Is APPLE PHYSICAL THERAPY, LLC flagged for Medicaid fraud?

APPLE PHYSICAL THERAPY, LLC (NPI: 1902808470) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does APPLE PHYSICAL THERAPY, LLC bill Medicaid?

APPLE 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 AUBURN, WA.

What is NPI 1902808470?

NPI 1902808470 is the National Provider Identifier for APPLE PHYSICAL THERAPY, LLC. They are a Physical Therapist provider based in AUBURN, WA. This NPI is registered with the CMS NPI Registry.

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APPLE PHYSICAL THERAPY, LLC

Physical Therapist·AUBURN, WA·NPI: 1902808470Share

Compared to Physical Therapist Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.1M 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

$31.1M

$31,095,609

Total Claims

1.2M

Beneficiaries

456K

2.7 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018

$2.9M

+37%

2019

$4.0M

-19%

2020

$3.2M

+45%

2021

$4.7M

+5%

2022

$4.9M

+14%

2023

$5.6M

+4%

2024

$5.8M

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 47% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

97530Therapeutic activities, each 15 minSee all providers →

$14.5M

423K claims

$34.26

$33.11

1.0×

Normal range

97530Normal range

Therapeutic activities, each 15 min

$14.5M

423K claims · 46.6%

Your Cost: $34.26/claim|Median: $33.11

1.0× median

97110Therapeutic exercises, each 15 minSee all providers →

$10.4M

459K claims

$22.62

$24.49

0.9×

Normal range

97110Normal range

Therapeutic exercises, each 15 min

$10.4M

459K claims · 33.4%

Your Cost: $22.62/claim|Median: $24.49

0.9× median

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

$2.9M

127K claims

$22.57

$20.04

1.1×

Normal range

97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$2.9M

127K claims · 9.2%

Your Cost: $22.57/claim|Median: $20.04

1.1× median

97140Manual therapy techniques, per 15 minutesSee all providers →

$2.3M

149K claims

$15.62

$16.79

0.9×

Normal range

97140Normal range

Manual therapy techniques, per 15 minutes

$2.3M

149K claims · 7.5%

Your Cost: $15.62/claim|Median: $16.79

0.9× median

97163PT evaluation, high complexitySee all providers →

$491K

9,899 claims

$49.64

$50.34

1.0×

Normal range

97163Normal range

PT evaluation, high complexity

$491K

9,899 claims · 1.6%

Your Cost: $49.64/claim|Median: $50.34

1.0× median

97162PT evaluation, moderate complexitySee all providers →

$312K

6,364 claims

$49.01

$46.10

1.1×

Normal range

97162Normal range

PT evaluation, moderate complexity

$312K

6,364 claims · 1.0%

Your Cost: $49.01/claim|Median: $46.10

1.1× median

97161Physical therapy evaluation, low complexitySee all providers →

$132K

2,649 claims

$49.92

$47.89

1.0×

Normal range

97161Normal range

Physical therapy evaluation, low complexity

$132K

2,649 claims · 0.4%

Your Cost: $49.92/claim|Median: $47.89

1.0× median

97803Medical nutrition therapy, reassessment, group, thirty minutesSee all providers →

$67K

971 claims

$69.17

$24.33

2.8×

Top 25%

97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$67K

971 claims · 0.2%

Your Cost: $69.17/claim|Median: $24.33

2.8× median

97014Electrical stimulation, unattendedSee all providers →

$23K

2,587 claims

$8.90

$8.83

1.0×

Normal range

97014Normal range

Electrical stimulation, unattended

$23K

2,587 claims · 0.1%

Your Cost: $8.90/claim|Median: $8.83

1.0× median

97116Gait trainingSee all providers →

$6K

326 claims

$18.00

$12.48

1.4×

Normal range

97116Normal range

Gait training

$6K

326 claims · 0.0%

Your Cost: $18.00/claim|Median: $12.48

1.4× median

97802Medical nutrition therapy, reassessment, individual, fifteen minutesSee all providers →

$2K

26 claims

$81.93

$12.70

6.5×

Top 25%

97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$2K

26 claims · 0.0%

Your Cost: $81.93/claim|Median: $12.70

6.5× median

97164PT re-evaluationSee all providers →

$426

14 claims

$30.45

$32.66

0.9×

Normal range

97164Normal range

PT re-evaluation

$426

14 claims · 0.0%

Your Cost: $30.45/claim|Median: $32.66

0.9× median

97035Ultrasound therapySee all providers →

$153

20 claims

$7.67

$7.31

1.0×

Normal range

97035Normal range

Ultrasound therapy

$153

20 claims · 0.0%

Your Cost: $7.67/claim|Median: $7.31

1.0× median

97010Hot/cold packs applicationSee all providers →

$15

31K claims

$0.00

$4.47

0.0×

Normal range

97010Normal range

Hot/cold packs application

$15

31K claims · 0.0%

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

0.0× median

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