Skip to main content
UniHealth

Doctor search

Sharmaine Calma, PT

Physical Therapist in Private Practice · Forest Hills

NPI 1962131581

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
2

On the public record

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

Offices

2 locations · Spear Physical and Occupational Therapy, LLC · Agile Physical Therapy Inc

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 Sharmaine Calma’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$51,101

Medicare paid this office $51,101 for 56 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 minutes54$22,026$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes53$14,140$28
Therapy procedure using manual technique, each 15 minutes44$6,922$18
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care39$2,644$8
Evaluation for physical therapy, typically 20 minutes31$2,444$74
See all 7 services
Every Original Medicare service billed
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes54$22,026$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes53$14,140$28
Therapy procedure using manual technique, each 15 minutes44$6,922$18
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care39$2,644$8
Evaluation for physical therapy, typically 20 minutes31$2,444$74
Training for self-care or home management, each 15 minutes38$1,287$21
Re-evaluation for physical therapy, typically 20 minutes13$1,162$61

Who their Medicare patients are

56 Original Medicare patients in 2024. Average age 69 · Women 48% · Also on Medicaid 55% · Health risk score 1.09. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 73% · Diabetes 50% · Coronary heart disease 25%.

The office billed $133,760, Medicare allowed $65,029 and paid $51,101; for 2,494 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
2024562,494691.09$133,760$51,101
202327567701.31$29,799$11,647

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 minutes25$5,235$20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes21$2,862$29
Therapy procedure using manual technique, each 15 minutes19$1,448$18
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care19$742$8

Medicaid work

$136,917 in 2024

Medicaid paid $136,917 for 8,536 billed services this clinician did in 2024, up to 73 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 EXERCISES2,488$49,627
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 activities2,132$28,776
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes501$23,631
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES1,608$14,654
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.178$8,148
ELECTRIC STIMULATION THERAPY881$6,763
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes325$3,574
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.125$1,367
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care298$377
Medicaid work by year
20248,536973$136,917
2023627524$10,508
2022221428$3,056
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
THERAPEUTIC EXERCISES280$6,574
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 activities135$2,016
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES135$1,332
ELECTRIC STIMULATION THERAPY61$400
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes16$186

2022

Largest Medicaid services in 2022
THERAPEUTIC EXERCISES76$1,586
MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES69$728
ELECTRIC STIMULATION THERAPY46$372
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 activities30$370

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
61.1 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1962131581
Licence
NY 044579-01
Group
Spear Physical and Occupational Therapy, LLC · Agile Physical Therapy Inc
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
102 Madison Ave Fl 8, New York, NY, 10016
NPI first listed
2022-06-08
NPI last updated
2025-08-19
NPI record certified
2025-08-19

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