Claire Smiley
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.
- Offices
- 2
On the public record
- Medicare does not list them as allowed to order and refer
Offices
2 locations · California Luna Care Physical Therapy PC · Burger Physical Therapy Services Inc
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 Claire Smiley’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$50,156
Medicare paid this office $50,156 for 165 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 148 | $24,664 | $26 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 105 | $8,933 | $20 |
| Evaluation for physical therapy, typically 30 minutes | 72 | $5,971 | $83 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 89 | $4,996 | $18 |
| Evaluation for physical therapy, typically 20 minutes | 21 | $1,505 | $65 |
See all 10 services
| Therapy procedure using functional activities | 148 | $24,664 | $26 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 105 | $8,933 | $20 |
| Evaluation for physical therapy, typically 30 minutes | 72 | $5,971 | $83 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 89 | $4,996 | $18 |
| Evaluation for physical therapy, typically 20 minutes | 21 | $1,505 | $65 |
| Training for self-care or home management, each 15 minutes | 24 | $911 | $22 |
| Repositioning exercises of head for treatment of dizziness, each day | 17 | $885 | $32 |
| Therapy procedure using manual technique, each 15 minutes | 22 | $681 | $17 |
| Therapy procedure in a group setting | 15 | $359 | $12 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 14 | $194 | $7 |
Who their Medicare patients are
165 Original Medicare patients in 2024. Average age 72 · Under 65 14% · 85 and older 11% · Women 62% · Also on Medicaid 30% · Health risk score 1.17. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.
Conditions among them: High blood pressure 72% · Diabetes 35% · Depression 25% · Chronic kidney disease 22% · Coronary heart disease 18% · Atrial fibrillation 17% · Heart failure 13% · COPD 12% · Cancer 10% · Stroke 10%.
The office billed $109,705, Medicare allowed $66,086 and paid $50,156; for 1,977 services of 17 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 | 165 | 1,977 | 72 | 1.17 | $109,705 | $50,156 |
| 2023 | 109 | 2,285 | 74 | 1.47 | $130,390 | $52,140 |
| 2022 | 68 | 1,297 | 70 | 1.29 | $70,665 | $27,995 |
| 2020 | 100 | 1,241 | 63 | 1.65 | $99,593 | $30,230 |
| 2019 | 130 | 3,665 | 69 | 1.46 | $180,237 | $77,905 |
| 2018 | 197 | 5,750 | 70 | 1.28 | $263,105 | $125,166 |
| 2017 | 89 | 1,567 | 70 | 1.12 | $72,774 | $30,194 |
| 2016 | 126 | 2,749 | 67 | 1.04 | $134,438 | $61,198 |
| 2015 | 36 | 741 | 65 | 1.00 | $35,533 | $16,983 |
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: 11 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 91 | $15,384 | $19 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 53 | $14,513 | $24 |
| Therapy procedure using functional activities | 69 | $9,701 | $29 |
| Therapy procedure using manual technique, each 15 minutes | 40 | $3,036 | $16 |
| Evaluation for physical therapy, typically 30 minutes | 36 | $2,792 | $78 |
| Evaluation for physical therapy, typically 20 minutes | 29 | $1,824 | $63 |
| Evaluation for physical therapy, typically 45 minutes | 15 | $1,337 | $84 |
| Therapy procedure for walking training, each 15 minutes | 13 | $1,207 | $18 |
| Training for self-care or home management, each 15 minutes | 12 | $587 | $20 |
| Application of blood vessel compression device | 12 | $544 | $7 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 17 | $406 | $7 |
2022: 5 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 62 | $12,302 | $20 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 22 | $4,654 | $25 |
| Therapy procedure using functional activities | 36 | $4,274 | $30 |
| Therapy procedure using manual technique, each 15 minutes | 43 | $3,015 | $17 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 20 | $658 | $7 |
2020: 8 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 72 | $9,618 | $19 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 53 | $7,497 | $24 |
| Therapy procedure using functional activities | 74 | $6,201 | $28 |
| Evaluation for physical therapy, typically 45 minutes | 44 | $2,742 | $61 |
| Evaluation for physical therapy, typically 30 minutes | 17 | $1,099 | $65 |
| Evaluation for wheelchair, each 15 minutes | 29 | $1,073 | $20 |
| Therapy procedure using manual technique, each 15 minutes | 19 | $667 | $18 |
| Therapy procedure for walking training, each 15 minutes | 11 | $258 | $20 |
2019: 10 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 119 | $34,659 | $21 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 61 | $13,396 | $25 |
| Therapy procedure using manual technique, each 15 minutes | 84 | $9,133 | $18 |
| Therapy procedure using functional activities | 100 | $7,303 | $29 |
| Evaluation for physical therapy, typically 20 minutes | 76 | $5,163 | $66 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 68 | $4,078 | $8 |
| Re-evaluation for physical therapy, typically 20 minutes | 21 | $1,158 | $48 |
| Evaluation for physical therapy, typically 45 minutes | 17 | $1,149 | $68 |
| Evaluation for physical therapy, typically 30 minutes | 14 | $917 | $66 |
| Application of ultrasound, each 15 minutes | 23 | $630 | $9 |
2018: 10 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 194 | $61,387 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 123 | $14,339 | $18 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 66 | $14,060 | $27 |
| Therapy procedure using functional activities | 122 | $11,558 | $31 |
| Evaluation for physical therapy, typically 20 minutes | 133 | $8,946 | $64 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 94 | $4,774 | $9 |
| Re-evaluation for physical therapy, typically 20 minutes | 81 | $4,618 | $48 |
| Application of ultrasound, each 15 minutes | 50 | $2,031 | $8 |
| Evaluation for physical therapy, typically 30 minutes | 22 | $1,415 | $64 |
| Evaluation for physical therapy, typically 45 minutes | 16 | $1,122 | $70 |
2017: 8 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 83 | $12,138 | $19 |
| Therapy procedure using functional activities | 54 | $6,813 | $24 |
| Therapy procedure using manual technique, each 15 minutes | 61 | $3,966 | $15 |
| Evaluation for physical therapy, typically 20 minutes | 39 | $2,215 | $57 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 47 | $1,493 | $8 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 17 | $1,272 | $19 |
| Re-evaluation for physical therapy, typically 20 minutes | 14 | $718 | $45 |
| Evaluation for physical therapy, typically 30 minutes | 14 | $580 | $39 |
2016: 8 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 121 | $24,727 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 97 | $10,760 | $18 |
| Therapy procedure using functional activities | 89 | $9,916 | $26 |
| Physical therapy evaluation | 101 | $5,983 | $56 |
| Therapy procedure using water pool to exercises, each 15 minutes | 13 | $3,422 | $29 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 37 | $3,123 | $23 |
| Training for self-care or home management, each 15 minutes | 19 | $1,215 | $24 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 47 | $1,169 | $8 |
2015: 5 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 36 | $8,235 | $21 |
| Therapy procedure using functional activities | 30 | $4,424 | $27 |
| Physical therapy evaluation | 26 | $1,612 | $62 |
| Therapy procedure using manual technique, each 15 minutes | 18 | $1,361 | $19 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 11 | $372 | $8 |
Medicaid work
$12,570 in 2024
Medicaid paid $12,570 for 1,146 billed services this clinician did in 2024, up to 83 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| THERAPEUTIC EXERCISES | 1,034 | $11,135 |
| Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family. | 112 | $1,435 |
| 2024 | 1,146 | 2 | 83 | $12,570 |
| 2023 | 427 | 2 | 24 | $635 |
| 2022 | 1,503 | 2 | 84 | $0 |
| 2021 | 735 | 6 | 49 | $0 |
| 2020 | 6,666 | 11 | 204 | $2,671 |
| 2019 | 224 | 3 | 16 | $0 |
| 2018 | 174 | 3 | 23 | $0 |
See the largest Medicaid services in earlier years
2023
| THERAPEUTIC EXERCISES | 377 | $635 |
| Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family. | 50 | $0 |
2022
| THERAPEUTIC EXERCISES | 1,389 | $0 |
| Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family. | 114 | $0 |
2021
| Application of a modality to 1 or more areas; hot or cold packs | 32 | $0 |
| THERAPEUTIC EXERCISES | 536 | $0 |
| Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities | 49 | $0 |
| Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family. | 46 | $0 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 30 | $0 |
| PHYSICAL PERFORMANCE TEST | 42 | $0 |
2020
| THERAPEUTIC EXERCISES | 2,975 | $927 |
| Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family. | 252 | $747 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 712 | $531 |
| PHYSICAL PERFORMANCE TEST | 1,425 | $341 |
| Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family. | 12 | $124 |
| Application of a modality to 1 or more areas; hot or cold packs | 57 | $0 |
| Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities | 730 | $0 |
| Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) | 18 | $0 |
| UNLISTED THERAPEUTIC PROCEDURE SPECIFY | 372 | $0 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 85 | $0 |
| Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family. | 28 | $0 |
2019
| THERAPEUTIC EXERCISES | 146 | $0 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 38 | $0 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 40 | $0 |
2018
| THERAPEUTIC EXERCISES | 98 | $0 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 57 | $0 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 19 | $0 |
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
- 1487030672
- Licence
- CA 9512
- Group
- California Luna Care Physical Therapy PC · Burger Physical Therapy Services Inc
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 1026 Florin Rd # 251, Sacramento, CA, 95831
- NPI first listed
- 2015-08-11
- NPI last updated
- 2025-04-28
- NPI record certified
- 2025-04-28
This is when the NPI record was last certified, not a medical board exam.