Jayme L Cargnoni, PT
Physical Therapist in Private Practice · Encinitas
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 3
On the public record
- Medicare does not list them as allowed to order and refer
Offices
3 locations · Gaspar Physical Therapy A Professional Corporation · California Luna Care Physical Therapy PC · Rise Physical Therapy 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 Jayme L Cargnoni’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$63,752
Medicare paid this office $63,752 for 49 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 46 | $16,845 | $24 |
| Therapy procedure using functional activities | 40 | $15,156 | $31 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 48 | $14,450 | $19 |
| Therapy procedure using manual technique, each 15 minutes | 45 | $11,540 | $18 |
| Evaluation for physical therapy, typically 20 minutes | 31 | $3,334 | $88 |
See all 6 services
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 46 | $16,845 | $24 |
| Therapy procedure using functional activities | 40 | $15,156 | $31 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 48 | $14,450 | $19 |
| Therapy procedure using manual technique, each 15 minutes | 45 | $11,540 | $18 |
| Evaluation for physical therapy, typically 20 minutes | 31 | $3,334 | $88 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 25 | $1,486 | $7 |
Who their Medicare patients are
49 Original Medicare patients in 2024. Average age 76 · Women 61% · Health risk score 1.15. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.
Conditions among them: High blood pressure 61% · Coronary heart disease 33% · Atrial fibrillation 29%.
The office billed $187,580, Medicare allowed $81,370 and paid $63,752; for 2,846 services of 11 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 | 49 | 2,846 | 76 | 1.15 | $187,580 | $63,752 |
| 2023 | 52 | 1,792 | 74 | 1.12 | $117,586 | $40,425 |
| 2022 | 16 | 108 | 73 | 0.78 | $8,740 | $1,638 |
| 2021 | 24 | 254 | 74 | 0.81 | $22,630 | $6,914 |
| 2020 | 28 | 331 | 70 | 0.92 | $27,943 | $8,374 |
| 2019 | 22 | 190 | 67 | 1.11 | $16,100 | $4,791 |
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: 6 services
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 49 | $11,799 | $23 |
| Therapy procedure using functional activities | 40 | $10,942 | $30 |
| Therapy procedure using manual technique, each 15 minutes | 49 | $8,705 | $17 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 39 | $5,159 | $19 |
| Evaluation for physical therapy, typically 20 minutes | 22 | $1,832 | $83 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 17 | $777 | $7 |
2022: 3 services
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 15 | $451 | $15 |
| Therapy procedure using functional activities | 13 | $432 | $17 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 15 | $406 | $14 |
2021: 4 services
| Therapy procedure using functional activities | 24 | $2,823 | $33 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 24 | $1,620 | $24 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 23 | $1,331 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 12 | $572 | $18 |
2020: 2 services
| Therapy procedure using functional activities | 25 | $6,319 | $27 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 17 | $680 | $19 |
2019: 1 service
| Therapy procedure using functional activities | 19 | $3,215 | $27 |
Medicaid work
$51,287 in 2020
Medicaid paid $51,287 for 1,743 billed services this clinician did in 2020, up to 69 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 | 1,060 | $29,120 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 375 | $14,053 |
| Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family. | 73 | $4,099 |
| THERAPEUTIC EXERCISES | 180 | $3,665 |
| ELECTRIC STIMULATION THERAPY | 23 | $262 |
| 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 activities | 32 | $87 |
| 2020 | 1,743 | 6 | 69 | $51,287 |
| 2019 | 939 | 4 | 52 | $22,925 |
See the largest Medicaid services in earlier years
2019
| UNLISTED THERAPEUTIC PROCEDURE SPECIFY | 833 | $19,110 |
| Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family. | 70 | $3,096 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 18 | $608 |
| THERAPEUTIC EXERCISES | 18 | $111 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 88.9 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1164079109
- Licence
- CA PT297126
- Group
- Gaspar Physical Therapy A Professional Corporation · California Luna Care Physical Therapy PC · Rise Physical Therapy Inc
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 4341 Piedmont Ave, Ste 201, Oakland, CA, 94611
- NPI first listed
- 2019-08-23
- NPI last updated
- 2021-04-09
- NPI record certified
- 2021-04-09
This is when the NPI record was last certified, not a medical board exam.