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Donna Banister

Occupational Therapist in Private Practice · Gilroy

NPI 1033281266

Medicare standing
1 flag on the record
Listed below.
Plans that list them
9
5 carriers
Office
1

On the public record

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

Offices

1 location

Looking this up.

Plans that list them

9 plans · 5 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Donna Banister’s office at (408) 847-6730 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

9 of 9 plans

Plans whose provider directory lists this clinician
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$77,698

Medicare paid this office $77,698 for 115 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities115$41,523$29
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes115$28,572$20
Evaluation for occupational therapy, typically 45 minutes72$6,037$77
Evaluation for occupational therapy, typically 30 minutes13$941$67

Who their Medicare patients are

115 Original Medicare patients in 2024. Average age 73 · Women 64% · Health risk score 0.79. At or below the middle of the specialty; the typical occupational therapist in private practice clinician is at 1.42.

Conditions among them: High blood pressure 64% · Diabetes 27% · Coronary heart disease 23% · Depression 18% · Cancer 15% · Chronic kidney disease 11%.

The office billed $146,222, Medicare allowed $102,154 and paid $77,698; for 2,966 services of 7 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
20241152,966730.79$146,222$77,698
20231183,305730.96$164,510$88,907
20221033,924730.90$191,060$104,782
2021973,113741.04$152,540$87,278
2020751,778731.13$87,940$47,889
2019792,500710.89$122,820$59,669
2018732,287711.08$111,980$52,946
2017621,946690.97$95,290$46,540
2016582,163720.89$105,740$51,709
2015581,560741.18$77,150$37,909
2014712,422721.11$118,475$59,153
2013581,878721.06$91,646$47,133

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 activities118$48,258$30
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes118$32,783$21
Evaluation for occupational therapy, typically 45 minutes70$5,370$75
Evaluation for occupational therapy, typically 30 minutes19$1,548$81
Evaluation for occupational therapy, typically 1 hour12$948$79

2022: 4 services

Original Medicare services billed in 2022
Therapy procedure using functional activities103$58,241$30
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes102$39,789$21
Evaluation for occupational therapy, typically 45 minutes58$4,531$76
Evaluation for occupational therapy, typically 30 minutes21$1,510$72

2021: 4 services

Original Medicare services billed in 2021
Therapy procedure using functional activities96$48,372$32
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes97$32,385$21
Evaluation for occupational therapy, typically 45 minutes51$3,865$76
Evaluation for occupational therapy, typically 30 minutes30$2,096$70

2020: 5 services

Original Medicare services billed in 2020
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes75$19,235$22
Therapy procedure using functional activities49$19,188$33
Therapy procedure using manual technique, each 15 minutes30$4,665$17
Evaluation for occupational therapy, typically 45 minutes35$2,779$79
Evaluation for occupational therapy, typically 30 minutes28$1,942$69

2019: 4 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes79$30,022$25
Therapy procedure using manual technique, each 15 minutes79$23,836$20
Evaluation for occupational therapy, typically 45 minutes44$3,399$77
Evaluation for occupational therapy, typically 30 minutes26$1,942$72

2018: 3 services

Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes73$26,783$24
Therapy procedure using manual technique, each 15 minutes73$21,226$19
Evaluation for occupational therapy, typically 45 minutes47$3,763$78

2017: 3 services

Original Medicare services billed in 2017
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes62$23,955$25
Therapy procedure using manual technique, each 15 minutes62$18,816$20
Evaluation for occupational therapy, typically 45 minutes38$2,680$69

2016: 3 services

Original Medicare services billed in 2016
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes58$26,576$25
Therapy procedure using manual technique, each 15 minutes58$20,937$20
Occupational therapy evaluation51$4,196$74

2015: 3 services

Original Medicare services billed in 2015
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes58$18,814$25
Therapy procedure using manual technique, each 15 minutes58$14,858$20
Occupational therapy evaluation51$4,237$73

2014: 3 services

Original Medicare services billed in 2014
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes71$30,094$26
Therapy procedure using manual technique, each 15 minutes71$24,133$20
Occupational therapy evaluation62$4,926$76

2013: 3 services

Original Medicare services billed in 2013
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes56$25,579$26
Therapy procedure using manual technique, each 15 minutes57$17,296$21
Occupational therapy evaluation53$4,246$76

Professional record

NPI
1033281266
Licence
CA 3589
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225XH1200X (225XH1200X)
Mailing address
Po Box 2104, Gilroy, CA, 95021
NPI first listed
2006-11-14
NPI last updated
2011-06-09

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