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Gary P D'Aluisio, PA

Physician Assistant · San Jose

NPI 1023257011

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 Gary P D'Aluisio’s office at (408) 885-5000 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$17,199

Medicare paid this office $17,199 for 174 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 making94$9,505$100
Emergency department visit with moderate level of medical decision making54$4,138$75
Critical care, first 30-74 minutes13$1,495$115

Who their Medicare patients are

174 Original Medicare patients in 2024. Average age 75 · Under 65 10% · 85 and older 21% · Women 52% · Also on Medicaid 16% · Health risk score 1.82. Above the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 75% · Coronary heart disease 46% · Diabetes 43% · Chronic kidney disease 35% · Atrial fibrillation 34% · Heart failure 33% · COPD 31% · Depression 27% · Cancer 17% · Dementia 16% · Stroke 11%.

The office billed $177,867, Medicare allowed $22,878 and paid $17,199; for 191 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
2024174191751.82$177,867$17,199
2023155168721.75$145,529$14,882
2022121132741.34$112,552$12,488
2021157170671.83$139,046$16,497
2020118129662.03$99,946$11,278
2019306337691.65$238,893$24,702
2018343390681.74$259,878$27,393
2017320342711.90$231,487$27,299
20134344601.24$16,111$1,367

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 making63$6,910$108
Emergency department visit with moderate level of medical decision making61$4,411$72
Critical care, first 30-74 minutes16$2,225$139
Emergency department visit with low level of medical decision making13$529$41

2022: 3 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making56$7,079$124
Emergency department visit with moderate level of medical decision making34$2,746$81
Emergency department visit with low level of medical decision making15$637$42

2021: 3 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making78$9,635$124
Emergency department visit with moderate level of medical decision making39$3,178$81
Emergency department visit with low level of medical decision making29$1,453$48

2020: 3 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making58$6,865$118
Emergency department visit with moderate level of medical decision making23$1,816$79
Emergency department visit with low level of medical decision making31$1,302$42

2019: 4 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making92$10,290$112
Emergency department visit with moderate level of medical decision making116$8,594$72
Emergency department visit with low level of medical decision making78$2,829$36
Emergency department visit with straightforward medical decision making14$319$23

2018: 3 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making115$12,298$107
Emergency department visit with moderate level of medical decision making120$8,598$70
Emergency department visit with low level of medical decision making91$3,242$35

2017: 3 services

Original Medicare services billed in 2017
Emergency department visit with moderate level of medical decision making164$12,393$75
Emergency department visit with high level of medical decision making98$10,919$111
Emergency department visit with low level of medical decision making56$2,269$39

2013: 1 service

Original Medicare services billed in 2013
Short return visit (20+ min)13$349$27

Medicaid work

$1,297 in 2023

Medicaid paid $1,297 for 62 billed services this clinician did in 2023, up to 14 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 2023
EMERGENCY DEPT VISIT MOD MDM16$1,117
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count15$90
COMPREHENSIVE METABOLIC PANEL17$65
COLLECTION VENOUS BLOOD VENIPUNCTURE14$24
Medicaid work by year
202362414$1,297
2021201521$12,154
202097318$6,014
2019237123$17,526
2018367425$25,647
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT LOW MDM75$4,986
EMERGENCY DEPARTMENT VISIT HIGH MDM56$4,119
EMERGENCY DEPT VISIT MOD MDM20$2,814
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count34$203
COMPREHENSIVE METABOLIC PANEL16$33

2020

Largest Medicaid services in 2020
EMERGENCY DEPT VISIT LOW MDM65$5,875
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count17$90
COMPREHENSIVE METABOLIC PANEL15$49

2019

Largest Medicaid services in 2019
EMERGENCY DEPT VISIT LOW MDM237$17,526

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT LOW MDM320$24,805
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM15$641
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count17$180
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 microscopy15$20

Drugs they prescribed that Part D paid

$1,281

Pharmacies billed $1,281 in 2024.

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

Opioids were 16% of their Part D prescriptions (15 of 96) in 2024. Above the middle of the specialty; the typical physician assistant clinician is at 1%.

91 generic and fewer than 11 brand-name prescriptions · $1,281 in drug cost · 27 antibiotic prescriptions to 27 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
Hydrocodone-Acetaminophen14$55$4

Year by year

Part D prescribing by year
2024968516% (15)None$1,281
202316912715% (26)None$3,508
202210988NoneNone$1,220
202114211021% (30)None$1,773
202015312231% (47)None$2,021
201921216530% (64)None$2,275
201824217834% (82)6%$2,782
201721617233% (71)9%$6,007
2016725229% (21)21%$3,789
2015644133% (21)None$1,528
2014725031% (22)24%$1,961
2013935630% (28)None$1,997

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

See the drugs prescribed each year

2023: 4 drugs

Part D drugs prescribed in 2023
Cefuroxime14$236$17
Ondansetron Odt17$164$10
Azithromycin21$109$5
Hydrocodone-Acetaminophen21$74$4

2021: 2 drugs

Part D drugs prescribed in 2021
Doxycycline Hyclate12$120$10
Hydrocodone-Acetaminophen17$63$4

2020: 3 drugs

Part D drugs prescribed in 2020
Cefadroxil13$151$12
Hydrocodone-Acetaminophen18$80$4
Tramadol22$54$2

2019: 4 drugs

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen22$113$5
Tramadol40$88$2
Ondansetron17$86$5
Cefadroxil13$74$6

2018: 6 drugs

Part D drugs prescribed in 2018
Cefadroxil26$197$8
Hydrocodone-Acetaminophen39$190$5
Ondansetron Odt11$79$7
Tramadol31$71$2
Oxycodone-Acetaminophen11$62$6
Prednisone13$37$3

2017: 3 drugs

Part D drugs prescribed in 2017
Cefadroxil23$227$10
Hydrocodone-Acetaminophen54$225$4
Oxycodone-Acetaminophen11$71$6

2016: 1 drug

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen18$108$6

2015: 1 drug

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen16$104$6

2014: 1 drug

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen18$107$6

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen19$91$5

Money from drug and device companies

$15 in 2021

A payment is not proof that care is biased.

Payments by company
PfizerEliquis$15
1 payment
  • Meals for Eliquis · 2021-03-10 · $15
See the published payment
Every published payment
PfizerMeals · 2021-03-10Eliquis$15

Professional record

NPI
1023257011
More record details
Sole proprietor
No
Taxonomy
Physician assistant (363A00000X)
Mailing address
751 S Bascom Ave, Emergency Dept, San Jose, CA, 95128
NPI first listed
2009-02-13
NPI last updated
2009-10-30

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