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Marie Roman-Clifton, CP

Clinical Psychologist · San Jose

NPI 1003911124

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 · County of Santa Clara · 1,000 clinicians in this group

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 Marie Roman-Clifton’s office at (408) 885-5000 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$1,858

Medicare paid this office $1,858 for 11 people.

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

Who their Medicare patients are

11 Original Medicare patients in 2024. Average age 67 · 85 and older 0% · Health risk score 3.34. Sicker patients than 9 in 10 peers; the typical psychologist, clinical clinician is at 1.25.

The office billed $13,528, Medicare allowed $2,478 and paid $1,858; for 23 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
20241123673.34$13,528$1,858
20231430672.46$16,518$2,623
20221115762.28$9,737$1,428
20211439701.20$18,749$3,253
201935123681.75$46,123$7,039

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

2021: 1 service

Original Medicare services billed in 2021
Psychiatric diagnostic evaluation11$1,678$140

2019: 3 services

Original Medicare services billed in 2019
Psychotherapy, 30 minutes25$3,323$54
Psychiatric diagnostic evaluation27$2,955$109
Health and behavior intervention, individual each 15 minutes12$255$17

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
1003911124
Licence
CA PSY15513
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 103T00000X (103T00000X); Federal specialty code 103TR0400X (103TR0400X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-09-13
NPI last updated
2007-09-12

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