Clinic
Proflex Physical Therapy of Maryland, LLC.
Proflex Physical Therapy of Maryland, LLC. was paid $280K by Medicaid between Jan 2018 and Mar 2024, across 10 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 56% of everything it billed.
33Billing provider infoPROFLEX PHYSICAL THERAPY OF MARYLAND, LLC.
WALDORF, MD 20603
WALDORF, MD 20603
33aNPI1558714824assigned 07/21/2016
33bProvider typeRehabilitation Clinic/Center
28Total paid$280K
24GClaims23,021
24DCodes billed10
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Rehabilitation Clinic/Center providers in Maryland
Rank by total paid#42 of 79
Median peer was paid$308K
This provider vs. median0.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,002 | $14K | |
| 2019 | 5,802 | $76K | |
| 2020 | 3,605 | $50K | |
| 2021 | 5,998 | $71K | |
| 2022 | 4,009 | $48K | |
| 2023 | 1,529 | $18K | |
| 2024incomplete | 76 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 56% | 8,721 | 2,138 | $156K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 12% | 4,085 | 1,161 | $33K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 11% | 5,947 | 1,581 | $32K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 11% | 1,643 | 510 | $30K |
| 97164 | 7.8% | 708 | 648 | $22K | |
| 97161 | 1.4% | 86 | 83 | $4K | |
| 97014 | <1% | 1,194 | 339 | $3K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 449 | 360 | $1K |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 105 | 97 | $0.00 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 83 | 75 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHEIER, KATHY (DIRECTOR OF BILLING)