Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 118 | 1,209 | $57,545 | $25,069 |
| 2022 | 6 | 119 | 889 | $41,885 | $18,068 |
| 2021 | 5 | 130 | 1,245 | $60,475 | $26,812 |
| 2020 | 4 | 107 | 1,111 | $53,675 | $24,087 |
All Medicare Procedures & Services
20 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 | 25 | 671 | $30,195 | $10,674 | 35.3% |
| 97530 | Therapy procedure using functional activities | Office | 2023 | 27 | 370 | $16,650 | $9,357 | 56.2% |
| 97161 | Evaluation for physical therapy, typically 20 minutes | Office | 2023 | 26 | 26 | $2,990 | $1,972 | 66.0% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2023 | 21 | 118 | $5,310 | $1,799 | 33.9% |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | Office | 2023 | 19 | 24 | $2,400 | $1,267 | 52.8% |
| 97530 | Therapy procedure using functional activities | Office | 2022 | 24 | 284 | $12,780 | $7,234 | 56.6% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2022 | 24 | 359 | $16,155 | $5,975 | 37.0% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2022 | 21 | 115 | $5,175 | $1,789 | 34.6% |
| 97161 | Evaluation for physical therapy, typically 20 minutes | Office | 2022 | 25 | 27 | $3,105 | $1,711 | 55.1% |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | Office | 2022 | 13 | 14 | $1,430 | $749.02 | 52.4% |
| 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 | 2022 | 12 | 90 | $3,240 | $609.68 | 18.8% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2021 | 34 | 832 | $37,440 | $17,013 | 45.4% |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | Office | 2021 | 35 | 347 | $15,615 | $5,920 | 37.9% |
| 97164 | Re-evaluation of physical therapy, typically 20 minutes | Office | 2021 | 24 | 28 | $2,800 | $1,498 | 53.5% |
| 97162 | Evaluation of physical therapy, typically 30 minutes | Office | 2021 | 24 | 25 | $3,125 | $1,441 | 46.1% |
| 97161 | Evaluation of physical therapy, typically 20 minutes | Office | 2021 | 13 | 13 | $1,495 | $940.92 | 62.9% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2020 | 31 | 762 | $34,290 | $15,957 | 46.5% |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | Office | 2020 | 30 | 298 | $13,410 | $5,238 | 39.1% |
| 97162 | Evaluation of physical therapy, typically 30 minutes | Office | 2020 | 31 | 35 | $4,375 | $2,193 | 50.1% |
| 97164 | Re-evaluation of physical therapy, typically 20 minutes | Office | 2020 | 15 | 16 | $1,600 | $698.62 | 43.7% |
About Donald Downing, DPT
Donald Downing, DPT is a Physical Therapist healthcare provider based in Warren, Ohio. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/11/2006. The National Provider Identifier (NPI) number assigned to this provider is 1669451324.
As a Medicare-enrolled provider, Downing has provided services to 474 Medicare beneficiaries, totaling 4,454 services with total Medicare billing of $94,036. Data is available for 4 years (2020–2023), covering 20 distinct procedure/service records.
Practice Information
- Specialty Physical Therapist
- Location Warren, OH
- Active Since 01/11/2006
- Last Updated 10/10/2011
- Taxonomy Code 225100000X
- Entity Type Individual
- NPI Number 1669451324
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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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