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Chuan Hsin Chang, MD

Internal Medicine · San Francisco

NPI 1033377841

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
13
2 carriers
Offices
3
Since medical school
18 years
R Franklin University of Med & Sci/Chicago Medical School, 2008

Offices

3 locations · North East Medical Services · County of San Mateo

Looking this up.

Hospitals listed: California Pacific Medical Center- Van Ness Campus · San Mateo Medical Center. That is not proof they admit you there this week.

Plans that list them

13 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Chang’s office at (415) 391-9686 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

13 of 13 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A110086 · Current

Licensed to practise in California · since 2009 · expires 2027-11-30 · Rosalind Franklin University, the Chicago Medical School.

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

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Internal Medicine - Endocrinology, Diabetes and Metabolism
  • American Board of Internal Medicine - Internal Medicine

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • California Pacific Medical Center- Van Ness CampusSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.224, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.325, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.373, Oct 2024 – Sep 2025
  • San Mateo Medical CenterSan Mateo, CAAcute Care Hospital · Government - Local · Has an emergency departmentPart of San Mateo County HealthPatients rate it 3 of 5 · 68% would definitely recommend it
    No overall ratingNo measure marked better or worse than the national rate
See every measure and the patient survey for California Pacific Medical Center- Van Ness Campus

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 0 better, 8 the same, 2 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at California Pacific Medical Center- Van Ness Campus
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.224BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.325BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.373BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.14 (0.3 to 1.97) · 2,271 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.81 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths192.86 (151.51 to 234.22) · 140 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths10.3 · 60 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.5 · 143 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.8 · 356 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.3 · 259 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 173 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 2,316 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.49) · 6,430 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.09 to 0.47) · 7,168 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.3 (1.5 to 5.09) · 2,196 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.47 (1.21 to 3.74) · 925 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.63 (1.37 to 3.88) · 1,954 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.13 (6.06 to 14.2) · 1,112 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.26 (4.67 to 9.85) · 1,084 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.67 (0.31 to 3.03) · 832 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.33 (0 to 0.85) · 5,406 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0.443No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.717No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.3 · 200 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.3 · 449 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits18.2 · 187 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits8.7 · 418 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits7.1 · 260 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19.2 · 293 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.6 to 7.6) · 157 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.2 (7.7 to 13.5) · 157 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits11 · 33 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 66 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.4 to 16.7) · 551 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.3) · 219 casesNo differentJan 2024 – Dec 2024

What patients said (478 patients answered, 20% of those asked)

Patient survey stars by topic at California Pacific Medical Center- Van Ness Campus
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at California Pacific Medical Center- Van Ness Campus
Room was "always" clean75%
Nurses "always" communicated well74%
Doctors "always" communicated well77%
Staff "always" explained59%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for San Mateo Medical Center

Behind the star rating — Deaths: 0 better, 2 the same, 0 worse of 2 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 3 the same, 0 worse of 3 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at San Mateo Medical Center
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.34 (0.25 to 2.43) · 45 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.97 (0.48 to 1.47)No differentJul 2022 – Jun 2024
Death rate for pneumonia patientsComplications and deaths13.9 · 25 casesNoneJul 2022 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 258 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.44) · 379 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 381 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.44 (0.82 to 6.05) · 57 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.64 (0.92 to 4.37) · 57 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.53 (0 to 1.76) · 296 casesNo differentJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.661No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.8 · 47 casesNoneJul 2023 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-2.3 · 25 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.6 · 76 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14 (10.4 to 18.9) · 167 casesNo differentJan 2022 – Dec 2024

What patients said (208 patients answered, 15% of those asked)

Patient survey stars by topic at San Mateo Medical Center
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at San Mateo Medical Center
Room was "always" clean78%
Nurses "always" communicated well76%
Doctors "always" communicated well79%
Staff "always" explained62%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital68%
Staff "always" explained possible side effects51%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$7,728

Medicare paid this office $7,728 for 144 people.

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

Largest Original Medicare bills
Blood test, basic group of blood chemicals (calcium, total)106$1,492$8
Hemoglobin a1c level81$1,457$10
Insertion of needle into vein for collection of blood sample134$1,317$6
Vitamin d-3 level34$1,247$29
Blood test, thyroid stimulating hormone (tsh)31$1,136$16
See all 6 services
Every Original Medicare service billed
Blood test, basic group of blood chemicals (calcium, total)106$1,492$8
Hemoglobin a1c level81$1,457$10
Insertion of needle into vein for collection of blood sample134$1,317$6
Vitamin d-3 level34$1,247$29
Blood test, thyroid stimulating hormone (tsh)31$1,136$16
Thyroxine (thyroid chemical), free31$610$9

Who their Medicare patients are

144 Original Medicare patients in 2024. Average age 73 · Women 61% · Health risk score 1.01. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 74% · Diabetes 68% · Chronic kidney disease 33% · COPD 8% · Atrial fibrillation 8% · Depression 8% · Dementia 8%.

The office billed $19,663, Medicare allowed $7,807 and paid $7,728; for 755 services of 14 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
2024144755731.01$19,663$7,728
2023132620730.88$15,883$5,961
2022204897730.82$20,544$7,701
20212381,102731.02$24,354$9,812
2020162743721.12$16,238$6,457
2019190771721.02$17,073$7,450
2018118468711.00$10,600$5,189
201788323711.16$6,710$3,631
201673313710.98$7,343$4,077

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: 6 services

Original Medicare services billed in 2023
Blood test, basic group of blood chemicals (calcium, total)99$1,368$8
Hemoglobin a1c level78$1,333$10
Blood test, thyroid stimulating hormone (tsh)27$988$16
Insertion of needle into vein for collection of blood sample108$958$6
Vitamin d-3 level21$696$29
Thyroxine (thyroid chemical), free27$530$9

2022: 6 services

Original Medicare services billed in 2022
Blood test, thyroid stimulating hormone (tsh)61$1,810$17
Blood test, basic group of blood chemicals (calcium, total)137$1,791$8
Hemoglobin a1c level106$1,680$10
Thyroxine (thyroid chemical), free59$963$9
Insertion of needle into vein for collection of blood sample175$774$3
Vitamin d-3 level17$586$29

2021: 6 services

Original Medicare services billed in 2021
Blood test, thyroid stimulating hormone (tsh)61$2,402$17
Blood test, basic group of blood chemicals (calcium, total)172$2,149$8
Hemoglobin a1c level120$1,787$10
Thyroxine (thyroid chemical), free61$1,281$9
Insertion of needle into vein for collection of blood sample203$996$3
Vitamin d-3 level17$651$30

2020: 6 services

Original Medicare services billed in 2020
Blood test, thyroid stimulating hormone (tsh)43$1,639$17
Blood test, basic group of blood chemicals (calcium, total)118$1,457$8
Hemoglobin a1c level89$1,286$10
Thyroxine (thyroid chemical), free43$862$9
Insertion of needle into vein for collection of blood sample135$624$3
Vitamin d-3 level12$413$29

2019: 6 services

Original Medicare services billed in 2019
Blood test, thyroid stimulating hormone (tsh)55$1,812$18
Blood test, basic group of blood chemicals (calcium, total)139$1,704$9
Hemoglobin a1c level84$1,142$11
Vitamin d-3 level24$1,031$32
Thyroxine (thyroid chemical), free52$943$10
Insertion of needle into vein for collection of blood sample169$688$3

2018: 6 services

Original Medicare services billed in 2018
Blood test, thyroid stimulating hormone (tsh)37$1,281$20
Vitamin d-3 level24$1,075$36
Blood test, basic group of blood chemicals (calcium, total)66$859$10
Hemoglobin a1c level45$658$12
Thyroxine (thyroid chemical), free29$611$11
Insertion of needle into vein for collection of blood sample99$426$3

2017: 9 services

Original Medicare services billed in 2017
Blood test, thyroid stimulating hormone (tsh)29$1,107$23
Thyroxine (thyroid chemical), free29$594$12
Vitamin d-3 level14$557$40
Hemoglobin a1c level27$392$13
Blood test, basic group of blood chemicals (calcium, total)25$276$10
Insertion of needle into vein for collection of blood sample66$241$3
Urine calcium level20$162$8
Urine volume measurement20$89$4
Creatinine level to test for kidney function or muscle injury12$84$7

2016: 8 services

Original Medicare services billed in 2016
Vitamin d-3 level15$790$40
Blood test, thyroid stimulating hormone (tsh)19$785$22
Hemoglobin a1c level29$505$13
Thyroxine (thyroid chemical), free19$421$12
Insertion of needle into vein for collection of blood sample61$273$3
Blood test, basic group of blood chemicals (calcium, total)13$162$10
Urine calcium level11$145$8
Urine volume measurement12$88$4

Medicaid work

$348,301 in 2024

Medicaid paid $348,301 for 7,754 billed services this clinician did in 2024, up to 120 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
Clinic visit/encounter, all-inclusive1,590$275,220
Return visit (30+ min)1,179$45,187
Short return visit (20+ min)1,772$25,095
Thyroid stimulating hormone (TSH)40$898
Hemoglobin A1C level105$684
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)107$675
Measurement of free thyroxine40$480
Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use584$62
BODY MASS INDEX DOCD827$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)536$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)111$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)25$0
Medicaid work by year
20247,75415120$348,301
20235,83615144$307,281
20225,14414114$238,666
20218,75312203$488,644
20206,62810187$380,702
20195,2769146$249,642
20184,0637154$303,958
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive1,671$271,292
Short return visit (20+ min)2,123$19,106
Return visit (30+ min)789$12,372
New patient visit (45+ min)14$1,688
Thyroid stimulating hormone (TSH)51$1,077
Hemoglobin A1C level117$681
Measurement of free thyroxine51$577
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)59$449
Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use387$40
BODY MASS INDEX DOCD117$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)176$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)18$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive1,309$213,630
Short return visit (20+ min)1,729$9,689
Return visit (30+ min)994$9,614
New patient visit (45+ min)45$4,899
Thyroid stimulating hormone (TSH)13$259
Hemoglobin A1C level27$194
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)29$193
Measurement of free thyroxine13$139
Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use339$49
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)225$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)43$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)39$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive2,507$477,967
Short return visit (20+ min)3,497$6,486
Return visit (30+ min)838$2,513
Thyroid stimulating hormone (TSH)56$1,028
Measurement of free thyroxine56$539
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)14$59
Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use616$51
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)382$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)63$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)143$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)568$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)13$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive2,251$373,886
Short return visit (20+ min)3,571$5,391
Return visit (30+ min)270$601
Thyroid stimulating hormone (TSH)26$532
Measurement of free thyroxine25$285
Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use208$7
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)97$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)13$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)13$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)154$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive1,580$247,065
Short return visit (20+ min)1,972$2,259
Return visit (30+ min)387$289
Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use559$29
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)269$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)60$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)62$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)332$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)55$0

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive1,951$302,406
Short return visit (20+ min)1,408$947
Return visit (30+ min)306$513
Short return visit191$77
Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use171$11
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)20$4
Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use16$0

Drugs they prescribed that Part D paid

$1,418,253

Pharmacies billed $1,418,253 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 2,374) in 2024. At or below the middle of the specialty; the typical internal medicine clinician is at 1%.

785 generic and 1,375 brand-name prescriptions · $1,418,253 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
Jardiance216$314,384$1,455
Trulicity159$244,032$1,535
Januvia140$193,652$1,383
Ozempic101$117,310$1,161
Prolia57$86,521$1,518
See all 40 drugs
Every Part D drug this clinician prescribed
Jardiance216$314,384$1,455
Trulicity159$244,032$1,535
Januvia140$193,652$1,383
Ozempic101$117,310$1,161
Prolia57$86,521$1,518
Tradjenta60$69,505$1,158
Rybelsus30$56,600$1,887
Invokana42$47,477$1,130
Basaglar Kwikpen U-10097$38,527$397
Farxiga24$34,632$1,443
Victoza 3-Pak19$23,304$1,227
Teriparatide11$20,801$1,891
Fiasp Flextouch21$18,933$902
Novolog Mix 70-30 Flexpen29$7,010$242
Insulin Lispro Kwikpen U-10026$6,652$256
Lantus Solostar55$6,360$116
Insulin Glargine-Yfgn41$6,069$148
Insulin Aspart Flexpen17$4,766$280
Ultra-Fine Mini Pen Needle58$4,370$75
Toujeo Solostar14$4,030$288
Novolog Flexpen23$3,818$166
Humalog Kwikpen U-10012$2,965$247
Metformin242$2,655$11
Comfort Ez Pen Needle20$2,345$117
Humalog Mix 75-25 Kwikpen11$2,193$199
Insulin Aspart Prot Mix 70-3015$2,052$137
Ultra-Fine Nano Pen Needle21$1,841$88
Methimazole82$1,580$19
Novolin 70-30 Flexpen13$1,564$120
Glipizide121$1,462$12
Techlite Pen Needle50$1,404$28
Nano 2nd Gen Pen Needle13$982$76
Trueplus Pen Needle25$966$39
Propylthiouracil13$867$67
Alendronate95$775$8
Glipizide Er37$742$20
Levothyroxine54$650$12
Metformin Hcl Er40$608$15
Pioglitazone28$301$11
Glimepiride22$196$9

Year by year

Part D prescribing by year
20242,3743280% (0)58%$1,418,253
20231,9932930% (0)59%$1,434,656
20222,1103520% (0)56%$1,323,034
20212,5843630% (0)58%$1,519,042
20202,1072820% (0)57%$1,178,276
20191,790259None60%$897,356
20181,0741720% (0)57%$527,531
20177821170% (0)57%$377,095
2016435750% (0)55%$166,848
2015129310% (0)61%$62,396
20146920None48%$9,676
201311143None30%$10,527

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

See the drugs prescribed each year

2023: 29 drugs

Part D drugs prescribed in 2023
Jardiance152$271,502$1,786
Januvia162$243,646$1,504
Trulicity157$204,814$1,305
Victoza 3-Pak59$112,497$1,907
Novolog Flexpen62$91,183$1,471
Tradjenta61$82,351$1,350
Prolia45$74,492$1,655
Novolog Mix 70-30 Flexpen47$56,533$1,203
Basaglar Kwikpen U-100119$52,968$445
Invokana22$38,237$1,738
Lantus Solostar57$30,870$542
Farxiga13$21,395$1,646
Humalog Kwikpen U-10017$17,472$1,028
Insulin Glargine-Yfgn42$8,251$196
Novolin R13$7,112$547
Insulin Lispro Kwikpen U-10020$5,658$283
Metformin207$4,233$20
Techlite Pen Needle106$3,767$36
Trueplus Pen Needle77$2,676$35
Glipizide95$1,934$20
Methimazole72$1,511$21
Nano 2nd Gen Pen Needle12$1,495$125
Metformin Hcl Er40$1,385$35
Alendronate60$1,373$23
Levothyroxine29$883$30
Testosterone Cypionate16$812$51
Glipizide Er12$398$33
Glimepiride12$316$26
Pioglitazone12$253$21

2022: 32 drugs

Part D drugs prescribed in 2022
Januvia159$225,816$1,420
Jardiance92$148,828$1,618
Novolog Flexpen111$148,455$1,337
Victoza 3-Pak62$133,088$2,147
Trulicity77$99,447$1,292
Prolia67$97,643$1,457
Novolog Mix 70-30 Flexpen83$87,932$1,059
Tradjenta54$70,542$1,306
Lantus Solostar114$57,465$504
Basaglar Kwikpen U-100118$52,356$444
Invokana25$26,885$1,075
Farxiga14$19,782$1,413
Ozempic17$15,907$936
Novolin 70-3015$15,303$1,020
Lantus11$13,595$1,236
Humalog Kwikpen U-10011$9,605$873
Novolin R12$7,453$621
Trueplus Pen Needle162$5,706$35
Comfort Ez Pen Needle35$4,592$131
Novolin 70-30 Flexpen11$4,149$377
Novolin N Flexpen14$3,817$273
Sure Comfort Pen Needle50$3,409$68
Metformin212$2,570$12
Techlite Pen Needle72$2,253$31
Glipizide102$1,310$13
Levothyroxine44$1,104$25
Metformin Hcl Er28$711$25
Alendronate45$658$15
Methimazole64$655$10
Unifine Pentips14$492$35
Glipizide Xl12$424$35
Pioglitazone12$282$24

2021: 37 drugs

Part D drugs prescribed in 2021
Januvia215$298,982$1,391
Jardiance105$163,170$1,554
Victoza 3-Pak72$130,790$1,817
Novolog Flexpen107$123,529$1,154
Trulicity93$103,490$1,113
Novolog Mix 70-30 Flexpen99$102,217$1,032
Prolia65$86,613$1,333
Basaglar Kwikpen U-100167$81,903$490
Tradjenta56$64,922$1,159
Lantus Solostar94$49,076$522
Invokana31$35,153$1,134
Novolin 70-3018$23,543$1,308
Humalog Kwikpen U-10029$22,541$777
Lantus23$20,600$896
Onglyza14$17,023$1,216
Humalog Mix 75-25 Kwikpen16$14,662$916
Humulin 70/30 Kwikpen18$12,635$702
Comfort Ez Pen Needle80$12,302$154
Sure Comfort189$10,189$54
Levemir Flextouch14$10,071$719
Insulin Aspart Prot Mix 70-3019$9,577$504
Novolin 70-30 Flexpen22$7,064$321
Novolin N Flexpen17$3,567$210
Trueplus Pen Needle65$2,629$40
Glipizide-Metformin19$2,120$112
Metformin248$1,973$8
Levothyroxine60$1,397$23
Insulin21$1,285$61
Acarbose14$1,224$87
Glipizide133$1,163$9
Methimazole94$1,128$12
Insulin20$995$50
Ultra-Fine Short Pen Needle11$839$76
Glipizide Xl18$522$29
Alendronate43$414$10
Pioglitazone16$356$22
Metformin Hcl Er27$279$10

2020: 35 drugs

Part D drugs prescribed in 2020
Januvia206$272,809$1,324
Jardiance85$129,897$1,528
Victoza 3-Pak88$126,530$1,438
Novolog Flexpen89$113,724$1,278
Novolog Mix 70-30 Flexpen85$76,538$900
Trulicity57$62,725$1,100
Basaglar Kwikpen U-10094$52,609$560
Prolia39$50,206$1,287
Tradjenta32$34,630$1,082
Lantus Solostar71$33,959$478
Invokana26$26,585$1,022
Humalog Mix 75-25 Kwikpen20$18,028$901
Humulin 70/30 Kwikpen27$17,951$665
Novolin 70-3018$15,836$880
Sure Comfort246$11,621$47
Levemir Flextouch14$10,275$734
Lantus13$7,807$601
Humalog Kwikpen U-10012$6,797$566
Humulin N Kwikpen13$6,422$494
Novolin 70-30 Flexpen19$6,194$326
Humulin R13$2,052$158
Glipizide-Metformin18$1,915$106
Levothyroxine66$1,584$24
Metformin187$1,428$8
Acarbose22$1,118$51
Methimazole76$1,049$14
Glipizide110$1,042$9
Ultra-Fine Mini Pen Needle11$1,006$91
Ultra-Fine Nano Pen Needle11$861$78
Glipizide Xl11$497$45
Trueplus Pen Needle18$491$27
Alendronate42$460$11
Insulin15$421$28
Metformin Hcl Er32$375$12
Insulin11$344$31

2019: 32 drugs

Part D drugs prescribed in 2019
Januvia166$188,233$1,134
Jardiance63$79,325$1,259
Victoza 3-Pak77$72,925$947
Prolia59$72,756$1,233
Novolog Mix 70-30 Flexpen94$66,591$708
Novolog Flexpen60$59,056$984
Trulicity47$41,993$893
Basaglar Kwikpen U-10083$38,396$463
Tradjenta30$35,479$1,183
Lantus Solostar79$34,566$438
Humalog Kwikpen U-20018$27,963$1,554
Invokana24$15,260$636
Humulin 70/30 Kwikpen27$14,577$540
Toujeo Solostar17$14,572$857
Novolog Mix 70-3013$14,309$1,101
Novolin 70-3017$14,227$837
Sure Comfort220$9,084$41
Levemir Flextouch14$9,008$643
Novolin N13$5,211$401
Humulin 70-3014$2,791$199
Levothyroxine64$1,595$25
Metformin120$1,069$9
Glipizide-Metformin18$1,027$57
Ultra-Fine Mini Pen Needle13$997$77
Acarbose16$940$59
Methimazole60$884$15
Glipizide84$590$7
Trueplus Pen Needle18$520$29
Insulin16$396$25
Metformin Hcl Er31$367$12
Alendronate30$345$12
Pioglitazone14$257$18

2018: 24 drugs

Part D drugs prescribed in 2018
Januvia99$121,433$1,227
Forteo14$59,166$4,226
Novolog Flexpen62$54,617$881
Victoza 3-Pak48$52,422$1,092
Lantus Solostar77$41,276$536
Novolog Mix 70-30 Flexpen30$23,732$791
Humalog Kwikpen U-20015$23,037$1,536
Tradjenta18$19,457$1,081
Prolia14$15,895$1,135
Basaglar Kwikpen U-10040$14,998$375
Novolin 70-3021$13,189$628
Invokana16$13,099$819
Humalog Kwikpen U-10011$8,900$809
Levemir Flextouch17$8,649$509
Sure Comfort137$5,899$43
Novolin N18$5,137$285
Ultra-Fine Mini Pen Needle13$1,199$92
Levothyroxine39$1,168$30
Metformin80$827$10
Methimazole39$667$17
Glipizide51$422$8
Insulin18$368$20
Alendronate37$315$9
Metformin Hcl Er27$214$8

2017: 17 drugs

Part D drugs prescribed in 2017
Januvia105$110,796$1,055
Novolog Flexpen51$45,896$900
Lantus Solostar91$39,028$429
Victoza 3-Pak24$19,358$807
Onglyza12$12,295$1,025
Novolin 70-3015$12,037$802
Novolog Mix 70-30 Flexpen14$11,564$826
Humalog Kwikpen U-10014$9,333$667
Levemir Flextouch14$7,416$530
Invokana13$6,519$501
Sure Comfort112$4,448$40
Acarbose14$749$53
Levothyroxine22$732$33
Metformin56$605$11
Pioglitazone18$337$19
Glipizide29$260$9
Methimazole14$187$13

2016: 9 drugs

Part D drugs prescribed in 2016
Januvia56$49,182$878
Lantus Solostar60$26,096$435
Novolog Flexpen21$16,730$797
Lantus17$9,484$558
Novolin 70-3011$7,087$644
Sure Comfort69$2,131$31
Metformin34$271$8
Metformin Hcl Er15$195$13
Glipizide17$171$10

2015: 2 drugs

Part D drugs prescribed in 2015
Hydrocortisone14$501$36
Levothyroxine14$354$25

2014: 1 drug

Part D drugs prescribed in 2014
Hydrocortisone17$611$36

Money from drug and device companies

$33 in 2022

Industry payments by year
202211None$33
201922None$97

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
Baxter HealthcareNone$33
1 payment
  • Debt forgiveness · 2022-04-01 · $33
See the published payment
Every published payment
Baxter HealthcareDebt forgiveness · 2022-04-01None$33
See earlier years (2019)

2019: $97

Payments by company in 2019
Merck Sharp & DohmePneumovax 23$73
1 payment
  • Meals for Pneumovax 23 · 2019-02-14 · $73
RelypsaVeltassa$24
1 payment
  • Meals for Veltassa · 2019-09-12 · $24

Professional record

NPI
1033377841
Licence
CA A110086California A110086: Current · expires 2027-11-30
Trained
R Franklin University of Med & Sci/Chicago Medical School, 2008 · 18 years ago
Group
North East Medical Services · County of San Mateo
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RE0101X (207RE0101X); Internal medicine (207R00000X); Student in a training program (390200000X)
Mailing address
1520 Stockton St, San Francisco, CA, 94133
NPI first listed
2008-05-28
NPI last updated
2017-01-18

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