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Kelly D Lao, OD

Optometry · San Jose

NPI 1043406697

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
6
3 carriers
Office
1

Offices

1 location

Looking this up.

Plans that list them

6 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Lao’s office at (408) 293-7576 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

6 of 6 plans

Plans whose provider directory lists this clinician
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Original Medicare doctor bills

$39,466

Medicare paid this office $39,466 for 166 people.

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

Largest Original Medicare bills
Return visit (30+ min)124$18,996$108
Exam of visual field with extended testing74$4,194$51
New patient visit (45+ min)36$4,015$112
Imaging of retina114$3,672$31
Short return visit (20+ min)39$3,616$72
See all 8 services
Every Original Medicare service billed
Return visit (30+ min)124$18,996$108
Exam of visual field with extended testing74$4,194$51
New patient visit (45+ min)36$4,015$112
Imaging of retina114$3,672$31
Short return visit (20+ min)39$3,616$72
Photography of the retina68$2,186$32
Exam of visual field with intermediate testing40$1,667$42
Imaging of optic nerve45$1,103$24

Who their Medicare patients are

166 Original Medicare patients in 2024. Average age 75 · Under 65 8% · 85 and older 16% · Women 65% · Also on Medicaid 63% · Health risk score 1.10. Above the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 74% · Diabetes 31% · Coronary heart disease 26% · Chronic kidney disease 19% · Atrial fibrillation 16% · Depression 16% · Heart failure 14% · Cancer 13% · Dementia 10% · COPD 7%.

The office billed $71,135, Medicare allowed $57,321 and paid $39,466; for 623 services of 11 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
2024166623751.10$71,135$39,466
2023139528751.30$57,690$33,100
2022143524761.17$57,520$31,935
2021113417751.07$45,115$25,861
202081318731.22$33,210$19,644
201998396751.16$42,320$24,789
201895303731.07$33,155$18,496
201791325741.05$36,022$18,734
201690299740.93$33,932$18,337
201577291740.86$30,544$17,711
201473274730.78$29,105$16,365
201386332740.98$34,855$19,745

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: 8 services

Original Medicare services billed in 2023
Return visit (30+ min)91$11,157$98
Short return visit (20+ min)53$5,307$72
New patient visit (45+ min)34$4,483$132
Imaging of retina111$3,691$33
Exam of visual field with extended testing50$3,097$54
Photography of the retina58$1,681$29
Exam of visual field with intermediate testing32$1,322$40
Imaging of optic nerve27$849$30

2022: 8 services

Original Medicare services billed in 2022
Return visit (30+ min)89$10,983$96
New patient visit (45+ min)46$5,566$121
Short return visit (20+ min)42$4,082$70
Imaging of retina112$3,759$33
Exam of visual field with extended testing46$2,724$53
Photography of the retina55$1,716$31
Exam of visual field with intermediate testing37$1,544$41
Imaging of optic nerve28$845$30

2021: 8 services

Original Medicare services billed in 2021
Return visit (30+ min)67$8,287$102
Short return visit (20+ min)42$4,718$68
Imaging of retina92$3,581$37
New patient visit (45+ min)33$3,434$104
Exam of visual field with extended testing37$2,852$58
Photography of the retina45$1,616$35
Imaging of optic nerve19$595$31
Exam of visual field with intermediate testing12$541$39

2020: 9 services

Original Medicare services billed in 2020
Short return visit (20+ min)46$4,835$66
Imaging of retina65$2,576$36
Established patient complete exam of visual system25$2,371$95
Exam of visual field with extended testing27$2,330$61
Return visit (30+ min)22$2,322$101
Photography of the retina43$1,899$44
New patient visit (45+ min)12$1,409$117
New patient complete exam of visual system11$1,143$104
Imaging of optic nerve14$493$35

2019: 8 services

Original Medicare services billed in 2019
Short return visit (20+ min)58$5,902$64
Established patient complete exam of visual system56$5,558$96
Imaging of retina83$3,240$36
Return visit (30+ min)21$2,999$88
Photography of the retina52$2,548$47
New patient complete exam of visual system21$2,156$103
Exam of visual field with extended testing19$1,595$59
Imaging of optic nerve11$347$32

2018: 8 services

Original Medicare services billed in 2018
Established patient complete exam of visual system54$4,919$91
Short return visit (20+ min)40$3,507$57
Imaging of retina68$2,238$32
Return visit (30+ min)15$2,230$93
New patient complete exam of visual system19$1,812$95
Exam of visual field with extended testing20$1,772$59
Photography of the retina29$1,373$47
Imaging of optic nerve13$397$31

2017: 8 services

Original Medicare services billed in 2017
Established patient complete exam of visual system65$4,693$72
Short return visit (20+ min)44$3,929$60
Return visit (30+ min)22$2,976$88
Photography of the retina37$2,392$61
Imaging of retina67$2,082$31
Exam of visual field with extended testing16$1,196$54
New patient complete exam of visual system11$822$75
Imaging of optic nerve13$396$30

2016: 8 services

Original Medicare services billed in 2016
Established patient complete exam of visual system56$4,059$70
Short return visit (20+ min)45$3,299$59
Return visit (30+ min)22$2,707$93
Imaging of retina58$2,027$34
Photography of the retina26$1,983$76
New patient complete exam of visual system18$1,548$86
Exam of visual field with extended testing16$1,236$56
Imaging of optic nerve16$595$35

2015: 6 services

Original Medicare services billed in 2015
Short return visit (20+ min)46$4,636$62
Established patient complete exam of visual system51$3,740$73
Photography of the retina34$2,554$75
Imaging of retina45$1,723$37
Exam of visual field with extended testing19$1,443$53
Imaging of optic nerve20$683$34

2014: 7 services

Original Medicare services billed in 2014
Short return visit (20+ min)44$4,422$61
Established patient complete exam of visual system44$3,140$71
Photography of the retina29$2,383$79
Return visit (30+ min)14$1,886$82
Imaging of optic nerve29$1,113$36
Imaging of retina29$1,029$35
Exam of visual field with extended testing14$915$54

2013: 8 services

Original Medicare services billed in 2013
Short return visit (20+ min)49$4,350$59
Established patient complete exam of visual system52$4,184$79
Photography of the retina37$2,823$71
Return visit (30+ min)15$2,186$95
Exam of visual field with intermediate testing27$1,709$43
Imaging of retina37$1,474$38
New patient complete exam of visual system17$1,431$84
Imaging of optic nerve28$1,066$38

Medicaid work

$22,917 in 2024

Medicaid paid $22,917 for 4,108 billed services this clinician did in 2024, up to 123 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
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST590$5,574
Frames, purchases913$4,411
Fitting of monofocal spectacles658$3,335
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina348$3,127
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST352$2,698
DETERMINATION REFRACTIVE STATE917$1,704
Fitting of bifocal spectacles184$1,317
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2)78$339
Return visit (30+ min)38$236
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve30$177
Medicaid work by year
20244,10810123$22,917
20233,411993$16,242
20222,695977$16,241
20212,129855$11,662
20201,605751$9,789
2019533735$2,256
2018534537$2,775
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST463$3,564
Frames, purchases786$3,126
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST351$2,452
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina308$2,367
Fitting of monofocal spectacles521$2,269
DETERMINATION REFRACTIVE STATE769$1,205
Fitting of bifocal spectacles187$1,030
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve12$142
Short return visit (20+ min)14$86

2022

Largest Medicaid services in 2022
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST384$3,763
Frames, purchases605$3,313
Fitting of monofocal spectacles506$2,637
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina257$2,385
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST225$2,130
DETERMINATION REFRACTIVE STATE623$1,233
Fitting of bifocal spectacles67$622
Short return visit (20+ min)16$86
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve12$71

2021

Largest Medicaid services in 2021
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST331$2,982
Frames, purchases485$2,292
Fitting of monofocal spectacles476$2,288
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina204$1,890
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST107$959
DETERMINATION REFRACTIVE STATE499$923
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve13$177
Short return visit (20+ min)14$151

2020

Largest Medicaid services in 2020
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST255$2,592
Frames, purchases357$1,832
Fitting of monofocal spectacles356$1,823
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina118$1,417
DETERMINATION REFRACTIVE STATE376$775
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST81$746
Short return visit (20+ min)62$605

2019

Largest Medicaid services in 2019
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST133$1,030
DETERMINATION REFRACTIVE STATE247$397
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST44$355
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina33$212
Fitting of monofocal spectacles30$97
Short return visit (20+ min)13$89
Frames, purchases33$77

2018

Largest Medicaid services in 2018
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST169$1,685
DETERMINATION REFRACTIVE STATE284$559
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina30$319
Fitting of monofocal spectacles26$116
Frames, purchases25$96

Drugs they prescribed that Part D paid

$65,731

Pharmacies billed $65,731 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 209) in 2024. At or below the middle of the specialty; the typical optometry clinician is at 0%.

85 generic and 124 brand-name prescriptions · $65,731 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
Restasis15$23,215$1,548
Cyclosporine31$18,261$589
Lumigan44$18,157$413
Latanoprost48$474$10
Timolol Maleate26$355$14
See all 6 drugs
Every Part D drug this clinician prescribed
Restasis15$23,215$1,548
Cyclosporine31$18,261$589
Lumigan44$18,157$413
Latanoprost48$474$10
Timolol Maleate26$355$14
Dorzolamide-Timolol12$185$15

Year by year

Part D prescribing by year
2024209540% (0)59%$65,731
2023229520% (0)68%$99,931
2022208430% (0)70%$87,151
2021147310% (0)57%$61,997
2020159370% (0)60%$67,310
2019155400% (0)62%$62,745
2018191350% (0)61%$52,556
2017191330% (0)58%$52,429
2016152360% (0)57%$36,293
2015111250% (0)65%$25,149
201479230% (0)67%$17,971
2013101280% (0)88%$31,844

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

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Restasis42$65,663$1,563
Lumigan54$17,413$322
Cyclosporine16$10,710$669
Tobramycin-Dexamethasone15$1,230$82
Latanoprost33$320$10
Timolol Maleate21$247$12
Dorzolamide-Timolol15$158$11

2022: 6 drugs

Part D drugs prescribed in 2022
Restasis50$58,957$1,179
Lumigan61$19,740$324
Bepotastine Besilate11$2,038$185
Tobramycin-Dexamethasone11$936$85
Latanoprost14$128$9
Timolol Maleate13$120$9

2021: 4 drugs

Part D drugs prescribed in 2021
Restasis39$47,037$1,206
Lumigan22$8,504$387
Olopatadine27$2,296$85
Latanoprost15$293$20

2020: 6 drugs

Part D drugs prescribed in 2020
Restasis32$49,659$1,552
Lumigan17$6,941$408
Olopatadine33$1,566$47
Timolol Maleate19$1,532$81
Tobramycin-Dexamethasone11$1,245$113
Latanoprost24$628$26

2019: 3 drugs

Part D drugs prescribed in 2019
Restasis31$49,395$1,593
Olopatadine34$3,465$102
Latanoprost41$884$22

2018: 5 drugs

Part D drugs prescribed in 2018
Restasis31$35,433$1,143
Olopatadine55$5,021$91
Lumigan11$4,503$409
Latanoprost38$680$18
Timolol Maleate15$102$7

2017: 5 drugs

Part D drugs prescribed in 2017
Restasis49$38,864$793
Pataday16$2,831$177
Olopatadine22$2,216$101
Latanoprost42$641$15
Timolol Maleate24$132$5

2016: 5 drugs

Part D drugs prescribed in 2016
Restasis40$27,004$675
Pataday19$3,527$186
Tobramycin-Dexamethasone13$1,010$78
Latanoprost37$490$13
Timolol Maleate14$87$6

2015: 3 drugs

Part D drugs prescribed in 2015
Restasis33$17,462$529
Pataday11$2,012$183
Latanoprost33$314$10

2014: 2 drugs

Part D drugs prescribed in 2014
Restasis29$13,337$460
Latanoprost28$418$15

2013: 3 drugs

Part D drugs prescribed in 2013
Restasis55$25,372$461
Travatan Z13$2,804$216
Latanoprost11$158$14

Money from drug and device companies

$34 in 2022

Industry payments by year
202222None$34
202011None$17

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
Oyster Point PharmaTyrvaya$22
1 payment
  • Meals for Tyrvaya · 2022-01-26 · $22
CooperVisionMyday Contact Lens$12
1 payment
  • Meals for Myday Contact Lens · 2022-04-22 · $12
See all 2 published payments
Every published payment
CooperVisionMeals · 2022-04-22Myday Contact Lens$12
Oyster Point PharmaMeals · 2022-01-26Tyrvaya$22
See earlier years (2020)

2020: $17

Payments by company in 2020
Carl Zeiss MeditecNone Specified$17
1 payment
  • Gift for None Specified · 2020-05-13 · $17

Professional record

NPI
1043406697
Licence
CA 10646T
Trained
Southern California College of Optometry, 1995
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
240 Meridian Ave Ste 1, San Jose, CA, 95126
NPI first listed
2007-09-18
NPI last updated
2007-09-18

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