Skip to main content
UniHealth

Doctor search

Justin A Birnbaum, MD

Psychiatry · Palo Alto

NPI 1013007848

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Stanford Health Care · 3,152 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 Dr. Birnbaum’s office at (650) 723-4000 to ask if they take your plan before you enroll.

California Medical Board record

Licence G77734 · Current

Licensed to practise in California · since 1993 · expires 2027-04-30 · University of Wisconsin Medical School.

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

Original Medicare doctor bills

$8,712

Medicare paid this office $8,712 for 15 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 35 minutes14$7,524$70

Who their Medicare patients are

15 Original Medicare patients in 2024. Average age 46 · Health risk score 1.52. Above the middle of the specialty; the typical psychiatry clinician is at 1.35.

The office billed $34,811, Medicare allowed $11,147 and paid $8,712; for 122 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
202415122461.52$34,811$8,712
202318135551.34$37,355$9,721
202231253621.64$65,006$16,579
202129153561.55$36,578$9,681
202036244591.53$66,488$15,175
201940214651.71$58,537$12,514
201864325591.60$70,535$18,647
201752354631.30$74,058$21,308
201658260571.49$54,631$15,551
201575406641.69$93,786$26,535
201490433621.47$100,617$28,474
2013105575581.50$158,804$43,475

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
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$8,901$71

2022: 2 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes30$15,189$65
Hospital discharge day management, 30 minutes or less15$1,072$67

2021: 1 service

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes23$8,432$66

2020: 1 service

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$11,087$67

2019: 3 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$7,525$66
Short return visit14$934$44
Short return visit15$439$20

2018: 4 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes40$14,151$63
Hospital discharge day management, 30 minutes or less23$1,405$61
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,223$111
Short return visit13$523$22

2017: 3 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$15,273$65
Short return visit (20+ min)19$1,871$46
Hospital discharge day management, 30 minutes or less16$1,193$66

2016: 4 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes39$9,516$64
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,336$121
Short return visit (20+ min)12$1,276$40
Hospital discharge day management, 30 minutes or less14$920$66

2015: 4 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes58$18,183$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$2,075$122
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,394$93
Hospital discharge day management, 30 minutes or less19$1,392$66

2014: 4 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes75$20,250$64
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$3,050$92
Short return visit (20+ min)11$1,531$41
Hospital discharge day management, 30 minutes or less15$982$65

2013: 4 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes41$17,849$89
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes76$14,878$63
Initial hospital care with moderate level of medical decision making at least 75 minutes26$5,401$174
Hospital discharge day management, 30 minutes or less24$1,534$64

Drugs they prescribed that Part D paid

$12,449

Pharmacies billed $12,449 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 44) in 2024. Too few prescriptions to compare fairly with other clinicians.

40 generic and fewer than 11 brand-name prescriptions · $12,449 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.

Largest Part D drug costs
Quetiapine13$394$30
Lorazepam13$40$3

Year by year

Part D prescribing by year
202444None0% (0)None$12,449
202351None0% (0)None$2,534
202267None0% (0)None$3,097
202170None0% (0)None$6,807
202090120% (0)None$4,730
201981140% (0)None$6,780
2018157290% (0)None$7,468
201715225NoneNone$6,751
201617126NoneNone$10,192
201521625None13%$19,144
2014223270% (0)21%$33,262
2013286370% (0)17%$29,190

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Clozapine15$861$57

2021: 1 drug

Part D drugs prescribed in 2021
Lorazepam12$102$8

2020: 4 drugs

Part D drugs prescribed in 2020
Mirtazapine21$531$25
Aripiprazole11$191$17
Fluoxetine11$109$10
Lorazepam11$64$6

2019: 1 drug

Part D drugs prescribed in 2019
Mirtazapine18$577$32

2018: 3 drugs

Part D drugs prescribed in 2018
Aripiprazole12$474$40
Venlafaxine Hcl Er15$268$18
Mirtazapine14$203$15

2017: 3 drugs

Part D drugs prescribed in 2017
Aripiprazole18$1,665$92
Mirtazapine23$289$13
Venlafaxine Hcl Er21$255$12

2016: 4 drugs

Part D drugs prescribed in 2016
Aripiprazole21$6,213$296
Rivastigmine11$602$55
Venlafaxine Hcl Er26$333$13
Mirtazapine23$276$12

2015: 3 drugs

Part D drugs prescribed in 2015
Rivastigmine13$966$74
Venlafaxine Hcl Er28$365$13
Mirtazapine25$253$10

2014: 9 drugs

Part D drugs prescribed in 2014
Abilify12$9,479$790
Namenda12$3,618$301
Rivastigmine12$1,280$107
Venlafaxine Hcl Er29$710$24
Bupropion Xl12$659$55
Venlafaxine13$602$46
Quetiapine17$539$32
Mirtazapine27$280$10
Divalproex14$115$8

2013: 10 drugs

Part D drugs prescribed in 2013
Namenda13$3,406$262
Rivastigmine12$1,704$142
Olanzapine12$1,114$93
Risperidone19$774$41
Venlafaxine Hcl Er28$645$23
Venlafaxine12$611$51
Mirtazapine36$404$11
Quetiapine17$367$22
Bupropion Xl12$314$26
Divalproex13$126$10

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1013007848
Licence
CA G77734California G77734: Current · expires 2027-04-30
Trained
University of Wisconsin School of Medicine, 1992
Gender
Male
More record details
Sole proprietor
Yes
Medicaid ID
CA 00G777340
Taxonomy
Psychiatry (2084P0800X)
Mailing address
300 Pasteur Dr, Palo Alto, CA, 94304
NPI first listed
2006-10-13
NPI last updated
2024-04-29
NPI record certified
2024-04-29

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

Extra NPI addresses: 401 Quarry Rd, Palo Alto, CA, 94304