Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 214 | 5,406 | $315,982 | $132,707 |
| 2022 | 6 | 268 | 5,098 | $298,566 | $127,724 |
| 2021 | 7 | 254 | 5,264 | $306,953 | $128,185 |
| 2020 | 7 | 249 | 5,364 | $311,244 | $129,011 |
All Medicare Procedures & Services
25 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 | 48 | 2,530 | $142,566 | $50,861 | 35.7% |
| 97530 | Therapy procedure using functional activities | Office | 2023 | 48 | 1,397 | $86,754 | $46,242 | 53.3% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2023 | 47 | 1,286 | $72,466 | $29,328 | 40.5% |
| 97162 | Evaluation for physical therapy, typically 30 minutes | Office | 2023 | 34 | 38 | $5,463 | $3,269 | 59.9% |
| 97116 | Therapy procedure for walking training, each 15 minutes | Office | 2023 | 37 | 155 | $8,734 | $3,007 | 34.4% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2022 | 62 | 2,400 | $135,240 | $49,122 | 36.3% |
| 97530 | Therapy procedure using functional activities | Office | 2022 | 63 | 1,265 | $78,557 | $42,335 | 53.9% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2022 | 61 | 1,233 | $69,480 | $29,037 | 41.8% |
| 97116 | Therapy procedure for walking training, each 15 minutes | Office | 2022 | 40 | 154 | $8,678 | $3,204 | 36.9% |
| 97162 | Evaluation for physical therapy, typically 30 minutes | Office | 2022 | 27 | 29 | $4,169 | $2,477 | 59.4% |
| 97161 | Evaluation for physical therapy, typically 20 minutes | Office | 2022 | 15 | 17 | $2,444 | $1,548 | 63.3% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2021 | 51 | 2,237 | $126,055 | $44,697 | 35.5% |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | Office | 2021 | 48 | 1,324 | $82,220 | $43,181 | 52.5% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2021 | 49 | 1,105 | $62,267 | $25,481 | 40.9% |
| 97116 | Walking training to 1 or more areas, each 15 minutes | Office | 2021 | 47 | 389 | $21,920 | $7,713 | 35.2% |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | Office | 2021 | 14 | 161 | $7,591 | $3,003 | 39.6% |
| 97162 | Evaluation of physical therapy, typically 30 minutes | Office | 2021 | 27 | 30 | $4,313 | $2,537 | 58.8% |
| 97161 | Evaluation of physical therapy, typically 20 minutes | Office | 2021 | 18 | 18 | $2,588 | $1,574 | 60.8% |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | Office | 2020 | 50 | 1,291 | $80,171 | $42,109 | 52.5% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2020 | 50 | 2,012 | $113,376 | $40,209 | 35.5% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2020 | 46 | 1,167 | $65,760 | $27,139 | 41.3% |
| 97116 | Walking training to 1 or more areas, each 15 minutes | Office | 2020 | 47 | 633 | $35,670 | $12,621 | 35.4% |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | Office | 2020 | 15 | 220 | $10,373 | $4,114 | 39.7% |
| 97161 | Evaluation of physical therapy, typically 20 minutes | Office | 2020 | 23 | 23 | $3,306 | $1,552 | 47.0% |
| 97162 | Evaluation of physical therapy, typically 30 minutes | Office | 2020 | 18 | 18 | $2,588 | $1,265 | 48.9% |
About Mark Mcdonald
Mark Mcdonald is a Physical Therapist healthcare provider based in Wallkill, New York. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 03/06/2014. The National Provider Identifier (NPI) number assigned to this provider is 1861818494.
As a Medicare-enrolled provider, Mcdonald has provided services to 985 Medicare beneficiaries, totaling 21,132 services with total Medicare billing of $517,627. Data is available for 4 years (2020–2023), covering 25 distinct procedure/service records.
Practice Information
- Specialty Physical Therapist
- Location Wallkill, NY
- Active Since 03/06/2014
- Last Updated 03/06/2014
- Taxonomy Code 225100000X
- Entity Type Individual
- NPI Number 1861818494
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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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