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Pratik K Shah, PT

Physical Therapist in Private Practice · Los Gatos

NPI 1972510725

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

On the public record

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

Offices

1 location · Imotion Physical Therapy, Inc · 22 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 Pratik K Shah’s office at (408) 358-3631 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$84,593

Medicare paid this office $84,593 for 33 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities33$40,723$34
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes31$19,977$25
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes32$16,761$22
Therapy procedure for walking training, each 15 minutes19$4,054$21
Therapy procedure using manual technique, each 15 minutes14$1,378$18
See all 6 services
Every Original Medicare service billed
Therapy procedure using functional activities33$40,723$34
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes31$19,977$25
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes32$16,761$22
Therapy procedure for walking training, each 15 minutes19$4,054$21
Therapy procedure using manual technique, each 15 minutes14$1,378$18
Evaluation for physical therapy, typically 30 minutes11$1,043$95

Who their Medicare patients are

33 Original Medicare patients in 2024. Average age 77 · Women 52% · Also on Medicaid 39% · Health risk score 1.60. 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 52%.

The office billed $255,712, Medicare allowed $107,073 and paid $84,593; for 3,109 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

Original Medicare by year
2024333,109771.60$255,712$84,593
2023443,071761.38$202,827$79,111
2022461,582741.10$99,343$37,925
2021371,361711.36$84,372$32,917
2020741,331731.25$83,458$31,054
20191684,615741.30$290,750$112,963
2018984,311741.24$255,860$93,421
20171034,587731.39$277,502$97,279
20161266,992721.47$418,252$141,939
201515511,122731.16$665,082$232,025
20141136,785721.17$412,098$143,791
2013884,283721.18$258,516$91,079

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 activities42$30,661$34
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes35$21,669$21
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes39$13,233$24
Therapy procedure using manual technique, each 15 minutes21$7,034$19
Therapy procedure for walking training, each 15 minutes23$2,202$21
Evaluation for physical therapy, typically 30 minutes21$2,122$96
Evaluation for physical therapy, typically 45 minutes11$1,087$99
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care13$528$8

2022: 7 services

Original Medicare services billed in 2022
Therapy procedure using functional activities40$10,285$34
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes41$8,754$21
Therapy procedure using manual technique, each 15 minutes44$7,586$19
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes25$4,699$25
Re-evaluation for physical therapy, typically 20 minutes18$1,976$68
Evaluation for physical therapy, typically 30 minutes14$1,366$91
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care26$1,111$8

2021: 6 services

Original Medicare services billed in 2021
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes36$9,429$22
Therapy procedure using functional activities31$7,830$37
Therapy procedure using manual technique, each 15 minutes31$6,072$20
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18$4,204$28
Evaluation for physical therapy, typically 30 minutes16$1,473$74
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care22$1,361$9

2020: 8 services

Original Medicare services billed in 2020
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes60$7,951$21
Therapy procedure using manual technique, each 15 minutes64$5,913$19
Therapy procedure using functional activities38$5,803$36
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes37$4,499$27
Therapy procedure using water pool to exercises, each 15 minutes22$2,377$28
Evaluation for physical therapy, typically 30 minutes18$1,393$73
Therapy procedure for walking training, each 15 minutes27$1,305$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care30$818$9

2019: 10 services

Original Medicare services billed in 2019
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes142$31,403$23
Therapy procedure using manual technique, each 15 minutes148$25,598$20
Therapy procedure using functional activities86$16,565$37
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes80$13,404$28
Therapy procedure using water pool to exercises, each 15 minutes30$8,359$32
Evaluation for physical therapy, typically 45 minutes58$4,571$76
Therapy procedure for walking training, each 15 minutes56$4,287$21
Evaluation for physical therapy, typically 30 minutes51$4,197$79
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care82$3,408$9
Application of ultrasound, each 15 minutes16$379$9

2018: 9 services

Original Medicare services billed in 2018
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes97$42,497$24
Therapy procedure using manual technique, each 15 minutes84$24,164$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care75$6,208$10
Therapy procedure using functional activities16$5,639$35
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18$3,451$31
Evaluation for physical therapy, typically 45 minutes38$3,178$76
Therapy procedure for walking training, each 15 minutes19$3,119$21
Evaluation for physical therapy, typically 30 minutes32$2,597$79
Application of ultrasound, each 15 minutes40$1,623$9

2017: 7 services

Original Medicare services billed in 2017
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes101$47,002$24
Therapy procedure using manual technique, each 15 minutes90$29,111$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care65$5,072$9
Evaluation for physical therapy, typically 20 minutes65$4,493$68
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16$3,720$27
Therapy procedure for walking training, each 15 minutes13$2,172$19
Application of ultrasound, each 15 minutes32$1,129$9

2016: 7 services

Original Medicare services billed in 2016
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes125$69,573$24
Therapy procedure using manual technique, each 15 minutes122$48,606$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care101$6,449$9
Physical therapy evaluation94$6,297$62
Application of ultrasound, each 15 minutes79$3,552$9
Therapy procedure for walking training, each 15 minutes16$2,429$19
Physical therapy re-evaluation11$484$37

2015: 10 services

Original Medicare services billed in 2015
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes154$120,926$24
Therapy procedure using manual technique, each 15 minutes149$71,866$20
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care112$8,924$9
Physical therapy evaluation130$8,306$60
Application of ultrasound, each 15 minutes109$6,738$9
Therapy procedure for walking training, each 15 minutes36$6,108$19
Therapy procedure using functional activities14$4,858$29
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15$2,708$29
Physical therapy re-evaluation27$1,175$38
Application of mechanical traction13$416$11

2014: 7 services

Original Medicare services billed in 2014
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes111$75,773$25
Therapy procedure using manual technique, each 15 minutes104$46,276$20
Physical therapy evaluation98$6,149$59
Application of ultrasound, each 15 minutes78$5,452$9
Therapy procedure for walking training, each 15 minutes16$3,234$19
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care61$2,431$9
Application of mechanical traction21$788$11

2013: 7 services

Original Medicare services billed in 2013
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes86$45,853$25
Therapy procedure using manual technique, each 15 minutes78$30,194$20
Physical therapy evaluation70$4,534$61
Application of ultrasound, each 15 minutes57$3,805$9
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care44$2,208$9
Physical therapy re-evaluation37$1,868$38
Application of mechanical traction16$592$11

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
100.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1972510725
Licence
CA PT28468
Trained
Loma Linda University School of Medicine, 2002
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
39120 Argonaut Way, Suite 274, Fremont, CA, 94538
NPI first listed
2006-08-02
NPI last updated
2008-03-03

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