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Amane Ali, PA-C

Physician Assistant · San Jose

NPI 1003560442

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

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Amane Ali’s office at (408) 280-2500 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$478,408

Medicare paid this office $478,408 for 709 people.

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

Largest Original Medicare bills
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes613$258,117$84
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more600$184,079$58
Nursing facility discharge management, more than 30 minutes149$17,496$101
Advance care planning, first 30 minutes174$14,447$64
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes35$4,268$119

Who their Medicare patients are

709 Original Medicare patients in 2024. Average age 79 · Under 65 8% · 85 and older 34% · Women 51% · Also on Medicaid 56% · Health risk score 2.99. Sicker patients than 9 in 10 peers; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 75% · Depression 61% · Dementia 56% · Diabetes 49% · Coronary heart disease 46% · Heart failure 42% · Atrial fibrillation 42% · COPD 38% · Chronic kidney disease 37% · Stroke 27% · Cancer 18%.

The office billed $1,168,300, Medicare allowed $603,954 and paid $478,408; for 6,656 services of 5 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
20247096,656792.99$1,168,300$478,408
20234695,269763.45$940,550$388,466

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
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes408$203,610$84
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more394$128,282$58
Advance care planning, first 30 minutes193$20,336$65
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes146$19,262$120
Nursing facility discharge management, more than 30 minutes140$16,975$101

Medicaid work

$21,656 in 2024

Medicaid paid $21,656 for 3,325 billed services this clinician did in 2024, up to 99 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
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES1,661$11,175
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES1,517$8,521
Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate102$1,608
SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES18$260
Nursing facility discharge management; more than 30 minutes total time on the date of the encounter27$93
Medicaid work by year
20243,325599$21,656
20232,837586$20,903
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES1,420$10,754
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES1,255$8,079
Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate97$1,198
Nursing facility discharge management; more than 30 minutes total time on the date of the encounter52$559
SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES13$312

Drugs they prescribed that Part D paid

$143,595

Pharmacies billed $143,595 in 2024.

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

Opioids were 24% of their Part D prescriptions (376 of 1,541) in 2024. Above the middle of the specialty; the typical physician assistant clinician is at 1%. Long-acting opioids: 18% of their opioid prescriptions.

1,329 generic and fewer than 11 brand-name prescriptions · $143,595 in drug cost · 75 antibiotic prescriptions to 40 people · 21 antipsychotic prescriptions to people over 65.

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
Eliquis57$16,784$294
Ondansetron31$6,435$208
Oxycodone-Acetaminophen82$3,611$44
Oxycodone133$2,873$22
Gabapentin56$1,825$33
See all 38 drugs
Every Part D drug this clinician prescribed
Eliquis57$16,784$294
Ondansetron31$6,435$208
Oxycodone-Acetaminophen82$3,611$44
Oxycodone133$2,873$22
Gabapentin56$1,825$33
Aripiprazole14$1,799$129
Hydrocodone-Acetaminophen54$1,554$29
Lorazepam75$1,348$18
Divalproex25$1,195$48
Baclofen29$1,141$39
Pregabalin26$1,039$40
Vancomycin14$991$71
Atorvastatin45$845$19
Methadone44$772$18
Ondansetron Odt14$760$54
Pantoprazole17$679$40
Morphine Sulfate Er19$550$29
Lactulose11$468$43
Tamsulosin18$414$23
Hydrocortisone18$410$23
Nystop11$407$37
Metoprolol14$292$21
Levothyroxine20$288$14
Amlodipine Besylate17$266$16
Hydromorphone14$256$18
Morphine Sulfate15$244$16
Furosemide21$221$11
Losartan21$219$10
Trazodone20$217$11
Amoxicillin-Clavulanate Potass14$206$15
Triamcinolone Acetonide15$188$13
Clonazepam12$173$14
Hydralazine13$164$13
Sodium Chloride14$139$10
Spironolactone11$131$12
Duloxetine14$129$9
Sulfamethoxazole-Trimethoprim11$111$10
Warfarin11$34$3

Year by year

Part D prescribing by year
20241,54118124% (376)None$143,595
202359212339% (228)None$41,153
2022241167% (16)0%$118

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

See the drugs prescribed each year

2023: 10 drugs

Part D drugs prescribed in 2023
Oxycodone-Acetaminophen25$1,826$73
Hydrocodone-Acetaminophen65$1,269$20
Oxycodone77$1,220$16
Vancomycin11$954$87
Divalproex12$841$70
Methadone34$817$24
Duloxetine18$674$37
Gabapentin29$557$19
Lorazepam28$297$11
Sulfamethoxazole-Trimethoprim12$59$5

Money from drug and device companies

$158 in 2025

Industry payments by year
202512None$158
202311None$125

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Neurocrine BioSciencesIngrezza$158
2 payments
  • Meals for Ingrezza · 2025-05-15 · $140
  • Meals for Ingrezza · 2025-01-21 · $18
See all 2 published payments
Every published payment
Neurocrine BioSciencesMeals · 2025-05-15Ingrezza$140
Neurocrine BioSciencesMeals · 2025-01-21Ingrezza$18
See earlier years (2023)

2023: $125

Payments by company in 2023
Neurocrine BiosciencesIngrezza$125
1 payment
  • Meals for Ingrezza · 2023-09-14 · $125

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
5.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1003560442
More record details
Sole proprietor
No
Taxonomy
Physician assistant (363A00000X)
Mailing address
2063 Forest Ave, San Jose, CA, 95128
NPI first listed
2022-02-04
NPI last updated
2023-07-19
NPI record certified
2023-07-19

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