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Sydney Butler-Terry, PT

Physical Therapist in Private Practice · Palo Alto

NPI 1679053631

Medicare standing
1 flag on the record
Listed below.
Plans that list them
1
1 carrier
Office
1
Since medical school
8 years
Graduated 2018

On the public record

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

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Sydney Butler-Terry’s office at (415) 600-1020 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026

Original Medicare doctor bills

$17,069

Medicare paid this office $17,069 for 48 people.

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

Largest Original Medicare bills
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes48$11,828$22
Evaluation for physical therapy, typically 20 minutes27$2,955$98
Therapy procedure using manual technique, each 15 minutes21$1,251$15

Who their Medicare patients are

48 Original Medicare patients in 2024. Average age 76 · Women 52% · Health risk score 1.00. 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 56% · Coronary heart disease 42% · Diabetes 25%.

The office billed $98,019, Medicare allowed $23,320 and paid $17,069; for 697 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
202448697761.00$98,019$17,069
202339804730.71$100,300$20,172
202247890740.79$105,438$22,894
2021541,053750.77$116,493$24,964
202041508730.77$57,839$11,848
2019821,231761.00$141,931$32,192
201835470780.97$55,102$12,867

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: 3 services

Original Medicare services billed in 2023
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes39$13,079$23
Evaluation for physical therapy, typically 20 minutes28$3,267$91
Therapy procedure using manual technique, each 15 minutes20$2,977$19

2022: 3 services

Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47$15,079$24
Evaluation for physical therapy, typically 20 minutes36$3,755$87
Therapy procedure using manual technique, each 15 minutes24$3,457$19

2021: 4 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes53$15,169$24
Therapy procedure using manual technique, each 15 minutes29$4,627$19
Evaluation for physical therapy, typically 20 minutes33$3,195$91
Application of blood vessel compression device14$788$8

2020: 3 services

Original Medicare services billed in 2020
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33$6,733$22
Therapy procedure using manual technique, each 15 minutes20$2,111$18
Evaluation for physical therapy, typically 20 minutes21$1,877$78

2019: 5 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes74$17,523$25
Therapy procedure using manual technique, each 15 minutes68$7,721$21
Evaluation for physical therapy, typically 20 minutes46$3,777$79
Evaluation for physical therapy, typically 30 minutes12$975$81
Therapy procedure in a group setting17$880$14

2018: 3 services

Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33$6,706$25
Therapy procedure using manual technique, each 15 minutes29$3,203$20
Evaluation for physical therapy, typically 20 minutes23$1,930$80

Professional record

NPI
1679053631
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X); Federal specialty code 2251S0007X (2251S0007X); Federal specialty code 2251X0800X (2251X0800X)
Mailing address
23 Tasker Ln, San Carlos, CA, 94070
NPI first listed
2018-08-20
NPI last updated
2018-08-20

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