Darren Sumbillo, PT
Physical Therapist in Private Practice · Los Gatos
- 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
- 6 years
- Graduated 2020
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
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 Sumbillo’s office at (866) 525-3175 to ask if they take your plan before you enroll.
Original Medicare doctor bills
$10,107
Medicare paid this office $10,107 for 14 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 14 | $7,232 | $24 |
| Evaluation for physical therapy, typically 30 minutes | 12 | $864 | $72 |
Procedures year by year
| Procedure | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|
| Placement of strapping to shoulder | 93 | 105 | – | – |
Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.
Who their Medicare patients are
14 Original Medicare patients in 2024. Average age 73 · Health risk score 1.14. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.
The office billed $33,960, Medicare allowed $13,049 and paid $10,107; for 417 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
| 2024 | 14 | 417 | 73 | 1.14 | $33,960 | $10,107 |
| 2023 | 54 | 1,463 | 72 | 0.96 | $92,155 | $35,686 |
| 2022 | 36 | 1,864 | 73 | 1.48 | $119,610 | $47,165 |
| 2021 | 21 | 731 | 70 | 0.97 | $47,470 | $19,365 |
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: 2 services
| Therapy procedure using functional activities | 54 | $32,418 | $23 |
| Evaluation for physical therapy, typically 30 minutes | 30 | $2,460 | $79 |
2022: 5 services
| Therapy procedure using functional activities | 36 | $36,614 | $23 |
| Re-evaluation for physical therapy, typically 20 minutes | 25 | $2,866 | $55 |
| Placement of strapping to shoulder | 16 | $2,571 | $24 |
| Evaluation for physical therapy, typically 45 minutes | 16 | $1,470 | $82 |
| Evaluation for physical therapy, typically 30 minutes | 11 | $994 | $83 |
2021: 2 services
| Therapy procedure using functional activities | 21 | $14,622 | $25 |
| Placement of strapping to shoulder | 14 | $2,398 | $26 |
Professional record
- NPI
- 1417558925
- Licence
- CA 299035
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 380 Stevens Ave Ste 314, Solana Beach, CA, 92075
- NPI first listed
- 2020-11-03
- NPI last updated
- 2020-11-03
- NPI record certified
- 2020-11-03
This is when the NPI record was last certified, not a medical board exam.
This office lists an electronic records connection.