Bianca Neema Wibisono
Physician Assistant · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 3
Offices
3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Bianca Neema Wibisono’s office to ask if they take your plan before you enroll.
California Medical Board record
Licence G62531 · Cancelled
Licence status: Cancelled · since 1988 · Boston University School of Medicine.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$5,752
Medicare paid this office $5,752 for 64 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 18 | $1,850 | $93 |
| Short return visit (20+ min) | 29 | $1,557 | $54 |
Who their Medicare patients are
64 Original Medicare patients in 2024. Average age 74 · Women 70% · Health risk score 1.03. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.
Conditions among them: High blood pressure 69% · Depression 27% · Chronic kidney disease 23% · Atrial fibrillation 23% · Coronary heart disease 22% · Diabetes 20% · Heart failure 20%.
The office billed $24,732, Medicare allowed $8,578 and paid $5,752; for 76 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
| 2024 | 64 | 76 | 74 | 1.03 | $24,732 | $5,752 |
| 2023 | 42 | 51 | 75 | 0.80 | $13,480 | $4,202 |
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
| Return visit (30+ min) | 17 | $1,768 | $104 |
| Short return visit (20+ min) | 18 | $1,296 | $72 |
Professional record
- NPI
- 1134812548
- Licence
- CA 62531California G62531: Cancelled
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Physician assistant (363A00000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2023-05-31
- NPI last updated
- 2023-09-13
- NPI record certified
- 2023-09-13
This is when the NPI record was last certified, not a medical board exam.