SAMANTHA PALMER, DPT
NPI 1235664269, individual, Troy, AL, Physical Therapist
- Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 67.5 | 2.4 | 1.6 | 1.7 | 35 | 1 | 97110 97112 | $7K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 55.4 | 2.2 | 1.5 | 1.5 | 35 | 1 | 97110 97112 | $6K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 47.9 | 1.8 | 1.2 | 1.3 | 67 | 1 | 97110 97112 97530 | $5K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SAMANTHA PALMER, DPT |
| Type | Individual |
| Status | Active |
| NPI issued | April 27, 2017, last updated September 27, 2018 |
| Practice location | 100 EMMA DR, Troy, AL 36081-2585, 334-670-5435 |
| Specialties | Physical Therapist (225100000X, primary, license PTH8287 AL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $132K | 72% | $129 | $76 (top 5% from $314) | 73rd percentile | |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $34K | 19% | $48 | $59 (top 5% from $187) | 37th percentile | |
| 97530 | Therapy procedure using functional activities | $14K | 8% | $87 | $124 (top 5% from $387) | 37th percentile | |
| 97161 | Evaluation for physical therapy, typically 20 minutes | $2K | 1% | $34 | $51 (top 5% from $132) | too few months to rank | |
| 97014 | Medicaid service code | $680 | 0% | $27 | $24 (top 5% from $71) | too few months to rank | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $4 | 0% | $0.32 | $13 (top 5% from $63) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 1,970 | 115 | $41K | $58 | $27 | 2.1x | 2.3x (90th percentile 3.5x) |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 2,181 | 119 | $37K | $57 | $23 | 2.5x | 2.5x (90th percentile 4.2x) |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,544 | 113 | $22K | $57 | $19 | 2.9x | 2.9x (90th percentile 4.8x) |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 105 | 97 | $6K | $165 | $92 | 1.8x | 1.7x (90th percentile 2.9x) |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 211 | 57 | $1K | $35 | $8 | 4.5x | 4.1x (90th percentile 7.2x) |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 59 | 16 | $842 | $47 | $18 | 2.6x | 3.2x (90th percentile 5.0x) |
| 97535 | Training for self-care or home management, each 15 minutes | 20 | 19 | $352 | $57 | $22 | 2.5x | 2.6x (90th percentile 4.5x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
75 providers in AL carry an indicator in the public record, with $75.3M at stake between them. The most common is more hours than a day holds, on 48 of them, followed by part of a provider network on 19. 6 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DEBORAH FORD Andalusia, AL, ranked 44 | $37K |
|
| 1 | TOMMIE ROBINSON Owens Cross Roads, AL, ranked 217 | $33K |
|
| 1 | RENITA BROWN Oxford, AL, ranked 295 | $9K |
|
| 1 | CARE COMPLETE MEDICAL CLINIC(CCMC)LLC Birmingham, AL, ranked 313 | $6K |
|
| 1 | HASAN PULLIAM Anniston, AL, ranked 567 | $0 |
|
| 1 | FRANCENE GAYLE Huntsville, AL, ranked 672 | $0 |
|
| 3 | ASERACARE HOSPICE - HAMILITON, LLC Hamilton, AL, ranked 1036 | $1.1M |
|
| 3 | HOMESTEAD HOSPICE OF CAHABA, LLC Selma, AL, ranked 1404 | $60K |
|
Recent enforcement in AL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.