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    OpenPayerNPI Medicare & MedicaidSandra Malecki
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    Sandra Malecki — Billing Profile & Reimbursement Data

    NPI 1790958155 · Apo, AE · Physical Therapist

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    Sandra Malecki is a physical therapist provider located in Apo, Armed Forces Europe. This profile covers 4 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSandra Malecki
    AddressRaf Lakenheath 48 Mdg/sghc
    CityApo
    StateAE (Armed Forces Europe)
    ZIP09464
    TaxonomyPhysical Therapist
    NPI EnumeratedApril 8, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$10.5K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is small in absolute terms: total Medicare revenue is $10.5K and there is no Medicaid billing on file, making their public payer footprint effectively single-payer (Medicare only) in the available data. The absence of Medicaid billing suggests either no participation in state programs or no recorded Medicaid encounters in the dataset.

    Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 89.4% of this provider’s total Medicare revenue. Those top three are 97110 ($4.7K, 44.2% of Medicare revenue), 97530 ($2.6K, 24.8% of Medicare revenue), and 97116 ($2.2K, 20.4% of Medicare revenue), indicating few codes are driving the majority of receipts.

    The code mix and descriptions point to an outpatient physical therapy practice focused on hands-on, time-based therapeutic services: primary use of 97110 (therapeutic exercise), 97530 (therapeutic activities), and 97116 (gait/neuromuscular reeducation) shows emphasis on functional exercise and activity-based treatment rather than high-volume complex evaluations or procedures. The presence of 97162 (physical therapy evaluation, $1.1K, 10.6% of Medicare revenue) at a higher average payment per claim suggests occasional moderate-complexity evaluations complement ongoing treatment sessions.

    Utilization details reinforce a visit-driven model: 97110 has 246 claims at $19 avg paid/claim, 97530 has 97 claims at $27 avg paid/claim, and 97116 has 120 claims at $18 avg paid/claim. By contrast 97162 appears in only 14 claims but at $80 avg paid/claim, meaning evaluations are higher-paid per encounter but occur far less frequently than therapy visits.

    Competitive standing across national Medicare peers is modest to low for the provider’s top codes. 97110 ranks #57427 of 79999 (28th percentile; typical, unremarkable volume), 97530 ranks #53116 of 62717 (15th percentile; typical, unremarkable volume), 97116 ranks #6883 of 11762 (41st percentile; typical, unremarkable volume), and 97162 ranks #30222 of 35551 (11th percentile; typical, unremarkable volume); none of these placements indicate the provider is a dominant national player for these codes.

    The provider’s NPI was enumerated on 2008-04-08 (~18 years ago), indicating relatively long tenure in the public registry. This longevity combined with modest Medicare revenue suggests a small or part-time billing footprint rather than a new entrant.

    From an operational and risk perspective, the combination of low total Medicare revenue ($10.5K) and high concentration in three CPTs (89.4% of Medicare revenue) implies revenue volatility is tied to utilization of a few therapy services. For payers and network analysts, that concentration signals that contract or utilization management focused on those specific CPTs (97110, 97530, 97116) will capture most of this provider’s Medicare billing activity.

    All top codes are described as "typical, unremarkable volume" in their statistical labels and none are flagged as outliers; the provider’s pattern aligns with routine outpatient PT billing rather than unusually high or atypical use of these CPTs. The data show standard time-based therapy service lines with expected relative frequencies and payments rather than exceptional utilization behavior.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…250$20$4.7K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.100$30$2.6K
    97116The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…120$20$2.2K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…10$80$1.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97530510150$30$6.5K
    97110310250$20$4.9K
    9711611090$20$1.6K
    9716241020$70$1.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sandra Malecki, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Vein Restoration Nj LLCNJVascular Surgery Physician$0$9.6M
    Tamara LiburdTXOccupational Therapist$633.1K$0
    Traci MccloskeyTXPhysical Therapist$302.1K$0
    Annette RomeroFLPhysical Therapist$213.7K$0
    Adrianna D'auroraMAOccupational Therapist$210.1K$0
    Kevin O'neillGAOccupational Therapist$179K$0
    Jessica TaylorGAOccupational Therapist$156.9K$0
    Powerback Rehabilitation LLCNHRehabilitation Clinic/Center$0$156.3K
    Maria Malaver-reyesGAPhysical Therapist$155.6K$0
    Pamela Mack-raineyILOccupational Therapist$137.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Armed Forces Europe Distribution
    Sandra Malecki — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe