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Arlyn Olaa Bacallan, PT

Physical Therapist in Private Practice · San Diego

NPI 1376257865

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
2

On the public record

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

Offices

2 locations · Mdrs Spine and Sport Inc · California Luna Care Physical Therapy PC

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 Arlyn Olaa Bacallan’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$68,504

Medicare paid this office $68,504 for 110 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities95$27,084$25
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes109$21,125$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes66$6,683$20
Evaluation for physical therapy, typically 20 minutes58$5,269$82
Therapy procedure in a group setting64$2,770$10
See all 7 services
Every Original Medicare service billed
Therapy procedure using functional activities95$27,084$25
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes109$21,125$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes66$6,683$20
Evaluation for physical therapy, typically 20 minutes58$5,269$82
Therapy procedure in a group setting64$2,770$10
Therapy procedure using manual technique, each 15 minutes49$2,386$15
Test or measurement for functional capacity, each 15 minutes31$1,797$20

Who their Medicare patients are

110 Original Medicare patients in 2024. Average age 71 · Women 58% · Also on Medicaid 53% · Health risk score 1.46. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 67% · Depression 40% · Diabetes 27% · Coronary heart disease 21% · Chronic kidney disease 20% · Heart failure 13% · Cancer 13% · COPD 12%.

The office billed $253,600, Medicare allowed $89,512 and paid $68,504; for 3,292 services of 11 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
20241103,292711.46$253,600$68,504
20231103,012681.17$235,420$64,994

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

Original Medicare services billed in 2023
Therapy procedure using functional activities99$32,214$25
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes107$16,286$17
Evaluation for physical therapy, typically 20 minutes50$4,572$83
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes55$4,123$20
Therapy procedure in a group setting73$2,986$11
Therapy procedure using manual technique, each 15 minutes49$2,835$16
Test or measurement for functional capacity, each 15 minutes21$871$20

Medicaid work

$240,682 in 2024

Medicaid paid $240,682 for 9,455 billed services this clinician did in 2024, up to 85 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
UNLISTED THERAPEUTIC PROCEDURE SPECIFY2,958$88,702
THERAPEUTIC EXERCISES1,872$45,547
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes1,602$43,786
Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using 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.348$19,866
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 activities682$12,410
Application of a modality to 1 or more areas; hot or cold packs1,378$11,901
PHYSICAL PERFORMANCE TEST237$10,341
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES378$8,128
Medicaid work by year
20249,455885$240,682
20239,1569101$218,376
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
UNLISTED THERAPEUTIC PROCEDURE SPECIFY3,219$99,952
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes1,616$39,351
THERAPEUTIC EXERCISES1,777$32,385
Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using 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.415$23,321
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES527$8,572
Application of a modality to 1 or more areas; hot or cold packs1,048$7,584
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 activities483$5,618
PHYSICAL PERFORMANCE TEST50$1,552
Therapeutic procedure(s), group (2 or more individuals)21$43

Professional record

NPI
1376257865
Licence
CA PT303452
Group
Mdrs Spine and Sport Inc · California Luna Care Physical Therapy PC
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
10877 Westonhill Dr, San Diego, CA, 92126
NPI first listed
2023-01-09
NPI last updated
2023-01-09
NPI record certified
2023-01-09

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