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Melissa G Macarewa, PT

Physical Therapist in Private Practice · Los Gatos

NPI 1942794094

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
2
Since medical school
10 years
Graduated 2016

On the public record

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

Offices

2 locations · California Luna Care Physical Therapy PC · Strive Physical Therapy and Wellness Center PC

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 Melissa G Macarewa’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$24,177

Medicare paid this office $24,177 for 89 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities78$7,211$27
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes75$6,012$22
Therapy procedure using manual technique, each 15 minutes54$3,309$16
Therapy procedure for walking training, each 15 minutes51$2,647$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes62$2,442$18
See all 7 services
Every Original Medicare service billed
Therapy procedure using functional activities78$7,211$27
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes75$6,012$22
Therapy procedure using manual technique, each 15 minutes54$3,309$16
Therapy procedure for walking training, each 15 minutes51$2,647$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes62$2,442$18
Evaluation for physical therapy, typically 20 minutes16$1,316$82
Evaluation for physical therapy, typically 30 minutes16$1,105$69

Who their Medicare patients are

89 Original Medicare patients in 2024. Average age 73 · Women 57% · Also on Medicaid 44% · Health risk score 1.90. Sicker patients than 9 in 10 peers; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 75% · Diabetes 43% · Chronic kidney disease 29% · Coronary heart disease 27% · Depression 22% · Heart failure 21% · Dementia 20% · Stroke 18% · Cancer 13%.

The office billed $60,969, Medicare allowed $31,686 and paid $24,177; for 1,078 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
2024891,078731.90$60,969$24,177
20231322,053721.57$110,028$45,004
20221072,871701.93$139,210$63,505

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 activities111$11,960$27
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes99$9,724$22
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes112$9,227$17
Therapy procedure for walking training, each 15 minutes74$4,922$17
Therapy procedure using manual technique, each 15 minutes75$3,901$16
Evaluation for physical therapy, typically 20 minutes33$2,838$81
Evaluation for physical therapy, typically 30 minutes20$1,669$83
Test or measurement for functional capacity, each 15 minutes16$486$22

2022: 8 services

Original Medicare services billed in 2022
Therapy procedure using functional activities97$17,533$27
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes99$14,981$18
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes86$9,718$22
Therapy procedure for walking training, each 15 minutes79$7,981$18
Therapy procedure using manual technique, each 15 minutes83$7,005$17
Evaluation for physical therapy, typically 20 minutes42$3,631$83
Evaluation for physical therapy, typically 30 minutes25$2,110$81
Evaluation for wheelchair, each 15 minutes11$404$20

Medicaid work

$11,903 in 2024

Medicaid paid $11,903 for 638 billed services this clinician did in 2024, up to 20 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 MINUTES261$8,474
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 activities174$1,622
Application of a modality to 1 or more areas; hot or cold packs107$974
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes62$496
THERAPEUTIC EXERCISES34$336
Medicaid work by year
2024638520$11,903
20231,040624$12,761
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES261$7,052
THERAPEUTIC EXERCISES323$2,599
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 activities217$1,722
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes165$954
Application of a modality to 1 or more areas; hot or cold packs41$370
Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)33$65

Professional record

NPI
1942794094
Licence
CA 291751, CA 743578
Group
California Luna Care Physical Therapy PC · Strive Physical Therapy and Wellness Center PC
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X); Federal specialty code 163WP0200X (163WP0200X)
Mailing address
1594 Cahuilla St, Colton, CA, 92324
NPI first listed
2018-06-21
NPI last updated
2018-06-21

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