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Lalitha M Vakkalanka, MD

Internal Medicine · Gilroy

NPI 1194755959

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 · Bay Area Community Health · 106 clinicians in this group

Looking this up.

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. Vakkalanka’s office at (408) 729-9700 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$1,612

Medicare paid this office $1,612 for 31 people.

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

Largest Original Medicare bills
New patient visit (30+ min)26$975$38

Who their Medicare patients are

31 Original Medicare patients in 2024. Average age 68 · Women 65% · Also on Medicaid 45% · Health risk score 1.18. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 68%.

The office billed $24,267, Medicare allowed $4,246 and paid $1,612; for 46 services of 12 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
20243146681.18$24,267$1,612
202388122701.73$80,930$13,302
20171520650.79$416$154
20161724720.88$1,105$506
2014155301710.75$24,653$18,279
20133391,746711.17$188,078$61,463

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

Original Medicare services billed in 2023
Residence visit for new patient with high level of medical decision making, per day at least 75 minutes43$7,002$163
New patient visit (30+ min)37$3,507$92

2017: 1 service

Original Medicare services billed in 2017
Urinalysis, manual test14$65$3

2016: 1 service

Original Medicare services billed in 2016
Urinalysis, manual test13$61$3

2014: 4 services

Original Medicare services billed in 2014
Return visit (30+ min)97$11,478$84
New patient visit (30+ min)44$3,460$79
Short return visit (20+ min)16$1,013$60
Manual urinalysis test with examination using microscope, non-automated17$89$4

2013: 14 services

Original Medicare services billed in 2013
Short return visit (20+ min)202$20,864$51
Return visit (30+ min)156$13,552$71
New patient visit (45+ min)62$5,901$95
Short return visit83$3,696$29
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes22$3,400$54
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes20$2,482$78
New patient visit (30+ min)35$1,161$33
Hospital discharge day management, 30 minutes or less11$598$54
Administration of influenza virus vaccine14$343$25
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report18$222$12
X-ray of chest, 2 views, front and side15$215$13
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only18$144$6
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only21$138$6
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)13$124$10

Medicaid work

$144,448 in 2024

Medicaid paid $144,448 for 1,753 billed services this clinician did in 2024, up to 139 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
Clinic visit/encounter, all-inclusive422$120,001
New patient visit (30+ min)285$13,234
Short return visit (20+ min)540$6,094
Return visit (30+ min)406$4,221
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])17$422
SARSCOV CORONAVIRUS AG IA14$194
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza43$190
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A26$92
Medicaid work by year
20241,7538139$144,448
2023354592$12,278
20213,344991$77,027
20204,3691178$102,114
20191,550988$42,375
201812112$1
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
New patient visit (30+ min)266$11,355
Short return visit (20+ min)17$331
SARSCOV CORONAVIRUS AG IA17$304
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza32$188
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A22$101

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive616$76,931
Short return visit (20+ min)784$96
Medication list documented in medical record (COA)428$0
Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA)428$0
FXNL STATUS ASSESSED211$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)310$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)311$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)27$0
Return visit (30+ min)229$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive827$102,066
Short return visit (20+ min)1,094$48
Medication list documented in medical record (COA)593$0
Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA)593$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)454$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)49$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)482$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)89$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)12$0
Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use12$0
Return visit (30+ min)164$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive340$41,406
Short return visit (20+ min)663$737
Return visit (30+ min)118$186
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use23$46
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)147$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)31$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)151$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)40$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)37$0

2018

Largest Medicaid services in 2018
BODY MASS INDEX DOCD12$1

Drugs they prescribed that Part D paid

$21,340

Pharmacies billed $21,340 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 198) in 2024. At or below the middle of the specialty; the typical internal medicine clinician is at 1%.

171 generic and 27 brand-name prescriptions · $21,340 in drug cost · 21 antibiotic prescriptions to 19 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
Atorvastatin14$180$7
Metformin11$166$6

Year by year

Part D prescribing by year
2024198730% (0)14%$21,340
202327251None9%$14,560
202238150% (0)None$2,913
2021719790% (0)17%$77,188
2020846910% (0)22%$85,377
2019266620% (0)None$21,086
2018323970% (0)None$12,504
20171,2541720% (0)None$38,803
20161,583217None14%$55,534
2015693131None13%$22,155
20145951832% (12)None$28,414
20131,5692114% (56)20%$83,499

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

See the drugs prescribed each year

2023: 5 drugs

Part D drugs prescribed in 2023
Levothyroxine27$337$12
Omeprazole14$174$12
Atorvastatin16$131$8
Metformin14$71$5
Furosemide14$62$4

2021: 19 drugs

Part D drugs prescribed in 2021
Flovent Hfa11$3,220$293
Levothyroxine61$1,339$22
Albuterol Sulfate Hfa14$662$47
Metoprolol22$368$17
Omeprazole24$343$14
Metformin45$317$7
Atorvastatin40$315$8
Diclofenac13$233$18
Amlodipine Besylate29$217$7
Gabapentin25$184$7
Hydrochlorothiazide35$181$5
Lisinopril34$175$5
Montelukast12$163$14
Ibuprofen20$141$7
Glipizide22$119$5
Gemfibrozil13$113$9
Alendronate11$88$8
Metoprolol14$74$5
Losartan14$51$4

2020: 23 drugs

Part D drugs prescribed in 2020
Januvia12$13,937$1,161
Novolin 70-3012$8,847$737
Lantus Solostar12$6,711$559
Advair Hfa11$3,604$328
Betamethasone Diprop Augmented11$2,349$214
Levothyroxine77$1,674$22
Ventolin Hfa12$688$57
Atorvastatin63$641$10
Metoprolol16$372$23
Metformin47$355$8
Omeprazole28$328$12
Gabapentin24$224$9
Gemfibrozil17$182$11
Losartan19$177$9
Lisinopril38$175$5
Hydrochlorothiazide33$170$5
Ibuprofen32$162$5
Triamcinolone Acetonide19$142$7
Glipizide20$123$6
Montelukast14$121$9
Amlodipine Besylate30$118$4
Alendronate17$118$7
Sertraline16$40$2

2019: 7 drugs

Part D drugs prescribed in 2019
Levothyroxine15$240$16
Atorvastatin20$212$11
Glipizide19$193$10
Metformin18$192$11
Losartan11$108$10
Amlodipine Besylate14$79$6
Lisinopril12$43$4

2018: 9 drugs

Part D drugs prescribed in 2018
Levothyroxine14$260$19
Lisinopril29$250$9
Metformin50$223$4
Glimepiride12$176$15
Losartan23$159$7
Amlodipine Besylate21$155$7
Omeprazole14$136$10
Hydrochlorothiazide13$88$7
Simvastatin14$58$4

2017: 25 drugs

Part D drugs prescribed in 2017
Lantus29$10,367$357
Ventolin Hfa29$2,238$77
Levothyroxine101$1,861$18
Metformin195$935$5
Omeprazole67$574$9
Lisinopril108$543$5
Hydrochlorothiazide58$403$7
Glimepiride37$378$10
Propranolol11$310$28
Amoxicillin-Clavulanate Potass23$295$13
Amlodipine Besylate54$264$5
Losartan59$244$4
Glipizide38$212$6
Metoprolol38$166$4
Simvastatin22$130$6
Atorvastatin12$130$11
Carvedilol26$129$5
Lisinopril-Hydrochlorothiazide21$110$5
Atenolol24$101$4
Ciprofloxacin14$91$7
Losartan-Hydrochlorothiazide13$88$7
Metformin Hcl Er18$73$4
Ibuprofen14$71$5
Furosemide18$57$3
Ramipril12$41$3

2016: 31 drugs

Part D drugs prescribed in 2016
Lantus42$12,104$288
Humalog18$4,561$253
Levothyroxine113$1,963$17
Metformin196$1,194$6
Ventolin Hfa18$942$52
Tamsulosin14$847$60
Hydrochlorothiazide95$800$8
Lisinopril131$660$5
Glimepiride75$508$7
Omeprazole61$507$8
Amlodipine Besylate85$384$5
Gabapentin24$329$14
Glipizide39$304$8
Amoxicillin-Clavulanate Potass16$235$15
Carvedilol43$232$5
Simvastatin37$214$6
Losartan56$207$4
Atorvastatin15$172$11
Metoprolol37$159$4
Ibuprofen19$155$8
Losartan-Hydrochlorothiazide18$147$8
Ciprofloxacin17$124$7
Benazepril20$114$6
Lisinopril-Hydrochlorothiazide32$108$3
Ramipril12$90$7
Hydralazine11$89$8
Atenolol18$84$5
Clopidogrel15$73$5
Furosemide22$70$3
Alendronate12$46$4
Metformin Hcl Er18$45$2

2015: 19 drugs

Part D drugs prescribed in 2015
Lantus16$4,291$268
Proair Hfa19$1,023$54
Tamsulosin18$936$52
Levothyroxine20$451$23
Metformin74$426$6
Lisinopril72$393$5
Glimepiride33$252$8
Hydrochlorothiazide34$233$7
Warfarin22$202$9
Amlodipine Besylate33$180$5
Glipizide12$137$11
Metoprolol18$126$7
Losartan23$114$5
Atorvastatin12$109$9
Omeprazole13$90$7
Clopidogrel12$83$7
Gabapentin14$82$6
Simvastatin22$71$3
Lisinopril-Hydrochlorothiazide13$54$4

2014: 14 drugs

Part D drugs prescribed in 2014
Proair Hfa11$923$84
Levothyroxine35$551$16
Atorvastatin18$372$21
Lisinopril43$255$6
Metformin29$244$8
Gabapentin17$203$12
Amox Tr-Potassium Clavulanate13$187$14
Omeprazole11$169$15
Amlodipine Besylate16$151$9
Hydrochlorothiazide22$132$6
Simvastatin13$123$9
Carvedilol13$108$8
Atenolol14$68$5
Furosemide13$34$3

2013: 38 drugs

Part D drugs prescribed in 2013
Symbicort26$6,272$241
Advair Diskus13$4,632$356
Omeprazole55$1,140$21
Escitalopram21$920$44
Levothyroxine67$810$12
Atorvastatin24$773$32
Proair Hfa12$643$54
Metoprolol14$637$46
Losartan37$623$17
Lisinopril86$566$7
Clopidogrel14$559$40
Hydrochlorothiazide64$550$9
Metformin47$485$10
Simvastatin42$472$11
Gabapentin14$431$31
Amlodipine Besylate44$405$9
Diltiazem 24hr Er14$396$28
Metoprolol47$347$7
Amox Tr-Potassium Clavulanate16$328$21
Warfarin32$302$9
Gemfibrozil16$285$18
Sertraline20$283$14
Pantoprazole27$271$10
Glyburide17$261$15
Carvedilol32$254$8
Digox14$210$15
Hydrocodone-Acetaminophen18$188$10
Tramadol31$183$6
Sumatriptan12$167$14
Fluoxetine24$163$7
Lamotrigine18$152$8
Tamsulosin12$134$11
Ciprofloxacin16$117$7
Atenolol25$116$5
Furosemide22$96$4
Clonidine12$93$8
Ranitidine14$72$5
Trazodone12$60$5

Money from drug and device companies

$41 in 2024

Industry payments by year
202412None$41
202311None$18

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
Exact SciencesCologuard Collection Kit$41
2 payments
  • Meals for Cologuard Collection Kit · 2024-11-18 · $20
  • Meals for Cologuard Collection Kit · 2024-09-10 · $21
See all 2 published payments
Every published payment
Exact SciencesMeals · 2024-11-18Cologuard Collection Kit$20
Exact SciencesMeals · 2024-09-10Cologuard Collection Kit$21
See earlier years (2023)

2023: $18

Payments by company in 2023
Idorsia Pharmaceuticals USQuviviq$18
1 payment
  • Meals for Quviviq · 2023-05-08 · $18

Professional record

NPI
1194755959
Licence
CA A053202
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X)
Mailing address
140 E Commonwealth Ave Ste 100, Fullerton, CA, 92832
NPI first listed
2006-07-04
NPI last updated
2023-03-24
NPI record certified
2023-03-24

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