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Edwal A Pierre, PT

Physical Therapist in Private Practice · Los Gatos

NPI 1235710393

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
3
Since medical school
7 years
Graduated 2019

On the public record

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

Offices

3 locations · California Luna Care Physical Therapy PC · Anchor Medical Group · Caduceus Physicians Medical 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 Edwal A Pierre’s office to ask if they take your plan before you enroll.

Medicaid work

$9 in 2022

Medicaid paid $9 for 3,755 billed services this clinician did in 2022, up to 155 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 2022
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES1,055$9
Application of a modality to 1 or more areas; hot or cold packs159$0
ELECTRIC STIMULATION THERAPY71$0
THERAPEUTIC EXERCISES1,205$0
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 activities1,147$0
Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.40$0
Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a 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.31$0
PHYSICAL PERFORMANCE TEST47$0
Medicaid work by year
20223,7558155$9
20212,187779$0
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
Application of a modality to 1 or more areas; hot or cold packs318$0
ELECTRIC STIMULATION THERAPY207$0
THERAPEUTIC EXERCISES611$0
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 activities540$0
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES483$0
Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.14$0
PHYSICAL PERFORMANCE TEST14$0

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
1235710393
Licence
CA 300031
Group
California Luna Care Physical Therapy PC · Anchor Medical Group · Caduceus Physicians Medical Group
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
1350 O St Ste 201, Fresno, CA, 93721
NPI first listed
2021-04-19
NPI last updated
2021-04-19
NPI record certified
2021-04-19

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