Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 218 | 2,868 | $218,700 | $62,383 |
| 2022 | 5 | 252 | 2,302 | $176,025 | $51,396 |
| 2021 | 5 | 249 | 2,560 | $196,875 | $58,989 |
| 2020 | 5 | 259 | 2,049 | $158,100 | $47,026 |
All Medicare Procedures & Services
20 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | Office | 2023 | 54 | 910 | $68,250 | $25,483 | 37.3% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2023 | 54 | 1,118 | $83,850 | $18,377 | 21.9% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2023 | 36 | 466 | $34,950 | $8,268 | 23.7% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2023 | 34 | 326 | $24,450 | $6,626 | 27.1% |
| 97162 | Evaluation for physical therapy, typically 30 minutes | Office | 2023 | 40 | 48 | $7,200 | $3,628 | 50.4% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2022 | 69 | 1,048 | $78,600 | $18,022 | 22.9% |
| 97530 | Therapy procedure using functional activities | Office | 2022 | 44 | 383 | $28,725 | $11,307 | 39.4% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2022 | 41 | 377 | $28,275 | $9,310 | 32.9% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2022 | 56 | 449 | $33,675 | $9,220 | 27.4% |
| 97162 | Evaluation for physical therapy, typically 30 minutes | Office | 2022 | 42 | 45 | $6,750 | $3,538 | 52.4% |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | Office | 2021 | 61 | 1,128 | $84,600 | $20,066 | 23.7% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2021 | 54 | 573 | $42,975 | $11,974 | 27.9% |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | Office | 2021 | 38 | 375 | $28,125 | $11,542 | 41.0% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2021 | 41 | 419 | $31,425 | $10,837 | 34.5% |
| 97162 | Evaluation of physical therapy, typically 30 minutes | Office | 2021 | 55 | 65 | $9,750 | $4,571 | 46.9% |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | Office | 2020 | 75 | 995 | $74,625 | $17,932 | 24.0% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2020 | 71 | 537 | $40,275 | $12,051 | 29.9% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2020 | 32 | 280 | $21,000 | $7,637 | 36.4% |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | Office | 2020 | 27 | 178 | $13,350 | $5,607 | 42.0% |
| 97162 | Evaluation of physical therapy, typically 30 minutes | Office | 2020 | 54 | 59 | $8,850 | $3,799 | 42.9% |
About Gerald Rousseau, PT
Gerald Rousseau, PT is a Physical Therapist healthcare provider based in Wakefield, Rhode Island. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/22/2006. The National Provider Identifier (NPI) number assigned to this provider is 1437124328.
As a Medicare-enrolled provider, Rousseau has provided services to 978 Medicare beneficiaries, totaling 9,779 services with total Medicare billing of $219,794. Data is available for 4 years (2020–2023), covering 20 distinct procedure/service records.
Practice Information
- Specialty Physical Therapist
- Location Wakefield, RI
- Active Since 02/22/2006
- Last Updated 04/05/2016
- Taxonomy Code 225100000X
- Entity Type Individual
- NPI Number 1437124328
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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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