Proex Physical Therapy, LLC
Proex Physical Therapy, LLC was paid $4.02M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 33% of everything it billed.
33Billing provider infoPROEX PHYSICAL THERAPY, LLC
WOBURN, MA 01801
WOBURN, MA 01801
33aNPI1831190453assigned 08/04/2005
33bProvider typeOccupational Therapist
28Total paid$4.02M
24GClaims220,659
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Occupational Therapist providers in Massachusetts
Rank by total paid#3 of 28
Median peer was paid$32K
This provider vs. median125×
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 | 22,910 | $372K | |
| 2019 | 34,000 | $568K | |
| 2020 | 22,740 | $421K | |
| 2021 | 25,397 | $440K | |
| 2022 | 28,294 | $550K | |
| 2023 | 50,180 | $965K | |
| 2024incomplete | 37,138 | $709K |
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 | 33% | 70,519 | 23,512 | $1.32M |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 32% | 67,835 | 22,315 | $1.28M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 21% | 44,889 | 14,315 | $846K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 12% | 34,697 | 11,608 | $478K |
| 97161 | <1% | 788 | 784 | $37K | |
| 97113 | <1% | 608 | 188 | $23K | |
| 97162 | <1% | 476 | 475 | $22K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 699 | 638 | $12K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 103 | 28 | $964.53 |
| 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% | 14 | 13 | $0.00 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 13 | 13 | $0.00 |
| 99072 | 0% | 18 | 12 | $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 officialWILKINSON, KERRI (MANAGER OF CREDENTIALING)