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Katherine Gipsh, NP

Nurse Practitioner · Los Altos

NPI 1104873074

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 Katherine Gipsh’s office at (650) 254-5200 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$13,850

Medicare paid this office $13,850 for 100 people.

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

Largest Original Medicare bills
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes37$7,324$144
Short return visit (20+ min)18$1,429$75
New patient visit (30+ min)16$1,373$86

Who their Medicare patients are

100 Original Medicare patients in 2024. Average age 84 · 85 and older 48% · Women 58% · Also on Medicaid 26% · Health risk score 2.20. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Heart failure 62% · Atrial fibrillation 55% · Chronic kidney disease 53% · Coronary heart disease 50% · Diabetes 36% · Dementia 33% · COPD 29% · Depression 29% · Cancer 27% · Stroke 26%.

The office billed $60,018, Medicare allowed $17,477 and paid $13,850; for 123 services of 10 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
2024100123842.20$60,018$13,850
2023142172842.12$86,146$20,956
2022117244852.38$78,942$25,764
202185140852.49$29,689$12,181
2020164288832.51$58,532$26,118
2019101245862.54$130,249$34,011
2018131216852.22$112,390$29,299
2017147273822.19$134,855$35,799
2016195308801.86$156,305$41,796
2015171233822.30$137,620$36,814
201496157731.18$24,439$5,836
2013135228710.85$29,238$6,517

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: 5 services

Original Medicare services billed in 2023
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes65$11,799$146
New patient visit (45+ min)22$2,978$135
Return visit (30+ min)14$1,703$106
New patient visit (30+ min)11$930$85
Short return visit (20+ min)11$908$76

2022: 4 services

Original Medicare services billed in 2022
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes32$9,676$140
Telephone medical discussion with physician, 11-20 minutes53$6,586$77
New patient visit (45+ min)14$2,191$156
New patient visit (30+ min)16$1,570$98

2021: 3 services

Original Medicare services billed in 2021
Telephone medical discussion with physician, 11-20 minutes40$4,652$75
Return visit (30+ min)20$2,220$111
Short return visit (20+ min)11$1,073$77

2020: 4 services

Original Medicare services billed in 2020
Telephone medical discussion with physician, 21-30 minutes91$11,308$95
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes26$7,609$136
Telephone medical discussion with physician, 11-20 minutes64$5,241$66
Telephone medical discussion with physician, 5-10 minutes14$714$40

2019: 1 service

Original Medicare services billed in 2019
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes99$33,743$139

2018: 1 service

Original Medicare services billed in 2018
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes131$29,200$136

2017: 3 services

Original Medicare services billed in 2017
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes139$32,100$134
Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes11$2,175$99
Transitional care management services for problem of at least moderate complexity11$1,459$133

2016: 3 services

Original Medicare services billed in 2016
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes114$23,696$134
Transitional care management services for problem of at least moderate complexity99$13,110$129
Transitional care management services for problem of high complexity25$4,654$186

2015: 3 services

Original Medicare services billed in 2015
Transitional care management services for problem of high complexity111$22,134$183
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes58$10,139$135
Transitional care management services for problem of at least moderate complexity30$3,891$126

2014: 1 service

Original Medicare services billed in 2014
Short return visit (20+ min)76$3,470$44

2013: 3 services

Original Medicare services billed in 2013
Short return visit (20+ min)115$5,551$45
Short return visit19$489$26
Injection of drug or substance under skin or into muscle11$221$17

Professional record

NPI
1104873074
Licence
CA NP15083
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
2350 W El Camino Real, 2nd Floor, Mountain View, CA, 94040
NPI first listed
2006-05-27
NPI last updated
2012-08-29

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