Ellen Lam, PT
Physical Therapist in Private Practice · San Jose
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 8
- 3 carriers
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · Richard P Carr Physical Therapy Inc · 28 clinicians in this group
Plans that list them
8 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Ellen Lam’s office at (669) 247-6170 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
8 of 8 plans
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Astiva Health C-SNP WOW - NorCal (HMO C-SNP) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Premier Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Savings Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
Original Medicare doctor bills
$20,916
Medicare paid this office $20,916 for 61 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 61 | $13,108 | $25 |
| Evaluation for physical therapy, typically 20 minutes | 30 | $2,526 | $79 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 39 | $2,325 | $18 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 22 | $1,394 | $20 |
| Therapy procedure using manual technique, each 15 minutes | 31 | $1,389 | $17 |
Who their Medicare patients are
61 Original Medicare patients in 2024. Average age 73 · Women 66% · Health risk score 0.80. 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 69% · Depression 23% · Coronary heart disease 18% · COPD 18%.
The office billed $93,023, Medicare allowed $26,263 and paid $20,916; for 860 services of 8 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.
Professional record
- NPI
- 1518703826
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 2600 Dallas Pkwy Ste 290, Frisco, TX, 75034
- NPI first listed
- 2024-07-05
- NPI last updated
- 2026-01-29
- NPI record certified
- 2026-01-29
This is when the NPI record was last certified, not a medical board exam.