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Reuel Lyle Verde, PT

Physical Therapist in Private Practice · Glendale

NPI 1942931134

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
3
Since medical school
5 years
Graduated 2021

On the public record

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

Offices

3 locations · United Therapy Network Incorporated · Select Cs Physical Therapy PC · California Luna Care Physical Therapy 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 Reuel Lyle Verde’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$20,166

Medicare paid this office $20,166 for 35 people.

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

Largest Original Medicare bills
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes34$12,715$21
Therapy procedure using manual technique, each 15 minutes28$2,894$17
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care29$1,812$7
Evaluation for physical therapy, typically 30 minutes22$1,785$74

Who their Medicare patients are

35 Original Medicare patients in 2024. Average age 69 · Health risk score 1.31. 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 46% · Coronary heart disease 34%.

The office billed $81,204, Medicare allowed $26,821 and paid $20,166; for 1,074 services of 10 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
2024351,074691.31$81,204$20,166
2023431,082681.05$70,491$21,975
2022271,062681.02$54,977$20,943

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: 4 services

Original Medicare services billed in 2023
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes38$12,559$22
Therapy procedure using manual technique, each 15 minutes35$3,464$18
Evaluation for physical therapy, typically 30 minutes33$2,949$82
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care34$1,965$8

2022: 4 services

Original Medicare services billed in 2022
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27$12,923$23
Therapy procedure using manual technique, each 15 minutes24$3,708$18
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care26$2,098$8
Evaluation for physical therapy, typically 20 minutes15$1,589$88

Medicaid work

$111,597 in 2024

Medicaid paid $111,597 for 9,550 billed services this clinician did in 2024, up to 157 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 EXERCISES4,042$60,726
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES2,011$23,330
ELECTRIC STIMULATION THERAPY2,861$14,303
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.309$10,127
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.188$2,203
PHYSICAL PERFORMANCE TEST12$348
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 activities61$286
APPL MODALITY 1+ AREAS ESTIM EA 15 MIN21$275
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care45$0
Medicaid work by year
20249,5509157$111,597
202312,8737161$142,018
20224,2626107$72,580
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
THERAPEUTIC EXERCISES5,115$80,198
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES3,155$27,896
ELECTRIC STIMULATION THERAPY3,832$17,106
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.256$7,616
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.333$6,050
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.165$2,566
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.17$586

2022

Largest Medicaid services in 2022
THERAPEUTIC EXERCISES1,682$41,198
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES1,024$14,025
ELECTRIC STIMULATION THERAPY1,317$10,517
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.110$3,247
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.67$1,856
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.62$1,738

Professional record

NPI
1942931134
Licence
CA 302147
Group
United Therapy Network Incorporated · Select Cs Physical Therapy PC · California Luna Care Physical Therapy PC
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
1845 Business Center Dr Ste 127, San Bernardino, CA, 92408
NPI first listed
2022-06-20
NPI last updated
2023-02-16
NPI record certified
2023-02-16

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