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Amy J Orseth, OD

Optometry · Palo Alto

NPI 1043651243

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
3

Offices

3 locations · Sutter Bay Medical Foundation · 3,783 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. Orseth’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence C14727 · Cancelled

Licence status: Cancelled · since 1953 · University of Nebraska College of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

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

$89,732

Medicare paid this office $89,732 for 826 people.

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

Largest Original Medicare bills
Established patient complete exam of visual system447$41,068$92
New patient complete exam of visual system174$18,598$107
Short return visit (20+ min)150$11,816$68
Return visit (30+ min)38$5,102$106
New patient visit (30+ min)61$4,609$76
See all 11 services
Every Original Medicare service billed
Established patient complete exam of visual system447$41,068$92
New patient complete exam of visual system174$18,598$107
Short return visit (20+ min)150$11,816$68
Return visit (30+ min)38$5,102$106
New patient visit (30+ min)61$4,609$76
Exam of visual field with extended testing53$2,980$49
New patient visit (45+ min)19$2,587$136
Photography of the retina28$953$33
Imaging of retina23$787$34
Imaging of optic nerve23$738$31
Exam of visual field with limited testing11$268$24

Who their Medicare patients are

826 Original Medicare patients in 2024. Average age 75 · Under 65 4% · 85 and older 10% · Women 59% · Also on Medicaid 12% · Health risk score 0.94. At or below the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 59% · Diabetes 27% · Depression 18% · Atrial fibrillation 17% · Coronary heart disease 16% · Chronic kidney disease 15% · Cancer 13% · Heart failure 10% · COPD 9% · Dementia 3% · Stroke 3%.

The office billed $437,867, Medicare allowed $133,935 and paid $89,732; for 1,083 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
20248261,083750.94$437,867$89,732
2023667834740.84$330,309$71,504
2022294316740.82$123,897$26,877
2021530653740.80$228,082$55,251
2020418527730.85$154,589$33,231
2019522630730.82$222,533$48,477
2018525639730.92$224,795$49,025
2017502635720.85$207,853$44,225
2016252300730.83$105,855$21,383
2015433507730.89$190,027$42,621
2014538676720.88$230,720$50,149
20135355740.86$19,663$4,803

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: 7 services

Original Medicare services billed in 2023
Established patient complete exam of visual system368$34,740$94
New patient complete exam of visual system154$16,592$108
Short return visit (20+ min)120$9,171$66
Exam of visual field with extended testing53$3,311$53
New patient visit (30+ min)45$2,962$66
Return visit (30+ min)18$2,275$103
New patient visit (45+ min)13$1,344$103

2022: 3 services

Original Medicare services billed in 2022
Established patient complete exam of visual system177$15,879$89
New patient complete exam of visual system52$5,509$106
Short return visit (20+ min)46$2,992$59

2021: 7 services

Original Medicare services billed in 2021
Established patient complete exam of visual system253$26,228$104
New patient complete exam of visual system82$9,976$122
Short return visit (20+ min)137$9,467$61
Exam of visual field with extended testing56$3,428$53
Return visit (30+ min)22$2,772$111
New patient visit (30+ min)33$1,738$53
Short return visit24$809$32

2020: 7 services

Original Medicare services billed in 2020
Established patient complete exam of visual system131$10,539$80
Short return visit (20+ min)134$8,294$58
New patient complete exam of visual system52$4,606$89
New patient visit (30+ min)53$4,276$81
Short return visit63$2,308$32
Exam of visual field with extended testing41$2,029$45
New patient visit (15+ min)14$697$50

2019: 7 services

Original Medicare services billed in 2019
Established patient complete exam of visual system282$25,671$91
New patient complete exam of visual system112$11,650$104
Short return visit (20+ min)64$3,429$49
Short return visit60$2,769$36
Exam of visual field with extended testing42$2,183$51
New patient visit (30+ min)24$1,713$71
New patient visit (15+ min)11$469$43

2018: 7 services

Original Medicare services billed in 2018
Established patient complete exam of visual system272$24,157$89
New patient complete exam of visual system126$12,891$102
Short return visit (20+ min)68$4,208$52
Exam of visual field with extended testing39$2,419$51
New patient visit (30+ min)28$1,906$68
Short return visit49$1,735$33
New patient visit (15+ min)15$828$55

2017: 8 services

Original Medicare services billed in 2017
Established patient complete exam of visual system262$21,936$84
New patient complete exam of visual system103$10,575$103
Short return visit (20+ min)57$3,327$55
Short return visit77$3,269$31
Exam of visual field with extended testing35$2,032$50
New patient visit (15+ min)20$1,059$53
New patient visit (30+ min)14$862$62
Imaging of optic nerve12$360$30

2016: 4 services

Original Medicare services billed in 2016
Established patient complete exam of visual system164$14,265$86
New patient complete exam of visual system43$3,268$76
Short return visit (20+ min)20$1,376$55
Short return visit15$610$30

2015: 6 services

Original Medicare services billed in 2015
Established patient complete exam of visual system231$21,260$92
New patient complete exam of visual system132$14,914$113
Short return visit53$1,743$27
Short return visit (20+ min)24$1,698$63
Exam of visual field with extended testing17$1,022$57
New patient visit (15+ min)13$775$60

2014: 7 services

Original Medicare services billed in 2014
Established patient complete exam of visual system215$19,549$91
New patient complete exam of visual system167$18,254$109
Short return visit107$4,529$32
New patient visit (15+ min)40$2,047$51
Exam of visual field with extended testing26$1,361$50
Imaging of optic nerve19$666$35
Imaging of retina17$642$38

2013: 2 services

Original Medicare services billed in 2013
Established patient complete exam of visual system22$2,180$99
Return visit (30+ min)12$1,044$87

Medicaid work

$6,888 in 2023

Medicaid paid $6,888 for 294 billed services this clinician did in 2023, up to 44 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
DETERMINATION REFRACTIVE STATE167$5,796
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST65$610
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST62$482
Medicaid work by year
2023294344$6,888
2022139331$2,974
2021295231$4,447
2020294332$4,899
2019339330$5,301
2018328333$4,400
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
DETERMINATION REFRACTIVE STATE84$1,701
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST28$655
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST27$619

2021

Largest Medicaid services in 2021
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST82$2,911
DETERMINATION REFRACTIVE STATE213$1,536

2020

Largest Medicaid services in 2020
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST75$2,645
DETERMINATION REFRACTIVE STATE195$1,402
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST24$852

2019

Largest Medicaid services in 2019
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST52$1,846
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST49$1,740
DETERMINATION REFRACTIVE STATE238$1,716

2018

Largest Medicaid services in 2018
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST60$2,130
DETERMINATION REFRACTIVE STATE256$1,844
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST12$426

Drugs they prescribed that Part D paid

$26,652

Pharmacies billed $26,652 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 164) in 2024. At or below the middle of the specialty; the typical optometry clinician is at 0%.

114 generic and 50 brand-name prescriptions · $26,652 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
Restasis12$16,534$1,378
Cyclosporine14$5,124$366
Erythromycin91$1,141$13
Latanoprost18$109$6

Year by year

Part D prescribing by year
2024164830% (0)30%$26,652
2023111550% (0)43%$29,299
2022100470% (0)42%$30,617
2021116560% (0)28%$22,162
2020122560% (0)22%$19,762
201975430% (0)23%$11,256
201874390% (0)19%$13,478
201794440% (0)36%$19,019
201668360% (0)21%$4,209
2015111550% (0)15%$7,995
2014145690% (0)15%$7,887
201315None0% (0)None$807

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

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Restasis16$24,169$1,511
Erythromycin53$590$11
Latanoprost22$404$18

2022: 3 drugs

Part D drugs prescribed in 2022
Restasis15$28,224$1,882
Erythromycin39$557$14
Latanoprost29$442$15

2021: 4 drugs

Part D drugs prescribed in 2021
Restasis15$19,156$1,277
Olopatadine19$792$42
Erythromycin49$699$14
Latanoprost20$438$22

2020: 3 drugs

Part D drugs prescribed in 2020
Restasis14$16,032$1,145
Olopatadine20$1,356$68
Erythromycin47$663$14

2019: 2 drugs

Part D drugs prescribed in 2019
Olopatadine19$1,303$69
Erythromycin36$405$11

2018: 1 drug

Part D drugs prescribed in 2018
Erythromycin23$238$10

2017: 3 drugs

Part D drugs prescribed in 2017
Olopatadine12$964$80
Erythromycin28$262$9
Latanoprost13$158$12

2016: 1 drug

Part D drugs prescribed in 2016
Erythromycin53$623$12

2015: 1 drug

Part D drugs prescribed in 2015
Erythromycin80$1,038$13

2014: 1 drug

Part D drugs prescribed in 2014
Erythromycin106$1,473$14

Money from drug and device companies

$301 in 2024

A payment is not proof that care is biased.

Payments by company
Astellas Pharma USIzervay$112
1 payment
  • Meals for Izervay · 2024-10-30 · $112
AbbvieOzurdex$107
1 payment
  • Meals for Ozurdex · 2024-07-29 · $107
CooperVisionClariti Contact Lens$82
1 payment
  • Meals for Clariti Contact Lens · 2024-11-19 · $82
See all 3 published payments
Every published payment
CooperVisionMeals · 2024-11-19Clariti Contact Lens$82
Astellas Pharma USMeals · 2024-10-30Izervay$112
AbbvieMeals · 2024-07-29Ozurdex$107

Professional record

NPI
1043651243
Licence
CA 14727California C14727: Cancelled
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
2025 Soquel Ave, Santa Cruz, CA, 95062
NPI first listed
2013-07-16
NPI last updated
2013-09-23

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