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John Michael Grom, DPT

Physical Therapist · San Jose

NPI 1427662501

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

On the public record

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

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call John Michael Grom’s office at (408) 556-0110 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$7,673

Medicare paid this office $7,673 for 13 people.

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

Largest Original Medicare bills
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12$2,019$22
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12$1,187$19

Who their Medicare patients are

13 Original Medicare patients in 2024. Average age 73 · Under 65 0% · 85 and older 0% · Health risk score 0.70. At or below the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

The office billed $15,060, Medicare allowed $10,750 and paid $7,673; for 342 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
202413342730.70$15,060$7,673
2023541,300740.90$54,712$29,579
2022461,291740.81$47,482$24,705
2021612,071751.17$77,612$45,751

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 to re-educate brain-to-nerve-to-muscle function, each 15 minutes44$8,320$26
Therapy procedure using functional activities40$7,941$34
Therapy procedure using manual technique, each 15 minutes37$4,988$19
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes41$4,778$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care39$1,620$8
Evaluation for physical therapy, typically 20 minutes14$1,149$77

2022: 7 services

Original Medicare services billed in 2022
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes44$7,749$28
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes46$5,703$19
Therapy procedure using manual technique, each 15 minutes43$5,185$18
Therapy procedure using functional activities18$2,330$34
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care44$1,918$8
Application of ultrasound, each 15 minutes14$989$9
Evaluation for physical therapy, typically 20 minutes11$826$75

2021: 6 services

Original Medicare services billed in 2021
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes57$17,221$33
Therapy procedure using manual technique, each 15 minutes57$11,354$20
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes61$10,623$22
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care58$3,474$9
Evaluation for physical therapy, typically 20 minutes23$2,020$81
Application of ultrasound, each 15 minutes20$946$10

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
93.3 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1427662501
Licence
CA PT298275
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
2145 the Alameda, San Jose, CA, 95126
NPI first listed
2020-09-04
NPI last updated
2020-09-04
NPI record certified
2020-09-04

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