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James Maguire, MD

Emergency Medicine · Freedom

NPI 1184644346

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
5

Offices

5 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

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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. Maguire’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A94918 · Current

Licensed to practise in California · since 2006 · expires 2028-02-29 · George Washington University School of Medicine.

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

Original Medicare doctor bills

$50,561

Medicare paid this office $50,561 for 491 people.

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

Largest Original Medicare bills
Return visit (30+ min)215$18,912$86
Short return visit (20+ min)115$7,028$61
New patient visit (30+ min)77$5,923$77
Long return visit (40+ min)44$5,670$129
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus37$5,172$140
See all 10 services
Every Original Medicare service billed
Return visit (30+ min)215$18,912$86
Short return visit (20+ min)115$7,028$61
New patient visit (30+ min)77$5,923$77
Long return visit (40+ min)44$5,670$129
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus37$5,172$140
New patient visit (45+ min)14$1,676$120
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen29$1,508$50
New patient visit (15+ min)28$1,463$52
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)23$373$16
Automated urinalysis test80$178$2

Who their Medicare patients are

491 Original Medicare patients in 2024. Average age 74 · Under 65 5% · 85 and older 11% · Women 62% · Also on Medicaid 13% · Health risk score 0.90. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 56% · Diabetes 16% · Atrial fibrillation 15% · Depression 14% · Coronary heart disease 13% · Chronic kidney disease 13% · Cancer 13% · Heart failure 8% · COPD 8% · Stroke 4% · Dementia 3%.

The office billed $208,692, Medicare allowed $74,676 and paid $50,561; for 780 services of 45 kinds; $77 of it was for drugs given in the office and $50,484 for care.

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
2024491780740.90$208,692$50,561
2023423677750.94$168,268$48,031
2022420699730.99$144,182$41,275
2021370638741.16$141,061$41,648
2020287425731.13$100,378$23,324
2019472760731.09$166,763$38,616
2018425739721.13$152,420$35,783
2017380568731.09$133,129$29,786
2016424595721.05$143,167$32,397
2015374569721.10$125,866$31,142
2014357521710.99$114,938$26,816
2013366516710.99$100,850$24,390

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: 8 services

Original Medicare services billed in 2023
Return visit (30+ min)247$26,751$104
Short return visit (20+ min)102$7,032$67
Long return visit (40+ min)30$4,437$148
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus21$2,935$140
New patient visit (30+ min)36$2,846$79
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen22$1,156$50
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)12$194$16
Automated urinalysis test78$180$2

2022: 10 services

Original Medicare services billed in 2022
Return visit (30+ min)144$16,169$109
Short return visit (20+ min)226$15,121$66
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen61$3,145$51
New patient visit (30+ min)31$2,212$71
New patient visit (15+ min)11$656$60
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)17$258$15
Diphtheria and tetanus vaccine (7 years or older)11$222$20
Administration of vaccine11$155$14
Removal of impacted ear wax by washing12$148$12
Automated urinalysis test62$137$2

2021: 6 services

Original Medicare services billed in 2021
Return visit (30+ min)239$26,497$102
Short return visit (20+ min)102$7,534$70
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen52$2,719$51
New patient visit (30+ min)20$1,374$69
Injection of drug or substance under skin or into muscle15$231$12
Automated urinalysis test57$140$2

2020: 4 services

Original Medicare services billed in 2020
Return visit (30+ min)203$16,294$78
Short return visit (20+ min)62$3,482$55
New patient visit (30+ min)23$1,471$64
Automated urinalysis test46$103$2

2019: 8 services

Original Medicare services billed in 2019
Return visit (30+ min)313$26,128$79
Short return visit (20+ min)131$7,244$53
New patient visit (30+ min)32$2,022$63
Injection of drug or substance under skin or into muscle18$298$14
Inhalation treatment for airway obstruction or sputum production16$287$15
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)14$227$16
Automated urinalysis test69$173$2
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme17$2None

2018: 6 services

Original Medicare services billed in 2018
Return visit (30+ min)284$24,386$78
Short return visit (20+ min)107$5,802$52
New patient visit (30+ min)33$2,090$63
Injection of drug or substance under skin or into muscle16$421$18
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)23$389$16
Automated urinalysis test80$225$3

2017: 6 services

Original Medicare services billed in 2017
Return visit (30+ min)228$18,762$74
Short return visit (20+ min)126$6,099$47
New patient visit (30+ min)32$1,852$58
Injection of drug or substance under skin or into muscle12$262$20
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)14$187$12
Automated urinalysis test43$144$3

2016: 5 services

Original Medicare services billed in 2016
Return visit (30+ min)254$19,648$74
Short return visit (20+ min)132$6,654$48
New patient visit (30+ min)35$2,477$71
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)17$211$12
Automated urinalysis test44$133$3

2015: 6 services

Original Medicare services billed in 2015
Return visit (30+ min)179$16,752$85
Short return visit (20+ min)155$8,423$52
New patient visit (30+ min)29$1,859$64
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)13$161$12
Short return visit11$123$11
Automated urinalysis test32$102$3

2014: 7 services

Original Medicare services billed in 2014
Return visit (30+ min)147$12,296$76
Short return visit (20+ min)161$8,670$48
New patient visit (15+ min)32$1,512$47
New patient visit (30+ min)21$1,291$61
Short return visit11$394$36
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)14$174$12
Automated urinalysis test39$121$3

2013: 6 services

Original Medicare services billed in 2013
Short return visit (20+ min)209$11,672$50
Return visit (30+ min)68$5,726$80
New patient visit (15+ min)58$2,878$50
New patient visit (30+ min)24$1,439$60
Short return visit14$401$29
Automated urinalysis test33$104$3

Medicaid work

$18,998 in 2024

Medicaid paid $18,998 for 180 billed services this clinician did in 2024, up to 29 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
Return visit (30+ min)126$13,101
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique27$3,925
Short return visit (20+ min)27$1,972
Medicaid work by year
2024180329$18,998
2023377342$32,310
2022376433$27,364
2021258236$22,364
2020239337$15,339
2019561355$39,988
2018389238$28,520
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)250$23,721
Short return visit (20+ min)110$6,843
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique17$1,746

2022

Largest Medicaid services in 2022
Short return visit (20+ min)250$17,252
Return visit (30+ min)84$8,689
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique26$1,309
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza16$115

2021

Largest Medicaid services in 2021
Return visit (30+ min)228$20,225
Short return visit (20+ min)30$2,139

2020

Largest Medicaid services in 2020
Return visit (30+ min)158$12,447
Short return visit (20+ min)47$2,591
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza34$301

2019

Largest Medicaid services in 2019
Return visit (30+ min)388$30,476
Short return visit (20+ min)148$9,269
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza25$242

2018

Largest Medicaid services in 2018
Return visit (30+ min)268$21,350
Short return visit (20+ min)121$7,169

Drugs they prescribed that Part D paid

$4,962

Pharmacies billed $4,962 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 4% of their Part D prescriptions (14 of 394) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

347 generic and fewer than 11 brand-name prescriptions · $4,962 in drug cost · 159 antibiotic prescriptions to 141 people.

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.

Largest Part D drug costs
Paxlovid20$1,429$71
Albuterol Sulfate Hfa26$779$29
Amoxicillin-Clavulanate Potass35$249$7
Cephalexin47$230$5
Doxycycline Hyclate19$154$8
See all 12 drugs
Every Part D drug this clinician prescribed
Paxlovid20$1,429$71
Albuterol Sulfate Hfa26$779$29
Amoxicillin-Clavulanate Potass35$249$7
Cephalexin47$230$5
Doxycycline Hyclate19$154$8
Mupirocin20$138$7
Baclofen14$109$8
Azithromycin23$97$4
Hydrocodone-Acetaminophen13$73$6
Triamcinolone Acetonide15$71$4
Prednisone27$69$3
Sulfamethoxazole-Trimethoprim11$33$3

Year by year

Part D prescribing by year
20243942844% (14)None$4,962
20234152743% (12)5%$5,761
20223232275% (17)7%$8,748
20212621706% (16)None$3,210
2020203132NoneNone$3,004
20193482236% (20)14%$7,252
201825717011% (28)None$5,784
201722014811% (25)9%$3,912
201624317513% (31)None$4,537
201526818216% (44)None$4,739
201425215818% (45)None$3,935
201325216814% (34)None$8,585

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 12 drugs

Part D drugs prescribed in 2023
Albuterol Sulfate Hfa19$728$38
Cephalexin55$484$9
Doxycycline Hyclate20$334$17
Mupirocin32$333$10
Ofloxacin14$276$20
Amoxicillin-Clavulanate Potass24$270$11
Paxlovid (Eua)22$209$9
Sulfamethoxazole-Trimethoprim27$174$6
Prednisone41$149$4
Triamcinolone Acetonide17$86$5
Azithromycin12$74$6
Naproxen11$54$5

2022: 10 drugs

Part D drugs prescribed in 2022
Cephalexin51$420$8
Albuterol Sulfate Hfa14$363$26
Doxycycline Hyclate14$326$23
Amoxicillin-Clavulanate Potass22$219$10
Paxlovid (Eua)18$191$11
Mupirocin17$181$11
Sulfamethoxazole-Trimethoprim18$97$5
Prednisone20$85$4
Hydrocodone-Acetaminophen11$79$7
Naproxen14$78$6

2021: 7 drugs

Part D drugs prescribed in 2021
Cephalexin45$353$8
Mupirocin22$217$10
Amoxicillin-Clavulanate Potass16$168$10
Sulfamethoxazole-Trimethoprim28$142$5
Prednisone19$75$4
Hydrocodone-Acetaminophen13$63$5
Naproxen11$44$4

2020: 4 drugs

Part D drugs prescribed in 2020
Cephalexin32$173$5
Sulfamethoxazole-Trimethoprim22$103$5
Mupirocin11$75$7
Prednisone18$59$3

2019: 11 drugs

Part D drugs prescribed in 2019
Ventolin Hfa17$946$56
Cephalexin58$409$7
Doxycycline Hyclate11$286$26
Amoxicillin-Clavulanate Potass19$178$9
Azithromycin20$175$9
Hydrocodone-Acetaminophen15$122$8
Prednisone23$116$5
Mupirocin14$107$8
Polymyxin B Sul-Trimethoprim11$96$9
Sulfamethoxazole-Trimethoprim16$91$6
Triamcinolone Acetonide13$79$6

2018: 5 drugs

Part D drugs prescribed in 2018
Cephalexin37$219$6
Hydrocodone-Acetaminophen22$163$7
Prednisone20$74$4
Azithromycin12$74$6
Ciprofloxacin12$61$5

2017: 4 drugs

Part D drugs prescribed in 2017
Mupirocin16$160$10
Cephalexin21$138$7
Hydrocodone-Acetaminophen17$109$6
Naproxen16$63$4

2016: 4 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen26$215$8
Mupirocin17$178$10
Cephalexin32$170$5
Prednisone13$62$5

2015: 6 drugs

Part D drugs prescribed in 2015
Proair Hfa11$560$51
Mupirocin16$259$16
Hydrocodone-Acetaminophen35$242$7
Cephalexin43$223$5
Amoxicillin-Clavulanate Potass12$163$14
Prednisone11$47$4

2014: 5 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen36$268$7
Amox Tr-Potassium Clavulanate14$242$17
Cephalexin33$190$6
Azithromycin21$180$9
Ciprofloxacin13$76$6

2013: 5 drugs

Part D drugs prescribed in 2013
Nitrofurantoin Mono-Macro12$388$32
Levofloxacin13$267$21
Cephalexin25$185$7
Azithromycin11$143$13
Hydrocodone-Acetaminophen25$141$6

Professional record

NPI
1184644346
Licence
CA A94918California A94918: Current · expires 2028-02-29
Trained
George Washington University School of Medicine, 2004
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
2025 Soquel Ave, Santa Cruz, CA, 95062
NPI first listed
2006-07-20
NPI last updated
2011-12-08

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