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Jason Agdinaoay, PT

Physical Therapist in Private Practice · San Jose

NPI 1790396901

Medicare standing
1 flag on the record
Listed below.
Plans that list them
7
2 carriers
Office
1

On the public record

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

Offices

1 location · Silver Creek Fitness and Physical Therapy · 38 clinicians in this group

Looking this up.

Plans that list them

7 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Jason Agdinaoay’s office at (408) 238-1552 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

7 of 7 plans

Plans whose provider directory lists this clinician
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 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

$67,141

Medicare paid this office $67,141 for 129 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities122$29,833$33
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes82$12,100$24
Therapy procedure using manual technique, each 15 minutes103$11,883$19
Evaluation for physical therapy, typically 30 minutes91$8,531$91
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes55$3,912$21
See all 6 services
Every Original Medicare service billed
Therapy procedure using functional activities122$29,833$33
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes82$12,100$24
Therapy procedure using manual technique, each 15 minutes103$11,883$19
Evaluation for physical therapy, typically 30 minutes91$8,531$91
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes55$3,912$21
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care19$441$8

Who their Medicare patients are

129 Original Medicare patients in 2024. Average age 76 · Women 64% · Also on Medicaid 15% · Health risk score 0.92. 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 74% · Diabetes 33% · Coronary heart disease 20% · Chronic kidney disease 19% · Cancer 17% · Atrial fibrillation 14% · Depression 13% · Heart failure 9%.

The office billed $195,835, Medicare allowed $86,096 and paid $67,141; for 2,374 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
20241292,374760.92$195,835$67,141
20231913,088720.81$210,264$79,879
20221522,826710.89$185,561$72,341
2021851,552710.79$126,662$43,043

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 activities187$41,607$29
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes134$15,464$22
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes113$9,858$18
Evaluation for physical therapy, typically 30 minutes86$7,921$91
Therapy procedure using manual technique, each 15 minutes30$2,631$19
Application of blood vessel compression device53$1,133$8

2022: 6 services

Original Medicare services billed in 2022
Therapy procedure using functional activities146$39,793$29
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes113$17,734$20
Evaluation for physical therapy, typically 30 minutes63$6,026$91
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes68$6,019$23
Application of blood vessel compression device69$1,713$8
Therapy procedure for walking training, each 15 minutes14$468$20

2021: 5 services

Original Medicare services billed in 2021
Therapy procedure using functional activities74$21,634$32
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes53$9,698$21
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes42$6,932$26
Evaluation for physical therapy, typically 30 minutes38$3,570$94
Application of blood vessel compression device42$1,003$8

Medicaid work

$21,047 in 2023

Medicaid paid $21,047 for 481 billed services this clinician did in 2023, up to 16 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 2023
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes284$14,756
THERAPEUTIC EXERCISES118$3,258
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 activities79$3,033
Medicaid work by year
2023481316$21,047
20221,263322$66,762
2021228315$13,912
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes545$33,452
THERAPEUTIC EXERCISES477$22,039
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 activities241$11,271

2021

Largest Medicaid services in 2021
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes85$5,917
THERAPEUTIC EXERCISES89$4,690
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 activities54$3,305

Professional record

NPI
1790396901
Licence
CA 298672
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 2251X0800X (2251X0800X)
Mailing address
Po Box 31396, Walnut Creek, CA, 94598
NPI first listed
2020-08-11
NPI last updated
2021-02-18
NPI record certified
2021-02-18

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