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Kevin Lacapria, PT

Physical Therapist in Private Practice · Chula Vista

NPI 1700554524

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
6
Since medical school
5 years
Graduated 2021

On the public record

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

Offices

6 locations · Nexus Physical Therapy · California Luna Care Physical Therapy PC

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 Kevin Lacapria’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$48,250

Medicare paid this office $48,250 for 54 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 minutes54$21,923$20
Therapy procedure using functional activities35$8,410$30
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes26$7,273$23
Therapy procedure using manual technique, each 15 minutes38$4,803$17
Evaluation for physical therapy, typically 20 minutes25$2,676$84
See all 6 services
Every Original Medicare service billed
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes54$21,923$20
Therapy procedure using functional activities35$8,410$30
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes26$7,273$23
Therapy procedure using manual technique, each 15 minutes38$4,803$17
Evaluation for physical therapy, typically 20 minutes25$2,676$84
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care25$2,033$7

Who their Medicare patients are

54 Original Medicare patients in 2024. Average age 73 · Women 54% · Also on Medicaid 24% · Health risk score 1.27. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 48% · Depression 30% · Diabetes 26% · Coronary heart disease 22%.

The office billed $109,960, Medicare allowed $62,368 and paid $48,250; for 2,384 services of 13 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
2024542,384731.27$109,960$48,250
2023452,599701.03$121,320$50,887
2022481,246731.14$61,235$24,136
202130185670.95$15,890$5,200

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: 8 services

Original Medicare services billed in 2023
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes45$30,025$20
Therapy procedure using manual technique, each 15 minutes34$6,026$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes14$5,364$27
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care24$3,363$7
Re-evaluation for physical therapy, typically 20 minutes21$2,783$61
Evaluation for physical therapy, typically 20 minutes29$2,477$77
Therapy procedure using functional activities18$469$21
Training for self-care or home management, each 15 minutes12$247$21

2022: 6 services

Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47$15,812$21
Therapy procedure using manual technique, each 15 minutes27$3,448$17
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care26$1,472$8
Re-evaluation for physical therapy, typically 20 minutes18$1,451$58
Therapy procedure using functional activities25$1,032$20
Evaluation for physical therapy, typically 20 minutes13$844$65

2021: 3 services

Original Medicare services billed in 2021
Therapy procedure using functional activities20$2,122$29
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30$1,717$20
Evaluation for physical therapy, typically 20 minutes13$1,142$88

Medicaid work

$49,050 in 2024

Medicaid paid $49,050 for 2,257 billed services this clinician did in 2024, up to 42 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 EXERCISES1,362$38,719
ELECTRIC STIMULATION THERAPY380$4,116
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes204$1,875
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES137$1,784
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 activities134$1,326
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.40$1,230
Medicaid work by year
20242,257642$49,050
2023973329$19,575
2022568319$12,557
2021127222$2,649
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
THERAPEUTIC EXERCISES590$14,479
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES190$3,117
ELECTRIC STIMULATION THERAPY193$1,979

2022

Largest Medicaid services in 2022
THERAPEUTIC EXERCISES328$8,639
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES184$3,415
ELECTRIC STIMULATION THERAPY56$502

2021

Largest Medicaid services in 2021
THERAPEUTIC EXERCISES89$1,676
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes38$974

Professional record

NPI
1700554524
Group
Nexus Physical Therapy · California Luna Care Physical Therapy PC
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
1343 C St Apt 6, San Diego, CA, 92101
NPI first listed
2021-09-06
NPI last updated
2021-09-06
NPI record certified
2021-09-06

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