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Nicholas Steven Duenas, PT

Physical Therapist in Private Practice · Los Gatos

NPI 1356115265

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
3 years
Graduated 2023

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 Nicholas Steven Duenas’s office at (866) 525-3175 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$131,922

Medicare paid this office $131,922 for 93 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities89$42,874$33
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes90$31,329$20
Therapy procedure using manual technique, each 15 minutes88$29,446$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes79$23,279$25
Evaluation for physical therapy, typically 20 minutes35$3,343$88
See all 6 services
Every Original Medicare service billed
Therapy procedure using functional activities89$42,874$33
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes90$31,329$20
Therapy procedure using manual technique, each 15 minutes88$29,446$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes79$23,279$25
Evaluation for physical therapy, typically 20 minutes35$3,343$88
Evaluation for physical therapy, typically 30 minutes15$1,151$77

Who their Medicare patients are

93 Original Medicare patients in 2024. Average age 76 · Women 57% · Health risk score 0.83. 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 57% · Depression 18% · Coronary heart disease 15% · Chronic kidney disease 14% · Cancer 14% · Atrial fibrillation 13%.

The office billed $551,800, Medicare allowed $170,606 and paid $131,922; for 5,509 services of 8 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
2024935,509760.83$551,800$131,922
202322302760.98$30,750$8,288

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 functional activities20$2,449$35
Therapy procedure using manual technique, each 15 minutes21$1,886$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16$1,442$26
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17$1,428$21

Professional record

NPI
1356115265
Licence
CA 305081
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
625 Kenmoor Ave Se Ste 100, Grand Rapids, MI, 49546
NPI first listed
2023-11-10
NPI last updated
2023-11-10
NPI record certified
2023-11-10

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