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Rachel Spoelhof, MD

Emergency Medicine · Los Gatos

NPI 1104192202

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · 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. Spoelhof’s office at (408) 739-6000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A145072 · Current

Licensed to practise in California · since 2016 · expires 2028-05-31 · University of Illinois College of Medicine.

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

Original Medicare doctor bills

$29,445

Medicare paid this office $29,445 for 273 people.

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

Largest Original Medicare bills
New patient visit (30+ min)91$8,416$92
Short return visit (20+ min)90$6,991$76
Return visit (30+ min)49$5,089$102
New patient visit (45+ min)29$4,312$149
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus13$1,817$140
See all 7 services
Every Original Medicare service billed
New patient visit (30+ min)91$8,416$92
Short return visit (20+ min)90$6,991$76
Return visit (30+ min)49$5,089$102
New patient visit (45+ min)29$4,312$149
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus13$1,817$140
Urinalysis, manual test15$51$3
Automated urinalysis test18$39$2

Who their Medicare patients are

273 Original Medicare patients in 2024. Average age 76 · Women 61% · Also on Medicaid 7% · Health risk score 1.02. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 63% · Diabetes 25% · Coronary heart disease 23% · Chronic kidney disease 19% · Cancer 15% · Atrial fibrillation 14% · Depression 13% · Heart failure 12% · Stroke 9% · COPD 8% · Dementia 5%.

The office billed $109,874, Medicare allowed $41,549 and paid $29,445; for 404 services of 41 kinds; $118 of it was for drugs given in the office and $29,326 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

Original Medicare by year
2024273404761.02$109,874$29,445
2023312487760.91$121,784$34,636
2022305516760.88$117,289$33,533
2021277451750.92$104,614$31,456
2020242414761.11$95,380$23,453
2019372637751.09$146,715$37,579
2018377772761.16$157,207$41,763
2017368722741.05$134,917$37,471
2016732811702.22$444,304$95,601
2015336362692.43$183,937$41,728

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: 9 services

Original Medicare services billed in 2023
New patient visit (30+ min)110$10,221$93
Short return visit (20+ min)116$9,860$81
Return visit (30+ min)38$4,603$115
New patient visit (45+ min)31$4,126$133
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen15$754$50
New patient visit (15+ min)12$586$49
Injection of drug or substance under skin or into muscle12$158$13
Urinalysis, manual test13$44$3
Automated urinalysis test17$40$2

2022: 11 services

Original Medicare services billed in 2022
New patient visit (30+ min)92$8,977$98
Short return visit (20+ min)92$7,173$76
Return visit (30+ min)50$6,045$114
New patient visit (45+ min)31$4,281$138
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen25$1,269$51
New patient visit (15+ min)18$1,151$64
Short return visit20$954$48
Injection of drug or substance under skin or into muscle15$223$14
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)12$196$16
Urinalysis, manual test18$62$3
Automated urinalysis test18$47$2

2021: 11 services

Original Medicare services billed in 2021
New patient visit (30+ min)76$7,658$101
Return visit (30+ min)63$7,404$118
Short return visit (20+ min)61$5,079$81
New patient visit (45+ min)30$4,306$144
Short return visit25$1,415$54
New patient visit (15+ min)18$1,019$57
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen12$616$51
Injection of drug or substance under skin or into muscle20$273$14
Urinalysis, manual test13$45$3
Automated urinalysis test13$29$2
Injection, ketorolac tromethamine, per 15 mg15$11None

2020: 5 services

Original Medicare services billed in 2020
Return visit (30+ min)189$16,156$81
New patient visit (30+ min)25$2,531$101
Short return visit (20+ min)16$1,114$70
Urinalysis, manual test14$48$3
Insertion of needle into vein for collection of blood sample15$45$3

2019: 10 services

Original Medicare services billed in 2019
Return visit (30+ min)298$26,947$87
Long return visit (40+ min)19$2,290$121
New patient visit (30+ min)24$1,863$78
Short return visit (20+ min)22$1,171$53
Injection of drug or substance under skin or into muscle21$384$17
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)11$178$16
Urinalysis, manual test18$61$3
Automated urinalysis test15$37$2
Insertion of needle into vein for collection of blood sample12$35$3
Injection, ketorolac tromethamine, per 15 mg16$13None

2018: 15 services

Original Medicare services billed in 2018
Return visit (30+ min)283$26,706$88
Long return visit (40+ min)26$3,538$131
Short return visit (20+ min)50$3,212$61
New patient visit (30+ min)22$1,849$84
Infusion into a vein for hydration, 31-60 minutes14$673$48
Inhalation treatment for airway obstruction or sputum production15$440$20
Injection of drug or substance under skin or into muscle18$368$20
Infusion into a vein for hydration, each additional hour15$237$14
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)12$194$16
Urinalysis, manual test19$65$3
Automated urinalysis test20$57$3
Infusion, normal saline solution , 1000 cc26$51None
Insertion of needle into vein for collection of blood sample11$32$3
Injection, ketorolac tromethamine, per 15 mg15$12None
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme15$3None

2017: 13 services

Original Medicare services billed in 2017
Return visit (30+ min)236$22,427$90
Short return visit (20+ min)118$7,392$62
New patient visit (30+ min)20$1,452$73
Injection of drug or substance under skin or into muscle18$502$24
Inhalation treatment for airway obstruction or sputum production13$254$18
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)18$225$12
Infusion into a vein for hydration, each additional hour11$185$15
Insertion of needle into vein for collection of blood sample22$65$3
Automated urinalysis test21$63$3
Urinalysis, manual test15$49$3
Infusion, normal saline solution , 1000 cc19$34None
Injection, ketorolac tromethamine, per 15 mg20$16None
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme15$2None

2016: 4 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making512$71,322$134
Emergency department visit with moderate level of medical decision making147$13,410$89
Emergency department visit with low level of medical decision making69$3,264$47
Critical care, first 30-74 minutes17$3,122$173

2015: 3 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making205$29,114$137
Emergency department visit with moderate level of medical decision making93$8,552$89
Emergency department visit with low level of medical decision making33$1,552$47

Drugs they prescribed that Part D paid

$3,281

Pharmacies billed $3,281 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

143 generic and fewer than 11 brand-name prescriptions · $3,281 in drug cost · 89 antibiotic prescriptions to 81 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.

Largest Part D drug costs
Paxlovid12$1,429$119
Amoxicillin-Clavulanate Potass17$113$7
Cephalexin19$98$5
Nitrofurantoin Mono-Macro11$84$8

Year by year

Part D prescribing by year
2024170144NoneNone$3,281
2023187155None10%$7,557
2022130113NoneNone$1,491
2021119106NoneNone$1,383
202010890NoneNone$1,653
2019198169None10%$2,944
2018227168None8%$3,705
20172151587% (15)11%$3,853
201626819816% (44)7%$5,621
201519612911% (22)None$7,709
2014816021% (17)None$1,199
20136135NoneNone$2,955

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

See the drugs prescribed each year

2023: 4 drugs

Part D drugs prescribed in 2023
Cephalexin32$255$8
Diclofenac11$210$19
Paxlovid (Eua)18$184$10
Amoxicillin-Clavulanate Potass16$160$10

2022: 2 drugs

Part D drugs prescribed in 2022
Nitrofurantoin Mono-Macro11$148$13
Cephalexin16$113$7

2021: 1 drug

Part D drugs prescribed in 2021
Cephalexin23$152$7

2020: 2 drugs

Part D drugs prescribed in 2020
Doxycycline Monohydrate11$139$13
Cephalexin18$133$7

2019: 5 drugs

Part D drugs prescribed in 2019
Cephalexin24$189$8
Doxycycline Monohydrate18$177$10
Amoxicillin-Clavulanate Potass12$124$10
Azithromycin14$83$6
Prednisone15$45$3

2018: 4 drugs

Part D drugs prescribed in 2018
Cephalexin27$184$7
Azithromycin25$175$7
Amoxicillin-Clavulanate Potass13$144$11
Prednisone16$65$4

2017: 6 drugs

Part D drugs prescribed in 2017
Amoxicillin-Clavulanate Potass15$171$11
Cephalexin19$123$6
Levofloxacin15$109$7
Azithromycin21$99$5
Prednisone19$68$4
Ciprofloxacin15$62$4

2016: 7 drugs

Part D drugs prescribed in 2016
Cephalexin23$130$6
Hydrocodone-Acetaminophen28$127$5
Ciprofloxacin16$118$7
Azithromycin16$87$5
Levofloxacin11$82$7
Prednisone24$77$3
Tramadol13$30$2

2015: 4 drugs

Part D drugs prescribed in 2015
Levofloxacin11$94$9
Hydrocodone-Acetaminophen15$65$4
Prednisone17$61$4
Ibuprofen13$50$4

Professional record

NPI
1104192202
Licence
CA A145072, MI 4301107043California A145072: Current · expires 2028-05-31
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
2350 W. El Camino Real, 2nd Floor, Mountain View, CA, 94040
NPI first listed
2012-03-23
NPI last updated
2017-01-17

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