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Marc Elias Lopez, PT

Physical Therapist in Private Practice · Watsonville

NPI 1841765823

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
5

On the public record

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

Offices

5 locations · Select Cal Physical Therapy PC · 162 clinicians in this group

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 Marc Elias Lopez’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$24,568

Medicare paid this office $24,568 for 50 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities33$7,652$25
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes45$6,122$20
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes31$3,047$17
Evaluation for physical therapy, typically 30 minutes26$2,149$83
Therapy procedure using manual technique, each 15 minutes32$1,947$15
See all 8 services
Every Original Medicare service billed
Therapy procedure using functional activities33$7,652$25
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes45$6,122$20
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes31$3,047$17
Evaluation for physical therapy, typically 30 minutes26$2,149$83
Therapy procedure using manual technique, each 15 minutes32$1,947$15
Training for self-care or home management, each 15 minutes38$1,380$19
Re-evaluation for physical therapy, typically 20 minutes11$1,109$50
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care18$620$6

Who their Medicare patients are

50 Original Medicare patients in 2024. Average age 73 · Women 76% · Also on Medicaid 34% · Health risk score 0.96. 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 72% · Diabetes 28% · Depression 26% · Chronic kidney disease 22%.

The office billed $96,125, Medicare allowed $31,428 and paid $24,568; for 1,181 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
2024501,181730.96$96,125$24,568
2023871,567750.88$128,524$35,282
2022741,466730.87$117,593$31,457
2021732,492741.15$199,787$57,584
2020701,489720.98$115,432$34,362
20191826,719751.08$326,904$138,561
201850791751.04$29,707$17,317

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 functional activities80$13,378$26
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes74$8,396$20
Therapy procedure using manual technique, each 15 minutes54$2,863$17
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes53$2,861$18
Evaluation for physical therapy, typically 30 minutes28$2,124$76
Training for self-care or home management, each 15 minutes52$2,061$20
Re-evaluation for physical therapy, typically 20 minutes19$1,436$55
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care28$714$7

2022: 8 services

Original Medicare services billed in 2022
Therapy procedure using functional activities69$11,678$26
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes65$7,193$21
Therapy procedure using manual technique, each 15 minutes51$3,308$17
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes37$2,077$18
Training for self-care or home management, each 15 minutes50$2,052$21
Re-evaluation for physical therapy, typically 20 minutes20$1,591$55
Evaluation for physical therapy, typically 30 minutes17$1,296$76
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care44$1,240$8

2021: 9 services

Original Medicare services billed in 2021
Therapy procedure using functional activities65$20,255$30
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes62$12,901$23
Therapy procedure using manual technique, each 15 minutes55$7,271$18
Training for self-care or home management, each 15 minutes58$4,187$22
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44$4,070$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care48$2,610$8
Evaluation for physical therapy, typically 30 minutes25$2,066$79
Re-evaluation for physical therapy, typically 20 minutes25$1,849$60
Evaluation for physical therapy, typically 45 minutes18$1,445$80

2020: 8 services

Original Medicare services billed in 2020
Therapy procedure using functional activities59$11,543$29
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes59$8,925$23
Therapy procedure using manual technique, each 15 minutes60$3,843$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47$2,995$19
Training for self-care or home management, each 15 minutes42$2,357$24
Evaluation for physical therapy, typically 30 minutes22$1,598$73
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care42$1,330$8
Re-evaluation for physical therapy, typically 20 minutes16$899$47

2019: 10 services

Original Medicare services billed in 2019
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes157$43,626$25
Therapy procedure using functional activities152$29,185$30
Therapy procedure using manual technique, each 15 minutes152$24,151$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes144$18,301$19
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care121$11,274$9
Evaluation for physical therapy, typically 30 minutes68$4,651$65
Re-evaluation for physical therapy, typically 20 minutes32$1,898$46
Application of mechanical traction25$1,888$10
Evaluation for physical therapy, typically 45 minutes21$1,570$71
Evaluation for physical therapy, typically 20 minutes14$999$71

2018: 6 services

Original Medicare services billed in 2018
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes39$4,172$26
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes37$3,845$21
Therapy procedure using functional activities42$3,494$30
Therapy procedure using manual technique, each 15 minutes41$2,555$17
Evaluation for physical therapy, typically 30 minutes19$1,288$68
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care32$1,246$9

Professional record

NPI
1841765823
Licence
CA 295618
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
15 Penny Ln Ste 4, Watsonville, CA, 95076
NPI first listed
2018-10-05
NPI last updated
2020-02-04
NPI record certified
2020-02-04

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

Extra NPI addresses: 143 John St, Salinas, CA, 93901