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John P Higgins, MD

Pathology · Stanford

NPI 1154474872

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Offices
2

Offices

2 locations · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Hospitals listed: California Pacific Medical Center- Van Ness Campus · Stanford Health Care · Stanford Health Care Tri-Valley. That is not proof they admit you there this week.

Plans that list them

1 plan · 1 carrier

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

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

California Medical Board record

Licence A60350 · Current

Licensed to practise in California · since 1996 · expires 2027-12-31 · Stanford University School of Medicine.

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

Hospitals they work in

3 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • California Pacific Medical Center- Van Ness CampusSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.224, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.325, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.373, Oct 2024 – Sep 2025
  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
  • Stanford Health Care Tri-ValleyPleasanton, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Stanford Health Care, which runs 3 hospitalsPatients rate it 3 of 5 · 74% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.178, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.237, Oct 2024 – Sep 2025
See every measure and the patient survey for California Pacific Medical Center- Van Ness Campus

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 0 better, 8 the same, 2 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at California Pacific Medical Center- Van Ness Campus
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.224BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.325BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.373BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.14 (0.3 to 1.97) · 2,271 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.81 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths192.86 (151.51 to 234.22) · 140 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths10.3 · 60 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.5 · 143 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.8 · 356 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.3 · 259 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 173 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 2,316 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.49) · 6,430 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.09 to 0.47) · 7,168 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.3 (1.5 to 5.09) · 2,196 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.47 (1.21 to 3.74) · 925 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.63 (1.37 to 3.88) · 1,954 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.13 (6.06 to 14.2) · 1,112 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.26 (4.67 to 9.85) · 1,084 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.67 (0.31 to 3.03) · 832 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.33 (0 to 0.85) · 5,406 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0.443No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.717No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.3 · 200 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.3 · 449 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits18.2 · 187 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits8.7 · 418 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits7.1 · 260 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19.2 · 293 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.6 to 7.6) · 157 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.2 (7.7 to 13.5) · 157 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits11 · 33 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 66 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.4 to 16.7) · 551 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.3) · 219 casesNo differentJan 2024 – Dec 2024

What patients said (478 patients answered, 20% of those asked)

Patient survey stars by topic at California Pacific Medical Center- Van Ness Campus
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at California Pacific Medical Center- Van Ness Campus
Room was "always" clean75%
Nurses "always" communicated well74%
Doctors "always" communicated well77%
Staff "always" explained59%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%
See every measure and the patient survey for Stanford Health Care Tri-Valley

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 7 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care Tri-Valley
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.178BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.237BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.79 (0 to 1.73) · 1,041 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.79 (0.5 to 1.08)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths145.81 (96.5 to 195.12) · 72 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.9 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 92 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.5 · 96 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.5 · 395 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 391 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 162 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 1,736 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.37) · 4,425 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.02 to 0.41) · 4,771 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.45 (1.46 to 5.44) · 1,403 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.5 (0.05 to 2.94) · 645 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.81 (0.38 to 3.24) · 1,279 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.53 (3.2 to 13.85) · 639 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.15 (1.89 to 8.41) · 648 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.14 to 3.07) · 370 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.16 (0 to 0.83) · 4,160 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 74 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.369No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.112No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 110 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.1 · 437 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-5.8 · 94 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-19.3 · 456 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-0.3 · 402 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.8 · 358 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.8 (4.7 to 9.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (7.5 to 13.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 92 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.6 to 16.2) · 1,532 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 929 casesNo differentJan 2024 – Dec 2024

What patients said (1,268 patients answered, 26% of those asked)

Patient survey stars by topic at Stanford Health Care Tri-Valley
Cleanliness3
Nurse communication3
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Stanford Health Care Tri-Valley
Room was "always" clean65%
Nurses "always" communicated well77%
Doctors "always" communicated well79%
Staff "always" explained58%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night42%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$77,703

Medicare paid this office $77,703 for 583 people.

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

Largest Original Medicare bills
Pathology examination of tissue using a microscope, intermediate complexity413$33,579$32
Antibody evaluation, each additional single antibody stain procedure51$10,516$26
Surgical pathology consultation and report on referred slides prepared elsewhere72$5,556$74
Special stained specimen slides to examine tissue, initial procedure132$5,025$31
Special stained specimen slides to examine tissue, each additional procedure55$4,006$25
See all 15 services
Every Original Medicare service billed
Pathology examination of tissue using a microscope, intermediate complexity413$33,579$32
Antibody evaluation, each additional single antibody stain procedure51$10,516$26
Surgical pathology consultation and report on referred slides prepared elsewhere72$5,556$74
Special stained specimen slides to examine tissue, initial procedure132$5,025$31
Special stained specimen slides to examine tissue, each additional procedure55$4,006$25
Electron microscopy for diagnosis49$3,381$69
Surgical pathology consultation and report on referred material requiring preparation of slides36$2,818$78
Pathology examination of specimen during surgery, first tissue block27$2,466$56
Special stained specimen slides to examine tissue including interpretation and report80$2,452$11
Antibody evaluation, initial single antibody stain procedure51$1,661$32
Microscopic genetic analysis of tumor, manual20$1,380$37
Pathology examination of tissue using a microscope, moderately high complexity16$1,276$71
Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report43$786$18
Genetic sequencing localization, initial procedure18$693$39
Special stained specimen slides to identify organisms including interpretation and report19$512$23

Who their Medicare patients are

583 Original Medicare patients in 2024. Average age 72 · Under 65 13% · 85 and older 7% · Women 50% · Also on Medicaid 27% · Health risk score 1.73. Above the middle of the specialty; the typical pathology clinician is at 1.55.

Conditions among them: High blood pressure 74% · Diabetes 34% · Coronary heart disease 31% · Chronic kidney disease 31% · Cancer 28% · Depression 19% · Heart failure 17% · Atrial fibrillation 16% · COPD 15% · Stroke 7% · Dementia 5%.

The office billed $983,778, Medicare allowed $98,999 and paid $77,703; for 2,432 services of 23 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
20245832,432721.73$983,778$77,703
20233611,785702.11$637,794$61,481
20225421,961721.76$681,628$78,625
20218532,955711.54$641,956$112,815
20207753,011711.55$617,147$114,340
20196002,459711.67$485,748$94,635
20186562,374711.60$459,231$89,226
20176092,124711.49$418,780$83,499
20166762,309701.67$438,877$87,389
20157932,779701.68$538,650$112,482
20145932,287691.64$423,337$83,290
20136512,394691.65$444,079$93,883

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: 15 services

Original Medicare services billed in 2023
Pathology examination of tissue using a microscope, intermediate complexity189$14,197$35
Antibody evaluation, each additional single antibody stain procedure54$11,656$27
Pathology examination of tissue using a microscope, moderately high complexity63$6,037$76
Surgical pathology consultation and report on referred slides prepared elsewhere58$4,597$78
Electron microscopy for diagnosis53$3,842$72
Special stained specimen slides to examine tissue including interpretation and report97$3,454$11
Special stained specimen slides to examine tissue, initial procedure77$2,989$32
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method18$2,967$165
Special stained specimen slides to examine tissue, each additional procedure34$2,770$26
Antibody evaluation, initial single antibody stain procedure55$1,833$33
Pathology examination of specimen during surgery, first tissue block20$1,576$58
Surgical pathology consultation and report on referred material requiring preparation of slides12$979$82
Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report43$813$19
Microscopic genetic analysis of tumor, manual11$506$39
Special stained specimen slides to identify organisms including interpretation and report13$444$25

2022: 18 services

Original Medicare services billed in 2022
Pathology examination of tissue using a microscope, intermediate complexity271$22,492$34
Pathology examination of tissue using a microscope, moderately high complexity78$8,931$76
Surgical pathology consultation and report on referred slides prepared elsewhere112$8,585$75
Pathology examination of tissue using a microscope, high complexity44$7,738$136
Special stained specimen slides to examine tissue, each additional procedure64$6,000$26
Antibody evaluation, each additional single antibody stain procedure21$4,608$27
Special stained specimen slides to examine tissue, initial procedure113$4,131$32
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method24$3,949$165
Special stained specimen slides to examine tissue including interpretation and report73$2,331$11
Surgical pathology consultation and report on referred material requiring preparation of slides23$1,809$79
Pathology examination of specimen during surgery, first tissue block13$1,752$58
Electron microscopy for diagnosis24$1,738$72
Microscopic genetic analysis of tumor, manual23$1,249$39
Antibody evaluation, initial single antibody stain procedure23$771$34
Genetic sequencing localization, initial procedure12$571$41
Pathology examination of tissue using a microscope, moderately low complexity33$393$11
Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report19$370$19
Special stained specimen slides to identify organisms including interpretation and report11$344$25

2021: 13 services

Original Medicare services billed in 2021
Pathology examination of tissue using a microscope, intermediate complexity626$55,222$35
Special stained specimen slides to examine tissue, each additional procedure114$10,071$27
Pathology examination of tissue using a microscope, moderately high complexity89$9,672$79
Pathology examination of tissue using a microscope, high complexity62$9,254$140
Special stained specimen slides to examine tissue, initial procedure217$8,588$33
Surgical pathology consultation and report on referred slides prepared elsewhere72$5,811$77
Surgical pathology consultation and report on referred material requiring preparation of slides40$3,227$81
Pathology examination of specimen during surgery, first tissue block24$2,446$60
Microscopic genetic analysis of tumor, manual39$1,962$40
Special stained specimen slides to examine tissue including interpretation and report51$1,407$11
Special stained specimen slides to identify organisms including interpretation and report38$1,194$25
Genetic sequencing localization, initial procedure24$1,079$41
Pathology examination of tissue using a microscope, moderately low complexity63$735$11

2020: 17 services

Original Medicare services billed in 2020
Pathology examination of tissue using a microscope, intermediate complexity509$51,592$36
Pathology examination of tissue using a microscope, moderately high complexity92$10,757$81
Special stained specimen slides to examine tissue, each additional procedure99$9,036$27
Surgical pathology consultation and report on referred slides prepared elsewhere100$8,235$82
Pathology examination of tissue using a microscope, high complexity47$7,036$144
Special stained specimen slides to examine tissue, initial procedure176$6,936$34
Antibody evaluation, each additional single antibody stain procedure19$3,918$28
Surgical pathology consultation and report on referred material requiring preparation of slides37$3,134$85
Special stained specimen slides to examine tissue including interpretation and report80$2,572$12
Pathology examination of specimen during surgery, first tissue block25$2,518$61
Microscopic genetic analysis of tumor, manual31$1,694$41
Electron microscopy for diagnosis19$1,429$75
Special stained specimen slides to identify organisms including interpretation and report28$954$27
Genetic sequencing localization, initial procedure18$810$43
Antibody evaluation, initial single antibody stain procedure19$738$35
Pathology examination of tissue using a microscope, moderately low complexity48$540$11
Pathology examination of tissue using a microscope, limited examination11$47$4

2019: 17 services

Original Medicare services billed in 2019
Pathology examination of tissue using a microscope, intermediate complexity375$36,215$36
Pathology examination of tissue using a microscope, moderately high complexity93$11,337$79
Pathology examination of tissue using a microscope, high complexity55$7,510$134
Special stained specimen slides to examine tissue, initial procedure138$6,426$34
Surgical pathology consultation and report on referred slides prepared elsewhere83$6,424$76
Special stained specimen slides to examine tissue, each additional procedure66$6,147$28
Antibody evaluation, each additional single antibody stain procedure28$5,801$27
Surgical pathology consultation and report on referred material requiring preparation of slides29$2,412$83
Special stained specimen slides to examine tissue including interpretation and report82$2,353$11
Pathology examination of specimen during surgery, first tissue block23$2,120$61
Electron microscopy for diagnosis27$1,977$73
Microscopic genetic analysis of tumor, manual26$1,299$41
Special stained specimen slides to identify organisms including interpretation and report28$1,042$25
Antibody evaluation, initial single antibody stain procedure29$1,034$34
Genetic sequencing localization, initial procedure16$754$42
Pathology examination of tissue using a microscope, moderately low complexity58$682$10
Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report22$536$21

2018: 17 services

Original Medicare services billed in 2018
Pathology examination of tissue using a microscope, intermediate complexity455$40,629$35
Special stained specimen slides to examine tissue, each additional procedure72$7,036$27
Pathology examination of tissue using a microscope, moderately high complexity50$6,719$80
Special stained specimen slides to examine tissue, initial procedure158$6,139$34
Surgical pathology consultation and report on referred slides prepared elsewhere78$6,081$78
Surgical pathology consultation and report on referred material requiring preparation of slides51$4,195$82
Antibody evaluation, each additional single antibody stain procedure17$3,715$27
Pathology examination of specimen during surgery, first tissue block20$3,647$61
Pathology examination of tissue using a microscope, high complexity21$3,269$142
Special stained specimen slides to examine tissue including interpretation and report61$1,667$11
Microscopic genetic analysis of tumor, manual26$1,322$43
Electron microscopy for diagnosis17$1,232$72
Special stained specimen slides to identify organisms including interpretation and report28$871$24
Antibody evaluation, initial single antibody stain procedure20$684$34
Genetic sequencing localization, initial procedure12$504$42
Pathology examination of tissue using a microscope, moderately low complexity16$188$10
Pathology examination of tissue using a microscope, limited examination13$53$4

2017: 15 services

Original Medicare services billed in 2017
Pathology examination of tissue using a microscope, intermediate complexity443$35,514$34
Pathology examination of tissue using a microscope, moderately high complexity73$10,682$80
Pathology examination of tissue using a microscope, high complexity56$7,855$140
Special stained specimen slides to examine tissue, initial procedure147$5,735$32
Special stained specimen slides to examine tissue, each additional procedure64$5,085$27
Pathology examination of specimen during surgery, first tissue block36$4,641$60
Surgical pathology consultation and report on referred slides prepared elsewhere51$4,119$79
Microscopic genetic analysis of tumor, manual20$1,302$52
Surgical pathology consultation and report on referred material requiring preparation of slides16$1,300$81
Special stained specimen slides to examine tissue including interpretation and report56$1,261$11
Antibody evaluation, each additional single antibody stain procedure11$1,227$27
Special stained specimen slides to identify organisms including interpretation and report30$978$24
Electron microscopy for diagnosis12$868$72
Pathology examination of tissue using a microscope, moderately low complexity56$689$11
Antibody evaluation, initial single antibody stain procedure12$414$35

2016: 15 services

Original Medicare services billed in 2016
Pathology examination of tissue using a microscope, intermediate complexity456$35,264$34
Pathology examination of tissue using a microscope, moderately high complexity93$12,178$78
Pathology examination of tissue using a microscope, high complexity60$8,178$136
Pathology examination of specimen during surgery, first tissue block48$5,212$59
Special stained specimen slides to examine tissue, initial procedure133$5,072$33
Surgical pathology consultation and report on referred slides prepared elsewhere66$4,964$74
Antibody evaluation, each additional single antibody stain procedure26$3,806$23
Special stained specimen slides to examine tissue, each additional procedure51$3,084$25
Electron microscopy for diagnosis33$2,260$68
Special stained specimen slides to examine tissue including interpretation and report91$2,002$11
Antibody evaluation, initial single antibody stain procedure33$1,118$34
Special stained specimen slides to identify organisms including interpretation and report32$1,107$25
Pathology examination of tissue using a microscope, moderately low complexity75$895$10
Preparation of tissue for examination by removing any calcium present16$235$12
Pathology examination of tissue using a microscope, limited examination19$76$4

2015: 16 services

Original Medicare services billed in 2015
Pathology examination of tissue using a microscope, intermediate complexity486$31,906$35
Antibody evaluation, initial single antibody stain procedure51$18,028$39
Pathology examination of tissue using a microscope, moderately high complexity136$15,473$78
Surgical pathology consultation and report on referred slides prepared elsewhere134$10,254$76
Pathology examination of tissue using a microscope, high complexity55$8,186$139
Pathology examination of specimen during surgery, first tissue block38$5,149$59
Special stained specimen slides to examine tissue, initial procedure140$4,919$33
Electron microscopy for diagnosis52$3,706$71
Special stained specimen slides to examine tissue including interpretation and report149$3,686$11
Special stained specimen slides to examine tissue, each additional procedure56$2,826$19
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method15$2,422$161
Special stained specimen slides to identify organisms including interpretation and report42$1,798$25
Surgical pathology consultation and report on referred material requiring preparation of slides18$1,452$81
Microscopic genetic analysis of tumor, manual13$705$50
Pathology examination of tissue using a microscope, moderately low complexity58$701$11
Preparation of tissue for examination by removing any calcium present26$349$12

2014: 14 services

Original Medicare services billed in 2014
Pathology examination of tissue using a microscope, intermediate complexity379$25,527$33
Antibody evaluation, initial single antibody stain procedure56$19,055$39
Pathology examination of tissue using a microscope, moderately high complexity72$8,245$75
Surgical pathology consultation and report on referred slides prepared elsewhere93$7,389$73
Electron microscopy for diagnosis61$4,190$68
Pathology examination of tissue using a microscope, high complexity26$3,765$134
Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain116$3,500$28
Special stained specimen slides to examine tissue including interpretation and report129$2,873$11
Pathology examination of specimen during surgery, first tissue block26$2,316$55
Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure)55$1,461$11
Surgical pathology consultation and report on referred material requiring preparation of slides18$1,412$78
Special stained specimen slides to identify organisms including interpretation and report30$1,209$25
Genetic sequencing localization, initial procedure11$969$54
Pathology examination of tissue using a microscope, moderately low complexity31$350$10

2013: 15 services

Original Medicare services billed in 2013
Pathology examination of tissue using a microscope, intermediate complexity386$26,288$33
Antibody evaluation, initial single antibody stain procedure47$15,068$38
Surgical pathology consultation and report on referred slides prepared elsewhere109$10,545$74
Pathology examination of tissue using a microscope, moderately high complexity103$9,711$71
Special stained specimen slides to examine tissue, initial procedure102$8,391$38
Pathology examination of tissue using a microscope, high complexity45$6,057$129
Pathology examination of specimen during surgery, first tissue block42$5,308$56
Electron microscopy for diagnosis56$3,635$65
Special stained specimen slides to examine tissue including interpretation and report118$2,611$11
Surgical pathology consultation and report on referred material requiring preparation of slides24$1,766$74
Special stained specimen slides to identify organisms including interpretation and report54$1,573$23
Microscopic genetic analysis of tumor, manual14$653$47
Pathology examination of tissue using a microscope, moderately low complexity44$553$10
Preparation of tissue for examination by removing any calcium present19$238$10
Pathology examination of tissue using a microscope, limited examination20$74$4

Medicaid work

$29,793 in 2024

Medicaid paid $29,793 for 542 billed services this clinician did in 2024, up to 69 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
TISSUE EXAM BY PATHOLOGIST373$23,599
Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure83$3,406
Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry51$1,911
IMHCHEM/IMCYTCHM EA ADD ANTB23$543
Consultation and report on referred slides prepared elsewhere12$334
Medicaid work by year
2024542569$29,793
2023344447$20,175
2022277442$15,950
2021490477$29,683
2020321356$21,841
2019353430$16,230
2018352349$20,077
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
TISSUE EXAM BY PATHOLOGIST118$6,899
Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry118$6,834
TISSUE EXAM BY PATHOLOGIST36$3,621
Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure72$2,820

2022

Largest Medicaid services in 2022
TISSUE EXAM BY PATHOLOGIST112$7,430
Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry51$3,744
Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure77$2,731
TISSUE EXAM BY PATHOLOGIST37$2,045

2021

Largest Medicaid services in 2021
TISSUE EXAM BY PATHOLOGIST297$21,327
Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure138$4,633
TISSUE EXAM BY PATHOLOGIST25$2,958
TISSUE EXAM BY PATHOLOGIST30$766

2020

Largest Medicaid services in 2020
TISSUE EXAM BY PATHOLOGIST248$18,098
Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure59$2,737
Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry14$1,005

2019

Largest Medicaid services in 2019
TISSUE EXAM BY PATHOLOGIST200$11,260
Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry47$2,313
Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure90$2,274
TISSUE EXAM BY PATHOLOGIST16$383

2018

Largest Medicaid services in 2018
TISSUE EXAM BY PATHOLOGIST259$16,391
Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure63$2,401
Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry30$1,285

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1154474872
Licence
CA A60350California A60350: Current · expires 2027-12-31
Trained
Stanford University School of Medicine, 1994
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A603500
Taxonomy
Federal specialty code 207ZP0102X (207ZP0102X); Federal specialty code 207ZP0101X (207ZP0101X)
Mailing address
300 Pasteur Dr Rm L235, Department of Pathology, Stanford, CA, 94305
NPI first listed
2007-01-18
NPI last updated
2024-03-13
NPI record certified
2024-03-13

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