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Maxwell Kam, PT

Physical Therapist · Milpitas

NPI 1255009767

Medicare standing
1 flag on the record
Listed below.
Plans that list them
6
2 carriers
Office
1

On the public record

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

Offices

1 location

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 Maxwell Kam’s office at (408) 934-4700 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
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026

Original Medicare doctor bills

$17,195

Medicare paid this office $17,195 for 37 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities35$5,099$31
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29$3,817$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes25$3,375$25
Therapy procedure using manual technique, each 15 minutes26$2,647$18
Evaluation for physical therapy, typically 20 minutes12$937$78
See all 6 services
Every Original Medicare service billed
Therapy procedure using functional activities35$5,099$31
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29$3,817$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes25$3,375$25
Therapy procedure using manual technique, each 15 minutes26$2,647$18
Evaluation for physical therapy, typically 20 minutes12$937$78
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care16$812$7

Who their Medicare patients are

37 Original Medicare patients in 2024. Average age 77 · Women 60% · Health risk score 1.27. 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% · Diabetes 41% · Chronic kidney disease 30%.

The office billed $52,454, Medicare allowed $23,403 and paid $17,195; for 795 services of 9 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
202437795771.27$52,454$17,195
2023492,078761.05$135,686$48,205
2022661,891751.11$120,583$45,013
202125404741.09$28,015$11,573

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

Original Medicare services billed in 2023
Therapy procedure using functional activities47$19,271$32
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44$10,510$20
Therapy procedure using manual technique, each 15 minutes40$6,037$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes28$5,145$24
Evaluation for physical therapy, typically 20 minutes37$3,748$91
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care22$2,148$8

2022: 8 services

Original Medicare services billed in 2022
Therapy procedure using functional activities64$15,952$33
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes57$8,060$21
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes43$6,638$26
Therapy procedure using manual technique, each 15 minutes48$5,420$19
Evaluation for physical therapy, typically 20 minutes47$4,302$88
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care44$2,394$8
Training for self-care or home management, each 15 minutes17$793$23
Therapy procedure for walking training, each 15 minutes11$596$21

2021: 6 services

Original Medicare services billed in 2021
Therapy procedure using functional activities25$3,163$33
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes23$2,702$23
Evaluation for physical therapy, typically 20 minutes23$2,476$99
Therapy procedure using manual technique, each 15 minutes14$1,390$20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13$1,088$28
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care16$399$9

Medicaid work

$75 in 2022

Medicaid paid $75 for 15 billed services this clinician did in 2022, up to 13 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
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes15$75
Medicaid work by year
202215113$75

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
1255009767
Licence
CA 300818
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
1574 Magpie Ln, Sunnyvale, CA, 94087
NPI first listed
2021-08-31
NPI last updated
2021-08-31
NPI record certified
2021-08-30

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