Skip to main content
UniHealth

Doctor search

Mai-Anh Chtn Nguyen, OD

Optometry · San Jose

NPI 1134204654

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
7
3 carriers
Office
1

Offices

1 location

Looking this up.

Plans that list them

7 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Nguyen’s office at (408) 238-4558 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

7 of 7 plans

Plans whose provider directory lists this clinician
Anthem Medicare Advantage (HMO-POS)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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Original Medicare doctor bills

$5,917

Medicare paid this office $5,917 for 69 people.

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

Largest Original Medicare bills
Return visit (30+ min)21$2,087$95
New patient visit (30+ min)16$1,440$90
Short return visit (20+ min)22$1,294$56
New patient visit (45+ min)13$1,097$84

Who their Medicare patients are

69 Original Medicare patients in 2024. Average age 74 · Women 59% · Health risk score 0.95. At or below the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 75% · Diabetes 45% · Chronic kidney disease 20%.

The office billed $8,880, Medicare allowed $8,759 and paid $5,917; for 74 services of 4 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
20246974740.95$8,880$5,917
20234143761.18$4,925$3,301
20225454750.99$6,105$3,834
20211717731.83$2,005$1,339
20203031781.23$3,000$1,883
20193939771.10$3,780$2,429
20174547751.28$4,041$2,736
2016102121740.92$10,047$6,048
20158491720.99$8,010$5,352
20146465720.81$7,601$4,511
20138189720.90$8,391$4,986

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

Original Medicare services billed in 2023
New patient visit (30+ min)18$1,380$77
New patient visit (45+ min)12$1,024$85

2022: 3 services

Original Medicare services billed in 2022
New patient visit (30+ min)19$1,507$79
New patient visit (45+ min)12$876$73
Short return visit (20+ min)13$575$44

2020: 1 service

Original Medicare services billed in 2020
New patient visit (30+ min)13$880$68

2019: 1 service

Original Medicare services billed in 2019
Short return visit (20+ min)18$801$44

2017: 1 service

Original Medicare services billed in 2017
Short return visit (20+ min)31$1,337$42

2016: 2 services

Original Medicare services billed in 2016
Short return visit (20+ min)74$3,432$41
Return visit (30+ min)21$1,514$72

2015: 3 services

Original Medicare services billed in 2015
Short return visit (20+ min)56$2,643$44
New patient visit (45+ min)14$1,364$97
Return visit (30+ min)17$1,345$79

2014: 3 services

Original Medicare services billed in 2014
Return visit (30+ min)32$2,885$90
New patient visit (45+ min)12$1,137$95
Short return visit (20+ min)15$485$30

2013: 3 services

Original Medicare services billed in 2013
Return visit (30+ min)28$1,966$70
Short return visit (20+ min)35$1,588$41
New patient visit (30+ min)11$447$41

Medicaid work

$2,815 in 2024

Medicaid paid $2,815 for 1,488 billed services this clinician did in 2024, up to 62 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
Frames, purchases447$769
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST178$714
Fitting of monofocal spectacles333$545
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST141$391
DETERMINATION REFRACTIVE STATE342$245
Fitting of bifocal spectacles28$86
Short return visit (20+ min)19$65
Medicaid work by year
20241,488762$2,815
20231,828755$5,101
20221,750747$5,622
20211,620656$4,579
20201,444868$5,002
2019205319$477
2018238326$1,019
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST299$1,407
Frames, purchases501$1,311
Fitting of monofocal spectacles363$1,053
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST162$639
DETERMINATION REFRACTIVE STATE440$410
Fitting of bifocal spectacles25$172
Short return visit (20+ min)38$108

2022

Largest Medicaid services in 2022
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST294$1,763
Frames, purchases492$1,635
Fitting of monofocal spectacles384$1,090
Fitting of bifocal spectacles56$439
DETERMINATION REFRACTIVE STATE424$411
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST88$284
Short return visit (20+ min)12$0

2021

Largest Medicaid services in 2021
Frames, purchases459$1,375
Fitting of monofocal spectacles385$1,238
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST276$1,172
DETERMINATION REFRACTIVE STATE409$368
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST67$284
Fitting of bifocal spectacles24$143

2020

Largest Medicaid services in 2020
Frames, purchases412$1,318
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST226$1,172
Fitting of monofocal spectacles321$1,041
Fitting of bifocal spectacles82$599
DETERMINATION REFRACTIVE STATE329$339
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST46$284
New patient visit (30+ min)13$206
Short return visit (20+ min)15$43

2019

Largest Medicaid services in 2019
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST44$249
DETERMINATION REFRACTIVE STATE149$209
Fitting of monofocal spectacles12$19

2018

Largest Medicaid services in 2018
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST49$604
DETERMINATION REFRACTIVE STATE174$353
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST15$62

Money from drug and device companies

$130 in 2022

Industry payments by year
202222None$130
201911None$45

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
AbbvieVuity$116
1 payment
  • Meals for Vuity · 2022-10-06 · $116
Johnson & Johnson Vision CareAcuvue$14
1 payment
  • Meals for Acuvue · 2022-10-05 · $14
See all 2 published payments
Every published payment
AbbvieMeals · 2022-10-06Vuity$116
Johnson & Johnson Vision CareMeals · 2022-10-05Acuvue$14
See earlier years (2019)

2019: $45

Payments by company in 2019
GlaukosIstent Trabecular Micro-Bypass Stent System$45
1 payment
  • Meals for Istent Trabecular Micro-Bypass Stent System · 2019-04-03 · $45

Professional record

NPI
1134204654
Licence
CA OPT 11482T
Trained
Southern California College of Optometry, 2000
Gender
Female
More record details
Sole proprietor
Yes
Medicaid ID
CA SD 0114820
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
1661 Burdette Dr, Suite H, San Jose, CA, 95121
NPI first listed
2006-10-25
NPI last updated
2007-07-08

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