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Michael J Toy, PT

Physical Therapist in Private Practice · Palo Alto

NPI 1528465093

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 · Agile Physical Therapy Inc · 48 clinicians in this group

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 Michael J Toy’s office at (650) 565-8090 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$63,432

Medicare paid this office $63,432 for 112 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 minutes90$30,681$27
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes110$20,632$21
Evaluation for physical therapy, typically 20 minutes62$6,128$91
Therapy procedure for walking training, each 15 minutes24$2,040$21
Therapy procedure using manual technique, each 15 minutes23$1,646$17
See all 7 services
Every Original Medicare service billed
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes90$30,681$27
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes110$20,632$21
Evaluation for physical therapy, typically 20 minutes62$6,128$91
Therapy procedure for walking training, each 15 minutes24$2,040$21
Therapy procedure using manual technique, each 15 minutes23$1,646$17
Evaluation for physical therapy, typically 30 minutes15$1,324$83
Therapy procedure using functional activities17$914$34

Who their Medicare patients are

112 Original Medicare patients in 2024. Average age 76 · Under 65 0% · 85 and older 13% · Women 64% · Health risk score 0.85. 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 59% · Coronary heart disease 21% · Diabetes 18% · Chronic kidney disease 17% · Depression 16% · Cancer 15% · Atrial fibrillation 13% · COPD 10%.

The office billed $160,153, Medicare allowed $81,180 and paid $63,432; for 2,441 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.

Year by year

Original Medicare by year
20241122,441760.85$160,153$63,432
20231173,507750.90$129,943$81,753
20221174,140750.86$153,767$96,605
2021983,722750.76$136,481$88,819
2020782,679740.97$97,326$63,162
2019953,134740.83$114,655$73,051
20181173,659740.93$132,051$83,140
20171293,556720.97$122,292$78,673
2016742,985711.02$101,436$67,256
2015411,534711.20$52,625$35,077

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: 3 services

Original Medicare services billed in 2023
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes116$40,891$23
Therapy procedure using manual technique, each 15 minutes117$31,012$19
Evaluation for physical therapy, typically 30 minutes92$9,015$94

2022: 5 services

Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes111$41,549$23
Therapy procedure using manual technique, each 15 minutes117$37,217$19
Evaluation for physical therapy, typically 30 minutes103$9,929$89
Therapy procedure using functional activities44$4,790$26
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes29$2,358$23

2021: 5 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes98$43,993$24
Therapy procedure using manual technique, each 15 minutes98$34,099$20
Evaluation for physical therapy, typically 30 minutes90$8,546$89
Re-evaluation for physical therapy, typically 20 minutes12$931$66
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12$707$26

2020: 3 services

Original Medicare services billed in 2020
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes78$32,566$24
Therapy procedure using manual technique, each 15 minutes78$24,721$20
Evaluation for physical therapy, typically 30 minutes66$5,443$77

2019: 3 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes95$37,986$24
Therapy procedure using manual technique, each 15 minutes95$28,022$20
Evaluation for physical therapy, typically 30 minutes80$6,496$75

2018: 4 services

Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes117$43,730$24
Therapy procedure using manual technique, each 15 minutes116$31,481$19
Evaluation for physical therapy, typically 30 minutes86$6,860$75
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care14$571$10

2017: 4 services

Original Medicare services billed in 2017
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes124$41,044$22
Therapy procedure using manual technique, each 15 minutes128$31,457$20
Evaluation for physical therapy, typically 30 minutes77$5,485$68
Re-evaluation for physical therapy, typically 20 minutes11$570$48

2016: 3 services

Original Medicare services billed in 2016
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes74$38,014$23
Therapy procedure using manual technique, each 15 minutes74$23,922$20
Physical therapy evaluation68$4,801$64

2015: 3 services

Original Medicare services billed in 2015
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes41$18,648$23
Therapy procedure using manual technique, each 15 minutes41$13,374$20
Physical therapy evaluation41$3,000$64

Professional record

NPI
1528465093
Licence
CA PT40976
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
1700 Park St, Alameda, CA, 94501
NPI first listed
2014-11-29
NPI last updated
2014-11-29

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