Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 6 | 264 | 3,195 | $195,306 | $64,113 |
| 2022 | 6 | 235 | 3,602 | $225,365 | $74,286 |
| 2021 | 7 | 212 | 3,203 | $196,600 | $65,557 |
| 2020 | 7 | 247 | 3,127 | $186,640 | $63,177 |
All Medicare Procedures & Services
26 procedure records from CMS Medicare Utilization — Page 1 of 2
| 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 | 74 | 1,417 | $87,459 | $26,451 | 30.2% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2023 | 64 | 1,123 | $62,230 | $18,687 | 30.0% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2023 | 47 | 417 | $26,175 | $10,458 | 40.0% |
| 97530 | Therapy procedure using functional activities | Office | 2023 | 38 | 197 | $13,727 | $5,725 | 41.7% |
| 97161 | Evaluation for physical therapy, typically 20 minutes | Office | 2023 | 30 | 30 | $4,780 | $2,399 | 50.2% |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | Office | 2023 | 11 | 11 | $935.00 | $392.38 | 42.0% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2022 | 56 | 1,939 | $126,035 | $36,904 | 29.3% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2022 | 51 | 1,030 | $56,650 | $16,979 | 30.0% |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | Office | 2022 | 46 | 152 | $12,920 | $8,063 | 62.4% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2022 | 24 | 310 | $18,600 | $7,969 | 42.8% |
| 97161 | Evaluation for physical therapy, typically 20 minutes | Office | 2022 | 45 | 45 | $6,750 | $3,459 | 51.2% |
| 97016 | Application of blood vessel compression device | Office | 2022 | 13 | 126 | $4,410 | $912.01 | 20.7% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2021 | 50 | 1,663 | $108,095 | $32,733 | 30.3% |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | Office | 2021 | 46 | 864 | $47,520 | $14,593 | 30.7% |
| 97164 | Re-evaluation of physical therapy, typically 20 minutes | Office | 2021 | 40 | 129 | $10,965 | $6,734 | 61.4% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2021 | 14 | 228 | $13,680 | $5,939 | 43.4% |
| 97161 | Evaluation of physical therapy, typically 20 minutes | Office | 2021 | 38 | 45 | $6,750 | $3,349 | 49.6% |
| 97035 | Application of ultrasound to 1 or more areas, each 15 minutes | Office | 2021 | 13 | 154 | $5,390 | $1,330 | 24.7% |
| 97016 | Application of blood vessel compression or decompression device to 1 or more areas | Office | 2021 | 11 | 120 | $4,200 | $878.22 | 20.9% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2020 | 52 | 1,362 | $88,530 | $27,547 | 31.1% |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | Office | 2020 | 52 | 834 | $45,870 | $14,600 | 31.8% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2020 | 26 | 345 | $20,700 | $9,246 | 44.7% |
| 97164 | Re-evaluation of physical therapy, typically 20 minutes | Office | 2020 | 37 | 101 | $8,585 | $4,730 | 55.1% |
| 97161 | Evaluation of physical therapy, typically 20 minutes | Office | 2020 | 48 | 52 | $7,800 | $3,510 | 45.0% |
| 97016 | Application of blood vessel compression or decompression device to 1 or more areas | Office | 2020 | 19 | 235 | $8,225 | $1,790 | 21.8% |
About Candice Lancaster, DPT
Candice Lancaster, DPT is a Physical Medicine & Rehabilitation healthcare provider based in Anthem, Arizona. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/20/2019. The National Provider Identifier (NPI) number assigned to this provider is 1063986362.
As a Medicare-enrolled provider, Lancaster has provided services to 958 Medicare beneficiaries, totaling 13,127 services with total Medicare billing of $267,132. Data is available for 4 years (2020–2023), covering 26 distinct procedure/service records.
Practice Information
- Specialty Physical Medicine & Rehabilitation
- Location Anthem, AZ
- Active Since 01/20/2019
- Last Updated 01/20/2019
- Taxonomy Code 208100000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1063986362
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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.