Khushbu Modi, PT
Physical Therapist in Private Practice · San Jose
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 16
- 5 carriers
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · Golden Hills Orthopedic and Sports Physical Therapy Inc · 13 clinicians in this group
Plans that list them
16 plans · 5 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Khushbu Modi’s office at (408) 274-0888 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
16 of 16 plans
| Astiva Health C-SNP WOW - NorCal (HMO C-SNP) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Premier Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Savings Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Blue Shield Inspire (HMO) | Blue Shield of California | Listed | Aug 26, 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| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |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 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
Original Medicare doctor bills
$60,269
Medicare paid this office $60,269 for 196 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 190 | $18,693 | $32 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 192 | $12,892 | $22 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 194 | $11,314 | $19 |
| Therapy procedure using manual technique, each 15 minutes | 196 | $10,624 | $18 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 149 | $2,984 | $8 |
See all 6 services
| Therapy procedure using functional activities | 190 | $18,693 | $32 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 192 | $12,892 | $22 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 194 | $11,314 | $19 |
| Therapy procedure using manual technique, each 15 minutes | 196 | $10,624 | $18 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 149 | $2,984 | $8 |
| Evaluation for physical therapy, typically 20 minutes | 32 | $2,887 | $90 |
Who their Medicare patients are
196 Original Medicare patients in 2024. Average age 74 · Women 74% · Also on Medicaid 75% · Health risk score 0.96. 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 75% · Diabetes 47% · Coronary heart disease 16% · Chronic kidney disease 15% · Depression 10% · COPD 8% · Heart failure 7% · Atrial fibrillation 7% · Dementia 7% · Stroke 7% · Cancer 6%.
The office billed $213,980, Medicare allowed $80,563 and paid $60,269; for 2,804 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
| 2024 | 196 | 2,804 | 74 | 0.96 | $213,980 | $60,269 |
| 2023 | 145 | 2,154 | 73 | 0.97 | $163,562 | $48,354 |
| 2022 | 111 | 2,132 | 73 | 0.94 | $83,106 | $48,938 |
| 2021 | 71 | 1,907 | 73 | 0.98 | $75,967 | $47,922 |
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: 6 services
| Therapy procedure using functional activities | 144 | $16,065 | $34 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 143 | $10,409 | $22 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 145 | $9,145 | $20 |
| Therapy procedure using manual technique, each 15 minutes | 145 | $8,537 | $18 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 97 | $2,019 | $8 |
| Evaluation for physical therapy, typically 20 minutes | 14 | $1,305 | $93 |
2022: 6 services
| Therapy procedure using functional activities | 111 | $15,168 | $34 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 110 | $10,383 | $23 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 110 | $8,971 | $20 |
| Therapy procedure using manual technique, each 15 minutes | 111 | $8,459 | $19 |
| Evaluation for physical therapy, typically 20 minutes | 52 | $3,343 | $64 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 76 | $2,206 | $8 |
2021: 6 services
| Therapy procedure using functional activities | 68 | $14,859 | $36 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 70 | $10,431 | $25 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 69 | $8,983 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 71 | $8,419 | $20 |
| Evaluation for physical therapy, typically 20 minutes | 45 | $3,180 | $69 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 35 | $1,551 | $9 |
Medicaid work
$497 in 2024
Medicaid paid $497 for 2,712 billed services this clinician did in 2024, up to 110 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.
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 206 | $224 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 492 | $93 |
| THERAPEUTIC EXERCISES | 226 | $91 |
| 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 activities | 178 | $88 |
| UNLISTED THERAPEUTIC PROCEDURE SPECIFY | 1,594 | $0 |
| PHYSICAL PERFORMANCE TEST | 16 | $0 |
| 2024 | 2,712 | 6 | 110 | $497 |
| 2023 | 2,111 | 6 | 82 | $29 |
| 2022 | 2,931 | 6 | 79 | $295 |
| 2021 | 2,154 | 4 | 58 | $50 |
See the largest Medicaid services in earlier years
2023
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 68 | $28 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 515 | $2 |
| THERAPEUTIC EXERCISES | 73 | $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 activities | 46 | $0 |
| UNLISTED THERAPEUTIC PROCEDURE SPECIFY | 1,394 | $0 |
| PHYSICAL PERFORMANCE TEST | 15 | $0 |
2022
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 438 | $144 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 120 | $118 |
| THERAPEUTIC EXERCISES | 89 | $17 |
| 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 activities | 42 | $17 |
| UNLISTED THERAPEUTIC PROCEDURE SPECIFY | 2,098 | $0 |
| PHYSICAL PERFORMANCE TEST | 144 | $0 |
2021
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 297 | $50 |
| UNLISTED THERAPEUTIC PROCEDURE SPECIFY | 1,414 | $0 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 367 | $0 |
| PHYSICAL PERFORMANCE TEST | 76 | $0 |
Professional record
- NPI
- 1417414418
- Licence
- CA 299276, NY 044115-1
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 2680 S White Rd, Ste 200, San Jose, CA, 95148
- NPI first listed
- 2019-02-26
- NPI last updated
- 2020-10-13
- NPI record certified
- 2020-10-13
This is when the NPI record was last certified, not a medical board exam.