ROBERT MEROLLE
NPI 1720091127, individual, Waterbury, CT, Physical Therapist
- Medicaid dollars per patient on code 97014 ($82 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROBERT MEROLLE |
| Type | Individual |
| Status | Active |
| NPI issued | August 15, 2006, last updated March 13, 2013 |
| Practice location | 22 TOMPKINS ST, Waterbury, CT 06708-1458, 203-419-0381 |
| Specialties | Physical Therapist (225100000X, primary, license 002733 CT) |
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 | $2.7M | 46% | $204 | $76 (top 5% from $314) | 87th percentile | |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $944K | 16% | $115 | $59 (top 5% from $187) | 86th percentile | |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $813K | 14% | $96 | $47 (top 5% from $120) | 90th percentile | |
| 97014 | Medicaid service code | $807K | 14% | $82 | $24 (top 5% from $71) | 96th percentile | |
| 97010 | Medicaid service code | $275K | 5% | $24 | $7.53 (top 5% from $79) | 79th percentile | |
| 97162 | Evaluation for physical therapy, typically 30 minutes | $104K | 2% | $66 | $48 (top 5% from $145) | 75th percentile | |
| 97161 | Evaluation for physical therapy, typically 20 minutes | $98K | 2% | $72 | $51 (top 5% from $132) | 77th 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 | $64K | 1% | $49 | $13 (top 5% from $63) | 93rd percentile |
In this area
30 providers in Waterbury, CT carry an indicator in the public record, with $17.0M at stake between them. The most common is part of a provider network, on 12 of them, followed by more hours than a day holds on 11. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | KATRIN MOSKOWITZ Waterbury, CT, ranked 169 | $63K |
|
| 1 | ANATOLY BRAYLOVSKY Wallingford, CT, ranked 488 | $0 |
|
| 1 | FAMILY PRACTICE OF GREATER NEW HAVEN, LLC Wallingford, CT, ranked 514 | $0 |
|
| 1 | LP COUNSELING SERVICES, LLC North Haven, CT, ranked 673 | $0 |
|
| 3 | TOTALITY HOME HEALTH CARE AGENCY, LLC Milford, CT, ranked 779 | $2.3M |
|
| 3 | WHITNEY MANOR OPERATING COMPANY LLC Hamden, CT, ranked 1451 | $35K |
|
| 3 | ADVANCED CENTER FOR NURSING & REHABILITATION LLC New Haven, CT, ranked 1471 | $27K |
|
| 3 | NEW HAVEN CENTER FOR NURSING & REHABILITATION, LLC New Haven, CT, ranked 1479 | $24K |
|
Recent enforcement in CT
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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.