Benjamin Luis Silva, PA
Physician Assistant · Palo Alto
- 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
- Since medical school
- 4 years
- Graduated 2022
Offices
3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Benjamin Luis Silva’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$27,123
Medicare paid this office $27,123 for 281 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 87 | $8,150 | $91 |
| Long return visit (40+ min) | 39 | $4,575 | $117 |
| Short return visit (20+ min) | 47 | $3,047 | $65 |
| New patient visit (30+ min) | 42 | $2,782 | $66 |
| New patient visit (60+ min) | 15 | $2,052 | $137 |
See all 8 services
| Return visit (30+ min) | 87 | $8,150 | $91 |
| Long return visit (40+ min) | 39 | $4,575 | $117 |
| Short return visit (20+ min) | 47 | $3,047 | $65 |
| New patient visit (30+ min) | 42 | $2,782 | $66 |
| New patient visit (60+ min) | 15 | $2,052 | $137 |
| New patient visit (45+ min) | 15 | $1,682 | $112 |
| Emergency department visit with moderate level of medical decision making | 17 | $1,478 | $82 |
| Automated urinalysis test | 41 | $90 | $2 |
Who their Medicare patients are
281 Original Medicare patients in 2024. Average age 74 · Under 65 8% · 85 and older 10% · Women 59% · Also on Medicaid 18% · Health risk score 0.98. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.
Conditions among them: High blood pressure 60% · Diabetes 21% · Depression 21% · Coronary heart disease 17% · Atrial fibrillation 17% · Chronic kidney disease 13% · Cancer 13% · Heart failure 10% · COPD 9% · Dementia 7% · Stroke 5%.
The office billed $140,521, Medicare allowed $35,905 and paid $27,123; for 408 services of 36 kinds; $44 of it was for drugs given in the office and $27,079 for care.
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
| 2024 | 281 | 408 | 74 | 0.98 | $140,521 | $27,123 |
| 2023 | 45 | 48 | 67 | 1.00 | $50,037 | $4,220 |
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: 2 services
| Emergency department visit with moderate level of medical decision making | 23 | $2,127 | $89 |
| Emergency department visit with high level of medical decision making | 12 | $1,668 | $128 |
Medicaid work
$65,835 in 2024
Medicaid paid $65,835 for 2,344 billed services this clinician did in 2024, up to 127 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.
| Service | 655 | $27,217 |
| Service | 171 | $16,251 |
| Service | 149 | $6,582 |
| EMERGENCY DEPT VISIT MOD MDM | 153 | $3,486 |
| 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 92 | $3,091 |
| Unlisted special service, procedure or report | 17 | $1,625 |
| Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique | 75 | $1,557 |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Influenza, A or B, each | 162 | $1,408 |
| EMERGENCY DEPT VISIT LOW MDM | 64 | $847 |
| Service | 17 | $595 |
| COMPREHENSIVE METABOLIC PANEL | 155 | $561 |
| Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy | 85 | $432 |
| 2024 | 2,344 | 20 | 127 | $65,835 |
| 2023 | 1,792 | 17 | 106 | $44,092 |
See the largest Medicaid services in earlier years
2023
| Service | 447 | $16,079 |
| Service | 232 | $8,009 |
| Unlisted special service, procedure or report | 81 | $5,548 |
| Service | 89 | $3,252 |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Influenza, A or B, each | 158 | $2,734 |
| 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 68 | $2,236 |
| COMPREHENSIVE METABOLIC PANEL | 138 | $2,221 |
| Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique | 75 | $1,464 |
| Radiologic examination, chest; single view | 85 | $785 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 141 | $367 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 30 | $358 |
| Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique | 12 | $358 |
Drugs they prescribed that Part D paid
$2,429
Pharmacies billed $2,429 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
191 generic and fewer than 11 brand-name prescriptions · $2,429 in drug cost · 84 antibiotic prescriptions to 71 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.
| Cephalexin | 25 | $148 | $6 |
| Amoxicillin-Clavulanate Potass | 17 | $121 | $7 |
| Baclofen | 12 | $78 | $6 |
| Naproxen | 12 | $31 | $3 |
Year by year
| 2024 | 200 | 161 | None | None | $2,429 |
| 2023 | 51 | 43 | None | None | $873 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
Money from drug and device companies
$98 in 2023
A payment is not proof that care is biased.
| Medical Device Business Services | None | $98 | 1 payment
|
See the published payment
| Medical Device Business Services | Education · 2023-07-17 | None | $98 |
Professional record
- NPI
- 1043969991
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Physician assistant (363A00000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2022-03-19
- NPI last updated
- 2024-08-16
- NPI record certified
- 2024-08-16
This is when the NPI record was last certified, not a medical board exam.