Matthew Pilon, PT
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
- 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 · California Luna Care Physical Therapy PC · Asis Physical Therapy Inc
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Matthew Pilon’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$76,813
Medicare paid this office $76,813 for 127 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 116 | $26,898 | $26 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 86 | $15,258 | $20 |
| Therapy procedure using water pool to exercises, each 15 minutes | 34 | $13,999 | $22 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 108 | $7,975 | $17 |
| Therapy procedure using manual technique, each 15 minutes | 45 | $3,798 | $16 |
See all 9 services
| Therapy procedure using functional activities | 116 | $26,898 | $26 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 86 | $15,258 | $20 |
| Therapy procedure using water pool to exercises, each 15 minutes | 34 | $13,999 | $22 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 108 | $7,975 | $17 |
| Therapy procedure using manual technique, each 15 minutes | 45 | $3,798 | $16 |
| Therapy procedure in a group setting | 75 | $3,442 | $10 |
| Evaluation for physical therapy, typically 30 minutes | 25 | $2,168 | $87 |
| Evaluation for physical therapy, typically 20 minutes | 26 | $1,707 | $61 |
| Application of blood vessel compression device | 11 | $190 | $7 |
Who their Medicare patients are
127 Original Medicare patients in 2024. Average age 74 · Women 69% · Also on Medicaid 9% · 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 57% · Depression 20% · Diabetes 19% · Chronic kidney disease 17% · Coronary heart disease 16% · Cancer 13% · Atrial fibrillation 11%.
The office billed $185,485, Medicare allowed $101,307 and paid $76,813; for 3,579 services of 16 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 | 127 | 3,579 | 74 | 0.89 | $185,485 | $76,813 |
| 2023 | 129 | 2,211 | 72 | 0.99 | $120,285 | $54,583 |
| 2021 | 185 | 2,717 | 73 | 1.04 | $251,606 | $67,663 |
| 2020 | 29 | 397 | 73 | 0.76 | $22,035 | $6,999 |
| 2019 | 88 | 2,644 | 71 | 0.87 | $123,715 | $53,466 |
| 2018 | 22 | 416 | 75 | 1.32 | $18,480 | $8,800 |
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: 9 services
| Therapy procedure using functional activities | 118 | $18,668 | $27 |
| Therapy procedure using water pool to exercises, each 15 minutes | 29 | $9,677 | $22 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 81 | $9,267 | $21 |
| Evaluation for physical therapy, typically 20 minutes | 59 | $5,205 | $87 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 87 | $4,830 | $18 |
| Therapy procedure using manual technique, each 15 minutes | 22 | $2,197 | $17 |
| Biofeedback training | 25 | $1,530 | $36 |
| Evaluation for physical therapy, typically 30 minutes | 17 | $1,508 | $89 |
| Therapy procedure in a group setting | 53 | $1,049 | $11 |
2021: 6 services
| Therapy procedure using functional activities | 174 | $22,041 | $28 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 159 | $15,976 | $18 |
| Evaluation for physical therapy, typically 20 minutes | 153 | $12,682 | $79 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 174 | $8,789 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 88 | $7,243 | $17 |
| Application of blood vessel compression device | 22 | $413 | $7 |
2020: 6 services
| Therapy procedure using functional activities | 27 | $1,911 | $27 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 29 | $1,531 | $17 |
| Therapy procedure using manual technique, each 15 minutes | 22 | $1,287 | $15 |
| Evaluation for physical therapy, typically 20 minutes | 13 | $882 | $68 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 23 | $567 | $8 |
| Application of blood vessel compression device | 21 | $413 | $7 |
2019: 7 services
| Therapy procedure using functional activities | 85 | $18,950 | $33 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 83 | $11,896 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 76 | $10,856 | $18 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 73 | $4,005 | $9 |
| Evaluation for physical therapy, typically 20 minutes | 50 | $3,914 | $71 |
| Application of blood vessel compression device | 64 | $3,026 | $8 |
| Evaluation for physical therapy, typically 30 minutes | 12 | $808 | $67 |
2018: 5 services
| Therapy procedure using functional activities | 17 | $3,254 | $31 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 21 | $2,267 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 21 | $1,439 | $18 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 19 | $661 | $9 |
| Application of blood vessel compression device | 13 | $353 | $10 |
Medicaid work
$22,412 in 2020
Medicaid paid $22,412 for 1,122 billed services this clinician did in 2020, up to 51 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.
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 242 | $7,275 |
| THERAPEUTIC EXERCISES | 260 | $4,285 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 217 | $3,845 |
| ELECTRIC STIMULATION THERAPY | 213 | $2,621 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 35 | $2,474 |
| Application of a modality to 1 or more areas; vasopneumatic devices | 155 | $1,913 |
| 2020 | 1,122 | 6 | 51 | $22,412 |
| 2019 | 4,914 | 6 | 53 | $80,272 |
| 2018 | 487 | 5 | 31 | $7,491 |
See the largest Medicaid services in earlier years
2019
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 1,032 | $27,004 |
| THERAPEUTIC EXERCISES | 1,090 | $15,701 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 951 | $11,739 |
| ELECTRIC STIMULATION THERAPY | 995 | $10,933 |
| Application of a modality to 1 or more areas; vasopneumatic devices | 731 | $8,012 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 115 | $6,884 |
2018
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 118 | $2,716 |
| THERAPEUTIC EXERCISES | 140 | $2,073 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 96 | $1,235 |
| ELECTRIC STIMULATION THERAPY | 73 | $805 |
| Application of a modality to 1 or more areas; vasopneumatic devices | 60 | $662 |
Professional record
- NPI
- 1497220172
- Licence
- CA PT295667
- Group
- California Luna Care Physical Therapy PC · Asis Physical Therapy Inc
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 1106 Walnut St Ste 110, San Luis Obispo, CA, 93401
- NPI first listed
- 2018-10-09
- NPI last updated
- 2018-10-09
This is when the NPI record was last certified, not a medical board exam.