Providers
MICHAEL SOLIMAN, PT, DPT
NPI 1366022550, individual, Somerset, NJ, Physical Therapist
5
Evidence tier
informational
score 29 of 100, rank 11835, $29K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MICHAEL SOLIMAN, PT, DPT |
| Type | Individual |
| Status | Active |
| NPI issued | April 12, 2021, last updated August 12, 2021 |
| Practice location | 900 EASTON AVE STE 22, Somerset, NJ 08873-1760, 732-846-9400 |
| Mailing address | PO BOX 1014, Clark, NJ 07066-1014 |
| Specialties | Physical Therapist (225100000X, primary, license 40QA01986700 NJ) |
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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | $19K | 44% | $82 | $124 (top 5% from $387) | 35th percentile | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $16K | 37% | $44 | $76 (top 5% from $314) | 25th percentile | |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $6K | 15% | $33 | $59 (top 5% from $187) | 21st percentile | |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | $1K | 3% | $23 | $36 (top 5% from $102) | too few months to rank | |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $221 | 1% | $9.19 | $47 (top 5% from $120) | too few months to rank | |
| 97010 | Medicaid service code | $0 | 0% | $0.00 | $7.53 (top 5% from $79) | 0th percentile |
Medicare Part B 2024, largest codes
| 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 | 2,873 | 68 | $68K | $54 | $30 | 1.8x | 2.3x (90th percentile 3.5x) |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 3,032 | 137 | $57K | $47 | $24 | 2.0x | 2.9x (90th percentile 4.8x) |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,952 | 102 | $42K | $48 | $27 | 1.8x | 2.5x (90th percentile 4.2x) |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | 202 | 61 | $12K | $99 | $75 | 1.3x | 1.6x (90th percentile 2.7x) |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 452 | 69 | $8K | $43 | $22 | 2.0x | 3.2x (90th percentile 5.0x) |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 37 | 36 | $2K | $144 | $95 | 1.5x | 1.7x (90th percentile 2.9x) |
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
3 providers in Somerset County, NJ carry an indicator in the public record, with $13K at stake between them. The most common is named in an enforcement record, on 1 of them, followed by part of a provider network on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | EXPRESS DIAGNOSTICS LLC Somerset, NJ, ranked 640 | $0 |
|
| 3 | SOMERSET WOODS REHABILITATION AND NURSING CENTER LLC Somerset, NJ, ranked 1681 | $540 |
|
| 4 | ALBA MENDEZ MORALES Peapack, NJ, ranked 9730 | $13K |
|
Recent enforcement in NJ
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJul 29, 2026
Fraud Division Resolves Fraud Investigation of Eye Care Group Under New Corporate Enforcement Policy; Health Care Executive Charged for Alleged Fraud and Kickbacks
DiDonato allegedly conspired to defraud Medicare by billing for unnecessary and duplicative diagnostic eye tests and paid kickbacks and bribes to ophthalmologists disguised as consulting fees for patient referrals, while Campus Eye received a declination after self-disclosing and agreed to pay back $1 million to victims.
DOJIndictedJul 29, 2026
Founder And Former CEO of New Jersey Based Eye Care Group Charged with Health Care Fraud Conspiracy and Paying Illegal Kickbacks
DiDonato allegedly paid kickbacks disguised as consulting fees to ophthalmologists for patient referrals and billed Medicare approximately $3.4 million for duplicative or unnecessary diagnostic tests performed at his optometry practice and eye surgery center.
DOJChargedJul 9, 2026
Six Individuals, Including a Pharmacist and Doctor, Charged in Connection with $20 Million Healthcare Fraud and Kickback Scheme
A pharmacy owner paid cash kickbacks to a doctor, advanced practice nurses, and an office manager in exchange for medically unnecessary prescriptions for high-reimbursement medications billed to Medicare and Medicaid.
DOJPleaded guiltyJun 24, 2026
Cape May County Psychiatrist Admits to 17 Felony Counts for Unlawful Controlled Substance Prescriptions Linked to Sexual Conduct, Risk of Death, and Serious Bodily Injury
A psychiatrist issued invalid prescriptions for Adderall, Vyvanse, and Xanax to 17 patients outside the usual course of professional practice, with intent to defraud and mislead the dispensing pharmacies and the insurers, government benefits programs, and other third parties who paid for the drugs, sometimes in exchange for sexual activities, images, or videos.
DOJSentencedMay 21, 2026
New Jersey Physical Therapist Sentenced to 12 Months in Prison for Health Care Fraud Scheme Targeting Amtrak
Kim, a licensed physical therapist, allowed her license and business bank accounts to be used to bill Amtrak's health care plan for claims for services that never were provided and were medically unnecessary, in return for a portion of the proceeds.
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.