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Payal Sanghvi, PT

Physical Therapist in Private Practice · Cupertino

NPI 1427381847

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
19 years
Loma Linda University School of Medicine, 2007

On the public record

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

Offices

1 location

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 Payal Sanghvi’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence C34983 · Deceased

Licence status: Deceased · since 1973 · Meharry Medical College School of Medicine.

Licensee is deceased.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$20,427

Medicare paid this office $20,427 for 72 people.

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

Largest Original Medicare bills
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes69$8,940$25
Therapy procedure using manual technique, each 15 minutes60$5,047$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22$2,145$31
Evaluation for physical therapy, typically 30 minutes20$2,053$93
Training for self-care or home management, each 15 minutes28$884$23
See all 6 services
Every Original Medicare service billed
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes69$8,940$25
Therapy procedure using manual technique, each 15 minutes60$5,047$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22$2,145$31
Evaluation for physical therapy, typically 30 minutes20$2,053$93
Training for self-care or home management, each 15 minutes28$884$23
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care19$811$8

Who their Medicare patients are

72 Original Medicare patients in 2024. Average age 75 · Women 64% · Health risk score 0.92. 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 63% · Coronary heart disease 26% · Chronic kidney disease 24% · Cancer 24% · Atrial fibrillation 21% · Diabetes 18%.

The office billed $60,220, Medicare allowed $26,861 and paid $20,427; for 868 services of 10 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
202472868750.92$60,220$20,427
202353614740.78$43,070$14,695
202244705750.80$46,152$15,617
202128401770.80$27,901$10,048
202039451771.46$23,539$11,293
20191282,150750.92$111,304$56,816
2018882,104740.98$108,105$54,570
20171002,468750.90$123,508$61,144
2016721,423751.00$70,741$34,748
201549974741.04$43,857$21,488
201432283710.98$13,414$6,672
201316315750.96$14,001$7,083

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 exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes52$6,807$26
Therapy procedure using manual technique, each 15 minutes50$4,312$19
Evaluation for physical therapy, typically 30 minutes18$1,576$88
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12$936$33
Training for self-care or home management, each 15 minutes19$510$22
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care13$456$8

2022: 5 services

Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40$6,700$27
Therapy procedure using manual technique, each 15 minutes40$4,315$19
Evaluation for physical therapy, typically 30 minutes16$1,665$92
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care22$1,296$8
Training for self-care or home management, each 15 minutes18$552$22

2021: 3 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27$5,121$28
Therapy procedure using manual technique, each 15 minutes28$2,746$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care13$409$9

2020: 4 services

Original Medicare services billed in 2020
Therapy procedure using functional activities29$4,958$29
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33$3,249$21
Therapy procedure using manual technique, each 15 minutes21$1,499$18
Evaluation for physical therapy, typically 30 minutes16$1,105$69

2019: 6 services

Original Medicare services billed in 2019
Therapy procedure using functional activities115$28,596$32
Therapy procedure using manual technique, each 15 minutes104$12,391$20
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes72$9,898$23
Evaluation for physical therapy, typically 30 minutes38$2,877$76
Evaluation for physical therapy, typically 20 minutes23$1,587$66
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care35$1,290$10

2018: 6 services

Original Medicare services billed in 2018
Therapy procedure using functional activities80$25,907$32
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes61$13,112$22
Therapy procedure using manual technique, each 15 minutes65$10,415$19
Evaluation for physical therapy, typically 30 minutes28$2,228$77
Evaluation for physical therapy, typically 20 minutes26$1,998$77
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care29$911$10

2017: 6 services

Original Medicare services billed in 2017
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes94$24,560$25
Therapy procedure using manual technique, each 15 minutes84$15,846$21
Therapy procedure using functional activities89$14,764$29
Evaluation for physical therapy, typically 20 minutes33$2,413$71
Evaluation for physical therapy, typically 30 minutes28$2,034$68
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care26$1,234$9

2016: 5 services

Original Medicare services billed in 2016
Therapy procedure using functional activities58$12,452$28
Therapy procedure using manual technique, each 15 minutes62$11,227$21
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes49$6,871$25
Physical therapy evaluation45$3,070$67
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care27$1,099$9

2015: 5 services

Original Medicare services billed in 2015
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44$8,510$23
Therapy procedure using manual technique, each 15 minutes40$6,558$20
Therapy procedure using functional activities36$3,705$27
Physical therapy evaluation29$1,723$57
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care22$917$9

2014: 3 services

Original Medicare services billed in 2014
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes23$2,250$24
Therapy procedure using manual technique, each 15 minutes21$2,089$20
Therapy procedure using functional activities21$1,389$27

2013: 3 services

Original Medicare services billed in 2013
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16$3,886$24
Therapy procedure using manual technique, each 15 minutes13$1,958$19
Physical therapy evaluation12$918$66

Professional record

NPI
1427381847
Licence
CA 34983California C34983: Deceased
Trained
Loma Linda University School of Medicine, 2007 · 19 years ago
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
4086 Cranford Cir, San Jose, CA, 95124
NPI first listed
2009-09-16
NPI last updated
2024-05-15
NPI record certified
2024-05-15

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