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Allison Butler, PT

Physical Therapist in Private Practice · San Jose

NPI 1689398356

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
4 years
Graduated 2022

On the public record

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

Offices

1 location

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 Allison Butler’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$2,384

Medicare paid this office $2,384 for 13 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities12$859$30

Who their Medicare patients are

13 Original Medicare patients in 2024. Average age 68 · 85 and older 0% · Health risk score 1.51. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

The office billed $6,417, Medicare allowed $3,001 and paid $2,384; for 91 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
20241391681.51$6,417$2,384
202242395750.89$49,776$9,848

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

2022: 4 services

Original Medicare services billed in 2022
Therapy procedure using functional activities35$2,865$33
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes36$2,730$20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes33$1,793$24
Therapy procedure using manual technique, each 15 minutes23$1,070$18

Medicaid work

$5,437 in 2024

Medicaid paid $5,437 for 127 billed services this clinician did in 2024, up to 35 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 minutes44$2,085
Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.19$1,710
THERAPEUTIC EXERCISES20$735
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES21$482
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 activities23$426
Medicaid work by year
2024127535$5,437

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
93.7 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1689398356
Licence
NJ 40QA02114700
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
1429 Sevan Lake Ct, Fort Wayne, IN, 46825
NPI first listed
2022-09-27
NPI last updated
2022-09-27
NPI record certified
2022-09-27

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