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Antonia Maitland Charles, MD

Pediatrics · San Jose

NPI 1063481695

Medicare standing
1 flag on the record
Listed below.
Plans that list them
2
1 carrier
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plans that list them

2 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Charles’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026

California Medical Board record

Licence A66380 · Current

Licensed to practise in California · since 1998 · expires 2028-08-31 · University of California San Francisco School of Medicine.

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

Medicaid work

$363,539 in 2024

Medicaid paid $363,539 for 1,584 billed services this clinician did in 2024, up to 43 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-inclusive709$362,896
Long return visit (40+ min)114$324
Short return visit357$319
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)227$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)177$0
Medicaid work by year
20241,584543$363,539
20231,018437$296,611
20221,068635$211,867
20212,486860$489,014
20202,4641078$333,982
20191,643339$332,391
20181,377645$319,964
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive599$295,813
Short return visit332$747
Return visit (30+ min)24$52
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)63$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive434$209,636
Short return visit481$1,386
Long return visit (40+ min)37$685
Short return visit (20+ min)47$160
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)54$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)15$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive1,045$486,886
Short return visit1,172$1,898
Return visit (30+ min)29$133
Long return visit (40+ min)44$67
Blood test, lipids (cholesterol and triglycerides)15$30
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)153$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)15$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)13$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive1,037$331,237
Short return visit899$1,538
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only220$828
Short return visit (20+ min)104$226
Blood test, lipids (cholesterol and triglycerides)31$100
Hemoglobin A1C level18$30
Transferase; alanine amino (ALT) (SGPT)15$12
Blood glucose (sugar) level18$11
Return visit (30+ min)22$0
Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion100$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive1,056$331,122
Short return visit458$1,057
OFF/OP EST MAY X REQ PHY/QHP129$212

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive1,036$318,416
Long return visit (40+ min)25$578
Short return visit152$469
OFF/OP EST MAY X REQ PHY/QHP111$310
Return visit (30+ min)41$177
Hemoglobin A1C level12$15

Professional record

NPI
1063481695
Licence
CA A66380California A66380: Current · expires 2028-08-31
More record details
Sole proprietor
No
Medicaid ID
CA 00A663800
Taxonomy
Pediatrics (208000000X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-03-16
NPI last updated
2007-09-11

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