Is ADVANCED PHYSICAL THERAPY, LLC flagged for Medicaid fraud?

ADVANCED PHYSICAL THERAPY, LLC (NPI: 1316940505) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ADVANCED PHYSICAL THERAPY, LLC bill Medicaid?

ADVANCED PHYSICAL THERAPY, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Physical Therapist provider. Located in INDIANAPOLIS, IN.

What is NPI 1316940505?

NPI 1316940505 is the National Provider Identifier for ADVANCED PHYSICAL THERAPY, LLC. They are a Physical Therapist provider based in INDIANAPOLIS, IN. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

ADVANCED PHYSICAL THERAPY, LLC

Physical Therapist·INDIANAPOLIS, IN·NPI: 1316940505Share

Compared to Physical Therapist Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.0M is at the 99th percentile among 20 Physical Therapist providers.

Above 99th percentile for this specialty — higher spending than 19 of 20 peers

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.0M

$30,996,024

Total Claims

1.1M

Beneficiaries

335K

3.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018

$858K

+379%

2019

$4.1M

-30%

2020

$2.9M

+88%

2021

$5.4M

+15%

2022

$6.2M

+3%

2023

$6.3M

-16%

2024

$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 54% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

97530Therapeutic activities, each 15 minSee all providers →

$16.6M

417K claims

$39.80

$33.11

1.2×

Normal range

97530Normal range

Therapeutic activities, each 15 min

$16.6M

417K claims · 53.5%

Your Cost: $39.80/claim|Median: $33.11

1.2× median

97110Therapeutic exercises, each 15 minSee all providers →

$9.8M

397K claims

$24.56

$24.49

1.0×

Normal range

97110Normal range

Therapeutic exercises, each 15 min

$9.8M

397K claims · 31.5%

Your Cost: $24.56/claim|Median: $24.49

1.0× median

97140Manual therapy techniques, per 15 minutesSee all providers →

$3.4M

214K claims

$16.12

$16.79

1.0×

Normal range

97140Normal range

Manual therapy techniques, per 15 minutes

$3.4M

214K claims · 11.1%

Your Cost: $16.12/claim|Median: $16.79

1.0× median

97112Therapeutic procedure, neuromuscular reeducation, per 15 minutesSee all providers →

$622K

33K claims

$18.72

$20.04

0.9×

Normal range

97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$622K

33K claims · 2.0%

Your Cost: $18.72/claim|Median: $20.04

0.9× median

97163PT evaluation, high complexitySee all providers →

$343K

7,954 claims

$43.07

$50.34

0.9×

Normal range

97163Normal range

PT evaluation, high complexity

$343K

7,954 claims · 1.1%

Your Cost: $43.07/claim|Median: $50.34

0.9× median

97162PT evaluation, moderate complexitySee all providers →

$172K

3,705 claims

$46.34

$46.10

1.0×

Normal range

97162Normal range

PT evaluation, moderate complexity

$172K

3,705 claims · 0.6%

Your Cost: $46.34/claim|Median: $46.10

1.0× median

97014Electrical stimulation, unattendedSee all providers →

$34K

5,889 claims

$5.75

$8.83

0.7×

Normal range

97014Normal range

Electrical stimulation, unattended

$34K

5,889 claims · 0.1%

Your Cost: $5.75/claim|Median: $8.83

0.7× median

97161Physical therapy evaluation, low complexitySee all providers →

$28K

598 claims

$47.63

$47.89

1.0×

Normal range

97161Normal range

Physical therapy evaluation, low complexity

$28K

598 claims · 0.1%

Your Cost: $47.63/claim|Median: $47.89

1.0× median

97033IontophoresisSee all providers →

$436

36 claims

$12.10

$13.74

0.9×

Normal range

97033Normal range

Iontophoresis

$436

36 claims · 0.0%

Your Cost: $12.10/claim|Median: $13.74

0.9× median

97116Gait trainingSee all providers →

$103

28 claims

$3.67

$12.48

0.3×

Normal range

97116Normal range

Gait training

$103

28 claims · 0.0%

Your Cost: $3.67/claim|Median: $12.48

0.3× median

G0283 See all providers →

$49

562 claims

$0.09

$3.52

0.0×

Normal range

G0283Normal range

$49

562 claims · 0.0%

Your Cost: $0.09/claim|Median: $3.52

0.0× median

97012Mechanical traction therapySee all providers →

$23

308 claims

$0.07

$8.34

0.0×

Normal range

97012Normal range

Mechanical traction therapy

$23

308 claims · 0.0%

Your Cost: $0.07/claim|Median: $8.34

0.0× median

97010Hot/cold packs applicationSee all providers →

2,201 claims

$0.00

$4.47

0.0×

Normal range

97010Normal range

Hot/cold packs application

2,201 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.47

0.0× median

97035Ultrasound therapySee all providers →

29 claims

$0.00

$7.31

—

Normal range

97035Normal range

Ultrasound therapy

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.31

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