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Emily Hunter Birnbaum, FNP

Nurse Practitioner · Emeryville

NPI 1194355446

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
14
1 carrier
Office
1

Offices

1 location

Plans that list them

14 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Emily Hunter Birnbaum’s office at (510) 806-2100 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
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026

Original Medicare doctor bills

$12,473

Medicare paid this office $12,473 for 144 people.

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

Largest Original Medicare bills
Short return visit (20+ min)77$4,511$46
Return visit (30+ min)55$4,136$60
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$2,628$131
Short return visit12$248$19

Who their Medicare patients are

144 Original Medicare patients in 2024. Average age 77 · Women 60% · Also on Medicaid 9% · Health risk score 1.17. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 67% · Chronic kidney disease 24% · Diabetes 22% · Cancer 22% · Depression 20% · Coronary heart disease 17% · Atrial fibrillation 17% · Heart failure 15% · COPD 10% · Stroke 10% · Dementia 9%.

The office billed $66,752, Medicare allowed $18,952 and paid $12,473; for 215 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

Original Medicare by year
2024144215771.17$66,752$12,473
2023378634760.95$165,397$35,445
2022108140760.94$34,637$8,217

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: 5 services

Original Medicare services billed in 2023
Short return visit (20+ min)273$16,612$44
Return visit (30+ min)115$12,028$67
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit35$4,550$130
Telephone medical discussion with physician, 11-20 minutes11$573$48
Short return visit19$507$25

2022: 3 services

Original Medicare services billed in 2022
Short return visit (20+ min)75$4,494$50
Return visit (30+ min)20$1,669$76
Short return visit11$311$28

Medicaid work

$13,985 in 2022

Medicaid paid $13,985 for 193 billed services this clinician did in 2022, up to 33 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 2022
Clinic visit/encounter, all-inclusive81$13,985
Short return visit (20+ min)32$0
EMERGENCY DEPT VISIT LOW MDM12$0
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit54$0
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only14$0
Medicaid work by year
2022193533$13,985
2021215325$22,981
2020192224$21,135
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive124$22,981
Short return visit (20+ min)26$0
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit65$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive103$21,135
Short return visit (20+ min)89$0

Drugs they prescribed that Part D paid

$52,590

Pharmacies billed $52,590 in 2024.

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

727 generic and fewer than 11 brand-name prescriptions · $52,590 in drug cost · 23 antibiotic prescriptions to 22 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
Atorvastatin86$759$9
Levothyroxine48$656$14
Ezetimibe12$407$34
Amlodipine Besylate79$399$5
Losartan43$336$8
See all 15 drugs
Every Part D drug this clinician prescribed
Atorvastatin86$759$9
Levothyroxine48$656$14
Ezetimibe12$407$34
Amlodipine Besylate79$399$5
Losartan43$336$8
Metoprolol15$234$16
Omeprazole15$231$15
Metformin Hcl Er15$226$15
Tamsulosin12$221$18
Lisinopril24$176$7
Hydrochlorothiazide28$139$5
Rosuvastatin19$109$6
Trazodone12$93$8
Triamcinolone Acetonide11$75$7
Mirtazapine12$58$5

Year by year

Part D prescribing by year
2024793239NoneNone$52,590
20231,1795141% (16)10%$69,474
20227492183% (22)17%$102,501
20215581275% (27)None$36,687
202011920NoneNone$13,639

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

See the drugs prescribed each year

2023: 27 drugs

Part D drugs prescribed in 2023
Atorvastatin106$1,295$12
Rosuvastatin24$995$41
Gabapentin28$850$30
Losartan60$653$11
Levothyroxine38$651$17
Amlodipine Besylate77$558$7
Metformin Hcl Er12$522$44
Albuterol Sulfate Hfa21$518$25
Tamsulosin29$464$16
Valsartan16$456$28
Bupropion Hcl Sr12$423$35
Pantoprazole19$394$21
Paxlovid (Eua)35$368$11
Omeprazole15$347$23
Lisinopril38$319$8
Metoprolol12$273$23
Amoxicillin-Clavulanate Potass25$272$11
Nitrofurantoin Mono-Macro20$267$13
Simvastatin19$239$13
Escitalopram17$234$14
Sertraline17$223$13
Lovastatin14$210$15
Hydrochlorothiazide30$194$6
Trazodone14$179$13
Metformin11$159$14
Zolpidem11$60$5
Carvedilol11$56$5

2022: 20 drugs

Part D drugs prescribed in 2022
Eliquis15$15,332$1,022
Basaglar Kwikpen U-10012$4,932$411
Symbicort11$4,353$396
Gabapentin21$1,481$71
Atorvastatin66$929$14
Rosuvastatin16$907$57
Amlodipine Besylate45$688$15
Hydrocodone-Acetaminophen13$589$45
Albuterol Sulfate Hfa16$582$36
Levothyroxine28$531$19
Lisinopril38$466$12
Pantoprazole11$280$25
Losartan21$265$13
Escitalopram13$242$19
Lovastatin11$182$17
Metformin13$176$14
Paxlovid (Eua)13$129$10
Omeprazole15$107$7
Simvastatin12$86$7
Hydrochlorothiazide14$59$4

2021: 10 drugs

Part D drugs prescribed in 2021
Trulicity11$11,593$1,054
Gabapentin22$1,018$46
Hydrocodone-Acetaminophen20$874$44
Atorvastatin45$733$16
Amlodipine Besylate24$304$13
Lisinopril39$246$6
Trazodone13$222$17
Escitalopram16$214$13
Metformin22$155$7
Metoprolol11$49$4

2020: 1 drug

Part D drugs prescribed in 2020
Amlodipine Besylate12$66$5

Money from drug and device companies

$125 in 2025

Industry payments by year
202511None$125
202111None$12

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
Axsome TherapeuticsAuvelity$125
1 payment
  • Meals for Auvelity · 2025-01-15 · $125
See the published payment
Every published payment
Axsome TherapeuticsMeals · 2025-01-15Auvelity$125
See earlier years (2021)

2021: $12

Payments by company in 2021
Merck Sharp & DohmeNexplanon$12
1 payment
  • Meals for Nexplanon · 2021-04-28 · $12

Professional record

NPI
1194355446
Licence
CA NP95013597
More record details
Sole proprietor
Yes
Taxonomy
Nurse practitioner (363L00000X); Federal specialty code 363LF0000X (363LF0000X)
Mailing address
5800 Hollis St, Emeryville, CA, 94608
NPI first listed
2020-01-24
NPI last updated
2022-06-13
NPI record certified
2022-06-13

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

Extra NPI addresses: 300 Hartle Ct, Napa, CA, 94559 · 165 Capp St, San Francisco, CA, 94110 · 240 Shotwell St # 1323, San Francisco, CA, 94110