Legacy Physiatry Group Maryland, LLC

Legacy Physiatry Group Maryland, LLC was paid $196K by Medicaid between Jan 2018 and Jun 2023, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 59% of everything it billed.

33Billing provider infoLEGACY PHYSIATRY GROUP MARYLAND, LLC
GAITHERSBURG, MD 20878

33aNPI1669869939assigned 04/23/2015

33bProvider typePhysician Assistant

28Total paid$196K

24GClaims4,234

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Physician Assistant providers in Maryland

Rank by total paid#4 of 37

Median peer was paid$5K

This provider vs. median43×

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	611	$70K
2019	1,213	$88K
2020	495	$9K
2021	373	$6K
2022	1,032	$13K
2023	510	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	59%	3,032	1,016	$115K
99310	Prolong nursin fac eval 15m	26%	666	375	$52K
99306	Prolong nursin fac eval 15m	7.9%	93	90	$15K
99308	Subsequent nursing facility care, per day, straightforward	7.3%	443	194	$14K

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 officialMEARON, MARILYN (BILLING MANAGER)