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Elaine Esinam Thompson, PT

Physical Therapist in Private Practice · Santa Clara

NPI 1629753637

Medicare standing
1 flag on the record
Listed below.
Plans that list them
12
4 carriers
Office
1

On the public record

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

Offices

1 location · Richard P Carr Physical Therapy Inc · 28 clinicians in this group

Looking this up.

Plans that list them

12 plans · 4 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Elaine Esinam Thompson’s office at (408) 247-7278 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

12 of 12 plans

Plans whose provider directory lists this clinician
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
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

$39,999

Medicare paid this office $39,999 for 78 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities69$17,980$30
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes65$8,232$20
Therapy procedure using manual technique, each 15 minutes64$5,641$18
Evaluation for physical therapy, typically 20 minutes41$3,837$87
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes43$3,579$21

Who their Medicare patients are

78 Original Medicare patients in 2024. Average age 73 · Women 64% · Also on Medicaid 41% · Health risk score 1.13. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 60% · Diabetes 27% · Coronary heart disease 27% · Chronic kidney disease 22% · Depression 21% · Cancer 19% · Atrial fibrillation 15% · Heart failure 14%.

The office billed $111,481, Medicare allowed $53,017 and paid $39,999; for 1,605 services of 11 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
2024781,605731.13$111,481$39,999
202347573721.37$40,096$15,377

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 activities43$6,375$31
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes38$2,300$20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes21$2,287$23
Therapy procedure using manual technique, each 15 minutes34$2,051$18
Evaluation for physical therapy, typically 20 minutes19$1,872$94

Medicaid work

$7,330 in 2024

Medicaid paid $7,330 for 1,078 billed services this clinician did in 2024, up to 24 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.

Largest Medicaid services in 2024
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes510$5,089
THERAPEUTIC EXERCISES307$2,241
Application of a modality to 1 or more areas; hot or cold packs22$0
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES239$0
Medicaid work by year
20241,078424$7,330
2023545534$388
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
THERAPEUTIC EXERCISES157$350
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes193$22
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES71$16
Application of a modality to 1 or more areas; hot or cold packs66$0
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 activities58$0

Professional record

NPI
1629753637
Licence
CA 304123
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
2488 De La Cruz Blvd, Santa Clara, CA, 95050
NPI first listed
2023-06-19
NPI last updated
2023-06-19
NPI record certified
2023-06-15

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