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Troy Tanner Smith

Physical Therapist in Private Practice · Saratoga

NPI 1417697715

Medicare standing
1 flag on the record
Listed below.
Plans that list them
14
5 carriers
Office
1
Since medical school
5 years
Graduated 2021

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

14 plans · 5 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Troy Tanner Smith’s office at (408) 973-7700 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

14 of 14 plans

Plans whose provider directory lists this clinician
Advantage Care (HMO)Align Senior CareListedOct 1, 2026
Premier Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Senior Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$71,905

Medicare paid this office $71,905 for 115 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities111$31,188$34
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes91$13,669$20
Therapy procedure using manual technique, each 15 minutes92$9,995$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes78$9,987$24
Evaluation for physical therapy, typically 20 minutes54$5,718$84
See all 6 services
Every Original Medicare service billed
Therapy procedure using functional activities111$31,188$34
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes91$13,669$20
Therapy procedure using manual technique, each 15 minutes92$9,995$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes78$9,987$24
Evaluation for physical therapy, typically 20 minutes54$5,718$84
Therapy procedure for walking training, each 15 minutes12$1,158$20

Who their Medicare patients are

115 Original Medicare patients in 2024. Average age 76 · Women 49% · Health risk score 0.89. 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 66% · Coronary heart disease 23% · Diabetes 20% · Atrial fibrillation 17% · Chronic kidney disease 13% · Cancer 13% · Heart failure 11% · Depression 10%.

The office billed $218,029, Medicare allowed $92,624 and paid $71,905; for 2,683 services of 7 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
20241152,683760.89$218,029$71,905
20231223,332760.87$267,790$87,424
20221222,639760.78$212,740$74,248

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

Original Medicare services billed in 2023
Therapy procedure using functional activities119$38,064$34
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes91$16,217$20
Therapy procedure using manual technique, each 15 minutes87$14,145$19
Training for self-care or home management, each 15 minutes76$7,542$22
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes50$6,402$26
Evaluation for physical therapy, typically 20 minutes61$4,566$69

2022: 6 services

Original Medicare services billed in 2022
Therapy procedure using functional activities117$32,663$35
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes102$11,092$21
Therapy procedure using manual technique, each 15 minutes76$8,872$20
Training for self-care or home management, each 15 minutes85$7,754$23
Evaluation for physical therapy, typically 20 minutes80$6,534$79
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes47$5,519$25

Professional record

NPI
1417697715
Licence
CA 301872
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
12930 Saratoga Ave Ste B5, Saratoga, CA, 95070
NPI first listed
2022-04-01
NPI last updated
2022-04-01
NPI record certified
2022-03-30

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