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Army Patel

Physical Therapist · Milpitas

NPI 1821511502

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

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

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Army Patel’s office at (408) 274-0888 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$38,292

Medicare paid this office $38,292 for 116 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities113$10,112$33
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes115$7,505$23
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes116$6,626$20
Therapy procedure using manual technique, each 15 minutes116$6,260$19
Evaluation for physical therapy, typically 30 minutes46$4,386$95
See all 7 services
Every Original Medicare service billed
Therapy procedure using functional activities113$10,112$33
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes115$7,505$23
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes116$6,626$20
Therapy procedure using manual technique, each 15 minutes116$6,260$19
Evaluation for physical therapy, typically 30 minutes46$4,386$95
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care80$1,646$8
Evaluation for physical therapy, typically 20 minutes13$1,252$96

Who their Medicare patients are

116 Original Medicare patients in 2024. Average age 74 · Women 70% · Also on Medicaid 72% · Health risk score 1.11. 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 47% · Chronic kidney disease 25% · Coronary heart disease 19% · Depression 16% · Cancer 12% · Heart failure 11% · Stroke 10%.

The office billed $123,058, Medicare allowed $49,996 and paid $38,292; for 1,568 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
20241161,568741.11$123,058$38,292
202392948731.01$60,071$23,598
20221451,974701.07$118,152$52,467
202136436720.94$25,634$11,845
202055829701.26$46,212$20,514
20191051,626691.12$91,323$40,709
201866680701.10$38,722$17,971
201726223700.97$13,025$5,862

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: 7 services

Original Medicare services billed in 2023
Therapy procedure using functional activities60$5,251$33
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes69$4,935$27
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes87$4,826$20
Therapy procedure using manual technique, each 15 minutes84$4,659$18
Evaluation for physical therapy, typically 30 minutes37$2,876$78
Therapy procedure for walking training, each 15 minutes12$787$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care14$232$8

2022: 6 services

Original Medicare services billed in 2022
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes119$13,469$29
Therapy procedure using manual technique, each 15 minutes140$11,285$19
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes137$11,143$20
Therapy procedure using functional activities76$8,626$34
Evaluation for physical therapy, typically 30 minutes82$7,150$84
Therapy procedure for walking training, each 15 minutes13$661$21

2021: 5 services

Original Medicare services billed in 2021
Therapy procedure using functional activities33$3,697$37
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes33$2,755$25
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes36$2,405$21
Therapy procedure using manual technique, each 15 minutes33$1,883$19
Evaluation for physical therapy, typically 30 minutes12$1,059$88

2020: 5 services

Original Medicare services billed in 2020
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes52$7,747$22
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes39$3,889$28
Therapy procedure using manual technique, each 15 minutes47$3,566$19
Therapy procedure using functional activities32$2,712$34
Evaluation for physical therapy, typically 30 minutes19$1,449$76

2019: 6 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes102$16,837$22
Therapy procedure using manual technique, each 15 minutes90$8,560$20
Therapy procedure using functional activities85$7,254$32
Evaluation for physical therapy, typically 30 minutes49$3,519$72
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes31$2,795$29
Therapy procedure for walking training, each 15 minutes17$1,047$21

2018: 5 services

Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes66$6,542$22
Therapy procedure using functional activities55$4,925$32
Therapy procedure using manual technique, each 15 minutes46$2,526$20
Evaluation for physical therapy, typically 30 minutes33$2,390$72
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20$1,287$27

2017: 4 services

Original Medicare services billed in 2017
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes26$2,207$22
Therapy procedure using functional activities22$1,576$27
Evaluation for physical therapy, typically 30 minutes14$958$68
Therapy procedure using manual technique, each 15 minutes18$923$21

Medicaid work

$87 in 2024

Medicaid paid $87 for 3,203 billed services this clinician did in 2024, up to 104 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
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES23$30
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes313$22
THERAPEUTIC EXERCISES23$22
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$12
UNLISTED THERAPEUTIC PROCEDURE SPECIFY2,700$0
PHYSICAL PERFORMANCE TEST121$0
Medicaid work by year
20243,2036104$87
20231,2424109$39,060
20222,4344140$51,936
2021354261$11,830
20201,6792123$73,580
20193,6136200$156,000
20181,130566$37,935
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX1,083$39,060
THERAPEUTIC EXERCISES33$0
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.98$0
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes28$0

2022

Largest Medicaid services in 2022
UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX1,906$51,924
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES138$12
THERAPEUTIC EXERCISES220$0
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.170$0

2021

Largest Medicaid services in 2021
UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX340$11,830
Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.14$0

2020

Largest Medicaid services in 2020
UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX1,576$66,950
Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.103$6,630

2019

Largest Medicaid services in 2019
UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX3,189$140,985
Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.233$15,015
Application of a modality to 1 or more areas; hot or cold packs31$0
THERAPEUTIC EXERCISES82$0
UNLISTED THERAPEUTIC PROCEDURE SPECIFY43$0
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES35$0

2018

Largest Medicaid services in 2018
THERAPEUTIC EXERCISES513$24,145
UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX497$8,840
Other evaluation and management service78$4,290
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes30$660
UNLISTED THERAPEUTIC PROCEDURE SPECIFY12$0

Professional record

NPI
1821511502
Licence
CA PT293179, NY 039748
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
2680 S White Rd Ste 200, San Jose, CA, 95148
NPI first listed
2017-07-25
NPI last updated
2024-12-15
NPI record certified
2024-12-15

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

Extra NPI addresses: 2680 S White Rd Ste 200, San Jose, CA, 95148