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Stephanie Loomis, PA

Physician Assistant · Palo Alto

NPI 1225660186

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Offices
3

Offices

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

Looking this up.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Stephanie Loomis’s office 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
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$48,042

Medicare paid this office $48,042 for 354 people.

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

Largest Original Medicare bills
Return visit (30+ min)190$20,102$93
Long return visit (40+ min)68$9,727$137
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit34$4,554$134
New patient visit (45+ min)35$4,427$126
Short return visit (20+ min)48$3,166$60
See all 6 services
Every Original Medicare service billed
Return visit (30+ min)190$20,102$93
Long return visit (40+ min)68$9,727$137
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit34$4,554$134
New patient visit (45+ min)35$4,427$126
Short return visit (20+ min)48$3,166$60
New patient visit (30+ min)33$2,663$81

Who their Medicare patients are

354 Original Medicare patients in 2024. Average age 78 · Women 61% · Also on Medicaid 6% · Health risk score 0.96. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 60% · Cancer 20% · Coronary heart disease 19% · Atrial fibrillation 19% · Depression 16% · Diabetes 14% · Chronic kidney disease 14% · Heart failure 9% · Dementia 7% · COPD 6% · Stroke 5%.

The office billed $179,176, Medicare allowed $64,228 and paid $48,042; for 480 services of 20 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
2024354480780.96$179,176$48,042
2023149260740.81$82,225$20,862
2022151302730.67$76,328$23,052
20211626730.56$5,964$1,684

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
New patient visit (45+ min)40$4,858$121
New patient visit (30+ min)34$2,989$88
Return visit (30+ min)30$2,846$95
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 virus20$2,796$140
Short return visit (20+ min)25$2,030$70
Long return visit (40+ min)11$1,574$143
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen17$855$50
X-ray of chest, 2 views11$236$21

2022: 9 services

Original Medicare services billed in 2022
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 virus31$4,909$140
New patient visit (30+ min)43$4,247$99
New patient visit (45+ min)21$3,206$153
Short return visit (20+ min)28$2,499$78
Short return visit18$2,170$57
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen36$1,826$51
New patient visit (15+ min)14$1,022$73
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.25ml dosage, booster dose17$699$41
Automated urinalysis test12$29$2

Drugs they prescribed that Part D paid

$8,274

Pharmacies billed $8,274 in 2024.

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

209 generic and fewer than 11 brand-name prescriptions · $8,274 in drug cost · 58 antibiotic prescriptions to 51 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
Azithromycin13$56$4
Cephalexin11$34$3

Year by year

Part D prescribing by year
2024235143NoneNone$8,274
2023113870% (0)None$2,360
202260480% (0)None$769

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

Part D drugs prescribed in 2023
Doxycycline Hyclate14$198$14
Amoxicillin-Clavulanate Potass19$170$9

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
84.9 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1225660186
Licence
CA PA58689
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Physician assistant (363A00000X); Physician assistant, medical (363AM0700X); Physician assistant, surgical (363AS0400X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2020-02-09
NPI last updated
2023-10-23
NPI record certified
2023-10-23

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

Extra NPI addresses: 36 1st Ave, Charlestown, MA, 02129 · 26 California St, San Francisco, CA, 94111