0.2%

Your Cost: $3.54/claim|Median: $3.52
1.0× median