MARIA CAMILA MACIAS, DPT
NPI 1386127066, individual, San Luis, AZ, Physical Therapist
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARIA CAMILA MACIAS, DPT |
| Type | Individual |
| Status | Active |
| NPI issued | September 10, 2018, last updated July 5, 2019 |
| Practice location | 1233 N. MAIN STREET, SUITE 10, 11, 12, San Luis, AZ 85349-0000, 928-722-6050 |
| Mailing address | PO BOX 5841, Yuma, AZ 85366-2490 |
| Specialties | Physical Therapist (225100000X, primary, license LPT-30237 AZ) |
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 | $2.2M | 65% | $250 | $76 (top 5% from $314) | 92nd percentile | |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $371K | 11% | $112 | $59 (top 5% from $187) | 85th percentile | |
| 97014 | Medicaid service code | $244K | 7% | $51 | $24 (top 5% from $71) | 90th percentile | |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $232K | 7% | $73 | $47 (top 5% from $120) | 78th percentile | |
| 97162 | Evaluation for physical therapy, typically 30 minutes | $184K | 6% | $70 | $48 (top 5% from $145) | 79th percentile | |
| 97035 | Application of ultrasound, each 15 minutes | $60K | 2% | $35 | $21 (top 5% from $107) | 75th percentile | |
| 97116 | Therapy procedure for walking training, each 15 minutes | $17K | 1% | $81 | $30 (top 5% from $180) | 84th percentile | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $17K | 1% | $9.38 | $13 (top 5% from $63) | 41st percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,797 | 64 | $34K | $50 | $24 | 2.1x | 2.9x (90th percentile 4.8x) |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 581 | 61 | $9K | $40 | $20 | 2.0x | 3.2x (90th percentile 5.0x) |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 58 | 56 | $4K | $125 | $97 | 1.3x | 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 | 453 | 46 | $3K | $20 | $9 | 2.3x | 4.1x (90th percentile 7.2x) |
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
6 providers in Yuma County, AZ carry an indicator in the public record, with $11.8M at stake between them. The most common is more hours than a day holds, on 6 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | ENGIDA ALEMU Yuma, AZ, ranked 7987 | $331K |
|
| 4 | MALLAPPA NEELAPPA Yuma, AZ, ranked 8585 | $2.8M |
|
| 4 | CARL MALMQUIST Yuma, AZ, ranked 8806 | $1.6M |
|
| 4 | REBECCA DOWNS Yuma, AZ, ranked 8987 | $993K |
|
| 5 | OLIVIA WILSON Yuma, AZ, ranked 10101 | $1.1M |
|
| 5 | SERGIO MACIAS San Luis, AZ, ranked 10692 | $5.0M |
Recent enforcement in AZ
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.