PROREHAB, INC
NPI 1972765386, organization, Henderson, KY, Clinic/Center, Physical Therapy
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(1) noncompliance (dme standards not met) | Exact NPI, name verified | Aug 1, 2022 | Apr 25, 2027 | 19 | Sep 2022 | Oct 2024 | $33K | $13K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PROREHAB, INC |
| Type | Organization |
| Status | Active |
| NPI issued | June 26, 2008, last updated January 18, 2023 |
| Practice location | 702 BARRETT BLVD, SUITE B, Henderson, KY 42420-4931, 270-631-4100 |
| Mailing address | 1650 LYNDON FARM CT STE 300, Louisville, KY 40223-5005 |
| Authorized official | Andrea Baumann (Coo) |
| Specialties | Durable Medical Equipment & Medical Supplies (332B00000X) Clinic/Center, Multi-Specialty (261QM1300X) Clinic/Center, Physical Therapy (261QP2000X, primary, license 101107 KY) |
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 | $67K | 61% | $82 | $76 (top 5% from $314) | too few months to rank | |
| 97530 | Therapy procedure using functional activities | $26K | 24% | $113 | $124 (top 5% from $387) | too few months to rank | |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $9K | 8% | $45 | $47 (top 5% from $120) | too few months to rank | |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $8K | 7% | $70 | $59 (top 5% from $187) | too few months to rank |
In this area
3 providers in Henderson County, KY carry an indicator in the public record, with $1.2M at stake between them. The most common is paid after a public list action, 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 | JAMES FERGUSON Henderson, KY, ranked 216 | $33K |
|
| 3 | HENDERSON COUNTY HEALTH CARE CORPORATION Henderson, KY, ranked 2647 | $0 |
|
| 4 | RHONDA ROPER Henderson, KY, ranked 8945 | $1.1M |
|
Recent enforcement in KY
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.