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Derek Wei Jun Xie, PT

Physical Therapist in Private Practice · Palo Alto

NPI 1326573981

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 Derek Wei Jun Xie’s office at (650) 565-8090 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$35,894

Medicare paid this office $35,894 for 34 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities34$11,333$29
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes34$7,337$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes29$6,872$21
Therapy procedure using manual technique, each 15 minutes34$6,092$17
Evaluation for physical therapy, typically 30 minutes24$2,104$84

Who their Medicare patients are

34 Original Medicare patients in 2024. Average age 74 · Women 62% · Health risk score 0.97. 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 53%.

The office billed $128,129, Medicare allowed $46,181 and paid $35,894; for 1,649 services of 12 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
2024341,649740.97$128,129$35,894
2023291,305741.01$104,281$29,016
202212559731.04$43,807$12,820

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: 5 services

Original Medicare services billed in 2023
Therapy procedure using functional activities29$8,841$29
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes27$6,083$22
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29$5,604$18
Therapy procedure using manual technique, each 15 minutes28$5,130$17
Evaluation for physical therapy, typically 30 minutes23$1,909$76

2022: 4 services

Original Medicare services billed in 2022
Therapy procedure using functional activities12$3,597$30
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11$2,561$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11$2,501$23
Therapy procedure using manual technique, each 15 minutes11$2,148$18

Medicaid work

$23,361 in 2022

Medicaid paid $23,361 for 926 billed services this clinician did in 2022, up to 30 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
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES287$7,953
THERAPEUTIC EXERCISES265$6,122
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes123$4,760
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities220$4,320
Application of a modality to 1 or more areas; vasopneumatic devices31$207
Medicaid work by year
2022926530$23,361
20212,527639$59,675
20203,359541$52,589
20193,596531$20,836
2018933426$200
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes477$21,307
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES740$17,568
THERAPEUTIC EXERCISES713$11,311
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities557$8,137
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.17$1,229
Application of a modality to 1 or more areas; vasopneumatic devices23$121

2020

Largest Medicaid services in 2020
THERAPEUTIC EXERCISES1,070$15,926
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes545$13,980
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES1,029$13,489
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities689$7,223
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.26$1,970

2019

Largest Medicaid services in 2019
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes750$7,414
THERAPEUTIC EXERCISES1,064$6,533
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES1,046$5,643
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities714$1,156
Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.22$90

2018

Largest Medicaid services in 2018
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES293$200
THERAPEUTIC EXERCISES321$0
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities136$0
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes183$0

Professional record

NPI
1326573981
Trained
Marymount University, 2018
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X); Student in a training program (390200000X)
Mailing address
20410 Century Blvd, Suite 215, Gaithersburg, MD, 20874
NPI first listed
2017-04-20
NPI last updated
2022-08-11
NPI record certified
2022-08-11

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