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Frances Lim, PT

Physical Therapist in Private Practice · Los Gatos

NPI 1942477641

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
29 years
Graduated 1997

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 Frances Lim’s office at (866) 525-3175 to ask if they take your plan before you enroll.

California Medical Board record

Licence G23431 · Cancelled

Licence status: Cancelled · since 1972 · University of Southern California Keck School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$5,000

Medicare paid this office $5,000 for 11 people.

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

Who their Medicare patients are

11 Original Medicare patients in 2024. Average age 71 · Under 65 0% · 85 and older 0% · Health risk score 1.45. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

The office billed $23,640, Medicare allowed $6,700 and paid $5,000; for 266 services of 6 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
202411266711.45$23,640$5,000
202319308711.17$23,365$6,458
202234839670.85$48,692$17,792
202123779660.98$43,098$16,353
201917762701.61$32,861$14,982
201814800671.31$29,025$14,490
201723881672.00$31,883$16,717
201623705702.58$26,230$14,720
201519353691.41$13,126$7,587

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: 1 service

Original Medicare services billed in 2023
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17$4,677$18

2022: 4 services

Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30$12,039$20
Evaluation for physical therapy, typically 30 minutes19$1,352$64
Therapy procedure using manual technique, each 15 minutes11$495$18
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care17$482$7

2021: 4 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19$9,464$21
Therapy procedure using manual technique, each 15 minutes15$2,290$18
Evaluation for physical therapy, typically 30 minutes17$1,269$75
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care14$892$8

2019: 3 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16$11,116$21
Therapy procedure using manual technique, each 15 minutes13$1,888$17
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care11$893$8

2018: 2 services

Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes13$9,732$21
Therapy procedure using manual technique, each 15 minutes12$2,806$17

2017: 3 services

Original Medicare services billed in 2017
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19$10,970$22
Therapy procedure using manual technique, each 15 minutes13$2,155$18
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care16$1,309$8

2016: 4 services

Original Medicare services billed in 2016
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes22$9,864$23
Therapy procedure using manual technique, each 15 minutes13$2,264$19
Physical therapy evaluation15$930$62
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care12$791$8

2015: 4 services

Original Medicare services billed in 2015
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19$4,438$23
Physical therapy evaluation16$1,238$62
Therapy procedure using manual technique, each 15 minutes12$1,234$19
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care15$611$8

Medicaid work

$23,041 in 2024

Medicaid paid $23,041 for 1,341 billed services this clinician did in 2024, up to 31 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
THERAPEUTIC EXERCISES1,285$21,109
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.56$1,931
Medicaid work by year
20241,341231$23,041
20235,0309150$39,291
202215,1235172$74,659
202113,7055173$18,966
20202,1205111$2,332
20191,228427$35,483
20182,990630$106,944
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
THERAPEUTIC EXERCISES3,076$31,036
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.141$2,920
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES530$2,386
ELECTRIC STIMULATION THERAPY459$1,073
Application of a modality to 1 or more areas; hot or cold packs647$933
Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a 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.14$375
Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month.14$294
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.107$239
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 activities42$36

2022

Largest Medicaid services in 2022
THERAPEUTIC EXERCISES12,515$65,366
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.856$8,766
Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month.198$336
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.168$191
UNLISTED THERAPEUTIC PROCEDURE SPECIFY1,386$0

2021

Largest Medicaid services in 2021
THERAPEUTIC EXERCISES11,372$17,628
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.762$1,136
UNLISTED THERAPEUTIC PROCEDURE SPECIFY1,404$138
Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month.79$42
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.88$21

2020

Largest Medicaid services in 2020
THERAPEUTIC EXERCISES1,785$2,276
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.185$34
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.19$21
UNLISTED THERAPEUTIC PROCEDURE SPECIFY94$0
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES37$0

2019

Largest Medicaid services in 2019
THERAPEUTIC EXERCISES680$25,554
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES362$6,600
ELECTRIC STIMULATION THERAPY172$2,105
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.14$1,224

2018

Largest Medicaid services in 2018
THERAPEUTIC EXERCISES1,035$60,009
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES887$24,723
UNLISTED THERAPEUTIC PROCEDURE SPECIFY575$11,501
ELECTRIC STIMULATION THERAPY451$8,491
Service29$1,797
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.13$423

Professional record

NPI
1942477641
Licence
CA 23431California G23431: Cancelled
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
23100 Eucalyptus Ave Ste C, Moreno Valley, CA, 92553
NPI first listed
2008-05-12
NPI last updated
2026-03-30
NPI record certified
2026-03-30

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

Extra NPI addresses: 2091 W Florida Ave Ste 210, Hemet, CA, 92545 · 23100 Eucalyptus Ave Ste C, Moreno Valley, CA, 92553