Nishi Shah, PT
Physical Therapist in Private Practice · Los Gatos
- 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 · Silver Creek Fitness and Physical Therapy · 38 clinicians in this group
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 Nishi Shah’s office at (408) 868-5577 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
Original Medicare doctor bills
$43,441
Medicare paid this office $43,441 for 75 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 58 | $11,200 | $20 |
| Therapy procedure using functional activities | 39 | $10,549 | $34 |
| Therapy procedure using manual technique, each 15 minutes | 69 | $10,078 | $18 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 45 | $7,376 | $29 |
| Evaluation for physical therapy, typically 20 minutes | 44 | $3,944 | $84 |
Who their Medicare patients are
75 Original Medicare patients in 2024. Average age 77 · Women 56% · Health risk score 1.02. 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 75% · Coronary heart disease 25% · Diabetes 24% · Cancer 21% · Atrial fibrillation 15%.
The office billed $139,912, Medicare allowed $57,355 and paid $43,441; for 1,716 services of 6 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
| 2024 | 75 | 1,716 | 77 | 1.02 | $139,912 | $43,441 |
| 2023 | 78 | 2,085 | 77 | 0.91 | $168,310 | $51,655 |
| 2022 | 80 | 1,584 | 74 | 0.97 | $113,930 | $42,388 |
| 2021 | 24 | 454 | 70 | 1.22 | $28,700 | $12,006 |
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
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 69 | $17,089 | $22 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 54 | $13,503 | $28 |
| Therapy procedure using manual technique, each 15 minutes | 72 | $10,976 | $19 |
| Therapy procedure using functional activities | 24 | $5,844 | $32 |
| Evaluation for physical therapy, typically 20 minutes | 50 | $3,513 | $69 |
2022: 7 services
| Therapy procedure using functional activities | 54 | $13,009 | $36 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 78 | $12,078 | $25 |
| Therapy procedure using manual technique, each 15 minutes | 46 | $5,715 | $20 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 64 | $4,559 | $21 |
| Evaluation for physical therapy, typically 20 minutes | 45 | $3,643 | $78 |
| Therapy procedure using massage, each 15 minutes | 24 | $2,236 | $24 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 16 | $527 | $9 |
2021: 3 services
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 24 | $3,421 | $21 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 22 | $3,375 | $30 |
| Therapy procedure using manual technique, each 15 minutes | 15 | $1,567 | $19 |
Medicaid work
$4,462 in 2022
Medicaid paid $4,462 for 128 billed services this clinician did in 2022, up to 16 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.
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 50 | $3,030 |
| THERAPEUTIC EXERCISES | 28 | $664 |
| Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities | 28 | $456 |
| MASSAGE THERAPY | 22 | $312 |
| 2022 | 128 | 4 | 16 | $4,462 |
Professional record
- NPI
- 1619575537
- Licence
- CA PT302090
- Gender
- Female
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 14107 Winchester Blvd Ste O, Los Gatos, CA, 95032
- NPI first listed
- 2020-10-13
- NPI last updated
- 2024-04-03
- NPI record certified
- 2024-04-03
This is when the NPI record was last certified, not a medical board exam.