DIANNE LAMASTRA-BOWERS
NPI 1992924641, individual, Havertown, PA, Physical Therapist
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 97110 ($452 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds at a conservative unit price | 0.4 | 49.6 | 33.1 | 44.6 | 15 | 1 | 97110 | $7K |
| Feb 2018 | More hours than a day holds at a conservative unit price | 0.4 | 42.4 | 28.3 | 39.6 | 14 | 1 | 97110 | $6K |
| Mar 2018 | More hours than a day holds at a conservative unit price | 0.4 | 47.8 | 31.9 | 44.9 | 13 | 1 | 97110 | $7K |
| Apr 2018 | More hours than a day holds at a conservative unit price | 0.4 | 40.5 | 27.0 | 38.6 | 14 | 1 | 97110 | $6K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DIANNE LAMASTRA-BOWERS |
| Type | Individual |
| Status | Active |
| NPI issued | April 24, 2007, last updated April 7, 2008 |
| Practice location | 1 N BELFIELD AVE, SUNNY DAYS, Havertown, PA 19083-4904, 610-449-1600 |
| Specialties | Physical Therapist (225100000X, primary, license PT013316L 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 | $544K | 100% | $452 | $76 (top 5% from $314) | 98th percentile |
In this area
6 providers in Delaware County, PA carry an indicator in the public record, with $36K at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | BEAUMONT RETIREMENT SERVICES, INC Bryn Mawr, PA, ranked 2553 | $0 |
|
| 3 | RESIDENTIAL HOME HEALTH OF CARLISLE, LLC Havertown, PA, ranked 3169 | $0 |
|
| 3 | LITTLE FLOWER MANOR INC Darby, PA, ranked 3880 | $0 |
|
| 3 | DUNWOODY VILLAGE Newtown Square, PA, ranked 3884 | $0 |
|
| 3 | RIDDLE VILLAGE Media, PA, ranked 4434 | $0 |
|
| 4 | MERIDITH GRASSO Havertown, PA, ranked 9672 | $36K |
|
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.