Phillip M Edwards, PT
Physical Therapist in Private Practice · Saratoga
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 11
- 3 carriers
- Office
- 1
- Since medical school
- 28 years
- Graduated 1998
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · Optm Physical Therapy of Saratoga Inc · 13 clinicians in this group
Looking this up.
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 Phillip M Edwards’s office at (408) 973-7700 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
11 of 11 plans
| Advantage Care (HMO) | Align Senior Care | Listed | Oct 1, 2026 |
| Premier Care (HMO I-SNP) | Align Senior Care | Listed | Oct 1, 2026 |
| Senior Care (HMO I-SNP) | Align Senior Care | Listed | Oct 1, 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| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| 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 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
Original Medicare doctor bills
$89,197
Medicare paid this office $89,197 for 147 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 137 | $33,843 | $33 |
| Therapy procedure using manual technique, each 15 minutes | 125 | $18,629 | $19 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 130 | $15,637 | $21 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 103 | $13,926 | $25 |
| Evaluation for physical therapy, typically 20 minutes | 55 | $5,224 | $83 |
See all 6 services
| Therapy procedure using functional activities | 137 | $33,843 | $33 |
| Therapy procedure using manual technique, each 15 minutes | 125 | $18,629 | $19 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 130 | $15,637 | $21 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 103 | $13,926 | $25 |
| Evaluation for physical therapy, typically 20 minutes | 55 | $5,224 | $83 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 18 | $775 | $8 |
Who their Medicare patients are
147 Original Medicare patients in 2024. Average age 77 · Under 65 0% · 85 and older 14% · Women 53% · Also on Medicaid 0% · Health risk score 0.88. 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 71% · Coronary heart disease 31% · Atrial fibrillation 24% · Cancer 18% · Diabetes 16% · Chronic kidney disease 16% · Heart failure 8% · COPD 7%.
The office billed $281,496, Medicare allowed $116,274 and paid $89,197; for 3,512 services of 9 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
| 2024 | 147 | 3,512 | 77 | 0.88 | $281,496 | $89,197 |
| 2023 | 116 | 4,130 | 76 | 0.88 | $329,310 | $110,646 |
| 2022 | 184 | 5,060 | 77 | 0.91 | $396,824 | $129,722 |
| 2021 | 137 | 3,796 | 76 | 0.78 | $326,861 | $102,157 |
| 2020 | 108 | 3,161 | 77 | 0.90 | $266,701 | $80,676 |
| 2019 | 156 | 4,496 | 77 | 1.04 | $362,518 | $106,855 |
| 2018 | 162 | 4,355 | 77 | 1.04 | $352,228 | $105,117 |
| 2017 | 125 | 2,834 | 75 | 0.89 | $220,141 | $65,572 |
| 2016 | 137 | 3,615 | 75 | 0.88 | $273,050 | $80,133 |
| 2015 | 109 | 4,344 | 75 | 0.95 | $325,705 | $94,848 |
| 2014 | 114 | 3,929 | 75 | 0.93 | $298,257 | $87,538 |
| 2013 | 111 | 2,495 | 74 | 0.99 | $177,109 | $55,946 |
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: 7 services
| Therapy procedure using functional activities | 109 | $48,609 | $35 |
| Therapy procedure using manual technique, each 15 minutes | 100 | $22,042 | $19 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 94 | $20,530 | $25 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 97 | $10,878 | $21 |
| Evaluation for physical therapy, typically 20 minutes | 57 | $4,697 | $72 |
| Training for self-care or home management, each 15 minutes | 55 | $2,185 | $23 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 16 | $603 | $8 |
2022: 7 services
| Therapy procedure using functional activities | 159 | $36,928 | $36 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 174 | $32,310 | $21 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 140 | $24,493 | $28 |
| Therapy procedure using manual technique, each 15 minutes | 143 | $18,902 | $19 |
| Training for self-care or home management, each 15 minutes | 122 | $7,644 | $27 |
| Evaluation for physical therapy, typically 20 minutes | 73 | $6,649 | $76 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 36 | $2,227 | $9 |
2021: 8 services
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 124 | $30,788 | $30 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 135 | $28,277 | $22 |
| Therapy procedure using functional activities | 94 | $17,367 | $36 |
| Therapy procedure using manual technique, each 15 minutes | 111 | $11,666 | $20 |
| Evaluation for physical therapy, typically 30 minutes | 55 | $5,971 | $96 |
| Training for self-care or home management, each 15 minutes | 95 | $4,904 | $27 |
| Evaluation for physical therapy, typically 20 minutes | 14 | $1,491 | $93 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 38 | $1,412 | $9 |
2020: 8 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 105 | $22,758 | $21 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 100 | $20,648 | $29 |
| Therapy procedure using functional activities | 75 | $12,820 | $37 |
| Therapy procedure using manual technique, each 15 minutes | 88 | $11,636 | $20 |
| Evaluation for physical therapy, typically 30 minutes | 65 | $5,864 | $79 |
| Training for self-care or home management, each 15 minutes | 72 | $3,868 | $27 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 44 | $1,985 | $9 |
| Therapy procedure for walking training, each 15 minutes | 13 | $618 | $22 |
2019: 9 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 151 | $31,764 | $22 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 131 | $23,872 | $30 |
| Therapy procedure using manual technique, each 15 minutes | 138 | $18,957 | $19 |
| Therapy procedure using functional activities | 104 | $14,111 | $36 |
| Evaluation for physical therapy, typically 30 minutes | 85 | $6,700 | $71 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 83 | $5,508 | $9 |
| Training for self-care or home management, each 15 minutes | 71 | $3,428 | $27 |
| Evaluation for physical therapy, typically 20 minutes | 23 | $1,575 | $68 |
| Therapy procedure for walking training, each 15 minutes | 17 | $858 | $21 |
2018: 8 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 158 | $35,933 | $23 |
| Therapy procedure using manual technique, each 15 minutes | 142 | $24,661 | $19 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 121 | $20,488 | $31 |
| Therapy procedure using functional activities | 90 | $11,695 | $38 |
| Evaluation for physical therapy, typically 30 minutes | 69 | $5,644 | $76 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 68 | $4,329 | $10 |
| Evaluation for physical therapy, typically 20 minutes | 22 | $1,512 | $69 |
| Therapy procedure for walking training, each 15 minutes | 15 | $707 | $21 |
2017: 8 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 118 | $32,068 | $27 |
| Therapy procedure using manual technique, each 15 minutes | 120 | $20,871 | $20 |
| Evaluation for physical therapy, typically 30 minutes | 56 | $4,691 | $72 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 58 | $3,777 | $9 |
| Therapy procedure using functional activities | 34 | $1,591 | $31 |
| Evaluation for physical therapy, typically 20 minutes | 17 | $1,165 | $69 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 18 | $787 | $28 |
| Therapy procedure for walking training, each 15 minutes | 11 | $514 | $20 |
2016: 6 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 133 | $36,378 | $27 |
| Therapy procedure using manual technique, each 15 minutes | 130 | $26,445 | $20 |
| Physical therapy evaluation | 89 | $6,698 | $68 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 100 | $6,288 | $9 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 32 | $1,882 | $29 |
| Therapy procedure using functional activities | 41 | $1,753 | $27 |
2015: 7 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 107 | $43,571 | $26 |
| Therapy procedure using manual technique, each 15 minutes | 104 | $31,118 | $20 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 87 | $7,592 | $9 |
| Physical therapy evaluation | 90 | $6,093 | $65 |
| Therapy procedure using functional activities | 42 | $2,737 | $29 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 21 | $1,926 | $31 |
| Therapy procedure for walking training, each 15 minutes | 13 | $1,756 | $19 |
2014: 7 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 109 | $42,478 | $26 |
| Therapy procedure using manual technique, each 15 minutes | 110 | $24,481 | $21 |
| Physical therapy evaluation | 94 | $6,738 | $65 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 82 | $6,589 | $9 |
| Therapy procedure using functional activities | 35 | $2,588 | $30 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 27 | $2,446 | $29 |
| Therapy procedure for walking training, each 15 minutes | 16 | $2,122 | $20 |
2013: 6 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 108 | $28,395 | $26 |
| Therapy procedure using manual technique, each 15 minutes | 107 | $16,741 | $21 |
| Physical therapy evaluation | 66 | $4,813 | $65 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 81 | $4,681 | $9 |
| Therapy procedure using functional activities | 20 | $690 | $29 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 15 | $369 | $25 |
Professional record
- NPI
- 1366459505
- Licence
- CA PT29726
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 18780 Cox Ave, Saratoga, CA, 95070
- NPI first listed
- 2006-08-01
- NPI last updated
- 2017-10-26
This is when the NPI record was last certified, not a medical board exam.