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Prithvi Mruthyunjaya, MD

Ophthalmology · Stanford

NPI 1073670477

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
23
5 carriers
Offices
3

Offices

3 locations · Stanford Health Care · County of Santa Clara

Looking this up.

Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.

Plans that list them

23 plans · 5 carriers

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

23 of 23 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)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 Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
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
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence C144368 · Current

Licensed to practise in California · since 2016 · expires 2028-03-31 · Albany Medical College.

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

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$117,067

Medicare paid this office $117,067 for 466 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 system312$30,275$66
Injection of drug into eye56$20,784$85
Imaging of retina386$16,156$22
Established patient problem focused exam of visual system75$4,434$43
2d ultrasound scan of eye tissue and structures119$3,955$26
See all 17 services
Every Original Medicare service billed
Established patient complete exam of visual system312$30,275$66
Injection of drug into eye56$20,784$85
Imaging of retina386$16,156$22
Established patient problem focused exam of visual system75$4,434$43
2d ultrasound scan of eye tissue and structures119$3,955$26
New patient complete exam of visual system39$2,826$72
Return visit (30+ min)31$2,783$87
New patient visit (45+ min)25$2,736$109
New patient visit (60+ min)17$2,601$153
Short return visit (20+ min)26$2,033$56
Ultrasound scan of eye using water bath method46$1,499$27
Extended exam of the back part of the eye with retinal drawing30$605$20
Exam of retinal blood vessels using a special camera after injection of a dye12$552$39
Photography of the retina20$393$19
Exam of visual field with extended testing12$349$25
Photography of content of eyes86$325$3
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's17$254$15

Procedures Medicare counted

Procedure volume Medicare published
Cataract surgery1-10None

Who their Medicare patients are

466 Original Medicare patients in 2024. Average age 75 · Under 65 5% · 85 and older 14% · Women 56% · Also on Medicaid 16% · Health risk score 1.55. Above the middle of the specialty; the typical ophthalmology clinician is at 1.16.

Conditions among them: High blood pressure 64% · Diabetes 24% · Coronary heart disease 24% · Cancer 22% · Chronic kidney disease 21% · Atrial fibrillation 15% · Depression 13% · Heart failure 12% · COPD 8% · Stroke 7% · Dementia 5%.

The office billed $1,109,579, Medicare allowed $155,923 and paid $117,067; for 2,230 services of 49 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
20244662,230751.55$1,109,579$117,067
20235222,279751.70$1,003,171$128,448
20225702,328751.57$956,340$131,316
20215512,200741.62$811,495$124,351
20204181,821731.69$762,079$115,733
20193991,730731.56$598,914$100,676
20182971,216731.43$332,171$63,850
2017178569731.50$283,594$48,643
20164821,854741.15$872,029$241,069
20156853,963741.11$1,849,657$574,473
20146824,436741.14$1,862,528$598,113
20137095,011741.20$2,137,600$705,287

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: 15 services

Original Medicare services billed in 2023
Established patient complete exam of visual system329$32,490$68
Injection of drug into eye58$20,485$89
Imaging of retina437$17,417$23
New patient complete exam of visual system72$6,129$85
Established patient problem focused exam of visual system64$4,174$47
2d ultrasound scan of eye tissue and structures105$4,130$28
New patient visit (45+ min)24$2,759$115
Return visit (30+ min)27$2,560$88
Extended exam of the back part of the eye with retinal drawing75$1,565$20
Short return visit (20+ min)24$1,477$57
Ultrasound scan of eye using water bath method45$1,396$28
Photography of the retina25$523$18
Exam of retinal blood vessels using a special camera after injection of a dye11$519$40
Imaging of retina17$420$20
Photography of content of eyes77$261$3

2022: 16 services

Original Medicare services billed in 2022
Established patient complete exam of visual system330$30,998$63
Injection of drug into eye54$19,908$82
Imaging of retina475$18,356$22
New patient complete exam of visual system89$7,504$84
New patient visit (45+ min)38$4,395$116
Established patient problem focused exam of visual system68$3,689$44
2d ultrasound scan of eye tissue and structures81$2,641$26
New patient visit (60+ min)16$2,516$157
Return visit (30+ min)27$2,405$89
Ultrasound scan of eye using water bath method40$1,313$30
Short return visit (20+ min)19$1,180$59
Imaging of retina34$917$18
Exam of retinal blood vessels using a special camera after injection of a dye17$718$38
Photography of the retina29$608$20
Exam of visual field with extended testing15$328$22
Photography of content of eyes64$214$3

2021: 20 services

Original Medicare services billed in 2021
Established patient complete exam of visual system294$28,244$66
Imaging of retina445$17,728$23
Injection of drug into eye53$14,772$82
New patient visit (45+ min)55$6,628$121
New patient complete exam of visual system72$6,111$85
Established patient problem focused exam of visual system61$3,738$47
Injection of drug into eye12$2,601$84
Return visit (30+ min)31$2,568$73
2d ultrasound scan of eye tissue and structures59$1,974$27
New patient visit (60+ min)11$1,709$155
Imaging of retina47$1,512$20
Short return visit (20+ min)27$1,479$51
Exam of retinal blood vessels using a special camera after injection of a dye31$1,347$41
New patient visit (30+ min)17$1,121$66
Short return visit (20+ min)14$808$58
Ultrasound scan of eye using water bath method22$740$27
1d and 2d ultrasound scan of eye tissue and structures18$648$36
Short return visit27$616$22
Photography of the retina14$341$20
Photography of content of eyes72$249$2

2020: 20 services

Original Medicare services billed in 2020
Established patient complete exam of visual system183$18,007$66
Imaging of retina314$12,995$22
Injection of drug into eye31$11,881$86
New patient visit (45+ min)71$8,227$116
Injection of drug into eye18$3,648$99
Established patient problem focused exam of visual system48$3,170$45
New patient visit (60+ min)18$2,682$149
Long return visit (40+ min)24$1,877$78
Imaging of retina61$1,769$20
Short return visit (20+ min)33$1,616$45
Short return visit (20+ min)30$1,401$38
1d and 2d ultrasound scan of eye tissue and structures30$1,357$42
New patient complete exam of visual system14$1,266$90
Exam of retinal blood vessels using a special camera after injection of a dye23$1,251$42
2d ultrasound scan of eye tissue and structures40$1,243$26
Return visit (30+ min)13$875$67
Short return visit27$775$20
Extended exam of the back part of the eye with retinal drawing18$325$18
Photography of the retina15$308$19
Photography of content of eyes47$240$2

2019: 21 services

Original Medicare services billed in 2019
Established patient complete exam of visual system163$15,207$67
Imaging of retina303$13,229$23
Injection of drug into eye27$11,004$89
New patient visit (45+ min)59$6,647$113
Established patient problem focused exam of visual system70$4,736$45
New patient complete exam of visual system52$4,263$82
Long return visit (40+ min)25$2,524$101
Injection of drug into eye14$2,348$98
1d and 2d ultrasound scan of eye tissue and structures30$1,972$53
Imaging of retina38$1,206$24
Return visit (30+ min)12$1,077$72
Established patient problem focused exam of visual system19$1,044$50
Short return visit (20+ min)19$794$42
Exam of retinal blood vessels using a special camera after injection of a dye17$792$36
2d ultrasound scan of eye tissue and structures18$774$29
Short return visit (20+ min)18$696$35
Short return visit21$672$22
Ultrasound scan of eye using water bath method14$410$26
Photography of content of eyes59$348$3
Examination of eye by ophthalmoscope with retinal drawing11$272$15
Photography of the retina14$264$19

2018: 16 services

Original Medicare services billed in 2018
Injection of drug into eye16$8,982$93
Imaging of retina213$8,786$23
Established patient complete exam of visual system70$5,023$70
New patient visit (45+ min)48$4,904$102
Short return visit (20+ min)78$4,537$42
Return visit (30+ min)52$4,064$66
New patient complete exam of visual system53$3,995$75
1d and 2d ultrasound scan of eye tissue and structures29$2,182$68
New patient visit (60+ min)11$1,656$151
Short return visit38$1,525$22
New patient visit (30+ min)21$1,359$65
2d ultrasound scan of eye tissue and structures25$1,304$41
Exam of retinal blood vessels using a special camera after injection of a dye27$1,200$36
Established patient problem focused exam of visual system14$738$49
Examination of eye by ophthalmoscope with retinal drawing22$463$17
Photography of content of eyes30$167$3

2017: 15 services

Original Medicare services billed in 2017
New patient visit (45+ min)45$5,082$113
1d and 2d ultrasound scan of eye tissue and structures27$2,619$75
Return visit (30+ min)31$2,375$64
Imaging of retina71$2,316$23
New patient complete exam of visual system24$2,069$86
Established patient complete exam of visual system24$1,927$74
Short return visit (20+ min)36$1,917$43
New patient visit (60+ min)11$1,654$150
Long return visit (40+ min)15$1,295$86
Established patient problem focused exam of visual system16$933$49
Exam of retinal blood vessels using a special camera after injection of a dye17$777$39
New patient visit (30+ min)11$714$65
Examination of eye by ophthalmoscope with retinal drawing29$643$18
Short return visit18$568$23
Photography of content of eyes16$75$3

2016: 15 services

Original Medicare services billed in 2016
Injection, aflibercept, 1 mg28$97,314None
Established patient complete exam of visual system270$20,873$73
1d and 2d ultrasound scan of eye tissue and structures112$14,237$110
Established patient problem focused exam of visual system144$7,843$50
Injection of drug into eye48$6,734$67
Imaging of retina218$5,031$19
Imaging of retina144$4,664$27
New patient complete exam of visual system44$4,569$104
2d ultrasound scan of eye tissue and structures54$4,252$62
Injection of drug into eye21$2,962$71
Ultrasound scan of eye using water bath method40$2,648$58
Exam of retinal blood vessels using a special camera after injection of a dye56$2,449$33
Injection of drug or substance into membrane covering eyeball13$718$42
Exam of the internal drainage system of eye14$284$20
Photography of content of eyes24$49$2

2015: 25 services

Original Medicare services billed in 2015
Injection, aflibercept, 1 mg34$267,821None
Injection, ranibizumab, 0.1 mg12$70,707None
Established patient complete exam of visual system451$51,397$82
Injection of drug into eye65$20,116$73
2d ultrasound scan of eye tissue and structures206$19,246$68
Established patient problem focused exam of visual system202$15,969$57
Imaging of retina253$15,590$32
Destruction of growth of retina by implantation of radiation source13$13,735$1,057
New patient complete exam of visual system106$11,621$110
Imaging of retina298$9,153$20
Injection of drug into eye43$7,937$75
Removal of eyeball with insertion of implant attached to muscles11$7,068$643
Exam of retinal blood vessels using a special camera after injection of a dye90$5,373$35
1d and 2d ultrasound scan of eye tissue and structures32$4,108$121
Exam of retinal blood vessels using a special camera after injection of a dye33$3,757$77
Ultrasound scan of eye using water bath method37$3,426$65
Exam of blood vessels between the white part of eye and retina using a special camera after injection of a dye12$3,128$174
Unclassified biologics14$1,658None
Injection of drug or substance into membrane covering eyeball22$1,232$46
Examination of eye by ophthalmoscope with retinal drawing32$792$18
Examination of eye by ophthalmoscope with retinal drawing17$554$21
Exam of the internal drainage system of eye26$527$19
Short return visit (20+ min)18$420$23
Photography of the retina20$354$15
Photography of content of eyes45$101$2

2014: 20 services

Original Medicare services billed in 2014
Injection, aflibercept, 1 mg29$284,197None
Injection, ranibizumab, 0.1 mg15$71,794None
Established patient complete exam of visual system357$37,795$83
Established patient problem focused exam of visual system287$28,447$61
Injection of drug into eye70$22,953$73
Imaging of retina286$17,831$32
2d ultrasound scan of eye tissue and structures176$17,399$68
New patient complete exam of visual system123$13,049$106
Imaging of retina304$9,750$20
Injection of drug into eye45$9,110$68
Exam of retinal blood vessels using a special camera after injection of a dye104$6,187$32
Ultrasound scan of eye using water bath method42$3,983$66
Examination of eye by ophthalmoscope with retinal drawing112$3,398$20
Examination of eye by ophthalmoscope with retinal drawing116$2,974$18
Exam of retinal blood vessels using a special camera after injection of a dye23$2,899$74
Unclassified biologics22$1,753None
Injection of drug or substance into membrane covering eyeball21$1,566$56
Exam of the internal drainage system of eye36$816$21
Short return visit (20+ min)11$602$55
Photography of content of eyes58$155$2

2013: 20 services

Original Medicare services billed in 2013
Injection, aflibercept, 1 mg31$257,922None
Injection, ranibizumab, 0.1 mg27$177,672None
Established patient problem focused exam of visual system427$39,966$56
Injection of drug into eye84$27,827$70
Established patient complete exam of visual system264$24,086$84
Imaging of retina309$21,955$31
2d ultrasound scan of eye tissue and structures142$12,331$67
Injection of drug into eye50$11,244$68
New patient complete exam of visual system104$10,654$102
Imaging of retina261$8,624$20
Exam of retinal blood vessels using a special camera after injection of a dye34$5,160$78
Exam of retinal blood vessels using a special camera after injection of a dye78$4,711$33
Examination of eye by ophthalmoscope with retinal drawing148$3,804$17
Ultrasound scan of eye using water bath method38$3,056$69
Examination of eye by ophthalmoscope with retinal drawing82$2,721$19
Unclassified biologics30$2,545None
Injection of drug or substance into membrane covering eyeball21$1,647$59
Exam of the internal drainage system of eye27$577$19
Photography of the retina11$193$18
Photography of content of eyes37$79$2

Medicaid work

$4,255 in 2024

Medicaid paid $4,255 for 229 billed services this clinician did in 2024, up to 27 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
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina151$2,391
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST78$1,864
Medicaid work by year
2024229227$4,255
2023454334$6,773
2022509330$7,967
2021506329$5,514
2020501436$6,171
2019374328$4,635
2018206220$1,330
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina288$3,993
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST153$2,742
Intravitreal injection of a pharmacologic agent (separate procedure)13$38

2022

Largest Medicaid services in 2022
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina361$4,265
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST135$3,036
Intravitreal injection of a pharmacologic agent (separate procedure)13$666

2021

Largest Medicaid services in 2021
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina409$4,048
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST70$1,444
Intravitreal injection of a pharmacologic agent (separate procedure)27$22

2020

Largest Medicaid services in 2020
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina445$3,899
Intravitreal injection of a pharmacologic agent (separate procedure)27$1,732
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST16$385
Short return visit (20+ min)13$156

2019

Largest Medicaid services in 2019
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina323$3,610
Intravitreal injection of a pharmacologic agent (separate procedure)33$833
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient18$192

2018

Largest Medicaid services in 2018
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina119$784
Short return visit (20+ min)87$546

Drugs they prescribed that Part D paid

$3,776

Pharmacies billed $3,776 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 152) in 2024. At or below the middle of the specialty; the typical ophthalmology clinician is at 0%.

96 generic and 56 brand-name prescriptions · $3,776 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
Prednisolone Acetate47$1,929$41
Ketorolac Tromethamine33$361$11
Brimonidine12$329$27

Year by year

Part D prescribing by year
2024152500% (0)37%$3,776
2023143580% (0)46%$10,388
2022287720% (0)38%$17,481
2021205700% (0)44%$16,368
202014357None43%$10,466
2019117400% (0)53%$14,840
2018155460% (0)46%$14,214
2017110400% (0)65%$12,411
2016233680% (0)56%$21,083
2015326102None68%$29,538
201434192None64%$35,634
201328386None63%$35,790

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
Prednisolone Acetate36$1,924$53
Ketorolac Tromethamine20$725$36
Brimonidine19$430$23

2022: 8 drugs

Part D drugs prescribed in 2022
Prednisolone Acetate54$3,737$69
Ketorolac Tromethamine56$3,016$54
Moxifloxacin21$610$29
Brimonidine35$393$11
Latanoprost25$317$13
Atropine Sulfate11$274$25
Neomycin-Polymyxin-Dexameth16$217$14
Timolol Maleate11$80$7

2021: 5 drugs

Part D drugs prescribed in 2021
Prednisolone Acetate48$3,509$73
Ketorolac Tromethamine38$1,505$40
Latanoprost19$417$22
Brimonidine14$416$30
Moxifloxacin19$392$21

2020: 3 drugs

Part D drugs prescribed in 2020
Prednisolone Acetate33$2,009$61
Ketorolac Tromethamine19$727$38
Erythromycin12$134$11

2019: 2 drugs

Part D drugs prescribed in 2019
Prednisolone Acetate28$1,559$56
Ketorolac Tromethamine17$548$32

2018: 2 drugs

Part D drugs prescribed in 2018
Prednisolone Acetate31$1,581$51
Ketorolac Tromethamine19$921$48

2017: 2 drugs

Part D drugs prescribed in 2017
Prednisolone Acetate28$2,070$74
Ketorolac Tromethamine11$728$66

2016: 5 drugs

Part D drugs prescribed in 2016
Brimonidine28$3,412$122
Prednisolone Acetate42$1,706$41
Valacyclovir13$1,423$109
Ketorolac Tromethamine34$1,118$33
Dorzolamide-Timolol22$386$18

2015: 9 drugs

Part D drugs prescribed in 2015
Prolensa16$3,820$239
Nevanac15$3,373$225
Prednisolone Acetate64$3,328$52
Brimonidine41$3,029$74
Combigan14$1,700$121
Timolol Maleate24$1,533$64
Ketorolac Tromethamine27$944$35
Dorzolamide-Timolol16$325$20
Latanoprost13$309$24

2014: 8 drugs

Part D drugs prescribed in 2014
Prolensa47$9,098$194
Nevanac19$4,158$219
Prednisolone Acetate63$3,800$60
Bromfenac25$3,312$132
Brimonidine32$2,095$65
Combigan18$1,999$111
Dorzolamide-Timolol15$380$25
Dorzolamide13$345$27

2013: 8 drugs

Part D drugs prescribed in 2013
Nevanac38$6,266$165
Bromday19$4,078$215
Travatan Z11$1,397$127
Prednisolone Acetate41$1,307$32
Dorzolamide-Timolol20$924$46
Brimonidine16$792$50
Gentamicin Sulfate11$134$12
Timolol Maleate15$111$7

Money from drug and device companies

$584 in 2025

Industry payments by year
202538None$584
2024410$17,500$19,177
2023717$21,135$23,334
2022716$13,135$17,080
202126$7,955$8,151
202022$5,505$5,505
201945None$406

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
Alcon VisionUnity$494
5 payments
  • Meals for Unity · 2025-09-12 · $140
  • Meals for Unity · 2025-06-21 · $170
  • Meals for Constellation · 2025-01-09 · $20
  • Travel for Constellation · 2025-01-09 · $76
  • Travel for Constellation · 2025-01-09 · $87
Apellis PharmaceuticalsSyfovre$58
2 payments
  • Meals for Syfovre · 2025-10-11 · $30
  • Meals for Syfovre · 2025-10-11 · $28
Genentech USASusvimo$32
1 payment
  • Meals for Susvimo · 2025-08-14 · $32
See all 8 published payments
Every published payment
Apellis PharmaceuticalsMeals · 2025-10-11Syfovre$30
Apellis PharmaceuticalsMeals · 2025-10-11Syfovre$28
Alcon VisionMeals · 2025-09-12Unity$140
Genentech USAMeals · 2025-08-14Susvimo$32
Alcon VisionMeals · 2025-06-21Unity$170
Alcon VisionMeals · 2025-01-09Constellation$20
Alcon VisionTravel · 2025-01-09Constellation$76
Alcon VisionTravel · 2025-01-09Constellation$87
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $19,177

Payments by company in 2024
Alcon VisionConstellation$18,760
5 payments
  • Consulting for Constellation · 2024-11-21 · $17,500
  • Travel · 2024-11-15 · $212
  • Travel · 2024-11-15 · $265
  • Travel for Constellation · 2024-11-15 · $517
  • Meals · 2024-11-15 · $265
Regeneron PharmaceuticalsEylea$180
2 payments
  • Meals for Eylea · 2024-09-11 · $86
  • Meals for Eylea · 2024-07-19 · $94
ImmunocoreKimmtrak$125
2 payments
  • Meals for Kimmtrak · 2024-06-19 · $75
  • Meals for Kimmtrak · 2024-05-30 · $50
Bausch & Lomb AmericasStellaris$112
1 payment
  • Meals for Stellaris · 2024-11-06 · $112

2023: $23,334

Payments by company in 2023
Alcon VisionConstellation$14,003
7 payments
  • Consulting for Constellation · 2023-10-19 · $12,250
  • Travel for Constellation · 2023-10-06 · $50
  • Travel for Constellation · 2023-10-06 · $160
  • Travel for Constellation · 2023-10-06 · $221
  • Travel · 2023-10-06 · $497
  • Travel · 2023-10-06 · $505
  • Meals · 2023-10-06 · $321
AmgenNone$4,915
2 payments
  • Consulting · 2023-11-08 · $3,932
  • Consulting · 2023-11-08 · $983
Dutch Ophthalmic USAEva, Combined Machine$2,328
3 payments
  • Consulting for Eva, Combined Machine · 2023-11-06 · $2,250
  • Meals for Eva, Combined Machine · 2023-11-04 · $46
  • Meals for Eva, Combined Machine · 2023-07-18 · $32
ImmunoGenNone$1,127
2 payments
  • Consulting · 2023-12-08 · $1,020
  • Meals · 2023-11-05 · $107
Alcon ResearchNone$700
1 payment
  • Consulting · 2023-08-10 · $700
Astellas Pharma USNone$149
1 payment
  • Meals · 2023-08-02 · $149
EyePoint Pharmaceuticals USEyp-1901$111
1 payment
  • Meals for Eyp-1901 · 2023-11-02 · $111

2022: $17,080

Payments by company in 2022
Alcon VisionLuxor$12,421
8 payments
  • Consulting for Luxor · 2022-11-14 · $9,100
  • Meals for Ngenuity · 2022-11-02 · $145
  • Travel · 2022-10-28 · $1,093
  • Meals · 2022-10-28 · $256
  • Travel · 2022-10-28 · $161
  • Travel · 2022-10-28 · $227
  • Travel · 2022-08-06 · $1,289
  • Meals for Constellation · 2022-03-14 · $150
Dutch Ophthalmic USAEva, Combined Machine$3,149
2 payments
  • Consulting for Eva, Combined Machine · 2022-08-02 · $3,000
  • Meals for Eva, Combined Machine · 2022-04-15 · $149
Bausch & Lomb AmericasXipere$1,035
1 payment
  • Paid to speak or teach for Xipere · 2022-09-29 · $1,035
GenentechVabysmo$214
2 payments
  • Meals for Vabysmo · 2022-12-13 · $94
  • Meals for Vabysmo · 2022-03-22 · $120
Carl Zeiss Meditec USAArtevo 800$123
1 payment
  • Meals for Artevo 800 · 2022-11-04 · $123
Alimera SciencesIluvien$107
1 payment
  • Meals for Iluvien · 2022-10-25 · $107
Genentech USASusvimo$31
1 payment
  • Meals for Susvimo · 2022-05-19 · $31

2021: $8,151

Payments by company in 2021
Alcon VisionConstellation$5,685
4 payments
  • Consulting for Constellation · 2021-11-19 · $2,100
  • Meals for Constellation · 2021-10-15 · $20
  • Meals for Constellation · 2021-10-15 · $64
  • Consulting for Constellation · 2021-06-24 · $3,500
Genentech USALucentis$2,466
2 payments
  • Meals · 2021-12-05 · $111
  • Consulting for Lucentis · 2021-07-24 · $2,355

2020: $5,505

Payments by company in 2020
Alcon VisionConstellation$3,150
1 payment
  • Consulting for Constellation · 2020-12-11 · $3,150
Genentech USALucentis$2,355
1 payment
  • Consulting for Lucentis · 2020-06-06 · $2,355

2019: $406

Payments by company in 2019
Alimera SciencesIluvien$250
2 payments
  • Meals for Iluvien · 2019-09-23 · $125
  • Meals for Iluvien · 2019-09-23 · $125
GenentechLucentis$102
1 payment
  • Meals for Lucentis · 2019-06-10 · $102
Carl Zeiss MeditecOpmi Lumera$29
1 payment
  • Meals for Opmi Lumera · 2019-12-11 · $29
Novartis PharmaceuticalsNone$26
1 payment
  • Meals · 2019-03-11 · $26

Research money

Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.

Research payments by company and study
Apellis Pharmaceuticals, Inc. · An Extension Study To Evaluate the Long-Term Safety and Efficacy of Pegcetacoplan (Apl-2) in Subjects With Geographic Atrophy Secondary To Amd · 2022Their institution$89,677
Apellis Pharmaceuticals, Inc. · An Extension Study To Evaluate the Long-Term Safety and Efficacy of Pegcetacoplan (Apl-2) in Subjects With Geographic Atrophy Secondary To Amd · 2023Their institution$83,229
Genentech, Inc. · Flavoprotein Fluorescence Imaging in Patients With Diabetic Macular Edema. · 2022Their institution$43,400
Genentech, Inc. · Flavoprotein Fluorescence Imaging in Patients With Diabetic Macular Edema · 2025Their institution$43,400
Apellis Pharmaceuticals, Inc. · An Extension Study To Evaluate the Long-Term Safety and Efficacy of Pegcetacoplan (Apl-2) in Subjects With Geographic Atrophy Secondary To Amd · 2024Their institution$40,493
Apellis Pharmaceuticals, Inc. · An Extension Study To Evaluate the Long-Term Safety and Efficacy of Pegcetacoplan (Apl-2) in Subjects With Geographic Atrophy Secondary To Amd · 2025Their institution$24,776
Genentech, Inc. · A Phase 1 Sad MD in Diabetic Macular Edema · 2024Their institution$21,700
Genentech, Inc. · Lucentis · 2024Their institution$21,700
Apellis Pharmaceuticals, Inc. · Gale · 2021Their institution$1,702

Professional record

NPI
1073670477
Licence
CA C144368, NC 200000279California C144368: Current · expires 2028-03-31
Group
Stanford Health Care · County of Santa Clara
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207WX0107X (207WX0107X); Federal specialty code 207W00000X (207W00000X)
Mailing address
1804 Embarcadero Rd, Suite 100, Palo Alto, CA, 94303
NPI first listed
2007-01-03
NPI last updated
2024-03-21
NPI record certified
2024-03-21

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