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Andrea Cedeno-Tobon

Physical Therapist in Private Practice · Los Altos

NPI 1578044756

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 · Shadduck - Physical Therapy Works Inc · 12 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 Andrea Cedeno-Tobon’s office at (650) 947-9646 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$80,814

Medicare paid this office $80,814 for 106 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Therapy procedure using functional activities104$33,784$34
Therapy procedure using manual technique, each 15 minutes94$14,942$19
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes101$12,929$21
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes82$9,158$24
Evaluation for physical therapy, typically 20 minutes87$8,730$98

Who their Medicare patients are

106 Original Medicare patients in 2024. Average age 78 · Under 65 0% · 85 and older 22% · Women 69% · Also on Medicaid 0% · Health risk score 0.84. 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 61% · Coronary heart disease 20% · Diabetes 19% · Cancer 16% · Chronic kidney disease 13% · Atrial fibrillation 12% · Depression 12%.

The office billed $183,580, Medicare allowed $101,775 and paid $80,814; for 2,926 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
20241062,926780.84$183,580$80,814
202329586750.85$47,914$13,821
202249692740.82$58,088$16,487
202138849751.01$69,501$22,675
202023488740.92$17,892$11,259
2019491,635711.03$57,193$37,346
201811238731.27$12,244$5,481

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 functional activities25$5,038$31
Training for self-care or home management, each 15 minutes28$2,803$21
Therapy procedure using manual technique, each 15 minutes24$2,067$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18$1,547$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13$1,407$21

2022: 6 services

Original Medicare services billed in 2022
Therapy procedure using functional activities44$5,070$29
Training for self-care or home management, each 15 minutes42$3,601$22
Therapy procedure using manual technique, each 15 minutes40$2,704$17
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33$2,016$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes27$1,401$22
Evaluation for physical therapy, typically 20 minutes15$1,174$73

2021: 7 services

Original Medicare services billed in 2021
Therapy procedure using functional activities30$7,273$35
Therapy procedure using manual technique, each 15 minutes33$4,747$20
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29$3,601$21
Training for self-care or home management, each 15 minutes31$2,542$26
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes17$1,738$26
Evaluation for physical therapy, typically 20 minutes13$1,410$94
Therapy procedure in a group setting20$626$13

2020: 4 services

Original Medicare services billed in 2020
Therapy procedure using functional activities21$3,874$29
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes22$3,210$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16$1,914$22
Therapy procedure using manual technique, each 15 minutes17$1,278$17

2019: 5 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes49$13,350$19
Therapy procedure using functional activities47$10,969$29
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes41$7,461$23
Therapy procedure using manual technique, each 15 minutes41$3,548$17
Evaluation for physical therapy, typically 45 minutes11$814$68

2018: 1 service

Original Medicare services billed in 2018
Therapy procedure using functional activities11$1,733$29

Professional record

NPI
1578044756
Licence
GA PT013511
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
1860 El Camino Real Ste 201, Burlingame, CA, 94010
NPI first listed
2018-08-24
NPI last updated
2021-01-19
NPI record certified
2021-01-19

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