Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 7 | 295 | 3,094 | $170,435 | $59,968 |
| 2022 | 5 | 192 | 3,694 | $201,070 | $74,611 |
| 2021 | 5 | 86 | 1,046 | $56,066 | $22,113 |
| 2020 | 5 | 223 | 1,054 | $89,311 | $23,677 |
All Medicare Procedures & Services
22 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | Office | 2023 | 62 | 736 | $40,480 | $18,455 | 45.6% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2023 | 66 | 855 | $46,170 | $14,373 | 31.1% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2023 | 59 | 678 | $37,290 | $13,232 | 35.5% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2023 | 63 | 742 | $40,810 | $11,385 | 27.9% |
| 97162 | Evaluation for physical therapy, typically 30 minutes | Office | 2023 | 16 | 16 | $2,400 | $1,105 | 46.0% |
| 97161 | Evaluation for physical therapy, typically 20 minutes | Office | 2023 | 14 | 14 | $1,960 | $1,047 | 53.4% |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | Office | 2023 | 15 | 53 | $1,325 | $370.47 | 28.0% |
| 97530 | Therapy procedure using functional activities | Office | 2022 | 44 | 839 | $45,140 | $21,640 | 47.9% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2022 | 43 | 1,162 | $61,560 | $20,039 | 32.6% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2022 | 42 | 928 | $49,900 | $19,268 | 38.6% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2022 | 39 | 738 | $40,590 | $11,804 | 29.1% |
| 97162 | Evaluation for physical therapy, typically 30 minutes | Office | 2022 | 24 | 27 | $3,880 | $1,861 | 48.0% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2021 | 20 | 370 | $19,240 | $6,639 | 34.5% |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | Office | 2021 | 17 | 198 | $10,296 | $5,614 | 54.5% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2021 | 19 | 260 | $13,520 | $5,601 | 41.4% |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | Office | 2021 | 18 | 206 | $11,330 | $3,409 | 30.1% |
| 97162 | Evaluation of physical therapy, typically 30 minutes | Office | 2021 | 12 | 12 | $1,680 | $850.19 | 50.6% |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | Office | 2020 | 53 | 275 | $21,776 | $7,979 | 36.6% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2020 | 53 | 277 | $24,895 | $5,291 | 21.3% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2020 | 54 | 236 | $20,745 | $5,125 | 24.7% |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | Office | 2020 | 49 | 251 | $18,685 | $4,354 | 23.3% |
| 97162 | Evaluation of physical therapy, typically 30 minutes | Office | 2020 | 14 | 15 | $3,210 | $926.98 | 28.9% |
About Alex Vaughan, DPT
Alex Vaughan, DPT is a Physical Therapist healthcare provider based in Lexington, Kentucky. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 12/16/2019. The National Provider Identifier (NPI) number assigned to this provider is 1730727280.
As a Medicare-enrolled provider, Vaughan has provided services to 796 Medicare beneficiaries, totaling 8,888 services with total Medicare billing of $180,369. Data is available for 4 years (2020–2023), covering 22 distinct procedure/service records.
Practice Information
- Specialty Physical Therapist
- Location Lexington, KY
- Active Since 12/16/2019
- Last Updated 11/13/2020
- Taxonomy Code 225100000X
- Entity Type Individual
- NPI Number 1730727280
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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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