Kazumi Patel
Physical Therapist in Private Practice · San Jose
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 11
- 3 carriers
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · Golden Hills Orthopedic and Sports Physical Therapy Inc · 13 clinicians in this group
Plans that list them
11 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Kazumi Patel’s office at (408) 274-0888 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
11 of 11 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 |
| 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 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 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
Original Medicare doctor bills
$14,933
Medicare paid this office $14,933 for 53 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 52 | $4,732 | $35 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 52 | $3,149 | $24 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 53 | $2,811 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 50 | $2,271 | $19 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 26 | $595 | $8 |
Who their Medicare patients are
53 Original Medicare patients in 2024. Average age 72 · Women 77% · Also on Medicaid 74% · Health risk score 1.39. 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 53% · Chronic kidney disease 26%.
The office billed $47,480, Medicare allowed $18,792 and paid $14,933; for 610 services of 7 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.
Medicaid work
$0 in 2024
Medicaid paid $0 for 185 billed services this clinician did in 2024, up to 39 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.
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 185 | $0 |
| 2024 | 185 | 1 | 39 | $0 |
Professional record
- NPI
- 1295564599
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 2680 S White Rd Ste 200, San Jose, CA, 95148
- NPI first listed
- 2024-07-26
- NPI last updated
- 2024-07-26
- NPI record certified
- 2024-07-26
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 1436 California Cir, Milpitas, CA, 95035