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Darryl Arevalo, PT

Physical Therapist in Private Practice · Campbell

NPI 1992438428

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 · Golden State Orthopedics and Spine · Multicare Health System

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 Darryl Arevalo’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$40,375

Medicare paid this office $40,375 for 129 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities123$16,126$24
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes94$8,222$19
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes79$5,635$17
Therapy procedure using manual technique, each 15 minutes78$3,789$15
Evaluation for physical therapy, typically 20 minutes44$3,016$69
See all 7 services
Every Original Medicare service billed
Therapy procedure using functional activities123$16,126$24
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes94$8,222$19
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes79$5,635$17
Therapy procedure using manual technique, each 15 minutes78$3,789$15
Evaluation for physical therapy, typically 20 minutes44$3,016$69
Therapy procedure in a group setting58$1,972$10
Evaluation for physical therapy, typically 30 minutes22$1,458$66

Who their Medicare patients are

129 Original Medicare patients in 2024. Average age 74 · Women 59% · Health risk score 0.97. At or below the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 74% · Diabetes 26% · Coronary heart disease 24% · Chronic kidney disease 22% · Depression 19% · Cancer 16% · COPD 15% · Heart failure 13% · Atrial fibrillation 12% · Stroke 11%.

The office billed $109,660, Medicare allowed $52,746 and paid $40,375; for 1,979 services of 12 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
20241291,979740.97$109,660$40,375
202344574720.66$54,054$13,724
202228594721.28$56,812$13,695

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: 5 services

Original Medicare services billed in 2023
Therapy procedure using functional activities38$5,923$27
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes38$3,935$21
Therapy procedure using manual technique, each 15 minutes29$1,247$17
Evaluation for physical therapy, typically 20 minutes13$1,048$81
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15$758$18

2022: 2 services

Original Medicare services billed in 2022
Therapy procedure using functional activities24$9,043$24
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27$3,223$18

Medicaid work

$584 in 2024

Medicaid paid $584 for 17 billed services this clinician did in 2024, up to 12 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 activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes17$584
Medicaid work by year
202417112$584
2022332327$13,069
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
THERAPEUTIC EXERCISES193$8,177
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes90$4,706
Application of a modality to 1 or more areas; hot or cold packs49$186

Professional record

NPI
1992438428
Group
Golden State Orthopedics and Spine · Multicare Health System
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
1200 Corporate Dr Ste 400, Hoover, AL, 35242
NPI first listed
2022-07-01
NPI last updated
2024-12-02
NPI record certified
2024-12-02

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

Extra NPI addresses: 711 W 40th St Ste 170, Baltimore, MD, 21211