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Darren G Terry, PT

Physical Therapist in Private Practice · Los Gatos

NPI 1336412998

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
15 years
Graduated 2011

On the public record

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

Offices

1 location · California Luna Care Physical Therapy PC · 769 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 Darren G Terry’s office at (866) 525-3175 to ask if they take your plan before you enroll.

California Medical Board record

Licence C38576 · Cancelled

Licence status: Cancelled · since 1979 · Osmania University, Osmania Medical College.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$19,075

Medicare paid this office $19,075 for 27 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 minutes27$6,438$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes26$5,752$27
Therapy procedure using manual technique, each 15 minutes27$4,621$16
Evaluation for physical therapy, typically 30 minutes14$1,157$72

Who their Medicare patients are

27 Original Medicare patients in 2024. Average age 70 · Women 48% · Health risk score 0.95. 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 70% · Diabetes 44%.

The office billed $72,600, Medicare allowed $24,915 and paid $19,075; for 933 services of 6 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
202427933700.95$72,600$19,075
2023321,423700.88$110,090$29,520
2022271,498690.89$115,070$31,094
2021281,474700.94$109,050$30,901
2020281,233711.32$92,290$26,498
2019242,235691.05$129,280$38,477
2018141,245651.04$70,080$20,159
2016251,395671.99$85,780$24,399
2015201,766701.18$105,710$30,521
201328993721.39$59,310$18,198

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: 4 services

Original Medicare services billed in 2023
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes32$11,492$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes30$7,732$27
Therapy procedure using manual technique, each 15 minutes32$6,466$17
Evaluation for physical therapy, typically 30 minutes17$1,928$74

2022: 4 services

Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27$11,659$19
Therapy procedure using manual technique, each 15 minutes27$7,924$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes24$7,338$28
Evaluation for physical therapy, typically 30 minutes18$2,112$81

2021: 4 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes28$12,667$20
Therapy procedure using manual technique, each 15 minutes27$11,004$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20$4,306$28
Evaluation for physical therapy, typically 30 minutes22$2,542$77

2020: 4 services

Original Medicare services billed in 2020
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27$10,870$20
Therapy procedure using manual technique, each 15 minutes26$8,395$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22$5,742$29
Evaluation for physical therapy, typically 30 minutes17$1,400$61

2019: 5 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24$13,931$21
Therapy procedure using manual technique, each 15 minutes24$12,531$18
Application of ultrasound, each 15 minutes21$3,009$9
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care21$2,862$9
Evaluation for physical therapy, typically 30 minutes22$1,944$61

2018: 5 services

Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14$7,823$20
Therapy procedure using manual technique, each 15 minutes14$6,324$17
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care14$1,722$9
Application of ultrasound, each 15 minutes14$1,623$8
Evaluation for physical therapy, typically 30 minutes12$787$52

2016: 6 services

Original Medicare services billed in 2016
Therapy procedure using manual technique, each 15 minutes19$7,207$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20$6,642$26
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20$5,102$19
Application of ultrasound, each 15 minutes19$1,702$8
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care17$1,490$8
Physical therapy evaluation16$1,165$58

2015: 6 services

Original Medicare services billed in 2015
Therapy procedure using manual technique, each 15 minutes20$10,328$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20$8,257$20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes17$6,144$27
Application of ultrasound, each 15 minutes19$2,096$8
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care19$1,997$8
Physical therapy evaluation17$987$52

2013: 5 services

Original Medicare services billed in 2013
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27$8,025$23
Therapy procedure using manual technique, each 15 minutes27$5,957$19
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care24$1,107$8
Application of ultrasound, each 15 minutes26$969$8
Physical therapy evaluation12$746$62

Medicaid work

$0 in 2024

Medicaid paid $0 for 3,915 billed services this clinician did in 2024, up to 160 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 2024
THERAPEUTIC EXERCISES3,181$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 activities25$0
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES26$0
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.384$0
Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.284$0
PHYSICAL PERFORMANCE TEST15$0
Medicaid work by year
20243,9156160$0
20232,8824104$20,430
20222,109290$280
20212,853289$129,150
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
THERAPEUTIC EXERCISES2,556$19,310
PHYSICAL PERFORMANCE TEST131$1,120
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.183$0
Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.12$0

2022

Largest Medicaid services in 2022
THERAPEUTIC EXERCISES1,738$280
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.371$0

2021

Largest Medicaid services in 2021
THERAPEUTIC EXERCISES2,621$119,150
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.232$10,000

Professional record

NPI
1336412998
Licence
CA 38576California C38576: Cancelled
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
24432 Muirlands Blvd, Ste. 201, Lake Forest, CA, 92630
NPI first listed
2012-02-13
NPI last updated
2012-02-13

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