EMMANOUIL VASILAKIS, PT
NPI 1770099822, individual, Rockville Centre, NY, Physical Therapist, Orthopedic
- Hours beyond a day in 13 months, but with up to 704 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 97116 ($198 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 |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 31.7 | 29.4 | 19.6 | 19.3 | 605 | 1 | 97110 97112 97116 | $109K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 30.7 | 30.5 | 20.3 | 22.3 | 615 | 1 | 97110 97112 97116 97163 | $117K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 32.7 | 36.7 | 24.5 | 24.7 | 592 | 1 | 97110 97112 97116 | $126K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 31.0 | 37.8 | 25.2 | 27.5 | 551 | 1 | 97110 97112 97116 | $131K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 33.5 | 41.0 | 27.3 | 27.8 | 598 | 1 | 97110 97112 97116 | $145K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 32.4 | 39.3 | 26.2 | 25.2 | 620 | 1 | 97110 97112 97116 97163 | $133K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 33.2 | 42.7 | 28.5 | 29.9 | 618 | 1 | 97110 97112 97116 97140 97163 | $149K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 36.0 | 45.5 | 30.3 | 30.0 | 626 | 1 | 97110 97112 97116 97163 | $147K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 38.5 | 45.7 | 30.5 | 30.7 | 672 | 1 | 97110 97112 97116 97163 | $155K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 35.9 | 44.0 | 29.3 | 29.0 | 704 | 1 | 97110 97112 97116 97163 | $147K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 36.1 | 43.3 | 28.9 | 27.3 | 682 | 1 | 97110 97112 97116 | $149K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 32.9 | 49.7 | 33.1 | 37.1 | 569 | 1 | 97110 97112 97116 | $169K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 33.2 | 51.8 | 34.5 | 33.8 | 559 | 1 | 97110 97112 97116 | $180K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | EMMANOUIL VASILAKIS, PT |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | December 26, 2017, last updated December 26, 2017 |
| Practice location | 1010 SUNRISE HWY, Rockville Centre, NY 11570-5100, 516-442-5164 |
| Specialties | Physical Therapist, Orthopedic (2251X0800X, primary, license 041068 NY) |
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 | $2.3M | 54% | $240 | $76 (top 5% from $314) | 91st percentile | |
| 97116 | Therapy procedure for walking training, each 15 minutes | $1.1M | 25% | $198 | $30 (top 5% from $180) | 96th percentile | |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $759K | 18% | $164 | $59 (top 5% from $187) | 93rd percentile | |
| 97530 | Therapy procedure using functional activities | $133K | 3% | $126 | $124 (top 5% from $387) | 51st percentile | |
| 97163 | Evaluation for physical therapy, typically 45 minutes | $15K | 0% | $88 | $51 (top 5% from $152) | 83rd percentile | |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $1K | 0% | $56 | $47 (top 5% from $120) | 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 |
|---|---|---|---|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 11,050 | 257 | $234K | $44 | $27 | 1.6x | 2.9x (90th percentile 4.8x) |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 5,315 | 163 | $140K | $47 | $34 | 1.4x | 2.5x (90th percentile 4.2x) |
| 97116 | Therapy procedure for walking training, each 15 minutes | 3,478 | 118 | $67K | $43 | $24 | 1.7x | 2.5x (90th percentile 4.1x) |
| 97530 | Therapy procedure using functional activities | 1,048 | 46 | $30K | $74 | $36 | 2.0x | 2.3x (90th percentile 3.5x) |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 683 | 48 | $12K | $72 | $23 | 3.2x | 3.2x (90th percentile 5.0x) |
| 97163 | Evaluation for physical therapy, typically 45 minutes | 50 | 47 | $4K | $158 | $111 | 1.4x | 1.9x (90th percentile 2.9x) |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 23 | 21 | $2K | $175 | $112 | 1.6x | 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
32 providers in Nassau County, NY carry an indicator in the public record, with $43.3M at stake between them. The most common is more hours than a day holds, on 26 of them, followed by paid after a public list action on 3. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ALEX BERGMANN Garden City, NY, ranked 352 | $3K |
|
| 1 | LAWRENCE HORL Rockville Centre, NY, ranked 383 | $1K |
|
| 1 | ROYA JAFARI-HASSAD Great Neck, NY, ranked 657 | $0 |
|
| 3 | EXTRAORDINARY HOME CARE Uniondale, NY, ranked 771 | $3.4M |
|
| 3 | MEADOWBROOK CARE CENTER, INC. Freeport, NY, ranked 4769 | $0 |
|
| 4 | FELIKS TABENSHLAK Merrick, NY, ranked 7389 | $8.2M |
|
| 4 | ARTHUR KAYE Floral Park, NY, ranked 7509 | $3.7M |
|
| 4 | PRITI JAIN Hicksville, NY, ranked 7545 | $3.2M |
|
Recent enforcement in NY
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.