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Frank Lima, PT

Physical Therapist in Private Practice · Palo Alto

NPI 1215400429

Medicare standing
1 flag on the record
Listed below.
Plans that list them
6
2 carriers
Offices
3
Since medical school
8 years
Graduated 2018

On the public record

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

Offices

3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plans that list them

6 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Frank Lima’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

6 of 6 plans

Plans whose provider directory lists this clinician
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
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

$52,747

Medicare paid this office $52,747 for 139 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 minutes128$23,376$23
Therapy procedure using manual technique, each 15 minutes114$11,228$18
Evaluation for physical therapy, typically 20 minutes60$5,680$95
Therapy procedure using functional activities30$4,787$28
Evaluation for physical therapy, typically 30 minutes38$3,354$88
See all 8 services
Every Original Medicare service billed
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes128$23,376$23
Therapy procedure using manual technique, each 15 minutes114$11,228$18
Evaluation for physical therapy, typically 20 minutes60$5,680$95
Therapy procedure using functional activities30$4,787$28
Evaluation for physical therapy, typically 30 minutes38$3,354$88
Training for self-care or home management, each 15 minutes27$2,004$19
Re-evaluation for physical therapy, typically 20 minutes14$1,014$68
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15$711$21

Who their Medicare patients are

139 Original Medicare patients in 2024. Average age 78 · Women 56% · Health risk score 0.85. 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 61% · Coronary heart disease 28% · Chronic kidney disease 17% · Cancer 17% · Diabetes 15% · Depression 15% · Atrial fibrillation 14%.

The office billed $278,759, Medicare allowed $69,102 and paid $52,747; for 2,079 services of 13 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
20241392,079780.85$278,759$52,747
2023962,933760.79$240,022$68,733
2022741,732760.76$142,643$43,556

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

Original Medicare services billed in 2023
Therapy procedure using functional activities92$30,004$29
Therapy procedure using manual technique, each 15 minutes81$15,506$17
Training for self-care or home management, each 15 minutes76$10,007$21
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes65$6,245$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes43$2,437$22
Evaluation for physical therapy, typically 30 minutes22$1,978$90
Evaluation for physical therapy, typically 20 minutes20$1,444$72

2022: 7 services

Original Medicare services billed in 2022
Therapy procedure using functional activities71$18,115$31
Therapy procedure using manual technique, each 15 minutes59$10,621$19
Training for self-care or home management, each 15 minutes61$5,378$23
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes51$4,134$20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes37$2,021$25
Evaluation for physical therapy, typically 20 minutes18$1,577$88
Evaluation for physical therapy, typically 30 minutes12$1,113$93

Professional record

NPI
1215400429
Licence
CA 296083
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 2251X0800X (2251X0800X)
Mailing address
201 Magnolia St, Half Moon Bay, CA, 94019
NPI first listed
2019-01-10
NPI last updated
2019-01-10

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