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Riya Patel

Physical Therapist in Private Practice · Lynnwood

NPI 1154001386

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
4 years
Graduated 2022

On the public record

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

Offices

1 location · Apple Physical Therapy LLC · 285 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 Riya Patel’s office at (425) 582-5902 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$13,669

Medicare paid this office $13,669 for 59 people.

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

Largest Original Medicare bills
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes57$6,468$16
Therapy procedure using functional activities45$3,528$23
Evaluation for physical therapy, typically 30 minutes27$1,980$73
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22$1,289$20

Who their Medicare patients are

59 Original Medicare patients in 2024. Average age 72 · Women 54% · Also on Medicaid 31% · Health risk score 0.97. 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 63% · Diabetes 42% · Chronic kidney disease 20%.

The office billed $58,065, Medicare allowed $18,548 and paid $13,669; for 657 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
202459657720.97$58,065$13,669
202344809710.94$68,301$17,563

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 activities40$8,509$24
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes39$5,246$16
Evaluation for physical therapy, typically 30 minutes20$1,782$81
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15$1,010$20
Therapy procedure using manual technique, each 15 minutes21$789$15

Medicaid work

$102,118 in 2024

Medicaid paid $102,118 for 3,518 billed services this clinician did in 2024, up to 67 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
THERAPEUTIC EXERCISES1,713$55,131
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes1,058$28,572
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.199$9,787
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 activities333$6,222
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES184$2,407
Application of a modality to 1 or more areas; hot or cold packs31$0
Medicaid work by year
20243,518667$102,118
20231,738560$46,346
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 minutes730$21,410
THERAPEUTIC EXERCISES731$18,340
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.80$3,843
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES148$1,773
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 activities49$980

Professional record

NPI
1154001386
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
790 Remington Blvd, Bolingbrook, IL, 60440
NPI first listed
2023-07-21
NPI last updated
2023-07-27
NPI record certified
2023-07-27

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

Extra NPI addresses: 500 Amalfi Loop Apt 404, Milpitas, CA, 95035