PEAK PHYSICAL THERAPY P C

NPI 1073551560, organization, Boise, ID, Physical Therapist

Evidence tier

informational

score 30 of 100, rank 11511, $164K at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
oig admin enforcement record (civil settlement): peak physical therapy agreed to pay $1.8 million for allegedly violating the civil monetary penalties law by submitting claims for services by unenrolled or uncredentialed providers and for services not provided as claimed	No NPI on the list; matched by name at high confidence	Aug 1, 2024	still open	4	Sep 2024	Dec 2024	$164K	$625K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	PEAK PHYSICAL THERAPY P C
Type	Organization
Status	Active
NPI issued	June 4, 2006, last updated October 27, 2022
Practice location	7550 W EMERALD ST # 101, Boise, ID 83704-9015, 208-375-0666
Mailing address	1650 LYNDON FARM CT STE 300, Louisville, KY 40223-5005
Authorized official	DARIN TUCKER (Owner)
Specialties	Physical Therapist (225100000X, primary)

In this area

10 providers in Ada County, ID carry an indicator in the public record, with $12.9M at stake between them. The most common is more hours than a day holds, on 7 of them, followed by part of a provider network on 3.

tier	provider	at stake	why
3	LIGHTHOUSE HOSPICE LLC Meridian, ID, ranked 2269	$0	Part of provider network D1-00023, ranked 23 nationally.
3	FIRST CHOICE HOME CARE, INC. Boise, ID, ranked 4162	$0	Part of provider network D1-00077, ranked 77 nationally.
3	A BETTER WAY HOME, LLC Boise, ID, ranked 5407	$0	Part of provider network D1-00077, ranked 77 nationally.
4	ZACHARIAH JENSEN Boise, ID, ranked 9412	$252K	Hours beyond a day in 2 months under one organization, which can be supervisory billing. Records needed.
5	BRIAN RAYMOND Star, ID, ranked 9899	$4.5M	Medicaid dollars per patient on code T1013 ($549 per patient-month) sit in the top 5% of every provider billing that code.
5	TYE KILLIAN Boise, ID, ranked 9957	$2.2M	Medicaid dollars per patient on code T1013 ($426 per patient-month) sit in the top 5% of every provider billing that code.
5	MAI PROVENCIO Boise, ID, ranked 9988	$1.8M	Medicaid dollars per patient on code T1013 ($381 per patient-month) sit in the top 5% of every provider billing that code.
5	TAMI JONES Boise, ID, ranked 10034	$1.5M	Medicaid dollars per patient on code T1013 ($369 per patient-month) sit in the top 5% of every provider billing that code.

All 10 in ID

Recent enforcement in ID

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementOct 29, 2024

Boise Health Care Company and Former Therapist Resolve Fraudulent Psychotherapy Billing Allegations Involving Vulnerable Refugee Population

KA Health Services and its owner paid $321,576.51 to resolve allegations they submitted false Medicaid claims for psychotherapy, language interpretation, and other services that were never provided or not provided by a qualified professional, and a former counselor consented to a $40,000 judgment after admitting she directed unqualified interpreters to meet with refugee clients and signed false medical records.

DOJCivil settlementApr 3, 2024

Pocatello Doctor Pays $96,000 to Settle Allegations That He Wrote Unlawful Prescriptions

The government alleged that Knouf wrote prescriptions for controlled substances that lacked a legitimate medical purpose and/or were issued outside the usual course of professional practice, prescribed dangerous combinations of drugs, and billed Medicare and Medicaid for services that were not performed.

DOJCivil judgmentJan 17, 2024

AmeriHealth Clinics Consent to a $2 Million Judgment to Resolve Healthcare Fraud Allegations

AmeriHealth and its owners hired vulnerable, compromised, and inexperienced medical staff who were pressured into providing unnecessary and worthless care, resulting in false claims to federal health care programs, and also allegedly pressured practitioners to prescribe controlled substances, entered a kickback scheme with a third-party laboratory, and falsely certified information to obtain PPP loan forgiveness.

Referral packet

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