ROSALIA W DUNCKLEY, PT
NPI 1649251182, individual, Chester Springs, PA, Physical Therapist, Pediatrics
- Hours beyond a day in 7 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 97110 ($400 per patient-month) sit in the top 5% of every provider billing that code.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2018 | More hours than a day holds at a conservative unit price | 0.8 | 78.9 | 52.6 | 73.6 | 27 | 1 | 97110 | $10K |
| Mar 2018 | More hours than a day holds at a conservative unit price | 0.5 | 58.5 | 39.0 | 54.9 | 23 | 1 | 97110 | $9K |
| Apr 2018 | More hours than a day holds at a conservative unit price | 0.6 | 62.6 | 41.8 | 59.7 | 24 | 1 | 97110 | $9K |
| May 2018 | More hours than a day holds at a conservative unit price | 0.6 | 61.9 | 41.3 | 55.6 | 21 | 1 | 97110 | $9K |
| Jun 2018 | More hours than a day holds at a conservative unit price | 0.6 | 65.1 | 43.4 | 62.0 | 25 | 1 | 97110 | $9K |
| Jul 2018 | More hours than a day holds at a conservative unit price | 0.5 | 54.1 | 36.1 | 50.8 | 24 | 1 | 97110 | $8K |
| Aug 2018 | More hours than a day holds at a conservative unit price | 0.7 | 74.3 | 49.5 | 66.7 | 26 | 1 | 97110 | $11K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROSALIA W DUNCKLEY, PT (also ROSALIA HUNTER) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | November 10, 2005, last updated February 2, 2012 |
| Practice location | 1357 ELBOW LN, Chester Springs, PA 19425-1604, 610-761-0227 |
| Specialties | Physical Therapist, Pediatrics (2251P0200X, primary, license PT001175E PA) |
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 | $210K | 100% | $400 | $76 (top 5% from $314) | 98th percentile |
In this area
2 providers in Chester County, PA carry an indicator in the public record, with $31K at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | BARCLAY FRIENDS West Chester, PA, ranked 5123 | $0 |
|
| 4 | JAMES KANE West Chester, PA, ranked 8107 | $31K |
|
Recent enforcement in PA
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.