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Audrey O Tio, MD

Internal Medicine · Modesto

NPI 1033125729

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
5

Offices

5 locations · Sutter Valley Medical Foundation · Sutter Bay Medical Foundation

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. Tio’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence C54871 · Current

Licensed to practise in California · since 2011 · expires 2027-09-30 · University of Texas Medical School at San Antonio.

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

Original Medicare doctor bills

$98,828

Medicare paid this office $98,828 for 738 people.

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

Largest Original Medicare bills
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit691$91,238$132
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit40$6,699$167

Who their Medicare patients are

738 Original Medicare patients in 2024. Average age 74 · Under 65 12% · 85 and older 12% · Women 52% · Also on Medicaid 18% · Health risk score 1.25. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 71% · Diabetes 30% · Coronary heart disease 29% · Chronic kidney disease 28% · Cancer 21% · Atrial fibrillation 20% · Heart failure 17% · COPD 17% · Depression 17% · Dementia 7% · Stroke 4%.

The office billed $302,829, Medicare allowed $98,901 and paid $98,828; for 739 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
2024738739741.25$302,829$98,828
20212626742.24$12,449$3,314
20207487732.54$40,181$12,059
20194555722.11$23,622$6,450
2018112114742.81$57,551$15,669
20177985712.76$38,155$10,966
20165861702.72$31,300$8,913
20157792693.34$39,807$12,082
2014101104702.94$49,690$14,435
201395142722.75$45,981$12,984

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
Initial hospital care with moderate level of medical decision making at least 75 minutes12$2,065$172

2020: 2 services

Original Medicare services billed in 2020
Initial hospital care with moderate level of medical decision making at least 75 minutes34$6,017$177
Transitional care management services for problem of at least moderate complexity12$1,983$153

2019: 2 services

Original Medicare services billed in 2019
Transitional care management services for problem of at least moderate complexity18$2,438$135
Return visit (30+ min)14$1,544$91

2018: 3 services

Original Medicare services billed in 2018
Initial hospital care with moderate level of medical decision making at least 75 minutes51$8,216$161
Initial hospital observation care per day, typically 70 minutes16$2,268$142
Initial hospital observation care per day, typically 50 minutes11$1,126$102

2017: 1 service

Original Medicare services billed in 2017
Initial hospital care with moderate level of medical decision making at least 75 minutes37$6,015$163

2016: 1 service

Original Medicare services billed in 2016
Initial hospital care with moderate level of medical decision making at least 75 minutes27$4,374$162

2015: 2 services

Original Medicare services billed in 2015
Initial hospital care with moderate level of medical decision making at least 75 minutes41$6,888$164
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,333$111

2014: 2 services

Original Medicare services billed in 2014
Initial hospital care with moderate level of medical decision making at least 75 minutes51$8,221$161
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes13$1,439$111

2013: 5 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes30$3,162$81
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,528$158
Hospital discharge day management, more than 30 minutes27$2,288$85
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$1,807$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,291$108

Money from drug and device companies

$97 in 2020

A payment is not proof that care is biased.

Payments by company
AstraZeneca Pharmaceuticals LPFarxiga$97
1 payment
  • Meals for Farxiga · 2020-02-04 · $97
See the published payment
Every published payment
AstraZeneca Pharmaceuticals LPMeals · 2020-02-04Farxiga$97

Professional record

NPI
1033125729
Licence
CA C54871California C54871: Current · expires 2027-09-30
Trained
University of Texas Medical School at San Antonio, 1999
Group
Sutter Valley Medical Foundation · Sutter Bay Medical Foundation
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Hospitalist (208M00000X); Internal medicine (207R00000X)
Mailing address
600 Coffee Rd, Modesto, CA, 95355
NPI first listed
2006-08-01
NPI last updated
2011-10-07

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