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James Edward Abellar, PT

Physical Therapist in Private Practice · Los Gatos

NPI 1669194106

Medicare standing
1 flag 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

Offices

2 locations · California Luna Care Physical Therapy PC · Sports and Orthopedic Leaders Physical Therapy Inc

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 James Edward Abellar’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$166,631

Medicare paid this office $166,631 for 113 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities112$64,504$32
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes113$36,026$19
Therapy procedure using manual technique, each 15 minutes106$31,382$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes102$26,290$23
Evaluation for physical therapy, typically 30 minutes72$7,139$93
See all 6 services
Every Original Medicare service billed
Therapy procedure using functional activities112$64,504$32
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes113$36,026$19
Therapy procedure using manual technique, each 15 minutes106$31,382$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes102$26,290$23
Evaluation for physical therapy, typically 30 minutes72$7,139$93
Therapy procedure for walking training, each 15 minutes15$760$19

Who their Medicare patients are

113 Original Medicare patients in 2024. Average age 75 · Women 61% · Health risk score 0.73. 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 59% · Cancer 17% · Coronary heart disease 15% · Depression 13% · Diabetes 12% · Chronic kidney disease 12% · Atrial fibrillation 11%.

The office billed $696,450, Medicare allowed $216,697 and paid $166,631; for 6,925 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
20241136,925750.73$696,450$166,631
20231135,734750.83$576,650$139,073
202240856730.57$86,300$22,123

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 activities108$48,132$33
Therapy procedure using manual technique, each 15 minutes110$30,311$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes101$28,260$24
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes105$25,165$19
Evaluation for physical therapy, typically 30 minutes64$6,224$89

2022: 5 services

Original Medicare services billed in 2022
Therapy procedure using functional activities40$7,956$32
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes37$5,366$23
Therapy procedure using manual technique, each 15 minutes34$3,948$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes31$2,332$19
Evaluation for physical therapy, typically 30 minutes20$2,080$95

Professional record

NPI
1669194106
Licence
CA 302452
Group
California Luna Care Physical Therapy PC · Sports and Orthopedic Leaders Physical Therapy Inc
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
299 Catalina Way, Vallejo, CA, 94589
NPI first listed
2022-09-12
NPI last updated
2022-09-12
NPI record certified
2022-09-12

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