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Drashti Paresh Shah, PT

Physical Therapist in Private Practice · Milpitas

NPI 1720516636

Medicare standing
1 flag on the record
Listed below.
Plans that list them
15
6 carriers
Office
1

On the public record

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

Offices

1 location · Richard P Carr Physical Therapy Inc · 28 clinicians in this group

Looking this up.

Plans that list them

15 plans · 6 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Drashti Paresh Shah’s office at (408) 934-4700 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

15 of 15 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$64,870

Medicare paid this office $64,870 for 121 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities106$24,518$30
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes106$13,034$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes88$12,676$23
Therapy procedure using manual technique, each 15 minutes101$8,288$17
Evaluation for physical therapy, typically 20 minutes29$2,843$92
See all 6 services
Every Original Medicare service billed
Therapy procedure using functional activities106$24,518$30
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes106$13,034$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes88$12,676$23
Therapy procedure using manual technique, each 15 minutes101$8,288$17
Evaluation for physical therapy, typically 20 minutes29$2,843$92
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care35$1,539$7

Who their Medicare patients are

121 Original Medicare patients in 2024. Average age 76 · Women 65% · Also on Medicaid 21% · Health risk score 1.14. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 75% · Diabetes 40% · Chronic kidney disease 28% · Coronary heart disease 24% · Cancer 17% · Atrial fibrillation 15% · Depression 12% · Heart failure 11%.

The office billed $190,476, Medicare allowed $86,522 and paid $64,870; for 2,906 services of 12 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
20241212,906761.14$190,476$64,870
2023882,611771.16$168,633$60,446
20221313,136750.93$198,859$67,688
20211312,620740.98$169,265$64,493
2020601,236741.20$84,228$30,803

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: 6 services

Original Medicare services billed in 2023
Therapy procedure using functional activities86$27,436$31
Therapy procedure using manual technique, each 15 minutes74$10,468$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes55$9,897$23
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes67$5,790$19
Evaluation for physical therapy, typically 20 minutes39$3,632$86
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care37$2,362$8

2022: 8 services

Original Medicare services billed in 2022
Therapy procedure using functional activities120$26,492$31
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes106$13,644$23
Therapy procedure using manual technique, each 15 minutes110$10,934$17
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes110$8,096$18
Evaluation for physical therapy, typically 20 minutes41$3,603$77
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care68$3,001$8
Application of mechanical traction15$1,156$10
Therapy procedure for walking training, each 15 minutes14$546$17

2021: 9 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes123$23,227$23
Therapy procedure using functional activities75$11,720$38
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes70$9,750$30
Therapy procedure using manual technique, each 15 minutes104$9,528$20
Evaluation for physical therapy, typically 20 minutes49$4,853$92
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care74$3,022$9
Training for self-care or home management, each 15 minutes31$934$25
Application of mechanical traction14$475$11
Application of ultrasound, each 15 minutes11$208$9

2020: 7 services

Original Medicare services billed in 2020
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes52$9,254$21
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes36$5,865$26
Therapy procedure using functional activities28$5,358$32
Evaluation for physical therapy, typically 20 minutes36$2,807$74
Therapy procedure using manual technique, each 15 minutes32$2,088$19
Training for self-care or home management, each 15 minutes41$1,593$23
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care27$599$9

Medicaid work

$2,544 in 2024

Medicaid paid $2,544 for 315 billed services this clinician did in 2024, up to 14 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 EXERCISES97$1,522
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes80$850
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 activities77$162
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES61$10
Medicaid work by year
2024315414$2,544
2023438317$1,326
202198114$50
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes335$1,276
THERAPEUTIC EXERCISES32$50
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES71$0

2021

Largest Medicaid services in 2021
THERAPEUTIC EXERCISES98$50

Professional record

NPI
1720516636
Licence
WA 20712268
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
219 W Lee St, Seattle, WA, 98119
NPI first listed
2017-05-23
NPI last updated
2017-05-23

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