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Benjamin Fedewa, PT

Physical Therapist in Private Practice · Palo Alto

NPI 1316375132

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

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

Offices

1 location · Agile Physical Therapy Inc · 48 clinicians in this 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 Benjamin Fedewa’s office at (650) 565-8090 to ask if they take your plan before you enroll.

State licence records

1 licence

  • Washington PT.PT.60415927Physical Therapist License · since 2013 · expires 2019-03-26
    ExpiredNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Original Medicare doctor bills

$4,611

Medicare paid this office $4,611 for 24 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 minutes21$1,685$21
Therapy procedure using functional activities12$903$29
Therapy procedure using manual technique, each 15 minutes14$562$17

Who their Medicare patients are

24 Original Medicare patients in 2024. Average age 72 · Women 50% · Health risk score 1.05. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 58%.

The office billed $14,570, Medicare allowed $5,867 and paid $4,611; for 172 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.

Year by year

Original Medicare by year
202424172721.05$14,570$4,611
20231450720.73$5,200$1,142
20222178700.79$8,050$1,842
202149408721.39$30,603$9,354
2020841,534730.71$71,491$39,875
2019731,186720.74$55,433$32,411
201828344751.09$21,040$7,942
201739530731.14$32,683$11,632
201643979710.95$59,604$20,497
201547986700.91$58,278$20,644
201461687721.02$40,733$14,665
201314125711.16$7,036$2,661

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

2022: 4 services

Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18$540$18
Therapy procedure using functional activities11$407$25
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12$264$22
Therapy procedure using manual technique, each 15 minutes13$211$16

2021: 4 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes46$3,060$19
Therapy procedure using functional activities25$2,357$31
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes37$2,302$23
Therapy procedure using manual technique, each 15 minutes24$950$16

2020: 5 services

Original Medicare services billed in 2020
Therapy procedure using functional activities73$14,899$32
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes73$9,963$21
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes74$8,945$25
Therapy procedure using manual technique, each 15 minutes46$2,982$19
Evaluation for physical therapy, typically 20 minutes39$2,574$60

2019: 5 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes69$12,408$23
Therapy procedure using functional activities48$9,280$33
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes46$4,419$28
Therapy procedure using manual technique, each 15 minutes43$2,625$20
Evaluation for physical therapy, typically 20 minutes33$2,458$74

2018: 3 services

Original Medicare services billed in 2018
Therapy procedure using functional activities21$2,818$28
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes26$2,465$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12$1,073$23

2017: 3 services

Original Medicare services billed in 2017
Therapy procedure using functional activities38$5,601$24
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes34$3,227$19
Therapy procedure using manual technique, each 15 minutes20$1,312$16

2016: 5 services

Original Medicare services billed in 2016
Therapy procedure using functional activities41$9,736$23
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes35$5,450$19
Therapy procedure using manual technique, each 15 minutes27$2,615$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13$1,348$20
Physical therapy evaluation22$1,036$47

2015: 6 services

Original Medicare services billed in 2015
Therapy procedure using functional activities45$7,891$24
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes41$5,827$20
Therapy procedure using manual technique, each 15 minutes31$4,252$18
Physical therapy evaluation23$1,241$52
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes14$971$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care16$406$8

2014: 6 services

Original Medicare services billed in 2014
Therapy procedure using functional activities59$5,345$24
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes53$3,333$20
Therapy procedure using manual technique, each 15 minutes38$2,925$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes23$1,403$20
Physical therapy evaluation23$1,346$54
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care20$258$8

Medicaid work

$1,100 in 2018

Medicaid paid $1,100 for 31 billed services this clinician did in 2018, up to 12 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 2018
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes31$1,100
Medicaid work by year
201831112$1,100

Professional record

NPI
1316375132
Licence
CA PT295677, WA PT60415927Washington PT.PT.60415927: Expired
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
607 Dewey Ave Nw, Ste 300, Grand Rapids, MI, 49504
NPI first listed
2013-10-15
NPI last updated
2021-05-27
NPI record certified
2021-05-27

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

Extra NPI addresses: 399 Grand Ave, Oakland, CA, 94610 · 4341 Piedmont Ave Ste 103, Oakland, CA, 94611