EXECUTIVE FITNESS INC SOS Verified
6440 MEDICAL CENTER ST SUITE 100, LAS VEGAS, NV 89148
NPI Number
1881710192
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: EXECUTIVE FITNESS, INC.
Entity Number: C5858-1997
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 1997-03-20
Status Changed: 2012-04-21
Name Match: 95%
Registered Agent
Name: Ashley Koglin
Type: Non-Commercial Registered Agent
Address: 6440 Medical Center St, Las Vegas, NV, 89148
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | TIM SODER | 56 MIDNIGHT RIDGE, LAS VEGAS, NV, 89135 | Active |
| Secretary | TIM SODER | 56 MIDNIGHT RIDGE, LAS VEGAS, NV, 89135 | Active |
| Treasurer | JOSEPH RAINONE | 277 BESAME CT., LAS VEGAS, NV, 89138 | Active |
| Director | TIM SODER | 56 MIDNIGHT RIDGE, LAS VEGAS, NV, 89135 | Active |
Campaign Contributions
$200Total Contributed
1Candidates Supported
Corporate Matches
Executive FitnessProbable Match
$200 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Michael Villani | District Court Judge, District 8, Department 17 | Nonpartisan | $200 | 1 |
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Total Medicaid Payments
$50,444
-82% vs specialty average
Patients Seen
297
Total Claims
1,190
$ Per Patient
$170
Specialty avg: $60
Specialty Rank
#94 of 180
Physical Therapist providers in Nevada
Peer Average
$276,594
Average total for Physical Therapist
Claims per Patient
4.0
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $396 | |
| 2019 | $13,979 | |
| 2020 | $36,069 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 97110 | Physical therapy exercises to build strength, flexibility, or range of motion | 654 | $32,134 | 63.7% | $49 |
| 97140 | Manual therapy — hands-on treatment like massage or joint mobilization | 536 | $18,310 | 36.3% | $34 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.