Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 4 | 57 | 77 | $4,525 | $1,572 |
| 2022 | 4 | 71 | 87 | $5,555 | $1,737 |
| 2021 | 4 | 53 | 71 | $4,205 | $1,501 |
| 2020 | 4 | 52 | 74 | $4,555 | $1,669 |
All Medicare Procedures & Services
16 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | Office | 2023 | 15 | 21 | $1,470 | $576.54 | 39.2% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2023 | 13 | 19 | $1,235 | $418.33 | 33.9% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2023 | 15 | 21 | $1,260 | $404.04 | 32.1% |
| 97150 | Therapy procedure in a group setting | Office | 2023 | 14 | 16 | $560.00 | $173.13 | 30.9% |
| 97530 | Therapy procedure using functional activities | Office | 2022 | 20 | 26 | $1,820 | $658.47 | 36.2% |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2022 | 20 | 26 | $1,690 | $491.45 | 29.1% |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2022 | 20 | 24 | $1,440 | $419.90 | 29.2% |
| 97140 | Therapy procedure using manual technique, each 15 minutes | Office | 2022 | 11 | 11 | $605.00 | $167.34 | 27.7% |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | Office | 2021 | 14 | 18 | $1,260 | $531.67 | 42.2% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2021 | 14 | 22 | $1,320 | $417.36 | 31.6% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2021 | 14 | 18 | $1,170 | $405.08 | 34.6% |
| 97150 | Therapeutic procedures in a group setting | Office | 2021 | 11 | 13 | $455.00 | $147.11 | 32.3% |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | Office | 2020 | 14 | 21 | $1,470 | $630.72 | 42.9% |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Office | 2020 | 14 | 18 | $1,080 | $381.16 | 35.3% |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | Office | 2020 | 13 | 19 | $1,045 | $340.79 | 32.6% |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Office | 2020 | 11 | 16 | $960.00 | $316.60 | 33.0% |
About Michael Downing
Michael Downing is a Physical Therapist healthcare provider based in Windham, Maine. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/23/2006. The National Provider Identifier (NPI) number assigned to this provider is 1124135777.
As a Medicare-enrolled provider, Downing has provided services to 233 Medicare beneficiaries, totaling 309 services with total Medicare billing of $6,480. Data is available for 4 years (2020–2023), covering 16 distinct procedure/service records.
Practice Information
- Specialty Physical Therapist
- Location Windham, ME
- Active Since 08/23/2006
- Last Updated 07/08/2007
- Taxonomy Code 225100000X
- Entity Type Individual
- NPI Number 1124135777
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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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