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Lee H Kole, PT

Physical Therapist in Private Practice · Sunnyvale

NPI 1073524179

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

On the public record

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

Offices

1 location · Breakthrough Physical Therapy Inc · 12 clinicians in this group

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 Lee H Kole’s office at (408) 736-7600 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$8,193

Medicare paid this office $8,193 for 14 people.

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

Largest Original Medicare bills
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes14$2,925$31
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14$1,894$20
Therapy procedure using manual technique, each 15 minutes14$1,757$19

Who their Medicare patients are

14 Original Medicare patients in 2024. Average age 73 · Under 65 0% · Also on Medicaid 0% · Health risk score 1.66. Sicker patients than 9 in 10 peers; the typical physical therapist in private practice clinician is at 1.03.

The office billed $21,069, Medicare allowed $10,652 and paid $8,193; for 363 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
202414363731.66$21,069$8,193
2015331,332710.72$59,456$30,023
201425779700.81$34,534$17,110
2013481,656741.06$75,203$38,384

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

2015: 7 services

Original Medicare services billed in 2015
Therapy procedure using functional activities30$8,589$29
Therapy procedure using manual technique, each 15 minutes32$6,852$20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes29$5,949$24
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16$2,743$22
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care29$2,193$9
Physical therapy re-evaluation28$1,949$38
Physical therapy evaluation23$1,600$70

2014: 7 services

Original Medicare services billed in 2014
Therapy procedure using functional activities24$6,134$29
Therapy procedure using manual technique, each 15 minutes22$3,287$20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes21$2,999$22
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16$1,661$22
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care22$1,371$9
Physical therapy evaluation11$839$70
Physical therapy re-evaluation16$795$36

2013: 7 services

Original Medicare services billed in 2013
Therapy procedure using functional activities48$13,278$29
Therapy procedure using manual technique, each 15 minutes46$8,262$20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes46$6,771$23
Physical therapy evaluation44$3,108$69
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care40$2,582$9
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18$1,917$22
Physical therapy re-evaluation30$1,775$39

Professional record

NPI
1073524179
Licence
CA PT 24011
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
333 Soquel Way, Sunnyvale, CA, 94085
NPI first listed
2006-08-11
NPI last updated
2019-08-02

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