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Richard Monaco, PT

Physical Therapist in Private Practice · Milpitas

NPI 1013223254

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
3

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

3 locations

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Richard Monaco’s office to ask if they take your plan before you enroll.

State licence records

1 licence

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Original Medicare doctor bills

$16,481

Medicare paid this office $16,481 for 37 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Therapy procedure using functional activities32$6,306$21
Therapy procedure using manual technique, each 15 minutes35$5,279$15
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes27$2,506$16
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17$1,599$15

Who their Medicare patients are

37 Original Medicare patients in 2024. Average age 76 · Women 57% · Health risk score 0.78. At or below the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 65%.

The office billed $63,265, Medicare allowed $24,713 and paid $16,481; for 931 services of 8 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202437931760.78$63,265$16,481
2023713,151750.94$216,211$67,808
2022602,486740.93$169,809$53,270
2021682,041731.04$139,957$45,580
2020582,113720.89$141,145$44,588
2019712,494720.92$165,179$51,149
2018862,582710.88$174,108$52,022
20171233,970710.88$259,544$85,963
20161164,185700.96$252,986$87,138
20151174,539711.00$271,497$92,920
20141073,290710.90$169,398$66,403
20131042,355711.11$113,361$49,393

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 5 services

Original Medicare services billed in 2023
Therapy procedure using functional activities62$29,908$25
Therapy procedure using manual technique, each 15 minutes63$15,755$16
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes60$13,328$20
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes37$4,506$18
Evaluation for physical therapy, typically 20 minutes47$3,766$70

2022: 5 services

Original Medicare services billed in 2022
Therapy procedure using functional activities55$17,963$27
Therapy procedure using manual technique, each 15 minutes57$14,772$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes53$11,206$21
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes38$5,156$17
Evaluation for physical therapy, typically 20 minutes45$3,524$75

2021: 6 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes59$12,159$19
Therapy procedure using manual technique, each 15 minutes61$11,733$18
Therapy procedure using functional activities38$8,978$30
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes38$8,164$24
Evaluation for physical therapy, typically 20 minutes45$3,587$80
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care13$353$8

2020: 6 services

Original Medicare services billed in 2020
Therapy procedure using manual technique, each 15 minutes54$14,854$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44$10,967$20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes42$10,930$25
Therapy procedure using functional activities15$4,035$30
Evaluation for physical therapy, typically 20 minutes35$2,238$62
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care25$936$8

2019: 8 services

Original Medicare services billed in 2019
Therapy procedure using manual technique, each 15 minutes67$13,788$17
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes68$13,495$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes48$10,980$24
Therapy procedure using functional activities31$6,860$30
Evaluation for physical therapy, typically 20 minutes44$2,492$55
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care35$1,553$8
Training for self-care or home management, each 15 minutes18$832$22
Re-evaluation for physical therapy, typically 20 minutes15$791$42

2018: 6 services

Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes76$19,232$20
Therapy procedure using manual technique, each 15 minutes84$17,441$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes38$8,035$25
Evaluation for physical therapy, typically 20 minutes50$3,214$60
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care47$1,524$8
Re-evaluation for physical therapy, typically 20 minutes15$738$37

2017: 8 services

Original Medicare services billed in 2017
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes117$32,391$20
Therapy procedure using manual technique, each 15 minutes118$22,053$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes62$14,917$24
Re-evaluation for physical therapy, typically 20 minutes74$6,563$43
Evaluation for physical therapy, typically 30 minutes58$3,710$63
Evaluation for physical therapy, typically 20 minutes35$2,277$62
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care50$1,729$8
Evaluation for physical therapy, typically 45 minutes19$1,191$60

2016: 6 services

Original Medicare services billed in 2016
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes112$35,322$20
Therapy procedure using manual technique, each 15 minutes111$23,970$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes70$15,200$24
Physical therapy evaluation93$5,488$54
Physical therapy re-evaluation73$5,269$33
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care34$1,065$8

2015: 5 services

Original Medicare services billed in 2015
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes108$58,722$21
Therapy procedure using manual technique, each 15 minutes106$21,243$18
Physical therapy evaluation89$4,988$54
Physical therapy re-evaluation60$3,093$33
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care38$1,220$8

2014: 7 services

Original Medicare services billed in 2014
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes96$33,280$20
Therapy procedure using manual technique, each 15 minutes101$15,816$18
Therapy procedure using functional activities33$6,550$24
Physical therapy evaluation62$4,033$59
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes36$3,304$25
Physical therapy re-evaluation37$1,706$32
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care36$1,391$8

2013: 5 services

Original Medicare services billed in 2013
Therapy procedure using functional activities72$19,946$23
Therapy procedure using manual technique, each 15 minutes90$12,596$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes79$11,862$21
Physical therapy evaluation53$3,000$57
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care42$1,065$8

Medicaid work

$3,228 in 2024

Medicaid paid $3,228 for 149 billed services this clinician did in 2024, up to 14 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES52$1,272
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes46$1,013
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities51$943
Medicaid work by year
2024149314$3,228
20233,292529$66,723
20221,142421$24,564
20211,269217$14,889
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes1,094$25,614
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES1,204$22,425
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities761$15,026
THERAPEUTIC EXERCISES221$2,740
Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.12$918

2022

Largest Medicaid services in 2022
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES446$10,076
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes250$5,466
THERAPEUTIC EXERCISES201$4,595
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities245$4,428

2021

Largest Medicaid services in 2021
THERAPEUTIC EXERCISES701$8,446
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES568$6,443

Professional record

NPI
1013223254
Licence
CO 10853Colorado PTL.10853: Active
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
2233 Academy Pl, Suite 50, Colorado Springs, CO, 80909
NPI first listed
2010-08-25
NPI last updated
2013-01-03

This is when the NPI record was last certified, not a medical board exam.