Marc Magstadt
Compared to Physical Therapist Peers
Total spending distribution among 20 providers in this specialty
This provider's total spending of $201K is at the 50th percentile among 20 Physical Therapist providers.
Total Paid
$201K
$200,626
Total Claims
4,182
Beneficiaries
1,803
2.3 claims/patient
Avg Cost/Claim
$48
🔍 Analysis
Provider Overview
Marc Magstadt is a Physical Therapist provider based in Sparks, NV. From 2018-01 through 2018-12, this provider received $201K in Medicaid payments across 4K claims serving 2K beneficiaries, billing 6 distinct procedure codes.
Key Findings
- 📊Bills 3.1× the national median for 97530 (97530), at $101 per claim vs. the median of $33. This places them well above the 99th percentile nationally.
- 📊82% of billing is concentrated in 97530 (97530), indicating significant specialization in this service.
- 📊Billing stopped in 2018-12, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 6 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 82% of total spending.
$164K
1,620 claims
$101.50
$33.11
Therapeutic activities, each 15 min
$164K
1,620 claims · 82.0%
$13K
595 claims
$22.24
$16.79
Manual therapy techniques, per 15 minutes
$13K
595 claims · 6.6%
Electrical stimulation, unattended
$11K
914 claims · 5.3%
PT re-evaluation
$5K
127 claims · 2.4%
$4K
68 claims
$62.99
$47.89
Physical therapy evaluation, low complexity
$4K
68 claims · 2.1%
Hot/cold packs application
$3K
858 claims · 1.7%