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Calvin Kong, MD

Emergency Medicine · Fremont

NPI 1033554381

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
Since medical school
13 years
New York Medical College, 2013

Offices

1 location · Permanente Medical Group Inc · 10,928 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. Kong’s office at (510) 248-3000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A140444 · Current

Licensed to practise in California · since 2016 · expires 2027-11-30 · New York Medical College.

Matched on the licence number without its letter prefix; check the name before relying on it.

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

Original Medicare doctor bills

$1,586

Medicare paid this office $1,586 for 15 people.

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

Who their Medicare patients are

15 Original Medicare patients in 2024. Average age 67 · Health risk score 1.96. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75%.

The office billed $10,974, Medicare allowed $2,327 and paid $1,586; for 16 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
20241516671.96$10,974$1,586
20231111652.05$8,745$1,052
20222528651.69$16,414$3,119
20212324641.74$13,319$2,653
20201818692.59$11,094$2,497
20192223652.04$11,721$2,235
20181718651.23$8,303$1,628
2017139152722.41$86,243$17,136
2016138151731.94$77,029$17,403

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
Emergency department visit with high level of medical decision making11$1,336$121

2020: 1 service

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making16$2,290$143

2018: 1 service

Original Medicare services billed in 2018
Emergency department visit with moderate level of medical decision making13$977$75

2017: 3 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making73$10,199$140
Emergency department visit with moderate level of medical decision making39$3,386$87
Emergency department visit with low level of medical decision making14$640$46

2016: 3 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making73$10,841$149
Emergency department visit with moderate level of medical decision making33$3,330$101
Emergency department visit with low level of medical decision making16$829$49

Medicaid work

$13,261 in 2024

Medicaid paid $13,261 for 50 billed services this clinician did in 2024, up to 24 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
EMERGENCY DEPARTMENT VISIT HIGH MDM50$13,261
Medicaid work by year
202450124$13,261
2023124217$2,438
202288217$1,650
202183221$2,084
202051118$1,603
201983324$1,465
201872121$1,155
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPARTMENT VISIT HIGH MDM112$2,264
EMERGENCY DEPT VISIT LOW MDM12$174

2022

Largest Medicaid services in 2022
EMERGENCY DEPARTMENT VISIT HIGH MDM54$1,253
EMERGENCY DEPT VISIT LOW MDM34$397

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM49$1,470
EMERGENCY DEPT VISIT MOD MDM34$614

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM51$1,603

2019

Largest Medicaid services in 2019
EMERGENCY DEPARTMENT VISIT HIGH MDM42$865
EMERGENCY DEPT VISIT MOD MDM24$526
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP17$74

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT MOD MDM72$1,155

Drugs they prescribed that Part D paid

$7,199

Pharmacies billed $7,199 in 2024.

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

97 generic and fewer than 11 brand-name prescriptions · $7,199 in drug cost · 43 antibiotic prescriptions to 40 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
Cefadroxil16$243$15

Year by year

Part D prescribing by year
202411281NoneNone$7,199
2023190124NoneNone$2,992
20221551017% (11)None$2,646
20211409310% (14)10%$3,860
202010069NoneNone$2,175
20192081277% (14)None$8,564
201820815012% (24)None$5,205
20176855NoneNone$1,214
20164430NoneNone$750
20152218NoneNone$181
20144636NoneNone$1,505

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

See the drugs prescribed each year

2023: 5 drugs

Part D drugs prescribed in 2023
Cefpodoxime Proxetil12$452$38
Cefadroxil18$307$17
Doxycycline Monohydrate15$177$12
Prednisone13$155$12
Ibuprofen13$99$8

2022: 2 drugs

Part D drugs prescribed in 2022
Ibuprofen17$128$8
Cefadroxil12$116$10

2021: 2 drugs

Part D drugs prescribed in 2021
Ibuprofen18$132$7
Cefadroxil11$128$12

2020: 2 drugs

Part D drugs prescribed in 2020
Cefadroxil14$197$14
Ibuprofen14$107$8

2019: 6 drugs

Part D drugs prescribed in 2019
Ventolin Hfa11$529$48
Cefadroxil27$386$14
Prednisone14$189$14
Doxycycline Monohydrate13$181$14
Ibuprofen21$164$8
Ondansetron Odt14$131$9

2018: 5 drugs

Part D drugs prescribed in 2018
Ventolin Hfa11$509$46
Cefadroxil31$459$15
Ibuprofen29$248$9
Doxycycline Monohydrate14$197$14
Oxycodone-Acetaminophen14$105$7

Professional record

NPI
1033554381
Licence
CA 140444California A140444: Current · expires 2027-11-30
Trained
New York Medical College, 2013 · 13 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X); Student in a training program (390200000X)
Mailing address
1804 Embarcadero Rd, Ste 100, Palo Alto, CA, 94303
NPI first listed
2013-04-30
NPI last updated
2021-12-22

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

This office lists an electronic records connection.