David Carmelo De Leon, PT
Physical Therapist in Private Practice · Los Gatos
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 4
On the public record
- Medicare does not list them as allowed to order and refer
Offices
4 locations · California Luna Care Physical Therapy PC · Crs Physical Therapy Inc. · No Limit Group LLC · Sharp Rees-Stealy Medical Group Inc
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call David Carmelo De Leon’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$9,125
Medicare paid this office $9,125 for 46 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 35 | $4,096 | $21 |
| Evaluation for physical therapy, typically 30 minutes | 37 | $2,973 | $74 |
| Therapy procedure using manual technique, each 15 minutes | 29 | $1,925 | $17 |
Who their Medicare patients are
46 Original Medicare patients in 2024. Average age 72 · Women 59% · Health risk score 0.80. 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 46%.
The office billed $42,301, Medicare allowed $12,915 and paid $9,125; for 354 services of 5 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
| 2024 | 46 | 354 | 72 | 0.80 | $42,301 | $9,125 |
| 2023 | 52 | 283 | 72 | 1.09 | $33,608 | $7,179 |
| 2022 | 53 | 412 | 72 | 0.87 | $46,654 | $11,111 |
| 2021 | 62 | 1,163 | 73 | 0.86 | $55,222 | $26,083 |
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: 3 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 44 | $3,478 | $20 |
| Evaluation for physical therapy, typically 30 minutes | 34 | $2,528 | $74 |
| Therapy procedure using manual technique, each 15 minutes | 19 | $1,102 | $17 |
2022: 3 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 52 | $6,369 | $22 |
| Evaluation for physical therapy, typically 30 minutes | 39 | $3,354 | $80 |
| Therapy procedure using manual technique, each 15 minutes | 17 | $1,030 | $16 |
2021: 7 services
| Therapy procedure using functional activities | 52 | $14,836 | $26 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 23 | $3,425 | $23 |
| Therapy procedure using manual technique, each 15 minutes | 38 | $3,226 | $17 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 22 | $1,650 | $19 |
| Evaluation for physical therapy, typically 30 minutes | 19 | $1,550 | $82 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 35 | $1,128 | $8 |
| Training for self-care or home management, each 15 minutes | 12 | $223 | $19 |
Medicaid work
$5,725 in 2021
Medicaid paid $5,725 for 340 billed services this clinician did in 2021, up to 25 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.
| UNLISTED THERAPEUTIC PROCEDURE SPECIFY | 210 | $3,659 |
| UNLISTED MODALITY | 105 | $1,789 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 25 | $278 |
| 2021 | 340 | 3 | 25 | $5,725 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 73.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1013575984
- Licence
- CA 296289, HI PT-4787
- Group
- California Luna Care Physical Therapy PC · Crs Physical Therapy Inc. · No Limit Group LLC · Sharp Rees-Stealy Medical Group Inc
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 3070 Madison St, Carlsbad, CA, 92008
- NPI first listed
- 2019-06-04
- NPI last updated
- 2021-04-06
- NPI record certified
- 2021-04-06
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 6826 S Centinela Ave, Culver City, CA, 90230 · 1401 S Beretania St Ste 550, Honolulu, HI, 96814