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Andrea N Lorenze, MD

Hospitalist · San Diego

NPI 1003159062

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Scripps Health · 1,450 clinicians in this group

Looking this up.

Hospitals listed: Scripps Mercy Hospital. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Lorenze’s office at (619) 294-8111 to ask if they take your plan before you enroll.

California Medical Board record

Licence A132744 · Current

Licensed to practise in California · since 2014 · expires 2028-06-30 · Cornell University Medical College.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Scripps Mercy HospitalSan Diego, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Scripps Health, which runs 5 hospitalsPatients rate it 3 of 5 · 69% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.428, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.167, Oct 2024 – Sep 2025
See every measure and the patient survey for Scripps Mercy Hospital

Behind the star rating — Deaths: 2 better, 5 the same, 1 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 1 better, 8 the same, 2 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Scripps Mercy Hospital
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.428BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.167BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.62 (0.69 to 2.56) · 1,395 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.92 (0.64 to 1.21)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths140.2 (94.53 to 185.86) · 118 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.9 · 115 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.1 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.5 · 400 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.5 · 388 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10 · 503 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 5,575 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.5) · 8,056 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.3 (0.12 to 0.49) · 8,169 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.77 (1.85 to 5.69) · 1,962 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.26 (0 to 2.77) · 666 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths3.52 (2.12 to 4.93) · 1,824 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.77 (1.62 to 13.93) · 707 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.17 (3.71 to 10.62) · 678 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 345 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.11 (0 to 0.66) · 6,094 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.4 · 389 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.646No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.086No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.034No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.9 · 291 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.9 · 1,123 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-2.7 · 104 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits9.2 · 472 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits19.3 · 411 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.6 · 851 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits7.2 (5.1 to 10) · 229 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.6 to 16) · 229 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 392 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11 · 55 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.2 · 350 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits15 (11.3 to 19.9) · 480 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 264 casesNo differentJan 2024 – Dec 2024

What patients said (3,127 patients answered, 19% of those asked)

Patient survey stars by topic at Scripps Mercy Hospital
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at Scripps Mercy Hospital
Room was "always" clean70%
Nurses "always" communicated well78%
Doctors "always" communicated well79%
Staff "always" explained60%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)68%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night46%
"YES", patients would definitely recommend the hospital69%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$23,892

Medicare paid this office $23,892 for 91 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes63$14,620$95
Hospital discharge day management, more than 30 minutes46$4,412$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$3,886$62

Who their Medicare patients are

91 Original Medicare patients in 2024. Average age 77 · 85 and older 30% · Women 44% · Also on Medicaid 39% · Health risk score 3.23. Above the middle of the specialty; the typical hospitalist clinician is at 2.49.

Conditions among them: High blood pressure 75% · Coronary heart disease 56% · Heart failure 51% · Chronic kidney disease 49% · Atrial fibrillation 43% · Depression 42% · COPD 40% · Diabetes 37% · Dementia 26% · Cancer 25% · Stroke 19%.

The office billed $69,625, Medicare allowed $30,146 and paid $23,892; for 275 services of 6 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
202491275773.23$69,625$23,892
202384254792.43$63,946$22,456
202288247792.35$67,530$21,053
2021131263792.48$80,696$25,540
202080193752.79$57,792$18,846
2019246715753.00$240,453$65,859
20184361,077752.96$437,438$99,753
20174871,032763.05$374,676$98,400
201636110782.53$33,921$8,980

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: 3 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes62$14,179$96
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes31$3,584$65
Hospital discharge day management, more than 30 minutes32$3,327$95

2022: 4 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes52$11,577$84
Initial hospital care with moderate level of medical decision making at least 75 minutes18$2,804$156
Hospital discharge day management, more than 30 minutes28$2,381$85
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,779$59

2021: 5 services

Original Medicare services billed in 2021
Initial hospital care with moderate level of medical decision making at least 75 minutes50$8,003$157
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes44$7,536$83
Initial hospital observation care per day, typically 70 minutes18$3,269$182
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$2,731$59
Hospital discharge day management, more than 30 minutes19$1,707$90

2020: 4 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$7,136$88
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,820$174
Hospital discharge day management, more than 30 minutes29$2,645$91
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$2,273$61

2019: 4 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes155$27,493$83
Initial hospital care with moderate level of medical decision making at least 75 minutes114$18,713$163
Hospital discharge day management, more than 30 minutes107$9,241$86
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes76$7,645$59

2018: 5 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes221$42,597$84
Initial hospital care with moderate level of medical decision making at least 75 minutes162$26,812$163
Hospital discharge day management, more than 30 minutes151$13,526$88
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes110$12,012$59
Initial hospital observation care per day, typically 70 minutes16$2,411$151

2017: 7 services

Original Medicare services billed in 2017
Initial hospital care with moderate level of medical decision making at least 75 minutes207$34,638$164
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes186$32,659$84
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes122$13,183$58
Hospital discharge day management, more than 30 minutes117$10,445$88
Initial hospital observation care per day, typically 70 minutes20$3,014$151
Hospital discharge day management, 30 minutes or less23$1,361$59
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes13$1,061$82

2016: 2 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes26$5,308$84
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$1,754$58

Medicaid work

$289 in 2019

Medicaid paid $289 for 21 billed services this clinician did in 2019, 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 2019
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES21$289
Medicaid work by year
201921112$289
2018201421$2,333
See the largest Medicaid services in earlier years

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES136$1,365
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter25$438
1ST HOSP IP/OBS HIGH 7519$360
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES21$170

Drugs they prescribed that Part D paid

$19,633

Pharmacies billed $19,633 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 11% of their Part D prescriptions (22 of 201) in 2024. A higher opioid share than 9 in 10 peers; the typical hospitalist clinician is at 4%.

167 generic and fewer than 11 brand-name prescriptions · $19,633 in drug cost · 37 antibiotic prescriptions to 30 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Pantoprazole11$62$5
Prednisone12$29$2

Year by year

Part D prescribing by year
20242019011% (22)None$19,633
20231506611% (16)None$18,325
202218874None11%$18,775
20211195213% (16)None$7,052
20201154710% (11)None$15,927
20192811184% (11)None$19,928
2018210986% (12)None$10,242
201720687None17%$14,545

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2019: 7 drugs

Part D drugs prescribed in 2019
Eliquis13$6,407$493
Atorvastatin16$135$8
Pantoprazole12$116$10
Amoxicillin-Clavulanate Potass12$109$9
Carvedilol18$89$5
Lisinopril12$84$7
Levofloxacin12$82$7

2018: 2 drugs

Part D drugs prescribed in 2018
Levofloxacin18$115$6
Prednisone13$41$3

2017: 3 drugs

Part D drugs prescribed in 2017
Levofloxacin12$93$8
Furosemide12$63$5
Prednisone12$38$3

Professional record

NPI
1003159062
Licence
CA A132744California A132744: Current · expires 2028-06-30
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Hospitalist (208M00000X); Internal medicine (207R00000X)
Mailing address
300 Pasteur Drive, Lane 154, Stanford, CA, 94305
NPI first listed
2013-03-28
NPI last updated
2018-01-09

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