Compared to Physical Therapist Peers
Total spending distribution among 20 providers in this specialty
This provider's total spending of $143K is at the 25th percentile among 20 Physical Therapist providers.
Total Paid
$143K
$143,008
Total Claims
5,829
Beneficiaries
1,699
3.4 claims/patient
Avg Cost/Claim
$25
🔍 Analysis
Provider Overview
Rueben Cervantez is a Physical Therapist provider based in Las Vegas, NV. From 2018-01 through 2018-12, this provider received $143K in Medicaid payments across 6K claims serving 2K beneficiaries, billing 7 distinct procedure codes.
Key Findings
- 📊Bills 1.7× the national median for 97110 (97110), at $42 per claim vs. the median of $24, placing them above the 75th percentile.
- 📊Billing stopped in 2018-12, suggesting this provider is no longer active in Medicaid.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 7 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 55% of total spending.
Therapeutic exercises, each 15 min
$79K
1,883 claims · 55.0%
$35K
957 claims
$36.75
$33.11
Therapeutic activities, each 15 min
$35K
957 claims · 24.6%
$13K
686 claims
$19.01
$16.79
Manual therapy techniques, per 15 minutes
$13K
686 claims · 9.1%
Hot/cold packs application
$7K
1,870 claims · 4.6%
PT evaluation, high complexity
$6K
100 claims · 4.3%
Electrical stimulation, unattended
$3K
290 claims · 2.1%
Mechanical traction therapy
$354
43 claims · 0.2%