Michael Paolo A Bantolo, PT
Physical Therapist in Private Practice · Fontana
- Medicare standing
- 2 flags 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
- 5 Medical Board actions on record
Offices
2 locations · Southern California Permanente Medical Group · California Luna Care Physical Therapy PC
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 Paolo A Bantolo’s office to ask if they take your plan before you enroll.
California Medical Board record
Licence C26696 · Cancelled
Licence status: Cancelled · since 1964 · University of Colorado School of Medicine.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
Public record actions
| 2004-01-29 | Action in another state or by a federal agencyDiscipline | District of columbia placed dr. kogan on probation due to action taken by another board or agency. · District of columbia board of medicine |
| 2003-06-06 | Board disciplineDiscipline | Surrender of license. · 16 2002132184 |
| 2002-08-27 | Action in another state or by a federal agencyDiscipline | Surrender of license. based on action taken by another board/agency. · New york state board of medicine |
| 2002-04-24 | Action in another state or by a federal agencyDiscipline | Suspended license. · Virginia board of medicine |
| 2002-03-15 | Action in another state or by a federal agencyDiscipline | Effective 3/15/02 suspended license. effective 7/10/02 suspension stayed and placed on three years probation. probation completed 4/6/06. · Maryland board of physicians |
Medicaid work
$12,661 in 2024
Medicaid paid $12,661 for 308 billed services this clinician did in 2024, up to 23 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.
| 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. | 108 | $7,517 |
| THERAPEUTIC EXERCISES | 200 | $5,144 |
| 2024 | 308 | 2 | 23 | $12,661 |
| 2023 | 156 | 2 | 18 | $90 |
| 2022 | 126 | 2 | 21 | $0 |
| 2021 | 26 | 1 | 13 | $262 |
| 2020 | 34 | 1 | 16 | $121 |
| 2019 | 108 | 2 | 15 | $0 |
| 2018 | 64 | 1 | 14 | $0 |
See the largest Medicaid services in earlier years
2023
| THERAPEUTIC EXERCISES | 128 | $90 |
| 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 |
2022
| THERAPEUTIC EXERCISES | 111 | $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. | 15 | $0 |
2021
| THERAPEUTIC EXERCISES | 26 | $262 |
2020
| THERAPEUTIC EXERCISES | 34 | $121 |
2019
| THERAPEUTIC EXERCISES | 95 | $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. | 13 | $0 |
2018
| THERAPEUTIC EXERCISES | 64 | $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
- 1558486084
- Licence
- CA 26696California C26696: Cancelled
- Group
- Southern California Permanente Medical Group · California Luna Care Physical Therapy PC
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 200 Newport Center Dr, #213, Newport Beach, CA, 92660
- NPI first listed
- 2007-03-21
- NPI last updated
- 2021-12-06
This is when the NPI record was last certified, not a medical board exam.
This office lists an electronic records connection.