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Nicolas Cesar Franco, PT

Physical Therapist in Private Practice · Chula Vista

NPI 1467925099

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
2
Since medical school
8 years
Graduated 2018

On the public record

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

Offices

2 locations · Manual Orthopedic Physical Therapy Inc · California Luna Care Physical Therapy PC

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 Nicolas Cesar Franco’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$53,659

Medicare paid this office $53,659 for 74 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 minutes68$21,245$21
Therapy procedure using manual technique, each 15 minutes72$18,769$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20$4,616$27
Evaluation for physical therapy, typically 30 minutes31$2,585$76
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care42$2,540$7
See all 7 services
Every Original Medicare service billed
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes68$21,245$21
Therapy procedure using manual technique, each 15 minutes72$18,769$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20$4,616$27
Evaluation for physical therapy, typically 30 minutes31$2,585$76
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care42$2,540$7
Application of blood vessel compression device18$1,769$7
Training for self-care or home management, each 15 minutes25$581$21

Who their Medicare patients are

74 Original Medicare patients in 2024. Average age 73 · Women 60% · Health risk score 0.84. 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 58% · Diabetes 28% · Coronary heart disease 24% · Chronic kidney disease 19% · Depression 19% · Heart failure 16% · Cancer 15%.

The office billed $150,710, Medicare allowed $69,337 and paid $53,659; for 2,985 services of 12 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
2024742,985730.84$150,710$53,659
2023702,239740.82$117,136$41,622
2022632,017751.10$98,824$40,261
2021631,868740.84$79,731$34,506
2020542,036740.98$85,476$38,014
201937911710.94$38,961$17,061

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 minutes62$15,575$21
Therapy procedure using manual technique, each 15 minutes59$11,881$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22$4,094$27
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care40$2,041$8
Evaluation for physical therapy, typically 30 minutes27$1,926$71
Application of blood vessel compression device19$956$7

2022: 6 services

Original Medicare services billed in 2022
Therapy procedure using manual technique, each 15 minutes53$12,227$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes49$12,204$22
Evaluation for physical therapy, typically 30 minutes33$2,331$67
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12$2,156$26
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care34$1,859$8
Application of blood vessel compression device15$587$8

2021: 6 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes55$13,348$23
Therapy procedure using manual technique, each 15 minutes62$12,945$17
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care47$2,539$8
Evaluation for physical therapy, typically 30 minutes32$2,269$69
Application of blood vessel compression device14$611$8
Application of mechanical traction13$334$10

2020: 5 services

Original Medicare services billed in 2020
Therapy procedure using manual technique, each 15 minutes54$15,425$19
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes52$15,066$24
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care39$2,711$9
Evaluation for physical therapy, typically 30 minutes25$1,726$69
Application of blood vessel compression device20$1,418$8

2019: 5 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes35$7,176$23
Therapy procedure using manual technique, each 15 minutes33$6,476$18
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care26$1,188$9
Evaluation for physical therapy, typically 30 minutes11$735$67
Application of blood vessel compression device16$338$8

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
88.9 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1467925099
Licence
CA PT296007
Group
Manual Orthopedic Physical Therapy Inc · California Luna Care Physical Therapy PC
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
885 Canarios Ct Ste 110, Chula Vista, CA, 91910
NPI first listed
2019-01-07
NPI last updated
2026-05-28
NPI record certified
2026-05-28

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