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Hema Dalal

General Practice · Santa Clara

NPI 1225554025

Medicare standing
1 flag on the record
Listed below.
Plans that list them
7
3 carriers
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plans that list them

7 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Hema Dalal’s office at (408) 343-4170 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

7 of 7 plans

Plans whose provider directory lists this clinician
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

Medicaid work

$56,391 in 2024

Medicaid paid $56,391 for 1,155 billed services this clinician did in 2024, up to 34 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
Service229$16,030
Service149$13,410
Service130$8,543
Service87$4,128
Service67$3,518
Service214$3,103
Service32$2,705
Service82$1,685
Service17$1,142
Service53$1,123
Service83$797
Service12$208
Medicaid work by year
20241,1551234$56,391
20236331224$27,176
20228851031$31,648
20211,627849$61,519
2020226822$6,344
2019554738$20,843
20183,9971589$121,306
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Service82$7,212
Service77$5,390
Service87$4,568
Service44$2,841
Service165$2,394
Service26$1,248
Service17$928
Service12$847
Service69$672
Service28$599
Service14$281
Service12$196

2022

Largest Medicaid services in 2022
Service120$9,223
Service128$8,413
Service72$3,408
Service173$3,357
Service156$3,283
Service43$2,258
Service98$1,518
Service13$188
Service70$0
Service12$0

2021

Largest Medicaid services in 2021
Service335$21,952
Service286$12,740
Service221$10,512
Service354$7,509
Service301$6,264
Service63$1,890
Service42$438
Service25$214

2020

Largest Medicaid services in 2020
Service35$2,310
Service29$870
Service17$816
Service35$693
Service13$585
Service43$456
Service41$355
Service13$259

2019

Largest Medicaid services in 2019
Service145$9,570
Service68$3,216
Service65$2,925
Service126$2,240
Service50$1,500
Service39$842
Service61$550

2018

Largest Medicaid services in 2018
Service570$25,787
Service288$15,288
Service235$15,120
Service359$14,824
Service408$11,768
Service601$10,589
Service437$7,870
Service259$7,290
Service86$5,448
Service302$2,403
Service318$1,954
Service27$1,000

Money from drug and device companies

$22 in 2024

Industry payments by year
202411None$22
202113None$76

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
Alexion PharmaceuticalsStrensiq$22
1 payment
  • Meals for Strensiq · 2024-12-12 · $22
See the published payment
Every published payment
Alexion PharmaceuticalsMeals · 2024-12-12Strensiq$22
See earlier years (2021)

2021: $76

Payments by company in 2021
Colgate Oral PharmaceuticalsNone$76
3 payments
  • Education · 2021-05-19 · $13
  • Education · 2021-05-16 · $31
  • Education · 2021-05-12 · $33

Professional record

NPI
1225554025
Licence
CA 101754
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 1223G0001X (1223G0001X)
Mailing address
88 Hillside Blvd Apt 228, Daly City, CA, 94014
NPI first listed
2017-08-14
NPI last updated
2017-08-14

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