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Thomas K Tai, PT

Physical Therapist in Private Practice · Santa Clara

NPI 1538652995

Medicare standing
1 flag on the record
Listed below.
Plans that list them
3
1 carrier
Office
1

On the public record

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

Offices

1 location · Golden State Orthopedics and Spine · 186 clinicians in this group

Looking this up.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Thomas K Tai’s office at (408) 293-7767 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$51,732

Medicare paid this office $51,732 for 78 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 minutes78$26,062$21
Therapy procedure using manual technique, each 15 minutes71$15,816$17
Therapy procedure using functional activities13$3,167$33
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22$2,947$27
Evaluation for physical therapy, typically 20 minutes23$2,093$87
See all 6 services
Every Original Medicare service billed
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes78$26,062$21
Therapy procedure using manual technique, each 15 minutes71$15,816$17
Therapy procedure using functional activities13$3,167$33
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22$2,947$27
Evaluation for physical therapy, typically 20 minutes23$2,093$87
Evaluation for physical therapy, typically 30 minutes16$1,201$75

Who their Medicare patients are

78 Original Medicare patients in 2024. Average age 75 · Women 62% · Health risk score 1.03. 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 68% · Atrial fibrillation 24% · Depression 21% · Diabetes 18% · Cancer 17% · Coronary heart disease 14%.

The office billed $180,084, Medicare allowed $69,864 and paid $51,732; for 2,439 services of 9 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
2024782,439751.03$180,084$51,732
2023593,661720.80$271,860$77,702
2022643,263740.77$242,465$69,788
202120548770.75$41,360$12,793
201945598740.71$69,712$13,747
201822273751.11$30,742$6,699

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: 5 services

Original Medicare services billed in 2023
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes59$39,034$22
Therapy procedure using manual technique, each 15 minutes57$28,273$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13$2,801$29
Evaluation for physical therapy, typically 20 minutes25$2,202$85
Evaluation for physical therapy, typically 30 minutes15$1,193$75

2022: 4 services

Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes64$34,173$22
Therapy procedure using manual technique, each 15 minutes64$26,068$18
Evaluation for physical therapy, typically 20 minutes31$2,745$89
Evaluation for physical therapy, typically 30 minutes21$1,912$87

2021: 2 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20$6,251$23
Therapy procedure using manual technique, each 15 minutes19$4,546$19

2019: 3 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44$8,592$22
Therapy procedure using manual technique, each 15 minutes29$2,847$18
Evaluation for physical therapy, typically 30 minutes22$1,581$66

2018: 3 services

Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes22$3,832$24
Therapy procedure using manual technique, each 15 minutes13$1,748$20
Evaluation for physical therapy, typically 30 minutes12$946$79

Professional record

NPI
1538652995
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 2251X0800X (2251X0800X)
Mailing address
Po Box 31396, Walnut Creek, CA, 94598
NPI first listed
2018-06-11
NPI last updated
2024-09-10
NPI record certified
2024-09-10

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

Extra NPI addresses: 2944 Broadway, Redwood City, CA, 94062