Ektaben Dalwadi, PT
Physical Therapist in Private Practice · San Jose
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 16
- 5 carriers
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · Golden Hills Orthopedic and Sports Physical Therapy Inc · 13 clinicians in this group
Plans that list them
16 plans · 5 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Ektaben Dalwadi’s office at (408) 274-0888 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
16 of 16 plans
| Astiva Health C-SNP WOW - NorCal (HMO C-SNP) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Premier Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Savings Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Blue Shield Inspire (HMO) | Blue Shield of California | Listed | Aug 26, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
Original Medicare doctor bills
$54,703
Medicare paid this office $54,703 for 219 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 212 | $16,641 | $35 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 213 | $11,544 | $24 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 217 | $10,116 | $20 |
| Therapy procedure using manual technique, each 15 minutes | 215 | $9,641 | $19 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 151 | $2,638 | $8 |
See all 7 services
| Therapy procedure using functional activities | 212 | $16,641 | $35 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 213 | $11,544 | $24 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 217 | $10,116 | $20 |
| Therapy procedure using manual technique, each 15 minutes | 215 | $9,641 | $19 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 151 | $2,638 | $8 |
| Evaluation for physical therapy, typically 30 minutes | 24 | $2,263 | $94 |
| Evaluation for physical therapy, typically 20 minutes | 12 | $1,080 | $90 |
Who their Medicare patients are
219 Original Medicare patients in 2024. Average age 73 · Under 65 10% · 85 and older 8% · Women 69% · Also on Medicaid 76% · Health risk score 1.16. 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 49% · Chronic kidney disease 23% · Coronary heart disease 19% · Depression 14% · Heart failure 11% · Stroke 11% · Cancer 7% · Atrial fibrillation 7% · Dementia 6%.
The office billed $179,665, Medicare allowed $70,047 and paid $54,703; for 2,343 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
| 2024 | 219 | 2,343 | 73 | 1.16 | $179,665 | $54,703 |
| 2023 | 180 | 2,374 | 72 | 1.06 | $150,927 | $54,699 |
| 2022 | 61 | 602 | 72 | 0.94 | $23,251 | $13,992 |
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
| Therapy procedure using functional activities | 179 | $17,065 | $34 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 175 | $11,294 | $23 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 178 | $9,885 | $20 |
| Therapy procedure using manual technique, each 15 minutes | 180 | $9,364 | $19 |
| Evaluation for physical therapy, typically 30 minutes | 34 | $2,784 | $82 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 127 | $2,684 | $8 |
2022: 5 services
| Therapy procedure using functional activities | 60 | $4,278 | $35 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 60 | $2,884 | $24 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 61 | $2,542 | $19 |
| Therapy procedure using manual technique, each 15 minutes | 60 | $2,503 | $19 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 41 | $726 | $9 |
Medicaid work
$26 in 2024
Medicaid paid $26 for 3,962 billed services this clinician did in 2024, up to 105 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.
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 89 | $15 |
| THERAPEUTIC EXERCISES | 187 | $11 |
| 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 activities | 83 | $0 |
| UNLISTED THERAPEUTIC PROCEDURE SPECIFY | 2,744 | $0 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 707 | $0 |
| PHYSICAL PERFORMANCE TEST | 152 | $0 |
| 2024 | 3,962 | 6 | 105 | $26 |
| 2023 | 4,616 | 6 | 137 | $316 |
| 2022 | 173 | 4 | 25 | $17 |
See the largest Medicaid services in earlier years
2023
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 84 | $115 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 719 | $83 |
| 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 activities | 83 | $62 |
| THERAPEUTIC EXERCISES | 84 | $56 |
| UNLISTED THERAPEUTIC PROCEDURE SPECIFY | 3,463 | $0 |
| PHYSICAL PERFORMANCE TEST | 183 | $0 |
2022
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 43 | $13 |
| 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 activities | 43 | $1 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 44 | $1 |
| THERAPEUTIC EXERCISES | 43 | $1 |
Professional record
- NPI
- 1891332979
- Licence
- NY 044319
- Trained
- Touro Un Col of Osteopathic Medicine, New York, 2021
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 65 Laidlaw Ave, Jersey City, NJ, 07306
- NPI first listed
- 2019-12-08
- NPI last updated
- 2019-12-08
- NPI record certified
- 2019-12-08
This is when the NPI record was last certified, not a medical board exam.