Craig M Shiraishi, PT
Physical Therapist in Private Practice · Santa Clara
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 12
- 4 carriers
- Office
- 1
- Since medical school
- 17 years
- Graduated 2009
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · Cs Physical Therapy Corporation · 2 clinicians in this group
Plans that list them
12 plans · 4 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Craig M Shiraishi’s office at (408) 246-5861 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
12 of 12 plans
| Astiva Health C-SNP WOW - NorCal (HMO C-SNP) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Premier Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Savings Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Blue Shield Inspire (HMO) | Blue Shield of California | Listed | Aug 26, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
Original Medicare doctor bills
$100,013
Medicare paid this office $100,013 for 132 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 128 | $35,443 | $32 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 132 | $22,863 | $18 |
| Therapy procedure using manual technique, each 15 minutes | 132 | $20,575 | $17 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 96 | $9,332 | $20 |
| Evaluation for physical therapy, typically 20 minutes | 79 | $7,277 | $82 |
See all 6 services
| Therapy procedure using functional activities | 128 | $35,443 | $32 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 132 | $22,863 | $18 |
| Therapy procedure using manual technique, each 15 minutes | 132 | $20,575 | $17 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 96 | $9,332 | $20 |
| Evaluation for physical therapy, typically 20 minutes | 79 | $7,277 | $82 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 90 | $4,024 | $8 |
Who their Medicare patients are
132 Original Medicare patients in 2024. Average age 74 · Women 69% · Also on Medicaid 17% · Health risk score 1.00. 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 73% · Diabetes 36% · Coronary heart disease 22% · Chronic kidney disease 20% · Depression 13% · Cancer 9% · COPD 9% · Atrial fibrillation 9% · Heart failure 8%.
The office billed $221,415, Medicare allowed $136,246 and paid $100,013; for 4,658 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 | 132 | 4,658 | 74 | 1.00 | $221,415 | $100,013 |
| 2023 | 202 | 7,723 | 73 | 0.89 | $363,819 | $163,491 |
| 2022 | 166 | 5,731 | 74 | 0.89 | $248,411 | $128,055 |
| 2021 | 126 | 4,424 | 74 | 0.92 | $183,708 | $103,283 |
| 2020 | 64 | 2,234 | 74 | 0.99 | $93,470 | $54,577 |
| 2019 | 89 | 2,244 | 74 | 0.95 | $94,275 | $52,827 |
| 2018 | 64 | 1,646 | 73 | 0.90 | $69,503 | $40,416 |
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 using functional activities | 191 | $53,872 | $32 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 202 | $35,182 | $18 |
| Therapy procedure using manual technique, each 15 minutes | 199 | $31,964 | $17 |
| Evaluation for physical therapy, typically 20 minutes | 184 | $17,247 | $83 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 138 | $16,003 | $20 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 186 | $8,332 | $8 |
2022: 6 services
| Therapy procedure using functional activities | 155 | $44,808 | $32 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 166 | $27,729 | $19 |
| Therapy procedure using manual technique, each 15 minutes | 166 | $23,011 | $18 |
| Evaluation for physical therapy, typically 20 minutes | 151 | $15,058 | $91 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 163 | $8,575 | $8 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 86 | $7,840 | $21 |
2021: 6 services
| Therapy procedure using functional activities | 125 | $43,247 | $38 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 126 | $23,510 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 126 | $21,832 | $20 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 124 | $8,824 | $9 |
| Evaluation for physical therapy, typically 20 minutes | 42 | $4,330 | $96 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 19 | $1,119 | $27 |
2020: 5 services
| Therapy procedure using functional activities | 60 | $18,705 | $39 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 64 | $12,567 | $22 |
| Therapy procedure using manual technique, each 15 minutes | 63 | $11,490 | $20 |
| Evaluation for physical therapy, typically 20 minutes | 57 | $5,827 | $82 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 60 | $4,896 | $10 |
2019: 5 services
| Therapy procedure using functional activities | 88 | $18,427 | $38 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 89 | $11,931 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 88 | $10,520 | $20 |
| Evaluation for physical therapy, typically 20 minutes | 74 | $6,028 | $73 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 86 | $5,152 | $9 |
2018: 6 services
| Therapy procedure using functional activities | 55 | $13,749 | $40 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 64 | $8,793 | $22 |
| Therapy procedure using manual technique, each 15 minutes | 64 | $8,052 | $20 |
| Evaluation for physical therapy, typically 20 minutes | 56 | $4,583 | $79 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 62 | $3,691 | $10 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 25 | $1,538 | $25 |
Medicaid work
$349 in 2023
Medicaid paid $349 for 498 billed services this clinician did in 2023, up to 17 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.
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 189 | $335 |
| THERAPEUTIC EXERCISES | 191 | $14 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 118 | $0 |
| 2023 | 498 | 3 | 17 | $349 |
Professional record
- NPI
- 1285901389
- Licence
- CA PT38079
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 1026 Monroe St, Santa Clara, CA, 95050
- NPI first listed
- 2011-11-17
- NPI last updated
- 2025-05-13
- NPI record certified
- 2025-05-13
This is when the NPI record was last certified, not a medical board exam.