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Daniel A Falchetti, PT

Physical Therapist in Private Practice · Tustin

NPI 1255304242

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
2
Since medical school
27 years
Graduated 1999

On the public record

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

Offices

2 locations · State-of-the-Art Physical Therapy, Inc. · California Luna Care Physical Therapy PC

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 Daniel A Falchetti’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$89,296

Medicare paid this office $89,296 for 85 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 minutes85$39,603$21
Therapy procedure using manual technique, each 15 minutes82$29,130$17
Therapy procedure using functional activities12$5,619$32
Evaluation for physical therapy, typically 30 minutes54$5,449$77
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16$3,244$28
See all 7 services
Every Original Medicare service billed
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes85$39,603$21
Therapy procedure using manual technique, each 15 minutes82$29,130$17
Therapy procedure using functional activities12$5,619$32
Evaluation for physical therapy, typically 30 minutes54$5,449$77
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16$3,244$28
Application of ultraviolet light62$2,631$5
Re-evaluation for physical therapy, typically 20 minutes31$2,352$56

Who their Medicare patients are

85 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 69% · Diabetes 31% · Coronary heart disease 24% · Chronic kidney disease 24% · Depression 20% · Atrial fibrillation 18% · Cancer 15% · Stroke 15%.

The office billed $183,908, Medicare allowed $114,841 and paid $89,296; for 4,545 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

Original Medicare by year
2024854,545761.15$183,908$89,296
2023693,877771.01$158,990$77,133
2022593,628751.12$115,550$69,999
2021472,883741.23$84,972$56,563
2020572,477751.14$71,906$48,532
2019843,069761.17$89,354$59,674
2018753,069751.10$93,195$59,805
2017773,453741.13$112,847$68,636
2016863,640751.21$120,283$69,442
2015582,427771.17$79,190$48,218
2014472,361751.32$76,475$46,701
2013411,983760.98$66,525$41,354

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 exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes69$32,623$21
Therapy procedure using manual technique, each 15 minutes69$25,244$18
Therapy procedure using functional activities17$8,392$31
Evaluation for physical therapy, typically 30 minutes51$4,667$79
Re-evaluation for physical therapy, typically 20 minutes28$2,355$57
Application of ultraviolet light47$2,174$5

2022: 5 services

Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes59$31,368$22
Therapy procedure using manual technique, each 15 minutes59$24,823$18
Evaluation for physical therapy, typically 30 minutes41$3,719$77
Re-evaluation for physical therapy, typically 20 minutes35$3,398$62
Application of ultraviolet light52$2,681$5

2021: 5 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47$25,409$23
Therapy procedure using manual technique, each 15 minutes46$21,473$19
Evaluation for physical therapy, typically 30 minutes37$2,725$70
Re-evaluation for physical therapy, typically 20 minutes30$2,491$53
Application of ultraviolet light44$2,341$5

2020: 6 services

Original Medicare services billed in 2020
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes57$21,559$22
Therapy procedure using manual technique, each 15 minutes54$17,177$19
Evaluation for physical therapy, typically 30 minutes35$2,838$69
Application of ultraviolet light48$1,900$5
Re-evaluation for physical therapy, typically 20 minutes25$1,625$52
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11$976$28

2019: 6 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes83$28,620$22
Therapy procedure using manual technique, each 15 minutes81$21,218$18
Evaluation for physical therapy, typically 30 minutes42$3,220$63
Application of ultraviolet light73$2,245$5
Re-evaluation for physical therapy, typically 20 minutes31$1,939$51
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12$731$27

2018: 5 services

Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes75$27,983$22
Therapy procedure using manual technique, each 15 minutes75$21,416$18
Evaluation for physical therapy, typically 30 minutes41$3,236$66
Re-evaluation for physical therapy, typically 20 minutes35$2,364$49
Application of ultraviolet light69$2,180$5

2017: 5 services

Original Medicare services billed in 2017
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes77$33,306$24
Therapy procedure using manual technique, each 15 minutes76$26,196$19
Evaluation for physical therapy, typically 30 minutes42$2,685$60
Application of ultraviolet light69$2,534$5
Re-evaluation for physical therapy, typically 20 minutes35$2,214$48

2016: 7 services

Original Medicare services billed in 2016
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes86$31,454$23
Therapy procedure using manual technique, each 15 minutes86$25,623$18
Physical therapy evaluation54$3,205$56
Application of ultraviolet light77$2,464$4
Physical therapy re-evaluation35$2,034$34
Therapy procedure for walking training, each 15 minutes11$1,516$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12$782$28

2015: 6 services

Original Medicare services billed in 2015
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes55$21,926$24
Therapy procedure using manual technique, each 15 minutes55$18,212$19
Physical therapy evaluation40$2,432$58
Physical therapy re-evaluation30$1,744$35
Application of ultraviolet light48$1,665$5
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11$1,063$26

2014: 6 services

Original Medicare services billed in 2014
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes43$18,066$23
Therapy procedure using manual technique, each 15 minutes45$17,302$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16$2,089$23
Physical therapy evaluation33$2,052$59
Physical therapy re-evaluation30$1,853$34
Application of ultraviolet light42$1,496$5

2013: 5 services

Original Medicare services billed in 2013
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes39$16,703$24
Therapy procedure using manual technique, each 15 minutes40$16,285$20
Physical therapy evaluation35$2,190$56
Physical therapy re-evaluation18$846$37
Application of low energy heat24$639$4

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
1255304242
Licence
CA PT24798
Group
State-of-the-Art Physical Therapy, Inc. · California Luna Care Physical Therapy PC
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
2492 Walnut Avenue, #140, Tustin, CA, 92780
NPI first listed
2006-02-09
NPI last updated
2014-02-25

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