Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 2 | 23 | 195 | $15,600 | $3,065 |
| 2022 | 8 | 151 | 2,991 | $174,770 | $66,149 |
| 2021 | 6 | 221 | 5,441 | $267,730 | $129,073 |
| 2020 | 6 | 203 | 2,901 | $142,105 | $69,364 |
All Medicare Procedures & Services
22 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2023 | 12 | 161 | $12,880 | $2,602 | 20.2% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2023 | 11 | 34 | $2,720 | $462.29 | 17.0% |
| 97530 | Therapy procedure using functional activities | Office | 2022 | 26 | 1,097 | $64,290 | $28,475 | 44.3% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2022 | 44 | 1,248 | $71,720 | $24,107 | 33.6% |
| 97116 | Therapy procedure for walking training, each 15 minutes | Office | 2022 | 17 | 485 | $24,260 | $8,840 | 36.4% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2022 | 13 | 81 | $5,430 | $1,879 | 34.6% |
| 97161 | Evaluation for physical therapy, typically 20 minutes | Office | 2022 | 13 | 14 | $2,450 | $940.94 | 38.4% |
| 97162 | Evaluation for physical therapy, typically 30 minutes | Office | 2022 | 11 | 11 | $2,100 | $919.30 | 43.8% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2022 | 12 | 39 | $3,100 | $650.55 | 21.0% |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | Office | 2022 | 15 | 16 | $1,420 | $336.20 | 23.7% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2021 | 47 | 2,541 | $127,050 | $53,208 | 41.9% |
| 97116 | Walking training to 1 or more areas, each 15 minutes | Office | 2021 | 38 | 1,556 | $62,240 | $29,966 | 48.1% |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | Office | 2021 | 36 | 1,003 | $50,150 | $28,561 | 57.0% |
| 97164 | Re-evaluation of physical therapy, typically 20 minutes | Office | 2021 | 43 | 216 | $17,280 | $12,081 | 69.9% |
| 97162 | Evaluation of physical therapy, typically 30 minutes | Office | 2021 | 44 | 56 | $7,560 | $3,391 | 44.9% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2021 | 13 | 69 | $3,450 | $1,867 | 54.1% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2020 | 44 | 1,421 | $71,050 | $31,563 | 44.4% |
| 97116 | Walking training to 1 or more areas, each 15 minutes | Office | 2020 | 40 | 1,032 | $41,280 | $20,769 | 50.3% |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | Office | 2020 | 19 | 201 | $10,050 | $6,109 | 60.8% |
| 97164 | Re-evaluation of physical therapy, typically 20 minutes | Office | 2020 | 35 | 107 | $8,560 | $5,330 | 62.3% |
| 97162 | Evaluation of physical therapy, typically 30 minutes | Office | 2020 | 43 | 49 | $6,615 | $3,188 | 48.2% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2020 | 22 | 91 | $4,550 | $2,406 | 52.9% |
About Albert Sgambato, PT
Albert Sgambato, PT is a Physical Therapist healthcare provider based in Cranston, Rhode Island. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/27/2019. The National Provider Identifier (NPI) number assigned to this provider is 1265079008.
As a Medicare-enrolled provider, Sgambato has provided services to 598 Medicare beneficiaries, totaling 11,528 services with total Medicare billing of $267,651. Data is available for 4 years (2020–2023), covering 22 distinct procedure/service records.
Practice Information
- Specialty Physical Therapist
- Location Cranston, RI
- Active Since 11/27/2019
- Last Updated 11/27/2019
- Taxonomy Code 225100000X
- Entity Type Individual
- NPI Number 1265079008
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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