James Saunders, MD
Emergency Medicine · 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.
- Office
- 1
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Saunders’s office at (630) 200-4695 to ask if they take your plan before you enroll.
California Medical Board record
Licence A162819 · Current
Licensed to practise in California · since 2019 · expires 2027-06-30 · Rush Medical College of Rush University.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$15,193
Medicare paid this office $15,193 for 80 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 22 | $7,101 | $122 |
| Emergency department visit with high level of medical decision making | 30 | $4,338 | $145 |
| Emergency department visit with moderate level of medical decision making | 18 | $1,599 | $89 |
Who their Medicare patients are
80 Original Medicare patients in 2024. Average age 77 · Women 55% · Also on Medicaid 61% · Health risk score 1.65. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 75% · Chronic kidney disease 38% · Diabetes 36% · Depression 24% · Atrial fibrillation 23% · COPD 20% · Cancer 19% · Coronary heart disease 18% · Heart failure 18%.
The office billed $120,914, Medicare allowed $19,473 and paid $15,193; for 124 services of 7 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 | 80 | 124 | 77 | 1.65 | $120,914 | $15,193 |
| 2023 | 54 | 59 | 71 | 2.42 | $103,876 | $7,552 |
| 2021 | 125 | 215 | 71 | 2.51 | $117,456 | $19,209 |
| 2020 | 244 | 286 | 68 | 2.39 | $280,619 | $30,214 |
| 2019 | 312 | 394 | 69 | 2.39 | $358,055 | $36,162 |
| 2018 | 367 | 549 | 69 | 2.78 | $408,655 | $45,584 |
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
| Emergency department visit with high level of medical decision making | 39 | $6,094 | $152 |
| Emergency department visit with moderate level of medical decision making | 11 | $1,157 | $105 |
2021: 3 services
| Emergency department visit with high level of medical decision making | 68 | $10,877 | $153 |
| Emergency department visit with moderate level of medical decision making | 21 | $1,970 | $94 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 71 | $471 | $6 |
2020: 4 services
| Emergency department visit with high level of medical decision making | 96 | $15,044 | $155 |
| Emergency department visit with moderate level of medical decision making | 121 | $12,388 | $102 |
| Emergency department visit with low level of medical decision making | 24 | $1,379 | $49 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 14 | $102 | $7 |
2019: 4 services
| Emergency department visit with high level of medical decision making | 159 | $21,117 | $129 |
| Emergency department visit with moderate level of medical decision making | 130 | $12,278 | $93 |
| Emergency department visit with low level of medical decision making | 20 | $1,046 | $50 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 53 | $367 | $6 |
2018: 5 services
| Emergency department visit with high level of medical decision making | 222 | $30,136 | $132 |
| Emergency department visit with moderate level of medical decision making | 88 | $7,928 | $90 |
| Critical care, first 30-74 minutes | 17 | $2,920 | $172 |
| Emergency department visit with low level of medical decision making | 39 | $1,673 | $43 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 129 | $916 | $7 |
Medicaid work
$14,885 in 2023
Medicaid paid $14,885 for 446 billed services this clinician did in 2023, up to 55 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.
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 94 | $6,134 |
| EMERGENCY DEPT VISIT MOD MDM | 182 | $5,943 |
| Service | 53 | $1,907 |
| COMPREHENSIVE METABOLIC PANEL | 26 | $407 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 26 | $241 |
| Service | 27 | $162 |
| Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided) | 38 | $92 |
| 2023 | 446 | 7 | 55 | $14,885 |
| 2021 | 777 | 6 | 46 | $39,250 |
| 2020 | 966 | 4 | 64 | $35,937 |
| 2019 | 1,941 | 32 | 67 | $66,624 |
| 2018 | 3,328 | 37 | 85 | $104,553 |
See the largest Medicaid services in earlier years
2021
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 182 | $15,560 |
| EMERGENCY DEPT VISIT MOD MDM | 190 | $12,301 |
| EMERGENCY DEPT VISIT LOW MDM | 204 | $8,720 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 139 | $1,664 |
| Return visit (30+ min) | 42 | $544 |
| Long return visit (40+ min) | 20 | $461 |
2020
| EMERGENCY DEPT VISIT MOD MDM | 461 | $15,949 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 252 | $12,791 |
| EMERGENCY DEPT VISIT LOW MDM | 184 | $4,518 |
| Service | 69 | $2,678 |
2019
| EMERGENCY DEPT VISIT MOD MDM | 380 | $21,575 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 278 | $17,648 |
| EMERGENCY DEPT VISIT LOW MDM | 281 | $16,237 |
| Service | 16 | $1,323 |
| Radiologic examination, chest; 2 views | 35 | $947 |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest | 12 | $826 |
| COMPREHENSIVE METABOLIC PANEL | 90 | $737 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug | 24 | $668 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 42 | $666 |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza | 22 | $628 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure) | 16 | $572 |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Influenza, A or B, each | 24 | $571 |
2018
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 458 | $37,738 |
| EMERGENCY DEPT VISIT LOW MDM | 454 | $26,858 |
| EMERGENCY DEPT VISIT MOD MDM | 297 | $22,179 |
| Radiologic examination, chest; 2 views | 102 | $2,195 |
| EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP | 75 | $1,803 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 272 | $1,491 |
| Computed tomography, head or brain; without contrast material | 16 | $1,482 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 96 | $1,171 |
| COMPREHENSIVE METABOLIC PANEL | 167 | $1,000 |
| Radiologic examination, chest; single view | 44 | $700 |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate | 76 | $684 |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Influenza, A or B, each | 24 | $614 |
Drugs they prescribed that Part D paid
$6,566
Pharmacies billed $6,566 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 21% of their Part D prescriptions (33 of 156) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%.
145 generic and fewer than 11 brand-name prescriptions · $6,566 in drug cost.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Lidocaine | 13 | $1,234 | $95 |
| Pregabalin | 22 | $757 | $34 |
| Hydrocodone-Acetaminophen | 18 | $257 | $14 |
| Gabapentin | 21 | $175 | $8 |
Year by year
| 2024 | 156 | 57 | 21% (33) | None | $6,566 |
| 2023 | 108 | 40 | None | None | $2,815 |
| 2022 | 61 | 31 | 0% (0) | None | $1,353 |
| 2021 | 65 | 41 | 0% (0) | None | $4,039 |
| 2020 | 30 | 24 | 0% (0) | 0% | $189 |
| 2019 | 47 | 36 | None | None | $739 |
| 2018 | 28 | 24 | None | None | $935 |
| 2015 | 13 | None | None | None | $1,032 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 2 drugs
| Gabapentin | 42 | $522 | $12 |
| Diclofenac | 11 | $234 | $21 |
2022: 3 drugs
| Diclofenac | 16 | $433 | $27 |
| Duloxetine | 13 | $212 | $16 |
| Gabapentin | 13 | $90 | $7 |
2021: 1 drug
| Buprenorphine-Naloxone | 22 | $1,049 | $48 |
Money from drug and device companies
$203 in 2025
A payment is not proof that care is biased.
| Edwards Lifesciences | Evoque | $203 | 1 payment
|
See the published payment
| Edwards Lifesciences | Meals · 2025-11-06 | Evoque | $203 |
Professional record
- NPI
- 1164838181
- Licence
- CA A162819, NC 2018-00617California A162819: Current · expires 2027-06-30
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207P00000X (207P00000X)
- Mailing address
- 124 Boston Ave, San Jose, CA, 95128
- NPI first listed
- 2014-07-10
- NPI last updated
- 2023-10-31
- NPI record certified
- 2023-10-31
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 4802 10th Ave, Brooklyn, NY, 11219