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Khanh D Bui, OD

Optometry · San Jose

NPI 1154416493

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
4 carriers
Office
1

Offices

1 location

Looking this up.

Plans that list them

9 plans · 4 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Bui’s office at (408) 281-1311 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

9 of 9 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 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

$11,827

Medicare paid this office $11,827 for 104 people.

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

Largest Original Medicare bills
New patient complete exam of visual system63$7,418$118
Established patient complete exam of visual system37$3,900$105

Who their Medicare patients are

104 Original Medicare patients in 2024. Average age 75 · Under 65 0% · 85 and older 12% · Women 58% · Also on Medicaid 100% · Health risk score 1.20. Above the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 75% · Diabetes 52% · Chronic kidney disease 25% · Coronary heart disease 18% · Atrial fibrillation 13% · COPD 11%.

The office billed $18,380, Medicare allowed $17,351 and paid $11,827; for 112 services of 5 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
2024104112751.20$18,380$11,827
20235775730.90$8,950$5,628
20224556740.94$6,455$3,519
20214956751.38$6,490$4,139
20205155720.89$7,380$4,300
20195663721.17$7,570$4,347
20184042721.12$4,950$3,004
20172324731.40$2,815$2,034
20162630731.68$3,760$2,741
20152829701.51$3,570$2,463
20145361741.19$7,500$4,912
20134554721.21$6,685$4,061

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: 3 services

Original Medicare services billed in 2023
Established patient complete exam of visual system27$2,464$91
New patient complete exam of visual system29$2,447$84
Photography of the retina19$717$38

2022: 3 services

Original Medicare services billed in 2022
New patient complete exam of visual system24$1,739$72
Established patient complete exam of visual system19$1,373$72
Photography of the retina12$336$28

2021: 2 services

Original Medicare services billed in 2021
Established patient complete exam of visual system28$2,136$76
New patient complete exam of visual system21$1,721$82

2020: 2 services

Original Medicare services billed in 2020
New patient complete exam of visual system26$2,279$88
Established patient complete exam of visual system26$1,929$74

2019: 2 services

Original Medicare services billed in 2019
New patient complete exam of visual system31$2,281$74
Established patient complete exam of visual system24$1,748$73

2018: 2 services

Original Medicare services billed in 2018
Established patient complete exam of visual system22$1,633$74
New patient complete exam of visual system17$1,262$74

2016: 1 service

Original Medicare services billed in 2016
Established patient complete exam of visual system18$1,693$94

2015: 1 service

Original Medicare services billed in 2015
New patient complete exam of visual system18$1,510$84

2014: 2 services

Original Medicare services billed in 2014
Established patient complete exam of visual system31$2,774$89
New patient complete exam of visual system20$1,572$79

2013: 2 services

Original Medicare services billed in 2013
Established patient complete exam of visual system23$1,662$72
New patient complete exam of visual system19$1,650$87

Medicaid work

$598 in 2024

Medicaid paid $598 for 149 billed services this clinician did in 2024, up to 20 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
Fitting of monofocal spectacles63$310
Frames, purchases86$288
Medicaid work by year
2024149220$598
2023351432$1,193
2022152421$426
20211,201774$4,198
20202,6116101$11,411
20193,1705116$14,179
20182,8185126$11,951
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Frames, purchases165$537
Fitting of monofocal spectacles114$485
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST14$107
DETERMINATION REFRACTIVE STATE58$65

2022

Largest Medicaid services in 2022
Frames, purchases63$269
Fitting of monofocal spectacles44$136
DETERMINATION REFRACTIVE STATE33$22
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST12$0

2021

Largest Medicaid services in 2021
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST183$1,207
Frames, purchases315$997
Fitting of monofocal spectacles246$737
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST94$533
DETERMINATION REFRACTIVE STATE335$440
FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT15$228
Fitting of bifocal spectacles13$57

2020

Largest Medicaid services in 2020
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST382$3,195
Frames, purchases613$2,417
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST313$2,059
Fitting of monofocal spectacles515$2,036
DETERMINATION REFRACTIVE STATE683$1,074
Fitting of bifocal spectacles105$630

2019

Largest Medicaid services in 2019
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST694$5,183
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST427$3,744
DETERMINATION REFRACTIVE STATE1,125$1,826
Fitting of monofocal spectacles474$1,736
Frames, purchases450$1,689

2018

Largest Medicaid services in 2018
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST604$4,438
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST376$2,201
Frames, purchases412$2,165
Fitting of monofocal spectacles444$1,782
DETERMINATION REFRACTIVE STATE982$1,365

Money from drug and device companies

$63 in 2023

Industry payments by year
202312None$63
202111None$21
202023None$56
201911None$90

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
Johnson & Johnson Vision CareAcuvue$63
2 payments
  • Meals for Acuvue · 2023-12-19 · $29
  • Meals for Acuvue · 2023-06-06 · $34
See all 2 published payments
Every published payment
Johnson & Johnson Vision CareMeals · 2023-12-19Acuvue$29
Johnson & Johnson Vision CareMeals · 2023-06-06Acuvue$34
See earlier years (2021, 2020, 2019)

2021: $21

Payments by company in 2021
CooperVisionMisight Contact Lens$21
1 payment
  • Meals for Misight Contact Lens · 2021-05-18 · $21

2020: $56

Payments by company in 2020
Carl Zeiss Meditec AGNone Specified$39
2 payments
  • Gift for None Specified · 2020-04-21 · $19
  • Gift for None Specified · 2020-04-03 · $19
Carl Zeiss MeditecNone Specified$17
1 payment
  • Gift for None Specified · 2020-05-11 · $17

2019: $90

Payments by company in 2019
Topcon Medical SystemsOct Triton$90
1 payment
  • Meals for Oct Triton · 2019-09-19 · $90

Professional record

NPI
1154416493
Licence
CA 9892T
Trained
Southern California College of Optometry, 1992
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA SD0098920
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
1013 E Capitol Expy, San Jose, CA, 95121
NPI first listed
2006-10-03
NPI last updated
2011-08-18

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