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Shalin Hira Patel, MD

Emergency Medicine · San Jose

NPI 1023063179

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 Dr. Patel’s office at (408) 923-7121 to ask if they take your plan before you enroll.

California Medical Board record

Licence A77972 · Current

Licensed to practise in California · since 2002 · expires 2027-05-31 · University of California, Los Angeles School of Medicine.

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

Original Medicare doctor bills

$74,983

Medicare paid this office $74,983 for 491 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making289$46,158$154
Emergency department visit with moderate level of medical decision making132$14,078$105
Critical care, first 30-74 minutes58$10,736$182
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only256$2,039$8

Who their Medicare patients are

491 Original Medicare patients in 2024. Average age 78 · Under 65 7% · 85 and older 28% · Women 56% · Also on Medicaid 32% · Health risk score 1.83. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Diabetes 42% · Coronary heart disease 41% · Atrial fibrillation 39% · Chronic kidney disease 34% · Depression 30% · Heart failure 29% · Dementia 26% · Stroke 23% · Cancer 21% · COPD 21%.

The office billed $607,187, Medicare allowed $96,209 and paid $74,983; for 788 services of 18 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
2024491788781.83$607,187$74,983
2023605993771.84$713,786$89,948
2022548917781.81$568,675$86,005
20216471,160781.84$712,195$117,128
2020542949772.06$566,633$88,938
20196521,077772.09$600,027$94,971
20186471,126771.90$481,492$108,109
20175931,020771.78$384,530$122,760
20166141,066771.89$380,915$86,924
20157271,222771.82$441,394$103,538
20146501,101761.76$362,823$85,797
20138131,525771.75$487,979$119,780

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: 4 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making299$45,468$148
Critical care, first 30-74 minutes118$23,622$200
Emergency department visit with moderate level of medical decision making167$16,410$97
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only340$2,417$7

2022: 5 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making268$46,123$170
Critical care, first 30-74 minutes83$19,642$237
Emergency department visit with moderate level of medical decision making89$9,739$107
Emergency department visit with low level of medical decision making83$5,004$60
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only317$2,439$7

2021: 6 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making371$67,647$176
Critical care, first 30-74 minutes113$26,976$239
Emergency department visit with moderate level of medical decision making96$10,890$112
Emergency department visit with low level of medical decision making70$4,673$65
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only374$3,016$8
X-ray of chest, 1 view22$187$8

2020: 5 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making300$50,166$158
Critical care, first 30-74 minutes95$20,566$212
Emergency department visit with moderate level of medical decision making81$8,790$107
Emergency department visit with low level of medical decision making58$3,450$56
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only327$2,823$8

2019: 5 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making401$61,281$150
Critical care, first 30-74 minutes65$13,062$198
Emergency department visit with moderate level of medical decision making115$11,693$102
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only373$3,022$8
Emergency department visit with low level of medical decision making53$2,870$54

2018: 5 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making395$66,785$165
Critical care, first 30-74 minutes84$18,645$222
Emergency department visit with moderate level of medical decision making98$10,918$110
Emergency department visit with low level of medical decision making73$4,285$59
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only403$3,672$9

2017: 5 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making384$84,929$215
Emergency department visit with moderate level of medical decision making109$15,319$141
Critical care, first 30-74 minutes32$9,196$287
Emergency department visit with low level of medical decision making63$4,602$73
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only366$4,233$11

2016: 5 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making365$55,447$147
Emergency department visit with moderate level of medical decision making107$10,891$99
Critical care, first 30-74 minutes47$9,030$192
Emergency department visit with low level of medical decision making106$5,575$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only346$2,823$8

2015: 5 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making438$66,289$147
Emergency department visit with moderate level of medical decision making136$13,723$98
Critical care, first 30-74 minutes58$11,385$196
Emergency department visit with low level of medical decision making107$5,383$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only399$3,189$8

2014: 5 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making384$58,379$146
Critical care, first 30-74 minutes44$8,367$190
Emergency department visit with moderate level of medical decision making83$8,050$96
Emergency department visit with low level of medical decision making118$5,848$49
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only392$3,097$7

2013: 5 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making485$72,157$143
Critical care, first 30-74 minutes105$20,244$191
Emergency department visit with moderate level of medical decision making129$12,884$98
Emergency department visit with low level of medical decision making116$6,099$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only549$4,235$7

Medicaid work

$101,128 in 2024

Medicaid paid $101,128 for 1,859 billed services this clinician did in 2024, up to 80 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
Service701$44,034
EMERGENCY DEPT VISIT MOD MDM516$24,256
EMERGENCY DEPARTMENT VISIT HIGH MDM232$12,183
Service53$10,546
Service28$5,315
COMPREHENSIVE METABOLIC PANEL39$1,839
Unlisted special service, procedure or report13$1,300
Radiologic examination, chest; 2 views12$915
Radiologic examination, chest; single view13$335
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)153$257
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only14$118
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report73$30
Medicaid work by year
20241,8591380$101,128
20232,4901183$122,997
20221,183864$64,322
2021878640$31,800
2020784654$41,744
20191,3121050$67,741
2018800453$30,733
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Service667$34,792
EMERGENCY DEPT VISIT MOD MDM736$31,742
Service295$28,980
EMERGENCY DEPARTMENT VISIT HIGH MDM266$13,866
Unlisted special service, procedure or report70$12,025
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only109$744
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)26$650
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report117$140
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)167$40
COMPREHENSIVE METABOLIC PANEL13$15
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy24$3

2022

Largest Medicaid services in 2022
Service257$22,741
EMERGENCY DEPT VISIT LOW MDM428$12,906
EMERGENCY DEPT VISIT MOD MDM191$7,156
EMERGENCY DEPARTMENT VISIT HIGH MDM173$6,855
Service38$6,195
Unlisted special service, procedure or report41$4,130
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc24$4,130
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only31$209

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM223$10,499
EMERGENCY DEPT VISIT LOW MDM307$8,753
Service155$6,512
EMERGENCY DEPT VISIT MOD MDM155$5,812
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only25$223
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)13$0

2020

Largest Medicaid services in 2020
Service220$20,213
EMERGENCY DEPT VISIT LOW MDM276$8,930
EMERGENCY DEPT VISIT MOD MDM139$5,680
EMERGENCY DEPARTMENT VISIT HIGH MDM110$4,722
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc13$2,065
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only26$134

2019

Largest Medicaid services in 2019
Service421$32,517
EMERGENCY DEPT VISIT LOW MDM402$12,850
EMERGENCY DEPT VISIT MOD MDM211$8,691
EMERGENCY DEPARTMENT VISIT HIGH MDM125$6,031
Unclassified drugs12$3,480
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"13$2,955
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)16$908
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only44$289
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)55$21
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report13$0

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT LOW MDM409$15,442
EMERGENCY DEPARTMENT VISIT HIGH MDM139$7,624
EMERGENCY DEPT VISIT MOD MDM176$7,172
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only76$496

Drugs they prescribed that Part D paid

$3,806

Pharmacies billed $3,806 in 2024.

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

Opioids were 8% of their Part D prescriptions (19 of 248) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

217 generic and 31 brand-name prescriptions · $3,806 in drug cost · 40 antibiotic prescriptions to 36 people.

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
Albuterol Sulfate Hfa11$253$23
Gavilyte-C11$188$17
Ondansetron Odt13$105$8
Ibuprofen21$70$3
Prednisone16$21$1

Year by year

Part D prescribing by year
20242482028% (19)13%$3,806
20232221838% (18)None$5,288
202219415711% (21)8%$3,605
202117514216% (28)None$4,135
202019512412% (23)12%$22,630
201915411614% (21)23%$40,655
201819713617% (34)20%$43,743
201718714214% (27)15%$12,156
201620616022% (45)16%$4,778
201520215819% (39)16%$3,926
201420413119% (38)10%$4,497
201318815326% (48)12%$4,311

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

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Cephalexin12$195$16
Prednisone15$29$2

2022: 4 drugs

Part D drugs prescribed in 2022
Paxlovid (Eua)12$98$8
Cephalexin12$72$6
Hydrocodone-Acetaminophen15$63$4
Ibuprofen12$39$3

2021: 2 drugs

Part D drugs prescribed in 2021
Cephalexin16$216$13
Hydrocodone-Acetaminophen15$58$4

2020: 2 drugs

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen18$95$5
Prednisone15$42$3

2019: 2 drugs

Part D drugs prescribed in 2019
Invega Sustenna13$37,233$2,864
Hydrocodone-Acetaminophen11$46$4

2018: 3 drugs

Part D drugs prescribed in 2018
Invega Sustenna14$37,618$2,687
Hydrocodone-Acetaminophen22$114$5
Ciprofloxacin12$60$5

2017: 2 drugs

Part D drugs prescribed in 2017
Prednisone17$59$3
Hydrocodone-Acetaminophen14$46$3

2016: 2 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen27$170$6
Prednisone11$57$5

2015: 2 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen29$146$5
Cephalexin11$71$6

2014: 3 drugs

Part D drugs prescribed in 2014
Methotrexate12$342$28
Hydrocodone-Acetaminophen21$124$6
Prednisone14$62$4

2013: 3 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen23$128$6
Acetaminophen-Codeine14$57$4
Prednisone14$41$3

Money from drug and device companies

$125 in 2024

Industry payments by year
202411None$125
201922None$35

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
AstraZeneca Pharmaceuticals LPAndexxa$125
1 payment
  • Meals for Andexxa · 2024-06-19 · $125
See the published payment
Every published payment
AstraZeneca Pharmaceuticals LPMeals · 2024-06-19Andexxa$125
See earlier years (2019)

2019: $35

Payments by company in 2019
Mallinckrodt EnterprisesOfirmev$20
1 payment
  • Meals for Ofirmev · 2019-05-16 · $20
Medtronic VascularClosurefast$15
1 payment
  • Meals for Closurefast · 2019-04-23 · $15

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
94.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1023063179
Licence
CA A77972California A77972: Current · expires 2027-05-31
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
2100 Powell St, Ste 920, Emeryville, CA, 94608
NPI first listed
2006-05-24
NPI last updated
2026-07-13

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