James M Flanagan, PT
Physical Therapist in Private Practice · Los Gatos
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 1
- 1 carrier
- Office
- 1
- Since medical school
- 5 years
- Graduated 2021
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
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 James M Flanagan’s office at (408) 523-3060 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
Original Medicare doctor bills
$21,121
Medicare paid this office $21,121 for 74 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 70 | $5,950 | $20 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 58 | $5,499 | $24 |
| Evaluation for physical therapy, typically 20 minutes | 54 | $5,226 | $90 |
| Therapy procedure using manual technique, each 15 minutes | 44 | $2,084 | $17 |
| Training for self-care or home management, each 15 minutes | 28 | $959 | $29 |
Who their Medicare patients are
74 Original Medicare patients in 2024. Average age 75 · Women 61% · Health risk score 0.69. 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 57% · Diabetes 19% · Coronary heart disease 19% · Chronic kidney disease 19%.
The office billed $118,605, Medicare allowed $28,982 and paid $21,121; for 816 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
| 2024 | 74 | 816 | 75 | 0.69 | $118,605 | $21,121 |
| 2023 | 43 | 444 | 73 | 0.90 | $60,087 | $13,174 |
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: 4 services
| Evaluation for physical therapy, typically 20 minutes | 38 | $3,927 | $96 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 41 | $3,265 | $23 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 33 | $2,896 | $30 |
| Therapy procedure using manual technique, each 15 minutes | 23 | $2,174 | $20 |
Professional record
- NPI
- 1710695754
- Licence
- CA PT301055
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2022-11-08
- NPI last updated
- 2023-05-22
- NPI record certified
- 2023-05-22
This is when the NPI record was last certified, not a medical board exam.