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John J Redinski, DO

Critical Care (Intensivists) · Fremont

NPI 1003236191

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
6
2 carriers
Offices
2

Offices

2 locations · Washington Township Medical Foundation · County of Santa Clara

Looking this up.

Plans that list them

6 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Redinski’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

6 of 6 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

Original Medicare doctor bills

$18,763

Medicare paid this office $18,763 for 49 people.

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

Largest Original Medicare bills
Critical care, first 30-74 minutes46$18,021$173

Who their Medicare patients are

49 Original Medicare patients in 2024. Average age 78 · 85 and older 37% · Women 57% · Also on Medicaid 67% · Health risk score 2.89. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 65% · Coronary heart disease 53% · Dementia 51% · Heart failure 49% · Chronic kidney disease 43% · Atrial fibrillation 41% · Stroke 35% · COPD 33% · Depression 22%.

The office billed $167,684, Medicare allowed $24,451 and paid $18,763; for 112 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
202449112782.89$167,684$18,763
2023119270762.93$389,270$46,044
2022138314762.89$458,685$55,846
2021196514752.99$778,656$95,268
2020217601753.46$892,095$110,382
2019114246732.91$336,370$40,894

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: 1 service

Original Medicare services billed in 2023
Critical care, first 30-74 minutes115$42,748$182

2022: 1 service

Original Medicare services billed in 2022
Critical care, first 30-74 minutes125$52,102$188

2021: 2 services

Original Medicare services billed in 2021
Critical care, first 30-74 minutes188$89,264$194
Emergent insertion of breathing tube into windpipe using an endoscope17$2,104$124

2020: 3 services

Original Medicare services billed in 2020
Critical care, first 30-74 minutes205$103,521$197
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes28$1,923$60
Emergent insertion of breathing tube into windpipe using an endoscope14$1,776$127

2019: 3 services

Original Medicare services billed in 2019
Critical care, first 30-74 minutes99$35,662$194
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,673$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,431$65

Medicaid work

$2,078 in 2024

Medicaid paid $2,078 for 38 billed services this clinician did in 2024, up to 14 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
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes38$2,078
Medicaid work by year
202438114$2,078
2023344127$9,242
2022284129$8,667
2021605133$26,060
2020515126$23,737
2019186131$8,290
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes344$9,242

2022

Largest Medicaid services in 2022
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes284$8,667

2021

Largest Medicaid services in 2021
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes605$26,060

2020

Largest Medicaid services in 2020
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes515$23,737

2019

Largest Medicaid services in 2019
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes186$8,290

Professional record

NPI
1003236191
Licence
CA 20A14597
Trained
West Virginia School of Osteopathic Medicine, 2014
Group
Washington Township Medical Foundation · County of Santa Clara
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RC0200X (207RC0200X); Internal medicine (207R00000X)
Mailing address
225 N Jackson Ave, San Jose, CA, 95116
NPI first listed
2014-04-16
NPI last updated
2019-07-16

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

Extra NPI addresses: 400 N Pepper Ave, Colton, CA, 92324