Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 13 | 1,624 | 9,985 | $604,793 | $194,161 |
| 2022 | 13 | 1,834 | 12,103 | $726,273 | $238,806 |
| 2021 | 13 | 1,294 | 8,561 | $498,045 | $175,600 |
| 2020 | 12 | 1,334 | 8,362 | $476,567 | $166,944 |
All Medicare Procedures & Services
51 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | Office | 2023 | 196 | 2,059 | $133,080 | $50,211 | 37.7% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2023 | 193 | 2,591 | $140,634 | $43,574 | 31.0% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2023 | 219 | 1,457 | $87,420 | $30,261 | 34.6% |
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | Office | 2023 | 128 | 1,114 | $78,945 | $23,656 | 30.0% |
| 97162 | Evaluation for physical therapy, typically 30 minutes | Office | 2023 | 166 | 174 | $28,755 | $12,119 | 42.1% |
| 97535 | Training for self-care or home management, each 15 minutes | Office | 2023 | 228 | 546 | $30,072 | $10,236 | 34.0% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2023 | 116 | 499 | $31,470 | $7,901 | 25.1% |
| 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 | 143 | 701 | $22,440 | $4,735 | 21.1% |
| 97161 | Evaluation for physical therapy, typically 20 minutes | Office | 2023 | 56 | 58 | $9,810 | $4,435 | 45.2% |
| 97150 | Therapy procedure in a group setting | Office | 2023 | 96 | 448 | $26,170 | $4,413 | 16.9% |
| 97016 | Application of blood vessel compression device | Office | 2023 | 40 | 218 | $9,800 | $1,443 | 14.7% |
| 97012 | Application of mechanical traction | Office | 2023 | 31 | 107 | $5,417 | $956.04 | 17.6% |
| 97116 | Therapy procedure for walking training, each 15 minutes | Office | 2023 | 12 | 13 | $780.00 | $221.07 | 28.3% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2022 | 274 | 4,019 | $217,026 | $69,787 | 32.2% |
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | Office | 2022 | 162 | 1,862 | $139,650 | $45,648 | 32.7% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2022 | 247 | 1,854 | $111,240 | $40,502 | 36.4% |
| 97530 | Therapy procedure using functional activities | Office | 2022 | 146 | 841 | $50,460 | $21,052 | 41.7% |
| 97162 | Evaluation for physical therapy, typically 30 minutes | Office | 2022 | 234 | 262 | $43,230 | $18,887 | 43.7% |
| 97535 | Training for self-care or home management, each 15 minutes | Office | 2022 | 269 | 804 | $43,416 | $15,798 | 36.4% |
| 97150 | Therapy procedure in a group setting | Office | 2022 | 163 | 914 | $45,700 | $9,952 | 21.8% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2022 | 118 | 569 | $36,985 | $9,439 | 25.5% |
| 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 | 2022 | 113 | 576 | $17,280 | $4,054 | 23.5% |
| 97016 | Application of blood vessel compression device | Office | 2022 | 49 | 260 | $13,000 | $1,773 | 13.6% |
| 97012 | Application of mechanical traction | Office | 2022 | 30 | 99 | $5,346 | $823.31 | 15.4% |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | Office | 2022 | 11 | 12 | $1,080 | $550.72 | 51.0% |
About Don Vallie, PT
Don Vallie, PT is a Physical Therapist healthcare provider based in Athens, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/07/2006. The National Provider Identifier (NPI) number assigned to this provider is 1801805965.
As a Medicare-enrolled provider, Vallie has provided services to 6,086 Medicare beneficiaries, totaling 39,011 services with total Medicare billing of $775,511. Data is available for 4 years (2020–2023), covering 51 distinct procedure/service records.
Practice Information
- Specialty Physical Therapist
- Location Athens, TX
- Active Since 08/07/2006
- Last Updated 10/29/2010
- Taxonomy Code 225100000X
- Entity Type Individual
- NPI Number 1801805965
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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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