Ann M Chen, MD
Gastroenterology · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 6
- 2 carriers
- Office
- 1
Offices
1 location · County of Santa Clara · 1,000 clinicians in this group
Looking this up.
Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.
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. Chen’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
6 of 6 plans
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence A76890 · Current
Licensed to practise in California · since 2001 · expires 2027-06-30 · Albert Einstein College of Medicine of Yeshiva University.
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.
- Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend itOverall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center
Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| SSI - Colon SurgeryInfections | 2.572 | Worse | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.563 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.256 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.369 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.25 (0.3 to 2.2) · 1,535 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.07 (0.76 to 1.38) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 214.59 (167.38 to 261.8) · 108 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.8 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6 · 141 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.2 · 124 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.3 · 501 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.9 · 653 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 348 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3 · 4,502 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.24 (0.04 to 0.43) · 9,014 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.34 (0.15 to 0.52) · 9,216 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.54 (2.51 to 6.58) · 1,421 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.54 (0 to 3.2) · 288 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.66 to 3.56) · 1,446 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.61 (4.09 to 19.14) · 294 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.29 (3.39 to 11.2) · 299 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.9 (0.45 to 3.36) · 333 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 0.78) · 7,538 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 5.4 · 94 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.735 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 2.573 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.6 · 185 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.1 · 951 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 56.3 · 128 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 6.4 · 644 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 1.3 · 699 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.3 · 921 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.7 (3.9 to 8.1) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 12.6 (9.4 to 16.5) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 94 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.4 · 54 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.3 · 242 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.2 (9.9 to 17.4) · 702 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 195 cases | No different | Jan 2024 – Dec 2024 |
What patients said (4,032 patients answered, 29% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 70% |
| Nurses "always" communicated well | 73% |
| Doctors "always" communicated well | 76% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 82% |
| Yes, staff "did" give patients information about help after discharge | 82% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 82% |
| Patients who gave a rating of "9" or "10" (high) | 67% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 83% |
Original Medicare doctor bills
$16,747
Medicare paid this office $16,747 for 112 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 26 | $2,940 | $113 |
| Biopsy of large bowel using a flexible endoscope | 15 | $1,846 | $123 |
| Return visit (30+ min) | 13 | $1,029 | $74 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | $939 | $85 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 41 | $179 | $4 |
Procedures Medicare counted
| Colonoscopy | 76 | More than 73% of doctors who do this |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 46 | More than 62% of doctors who do this |
Who their Medicare patients are
112 Original Medicare patients in 2024. Average age 72 · Women 51% · Also on Medicaid 85% · Health risk score 2.40. Sicker patients than 9 in 10 peers; the typical gastroenterology clinician is at 1.42.
Conditions among them: High blood pressure 75% · Diabetes 56% · Coronary heart disease 32% · Chronic kidney disease 32% · Heart failure 29% · Depression 27% · Atrial fibrillation 26% · COPD 22% · Cancer 18% · Dementia 13% · Stroke 11%.
The office billed $222,176, Medicare allowed $22,831 and paid $16,747; for 188 services of 29 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
| 2024 | 112 | 188 | 72 | 2.40 | $222,176 | $16,747 |
| 2023 | 147 | 285 | 70 | 1.93 | $303,046 | $24,445 |
| 2022 | 103 | 202 | 70 | 1.81 | $214,320 | $17,244 |
| 2021 | 169 | 323 | 71 | 1.65 | $310,537 | $28,094 |
| 2020 | 176 | 317 | 69 | 2.09 | $307,560 | $27,426 |
| 2019 | 165 | 338 | 69 | 2.47 | $362,041 | $32,404 |
| 2018 | 182 | 354 | 70 | 1.72 | $362,187 | $29,013 |
| 2017 | 184 | 385 | 68 | 2.24 | $319,605 | $29,977 |
| 2016 | 141 | 228 | 70 | 2.16 | $269,207 | $24,945 |
| 2015 | 166 | 274 | 69 | 1.71 | $387,706 | $34,715 |
| 2014 | 387 | 575 | 71 | 1.47 | $814,361 | $85,656 |
| 2013 | 462 | 725 | 70 | 1.54 | $872,435 | $116,116 |
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: 9 services
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | $3,969 | $233 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 31 | $3,856 | $117 |
| Return visit (30+ min) | 28 | $2,134 | $74 |
| Biopsy of large bowel using a flexible endoscope | 13 | $2,106 | $162 |
| Diagnostic exam of large bowel using a flexible endoscope | 14 | $1,747 | $125 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 22 | $1,735 | $79 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 14 | $1,179 | $84 |
| New patient visit (45+ min) | 11 | $1,153 | $105 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 77 | $356 | $4 |
2022: 5 services
| Return visit (30+ min) | 26 | $2,592 | $96 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 16 | $2,433 | $152 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $1,508 | $89 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $1,392 | $87 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 50 | $244 | $5 |
2021: 8 services
| Telephone medical discussion with physician, 21-30 minutes | 42 | $3,769 | $86 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 20 | $3,351 | $152 |
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $2,951 | $246 |
| Return visit (30+ min) | 26 | $2,719 | $105 |
| Biopsy of large bowel using a flexible endoscope | 18 | $1,864 | $104 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 18 | $1,617 | $90 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $1,428 | $75 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 72 | $371 | $5 |
2020: 10 services
| Telephone medical discussion with physician, 21-30 minutes | 35 | $2,780 | $79 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth | 16 | $2,572 | $161 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 16 | $2,493 | $147 |
| Imaging of digestive tract done from the inside of the digestive tract | 18 | $2,108 | $105 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | $1,764 | $93 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $1,404 | $108 |
| Telephone medical discussion with physician, 11-20 minutes | 27 | $1,340 | $48 |
| Biopsy of large bowel using a flexible endoscope | 11 | $1,230 | $102 |
| Return visit (30+ min) | 15 | $763 | $45 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 55 | $295 | $5 |
2019: 11 services
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $4,475 | $236 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 25 | $3,106 | $124 |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 12 | $2,723 | $227 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth | 14 | $2,461 | $176 |
| Return visit (30+ min) | 39 | $2,434 | $61 |
| Imaging of digestive tract done from the inside of the digestive tract | 17 | $2,177 | $121 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | $1,594 | $94 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $1,558 | $97 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 14 | $1,515 | $95 |
| Biopsy of large bowel using a flexible endoscope | 17 | $1,493 | $88 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 72 | $352 | $5 |
2018: 11 services
| Return visit (30+ min) | 55 | $3,629 | $59 |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 16 | $3,434 | $215 |
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 14 | $3,361 | $240 |
| Imaging of digestive tract done from the inside of the digestive tract | 22 | $2,483 | $113 |
| Biopsy of large bowel using a flexible endoscope | 24 | $2,410 | $100 |
| Diagnostic exam of large bowel using a flexible endoscope | 14 | $1,941 | $139 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | $1,507 | $89 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $1,450 | $76 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $1,115 | $101 |
| Short return visit (20+ min) | 11 | $476 | $40 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 80 | $390 | $5 |
2017: 11 services
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 18 | $4,041 | $225 |
| Return visit (30+ min) | 59 | $3,372 | $55 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 26 | $3,196 | $118 |
| Imaging of digestive tract done from the inside of the digestive tract | 13 | $1,964 | $131 |
| Diagnostic exam of large bowel using a flexible endoscope | 11 | $1,690 | $154 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 23 | $1,687 | $73 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 14 | $1,381 | $99 |
| Biopsy of large bowel using a flexible endoscope | 14 | $1,357 | $97 |
| Short return visit (20+ min) | 16 | $531 | $33 |
| Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 21 | $369 | $11 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 76 | $354 | $5 |
2016: 8 services
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 14 | $3,332 | $238 |
| Biopsy of large bowel using a flexible endoscope | 26 | $3,074 | $114 |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 11 | $2,731 | $228 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | $2,217 | $202 |
| Return visit (30+ min) | 30 | $1,755 | $55 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $1,580 | $93 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | $944 | $86 |
| Short return visit (20+ min) | 21 | $642 | $28 |
2015: 8 services
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 34 | $8,468 | $249 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $3,215 | $201 |
| Return visit (30+ min) | 41 | $2,754 | $64 |
| Biopsy of large bowel using a flexible endoscope | 16 | $2,698 | $169 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 16 | $1,936 | $121 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 | $1,459 | $54 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 12 | $1,220 | $64 |
| Short return visit (20+ min) | 16 | $675 | $40 |
2014: 16 services
| Biopsy of large bowel using a flexible endoscope | 72 | $14,444 | $195 |
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 56 | $13,659 | $236 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 38 | $8,354 | $209 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 63 | $5,732 | $88 |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 18 | $4,809 | $267 |
| Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 20 | $4,650 | $232 |
| Diagnostic exam of large bowel using a flexible endoscope | 20 | $3,691 | $185 |
| New patient visit (45+ min) | 25 | $2,295 | $92 |
| Ultrasound exam of lower large bowel using a flexible endoscope | 18 | $2,236 | $118 |
| Imaging of digestive tract done from the inside of the digestive tract | 12 | $2,153 | $166 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 23 | $1,921 | $84 |
| Return visit (30+ min) | 21 | $1,538 | $70 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $1,339 | $122 |
| New patient visit (30+ min) | 19 | $1,102 | $58 |
| Short return visit (20+ min) | 21 | $772 | $37 |
| Injection beneath lining of large bowel using a flexible endoscope | 13 | $342 | $26 |
2013: 20 services
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 65 | $24,277 | $362 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 43 | $11,721 | $260 |
| Biopsy of large bowel using a flexible endoscope | 53 | $10,560 | $199 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 79 | $8,336 | $104 |
| Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 28 | $6,344 | $227 |
| Ultrasound exam of lower large bowel using a flexible endoscope | 34 | $4,869 | $132 |
| New patient visit (45+ min) | 41 | $4,277 | $104 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 24 | $4,045 | $169 |
| New patient visit (60+ min) | 27 | $3,762 | $139 |
| Diagnostic exam of large bowel using a flexible endoscope | 19 | $3,100 | $163 |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 11 | $2,825 | $257 |
| Imaging of digestive tract done from the inside of the digestive tract | 15 | $2,600 | $162 |
| Long return visit (40+ min) | 27 | $2,405 | $89 |
| Return visit (30+ min) | 31 | $2,242 | $66 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 23 | $2,172 | $62 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | $1,971 | $116 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 15 | $1,775 | $118 |
| Short return visit (20+ min) | 16 | $607 | $36 |
| Biopsy of lower large bowel using a flexible endoscope | 13 | $455 | $30 |
| Injection beneath lining of large bowel using a flexible endoscope | 12 | $298 | $25 |
Medicaid work
$19,598 in 2024
Medicaid paid $19,598 for 2,085 billed services this clinician did in 2024, up to 50 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.
| Service | 350 | $6,598 |
| DIAGNOSTIC COLONOSCOPY | 84 | $3,402 |
| OFF/OP CNSLTJ NEW/EST MOD 40 | 124 | $2,576 |
| COLONOSCOPY AND BIOPSY | 59 | $2,480 |
| TISSUE EXAM BY PATHOLOGIST | 302 | $1,525 |
| IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES | 58 | $1,261 |
| Diagnostic upper gastrointestinal endoscopy | 26 | $757 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older | 357 | $667 |
| 5% dextrose/normal saline (500 ml = 1 unit) | 215 | $242 |
| Upper gastrointestinal endoscopy with biopsy | 13 | $92 |
| Medication list documented in medical record (COA) | 162 | $0 |
| Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA) | 121 | $0 |
| 2024 | 2,085 | 15 | 50 | $19,598 |
| 2023 | 1,275 | 14 | 41 | $9,067 |
| 2022 | 275 | 3 | 30 | $2,452 |
| 2021 | 297 | 6 | 27 | $3,088 |
| 2020 | 122 | 3 | 18 | $846 |
| 2019 | 235 | 4 | 24 | $2,361 |
| 2018 | 831 | 8 | 31 | $9,446 |
See the largest Medicaid services in earlier years
2023
| Service | 241 | $2,415 |
| TISSUE EXAM BY PATHOLOGIST | 257 | $1,358 |
| Diagnostic upper gastrointestinal endoscopy | 16 | $1,077 |
| DIAGNOSTIC COLONOSCOPY | 26 | $934 |
| Upper gastrointestinal endoscopy with biopsy | 12 | $877 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older | 367 | $792 |
| COLONOSCOPY AND BIOPSY | 43 | $587 |
| IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES | 51 | $544 |
| 5% dextrose/normal saline (500 ml = 1 unit) | 164 | $168 |
| OFF/OP CNSLTJ NEW/EST MOD 40 | 26 | $141 |
| Return visit (30+ min) | 19 | $119 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 24 | $56 |
2022
| Diagnostic upper gastrointestinal endoscopy | 25 | $1,288 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older | 238 | $838 |
| Return visit (30+ min) | 12 | $327 |
2021
| Diagnostic upper gastrointestinal endoscopy | 12 | $759 |
| Return visit (30+ min) | 40 | $668 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older | 189 | $612 |
| Short return visit (20+ min) | 27 | $365 |
| OFF/OP CNSLTJ NEW/EST MOD 40 | 16 | $352 |
| IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES | 13 | $333 |
2020
| Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older | 80 | $431 |
| Return visit (30+ min) | 30 | $322 |
| IP/OBS CONSLTJ NEW/EST SF 35 | 12 | $93 |
2019
| Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older | 134 | $1,207 |
| IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES | 24 | $520 |
| Return visit (30+ min) | 62 | $477 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 15 | $156 |
2018
| Service | 203 | $5,267 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older | 253 | $1,313 |
| TISSUE EXAM BY PATHOLOGIST | 136 | $1,278 |
| OFF/OP CNSLTJ NEW/EST MOD 40 | 81 | $849 |
| COLONOSCOPY AND BIOPSY | 12 | $357 |
| Return visit (30+ min) | 43 | $296 |
| 5% dextrose/normal saline (500 ml = 1 unit) | 53 | $68 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service) | 50 | $17 |
Drugs they prescribed that Part D paid
$7,859
Pharmacies billed $7,859 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 138) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.
114 generic and 24 brand-name prescriptions · $7,859 in drug cost.
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.
| Linzess | 12 | $5,661 | $472 |
| Entecavir | 17 | $860 | $51 |
| Peg-3350 and Electrolytes | 12 | $169 | $14 |
| Omeprazole | 47 | $143 | $3 |
| Famotidine | 17 | $70 | $4 |
Year by year
| 2024 | 138 | 35 | 0% (0) | 17% | $7,859 |
| 2023 | 204 | 73 | 0% (0) | 20% | $20,247 |
| 2022 | 152 | 54 | 0% (0) | 19% | $20,498 |
| 2021 | 227 | 90 | 0% (0) | 26% | $19,647 |
| 2020 | 186 | 67 | 0% (0) | 27% | $8,777 |
| 2019 | 145 | 50 | 0% (0) | 37% | $34,173 |
| 2018 | 289 | 68 | 0% (0) | 26% | $35,783 |
| 2017 | 196 | 71 | 0% (0) | 38% | $48,074 |
| 2016 | 160 | 53 | 0% (0) | 29% | $18,392 |
| 2015 | 202 | 83 | 0% (0) | 21% | $20,509 |
| 2014 | 458 | 177 | None | 21% | $14,795 |
| 2013 | 466 | 200 | None | 28% | $22,219 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 7 drugs
| Tenofovir Disoproxil | 15 | $3,992 | $266 |
| Entecavir | 17 | $1,292 | $76 |
| Omeprazole | 46 | $560 | $12 |
| Peg-3350 and Electrolytes | 21 | $416 | $20 |
| Pantoprazole | 13 | $383 | $29 |
| Gavilyte-G | 17 | $325 | $19 |
| Famotidine | 18 | $97 | $5 |
2022: 6 drugs
| Tenofovir Disoproxil | 13 | $3,638 | $280 |
| Entecavir | 19 | $2,013 | $106 |
| Omeprazole | 27 | $469 | $17 |
| Pantoprazole | 17 | $460 | $27 |
| Peg-3350 and Electrolytes | 19 | $291 | $15 |
| Atenolol | 12 | $47 | $4 |
2021: 8 drugs
| Entecavir | 24 | $2,519 | $105 |
| Suprep | 11 | $1,133 | $103 |
| Tenofovir Disoproxil | 13 | $1,125 | $87 |
| Omeprazole | 40 | $626 | $16 |
| Pantoprazole | 18 | $381 | $21 |
| Dicyclomine | 11 | $368 | $33 |
| Peg-3350 and Electrolytes | 19 | $234 | $12 |
| Gavilyte-G | 11 | $145 | $13 |
2020: 8 drugs
| Tenofovir Disoproxil | 13 | $3,006 | $231 |
| Entecavir | 16 | $1,177 | $74 |
| Dicyclomine | 14 | $444 | $32 |
| Peg-3350 and Electrolytes | 27 | $347 | $13 |
| Omeprazole | 35 | $303 | $9 |
| Pantoprazole | 14 | $140 | $10 |
| Spironolactone | 13 | $70 | $5 |
| Furosemide | 12 | $19 | $2 |
2019: 6 drugs
| Entecavir | 11 | $9,027 | $821 |
| Tenofovir Disoproxil | 11 | $2,491 | $226 |
| Omeprazole | 19 | $318 | $17 |
| Peg-3350 and Electrolytes | 20 | $259 | $13 |
| Spironolactone | 12 | $106 | $9 |
| Dicyclomine | 13 | $61 | $5 |
2018: 16 drugs
| Viread | 22 | $7,828 | $356 |
| Memantine | 12 | $1,401 | $117 |
| Peg-3350 and Electrolytes | 26 | $334 | $13 |
| Tamsulosin | 12 | $317 | $26 |
| Finasteride | 12 | $301 | $25 |
| Glipizide Er | 12 | $239 | $20 |
| Gavilyte-G | 16 | $215 | $13 |
| Pantoprazole | 25 | $135 | $5 |
| Pioglitazone | 12 | $125 | $10 |
| Lovastatin | 12 | $109 | $9 |
| Lisinopril | 12 | $108 | $9 |
| Spironolactone | 14 | $101 | $7 |
| Omeprazole | 17 | $99 | $6 |
| Dicyclomine | 18 | $98 | $5 |
| Metformin | 12 | $86 | $7 |
| Furosemide | 11 | $27 | $2 |
2017: 7 drugs
| Viread | 25 | $26,969 | $1,079 |
| Entecavir | 11 | $12,148 | $1,104 |
| Omeprazole | 43 | $383 | $9 |
| Peg-3350 and Electrolytes | 30 | $369 | $12 |
| Gavilyte-G | 15 | $197 | $13 |
| Spironolactone | 12 | $84 | $7 |
| Furosemide | 12 | $20 | $2 |
2016: 5 drugs
| Viread | 12 | $12,204 | $1,017 |
| Entecavir | 12 | $2,465 | $205 |
| Omeprazole | 37 | $294 | $8 |
| Spironolactone | 12 | $76 | $6 |
| Furosemide | 12 | $14 | $1 |
2015: 3 drugs
| Omeprazole | 60 | $899 | $15 |
| Pantoprazole | 15 | $236 | $16 |
| Peg 3350-Electrolyte | 19 | $190 | $10 |
2014: 12 drugs
| Nexium | 13 | $4,295 | $330 |
| Omeprazole | 106 | $2,039 | $19 |
| Ranitidine | 41 | $1,219 | $30 |
| Peg-3350 | 56 | $1,033 | $18 |
| Pantoprazole | 34 | $999 | $29 |
| Gavilyte-N | 21 | $411 | $20 |
| Polyethylene Glycol 3350 | 18 | $372 | $21 |
| Nortriptyline | 20 | $263 | $13 |
| Sucralfate | 14 | $208 | $15 |
| Trilyte With Flavor Packets | 11 | $190 | $17 |
| Famotidine | 18 | $137 | $8 |
| Peg 3350-Electrolyte | 12 | $131 | $11 |
2013: 11 drugs
| Omeprazole | 102 | $1,957 | $19 |
| Peg-3350 With Flavor Packs | 67 | $1,279 | $19 |
| Pantoprazole | 42 | $1,255 | $30 |
| Polyethylene Glycol 3350 | 22 | $682 | $31 |
| Diphenoxylate-Atropine | 14 | $465 | $33 |
| Ranitidine | 16 | $309 | $19 |
| Lactulose | 15 | $251 | $17 |
| Gavilyte-N | 12 | $242 | $20 |
| Nortriptyline | 15 | $144 | $10 |
| Famotidine | 13 | $112 | $9 |
| Amitriptyline | 15 | $37 | $2 |
Money from drug and device companies
$31 in 2023
| 2023 | 1 | 1 | None | $31 |
| 2019 | 1 | 14 | $7,125 | $7,971 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Erbe USA | Erbe Vio3 | $31 | 1 payment
|
See the published payment
| Erbe USA | Meals · 2023-06-29 | Erbe Vio3 | $31 |
See earlier years (2019)
2019: $7,971
| Boston Scientific | Acquire | $7,971 | 14 payments
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 80.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1003840307
- Licence
- CA A76890California A76890: Current · expires 2027-06-30
- Trained
- Albert Einstein College of Medicine of Yeshiva University, 2000
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207RG0100X (207RG0100X)
- Mailing address
- 300 Pasteur Dr, A149, Mc5202, Stanford, CA, 94305
- NPI first listed
- 2006-07-10
- NPI last updated
- 2009-01-10
This is when the NPI record was last certified, not a medical board exam.