Madelyn Mccullough, 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.
- Office
- 1
- Since medical school
- 7 years
- Graduated 2019
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · California Luna Care Physical Therapy PC · 769 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Madelyn Mccullough’s office at (866) 525-3175 to ask if they take your plan before you enroll.
Original Medicare doctor bills
$55,779
Medicare paid this office $55,779 for 51 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 51 | $32,270 | $24 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 34 | $9,273 | $18 |
| Therapy procedure using manual technique, each 15 minutes | 32 | $6,857 | $17 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 26 | $2,047 | $20 |
| Evaluation for physical therapy, typically 30 minutes | 12 | $1,042 | $80 |
See all 6 services
| Therapy procedure using functional activities | 51 | $32,270 | $24 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 34 | $9,273 | $18 |
| Therapy procedure using manual technique, each 15 minutes | 32 | $6,857 | $17 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 26 | $2,047 | $20 |
| Evaluation for physical therapy, typically 30 minutes | 12 | $1,042 | $80 |
| Evaluation for physical therapy, typically 45 minutes | 11 | $955 | $80 |
Who their Medicare patients are
51 Original Medicare patients in 2024. Average age 80 · Under 65 0% · 85 and older 28% · Women 67% · Health risk score 1.23. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.
Conditions among them: High blood pressure 75% · Coronary heart disease 41% · Diabetes 29% · Depression 27%.
The office billed $236,700, Medicare allowed $74,018 and paid $55,779; for 2,423 services of 10 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 | 51 | 2,423 | 80 | 1.23 | $236,700 | $55,779 |
| 2023 | 141 | 4,153 | 77 | 0.89 | $282,240 | $106,180 |
| 2022 | 114 | 4,279 | 77 | 1.08 | $367,720 | $105,373 |
| 2021 | 76 | 2,230 | 74 | 0.99 | $208,677 | $52,786 |
| 2020 | 67 | 1,421 | 72 | 1.32 | $106,455 | $32,955 |
| 2019 | 35 | 491 | 70 | 1.24 | $36,023 | $11,559 |
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: 7 services
| Therapy procedure using functional activities | 139 | $77,566 | $26 |
| Therapy procedure using manual technique, each 15 minutes | 96 | $10,113 | $18 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 73 | $6,266 | $22 |
| Evaluation for physical therapy, typically 30 minutes | 42 | $4,118 | $88 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 20 | $3,657 | $19 |
| Evaluation for physical therapy, typically 45 minutes | 25 | $2,161 | $83 |
| Evaluation for physical therapy, typically 20 minutes | 17 | $1,442 | $85 |
2022: 7 services
| Therapy procedure using functional activities | 114 | $63,470 | $28 |
| Therapy procedure using manual technique, each 15 minutes | 88 | $16,524 | $18 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 28 | $13,455 | $19 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 64 | $6,837 | $23 |
| Evaluation for physical therapy, typically 30 minutes | 21 | $1,984 | $86 |
| Evaluation for physical therapy, typically 20 minutes | 11 | $1,082 | $90 |
| Evaluation for physical therapy, typically 45 minutes | 11 | $972 | $81 |
2021: 7 services
| Therapy procedure using functional activities | 73 | $20,111 | $30 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 74 | $16,251 | $19 |
| Therapy procedure using manual technique, each 15 minutes | 45 | $8,958 | $19 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 22 | $3,311 | $26 |
| Evaluation for physical therapy, typically 20 minutes | 17 | $1,391 | $82 |
| Evaluation for physical therapy, typically 45 minutes | 16 | $1,067 | $67 |
| Evaluation for physical therapy, typically 30 minutes | 13 | $1,062 | $76 |
2020: 7 services
| Therapy procedure using functional activities | 60 | $15,093 | $29 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 66 | $11,846 | $19 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 17 | $1,907 | $22 |
| Evaluation for physical therapy, typically 30 minutes | 18 | $1,107 | $62 |
| Evaluation for physical therapy, typically 20 minutes | 18 | $1,026 | $57 |
| Therapy procedure using manual technique, each 15 minutes | 25 | $823 | $18 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 13 | $598 | $8 |
2019: 3 services
| Therapy procedure using functional activities | 34 | $5,943 | $28 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 33 | $3,341 | $19 |
| Therapy procedure using manual technique, each 15 minutes | 17 | $803 | $17 |
Medicaid work
$5,897 in 2021
Medicaid paid $5,897 for 1,002 billed services this clinician did in 2021, up to 38 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.
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 351 | $2,881 |
| THERAPEUTIC EXERCISES | 354 | $2,580 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 83 | $271 |
| Application of a modality to 1 or more areas; hot or cold packs | 214 | $165 |
| 2021 | 1,002 | 4 | 38 | $5,897 |
| 2020 | 1,729 | 4 | 26 | $26,754 |
| 2019 | 292 | 3 | 26 | $1,310 |
See the largest Medicaid services in earlier years
2020
| THERAPEUTIC EXERCISES | 650 | $14,581 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 570 | $10,820 |
| Application of a modality to 1 or more areas; hot or cold packs | 445 | $920 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 64 | $434 |
2019
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 128 | $837 |
| THERAPEUTIC EXERCISES | 124 | $473 |
| Application of a modality to 1 or more areas; hot or cold packs | 40 | $0 |
Professional record
- NPI
- 1114574043
- Licence
- CA 300178, NV 4082
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- Po Box 1295, Venice, CA, 90294
- NPI first listed
- 2019-08-26
- NPI last updated
- 2023-02-23
- NPI record certified
- 2023-02-23
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 7060 N Durango Dr Ste 130, Las Vegas, NV, 89149