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Darren Mallinson, PT

Physical Therapist in Private Practice · Los Gatos

NPI 1871607283

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
28 years
Graduated 1998

On the public record

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

Offices

1 location · California Luna Care Physical Therapy PC · 769 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 Darren Mallinson’s office at (866) 525-3175 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$81,226

Medicare paid this office $81,226 for 74 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities74$64,704$23
Placement of strapping to hip25$4,339$28
Evaluation for physical therapy, typically 30 minutes49$4,056$77
Placement of strapping to shoulder11$1,533$24
Placement of strapping to knee12$1,316$23

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Placement of strapping to hip–––213115155
Placement of strapping to shoulder–––13910063
Placement of strapping to knee–––638257

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

74 Original Medicare patients in 2024. Average age 74 · Women 70% · Health risk score 0.91. 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 42% · Coronary heart disease 19% · Depression 16%.

The office billed $224,470, Medicare allowed $104,551 and paid $81,226; for 3,424 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
2024743,424740.91$224,470$81,226
2023722,729740.88$173,730$65,685
2022934,300710.81$276,955$110,693
202133655700.97$42,715$17,273
2020721,216681.06$97,960$29,393
201964528690.99$39,438$13,353
2017431,017731.13$33,820$18,663
2016723,091731.09$97,721$62,133
2015934,044720.88$131,381$81,439
2014753,517740.94$110,317$68,353
2013993,993730.97$122,943$78,083

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 activities72$52,309$23
Placement of strapping to hip23$3,236$28
Re-evaluation for physical therapy, typically 20 minutes30$2,976$55
Placement of strapping to shoulder14$2,392$24
Evaluation for physical therapy, typically 30 minutes29$2,105$73
Placement of strapping to knee13$2,026$25

2022: 6 services

Original Medicare services billed in 2022
Therapy procedure using functional activities93$84,418$23
Re-evaluation for physical therapy, typically 20 minutes58$7,238$56
Placement of strapping to hip22$6,319$30
Evaluation for physical therapy, typically 30 minutes55$4,799$81
Placement of strapping to shoulder24$3,550$26
Placement of strapping to knee18$1,556$25

2021: 2 services

Original Medicare services billed in 2021
Therapy procedure using functional activities33$13,278$25
Re-evaluation for physical therapy, typically 20 minutes15$1,090$57

2020: 6 services

Original Medicare services billed in 2020
Therapy procedure using functional activities64$18,371$27
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes55$3,702$20
Therapy procedure using manual technique, each 15 minutes37$2,243$18
Evaluation for physical therapy, typically 20 minutes26$1,870$69
Re-evaluation for physical therapy, typically 20 minutes18$1,127$49
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care36$1,009$8

2019: 5 services

Original Medicare services billed in 2019
Therapy procedure using functional activities51$8,060$27
Therapy procedure using manual technique, each 15 minutes27$1,481$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes28$1,226$21
Re-evaluation for physical therapy, typically 20 minutes13$734$49
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care16$338$9

2017: 4 services

Original Medicare services billed in 2017
Therapy procedure using manual technique, each 15 minutes31$8,029$17
Therapy procedure using functional activities13$5,315$21
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes32$3,622$23
Application of ultrasound, each 15 minutes19$917$8

2016: 6 services

Original Medicare services billed in 2016
Therapy procedure using functional activities28$22,720$23
Therapy procedure using manual technique, each 15 minutes46$19,634$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes54$12,500$24
Application of ultrasound, each 15 minutes37$3,524$8
Physical therapy evaluation42$2,581$57
Physical therapy re-evaluation18$1,006$31

2015: 6 services

Original Medicare services billed in 2015
Therapy procedure using manual technique, each 15 minutes81$27,901$18
Therapy procedure using functional activities29$22,824$24
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes76$18,829$25
Application of ultrasound, each 15 minutes60$5,443$8
Physical therapy evaluation68$4,230$60
Physical therapy re-evaluation23$1,544$30

2014: 6 services

Original Medicare services billed in 2014
Therapy procedure using manual technique, each 15 minutes75$36,764$19
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes73$17,694$25
Application of ultrasound, each 15 minutes47$4,400$8
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20$3,169$26
Physical therapy evaluation55$3,167$57
Physical therapy re-evaluation22$1,400$33

2013: 5 services

Original Medicare services billed in 2013
Therapy procedure using manual technique, each 15 minutes98$39,712$19
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes92$21,359$25
Application of ultrasound, each 15 minutes82$5,856$8
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes33$4,566$26
Physical therapy evaluation69$4,410$59

Medicaid work

$35,571 in 2021

Medicaid paid $35,571 for 1,384 billed services this clinician did in 2021, up to 67 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 2021
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes345$10,837
UNLISTED THERAPEUTIC PROCEDURE SPECIFY326$9,490
THERAPEUTIC EXERCISES268$5,301
Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.79$3,919
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES121$3,037
Application of a modality to 1 or more areas; hot or cold packs129$1,230
ELECTRIC STIMULATION THERAPY82$1,004
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$476
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 activities20$277
Medicaid work by year
20211,384967$35,571
20204,107875$105,704
2019203428$5,007
See the largest Medicaid services in earlier years

2020

Largest Medicaid services in 2020
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes990$32,044
UNLISTED THERAPEUTIC PROCEDURE SPECIFY1,229$31,135
THERAPEUTIC EXERCISES876$17,152
Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.223$11,761
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES365$7,573
ELECTRIC STIMULATION THERAPY279$3,028
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.69$2,452
Application of a modality to 1 or more areas; hot or cold packs76$560

2019

Largest Medicaid services in 2019
UNLISTED THERAPEUTIC PROCEDURE SPECIFY100$2,665
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes43$1,082
THERAPEUTIC EXERCISES39$935
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES21$326

Professional record

NPI
1871607283
Licence
CA PT28994
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 2251X0800X (2251X0800X)
Mailing address
317 14th St, Ste B, Del Mar, CA, 92014
NPI first listed
2006-08-19
NPI last updated
2017-03-16

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