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Gurunadh A Vemulakonda, MD

Ophthalmology · Palo Alto

NPI 1235157207

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

Offices

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

Looking this up.

Plans that list them

14 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Vemulakonda’s office at (415) 600-1020 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

14 of 14 plans

Plans whose provider directory lists this clinician
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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A105147 · Current

Licensed to practise in California · since 2008 · expires 2028-03-31 · Washington University School of Medicine.

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

State licence records

1 licence

  • Washington MD.MD.60022492Physician And Surgeon License · since 2008 · expires 2027-03-08
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Original Medicare doctor bills

$1,688,412

Medicare paid this office $1,688,412 for 844 people.

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

Largest Original Medicare bills
Injection, aflibercept, 1 mg128$717,754None
Injection, faricimab-svoa, 0.1 mg34$264,413None
Injection, aflibercept hd, 1 mg19$160,558None
Injection of drug into eye251$138,822$119
Imaging of retina816$85,255$39
See all 15 services
Every Original Medicare service billed
Injection, aflibercept, 1 mg128$717,754None
Injection, faricimab-svoa, 0.1 mg34$264,413None
Injection, aflibercept hd, 1 mg19$160,558None
Injection of drug into eye251$138,822$119
Imaging of retina816$85,255$39
Short return visit (20+ min)610$72,404$77
Unclassified drugs15$65,476None
Return visit (30+ min)307$44,199$117
Compounded drug, not otherwise classified139$39,678None
New patient visit (45+ min)60$8,687$145
Long return visit (40+ min)30$5,201$158
Photography of the retina107$4,943$36
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's189$3,695$15
Exam of retinal blood vessels using a special camera after injection of a dye18$3,159$175
New patient visit (30+ min)19$1,726$91

Procedures Medicare counted

Procedure volume Medicare published
Cataract surgery1-10None

Who their Medicare patients are

844 Original Medicare patients in 2024. Average age 78 · Under 65 2% · 85 and older 24% · Women 56% · Also on Medicaid 8% · Health risk score 1.06. At or below the middle of the specialty; the typical ophthalmology clinician is at 1.16.

Conditions among them: High blood pressure 66% · Diabetes 24% · Coronary heart disease 22% · Chronic kidney disease 22% · Atrial fibrillation 16% · Cancer 14% · Depression 14% · Heart failure 10% · COPD 7% · Stroke 6% · Dementia 5%.

The office billed $5,809,073, Medicare allowed $2,158,054 and paid $1,688,412; for 18,422 services of 51 kinds; $1,169,447 of it was for drugs given in the office and $518,965 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
202484418,422781.06$5,809,073$1,688,412
202380116,517781.07$4,931,899$1,494,332
20227459,798781.03$4,339,317$1,434,935
20216877,135781.10$3,974,051$1,497,385
20205505,724781.23$3,151,898$1,143,676
20195955,164781.29$2,622,057$870,219
20185884,477771.26$2,165,339$747,068
20175553,968771.16$1,846,310$663,043
20164672,708771.23$1,421,419$511,133
20153181,482721.67$328,237$87,098
20143111,453711.76$356,852$99,656
20132951,311711.71$338,971$93,645

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: 13 services

Original Medicare services billed in 2023
Injection, aflibercept, 1 mg109$754,794None
Injection, faricimab-svoa, 0.1 mg29$252,234None
Injection of drug into eye246$138,696$125
Imaging of retina786$83,641$40
Short return visit (20+ min)618$79,426$79
Compounded drug, not otherwise classified146$40,871None
Return visit (30+ min)257$34,601$116
New patient visit (45+ min)44$6,638$151
Long return visit (40+ min)25$4,533$174
Photocoagulation treatment to prevent detachment of retina12$3,604$257
Photography of the retina73$3,126$36
Exam of retinal blood vessels using a special camera after injection of a dye17$2,491$147
New patient visit (30+ min)23$1,692$74

2022: 14 services

Original Medicare services billed in 2022
Injection, aflibercept, 1 mg109$848,768None
Injection of drug into eye227$140,634$124
Imaging of retina733$81,599$40
Short return visit (20+ min)583$72,835$78
Injection, faricimab-svoa, 0.1 mg22$64,457None
Compounded drug, not otherwise classified138$44,867None
Return visit (30+ min)233$31,139$111
Unclassified biologics15$22,118None
Repair of detached retina with drainage and removal of eye fluid between lens and retina11$12,576$1,143
New patient visit (45+ min)47$6,634$141
Photography of the retina115$4,793$37
Long return visit (40+ min)22$3,408$155
Exam of retinal blood vessels using a special camera after injection of a dye23$3,104$135
New patient visit (30+ min)20$1,677$84

2021: 12 services

Original Medicare services billed in 2021
Injection, aflibercept, 1 mg92$956,290None
Injection of drug into eye211$144,234$126
Imaging of retina645$80,080$41
Short return visit (20+ min)516$73,653$81
Compounded drug, not otherwise classified134$49,271None
Return visit (30+ min)303$38,469$108
Photocoagulation treatment to prevent detachment of retina12$6,666$556
New patient visit (45+ min)43$5,704$133
Photography of the retina101$4,449$39
Long return visit (40+ min)20$3,367$168
Exam of retinal blood vessels using a special camera after injection of a dye24$3,044$127
New patient visit (30+ min)15$1,447$96

2020: 9 services

Original Medicare services billed in 2020
Injection, aflibercept, 1 mg76$687,883None
Injection of drug into eye197$106,070$106
Return visit (30+ min)498$79,526$94
Imaging of retina514$63,155$40
Compounded drug, not otherwise classified134$43,221None
Short return visit (20+ min)66$5,214$70
New patient visit (45+ min)30$4,501$150
Exam of retinal blood vessels using a special camera after injection of a dye35$3,730$107
Photography of the retina66$3,002$44

2019: 12 services

Original Medicare services billed in 2019
Injection, aflibercept, 1 mg60$450,261None
Injection of drug into eye180$88,582$102
Return visit (30+ min)533$84,876$92
Imaging of retina544$60,250$39
Compounded drug, not otherwise classified124$30,019None
Removal of membrane of retina with removal of internal limiting membrane of retina12$13,367$1,114
New patient visit (45+ min)41$5,374$131
Short return visit (20+ min)46$3,660$69
Photography of the retina45$2,517$49
Exam of retinal blood vessels using a special camera after injection of a dye23$2,100$91
Injection, bevacizumab, 10 mg13$1,815None
New patient visit (30+ min)12$1,030$86

2018: 9 services

Original Medicare services billed in 2018
Injection, aflibercept, 1 mg54$415,327None
Return visit (30+ min)531$89,056$91
Injection of drug into eye145$67,433$98
Imaging of retina533$55,826$39
Compounded drug, not otherwise classified104$19,703None
Photocoagulation treatment to prevent detachment of retina11$6,176$515
New patient visit (45+ min)41$5,160$126
Exam of retinal blood vessels using a special camera after injection of a dye20$1,739$87
Short return visit (20+ min)20$1,133$54

2017: 8 services

Original Medicare services billed in 2017
Injection, aflibercept, 1 mg54$386,339None
Return visit (30+ min)501$83,767$92
Injection of drug into eye139$60,021$98
Imaging of retina494$48,492$38
Compounded drug, not otherwise classified102$16,106None
New patient visit (45+ min)41$5,434$133
Exam of retinal blood vessels using a special camera after injection of a dye36$3,177$86
Short return visit (20+ min)23$1,538$59

2016: 11 services

Original Medicare services billed in 2016
Injection, aflibercept, 1 mg52$317,482None
Return visit (30+ min)379$51,732$96
Injection of drug into eye108$41,859$100
Imaging of retina317$31,049$43
Compounded drug, not otherwise classified62$9,796None
Established patient complete exam of visual system77$9,503$119
Exam of retinal blood vessels using a special camera after injection of a dye61$8,084$111
Short return visit (20+ min)60$5,815$68
New patient visit (45+ min)15$2,025$135
Established patient problem focused exam of visual system25$1,716$64
New patient visit (30+ min)12$878$73

2015: 7 services

Original Medicare services billed in 2015
Injection of drug into eye64$17,911$78
Return visit (30+ min)167$14,085$52
Short return visit (20+ min)207$12,400$40
Imaging of retina229$12,335$22
New patient visit (30+ min)30$1,300$43
Exam of retinal blood vessels using a special camera after injection of a dye12$480$37
Photography of the retina15$284$19

2014: 9 services

Original Medicare services billed in 2014
Return visit (30+ min)249$30,681$59
Injection of drug into eye46$13,808$78
Imaging of retina217$12,313$23
Short return visit (20+ min)57$2,381$35
New patient visit (30+ min)24$1,318$55
Exam of retinal blood vessels using a special camera after injection of a dye19$727$38
2d ultrasound scan of eye tissue and structures11$505$42
Established patient problem focused exam of visual system12$498$38
Photography of the retina13$264$20

2013: 10 services

Original Medicare services billed in 2013
Return visit (30+ min)235$29,042$57
Injection of drug into eye44$10,926$81
Imaging of retina190$10,494$22
New patient visit (45+ min)20$1,886$94
Established patient problem focused exam of visual system30$1,348$41
New patient visit (30+ min)16$922$58
Exam of retinal blood vessels using a special camera after injection of a dye22$889$37
Short return visit (20+ min)13$738$39
Established patient complete exam of visual system17$657$36
Photography of the retina12$197$16

Medicaid work

$2,844 in 2024

Medicaid paid $2,844 for 165 billed services this clinician did in 2024, up to 23 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
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina125$1,736
Intravitreal injection of a pharmacologic agent (separate procedure)40$1,107
Medicaid work by year
2024165223$2,844
2023408326$7,235
2022284323$8,564
2021325322$7,435
202095219$1,556
201989117$2,968
2018189321$7,644
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Intravitreal injection of a pharmacologic agent (separate procedure)139$4,791
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina245$2,099
Short return visit (20+ min)24$345

2022

Largest Medicaid services in 2022
Intravitreal injection of a pharmacologic agent (separate procedure)102$6,667
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina170$1,714
Short return visit (20+ min)12$183

2021

Largest Medicaid services in 2021
Intravitreal injection of a pharmacologic agent (separate procedure)91$4,072
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina221$2,963
Short return visit (20+ min)13$399

2020

Largest Medicaid services in 2020
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina70$1,100
Intravitreal injection of a pharmacologic agent (separate procedure)25$456

2019

Largest Medicaid services in 2019
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina89$2,968

2018

Largest Medicaid services in 2018
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina150$4,832
Intravitreal injection of a pharmacologic agent (separate procedure)12$1,558
Return visit (30+ min)27$1,255

Drugs they prescribed that Part D paid

$25,523

Pharmacies billed $25,523 in 2024.

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

238 generic and 133 brand-name prescriptions · $25,523 in drug cost.

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
Prednisolone Acetate106$6,967$66
Bromfenac35$4,750$136
Brimonidine Tartrate-Timolol12$1,916$160
Ketorolac Tromethamine67$1,262$19
Dorzolamide24$302$13
See all 7 drugs
Every Part D drug this clinician prescribed
Prednisolone Acetate106$6,967$66
Bromfenac35$4,750$136
Brimonidine Tartrate-Timolol12$1,916$160
Ketorolac Tromethamine67$1,262$19
Dorzolamide24$302$13
Polymyxin B Sul-Trimethoprim35$285$8
Brimonidine27$196$7

Year by year

Part D prescribing by year
2024371104None36%$25,523
2023308680% (0)42%$26,315
202232079None46%$31,084
202126471None47%$31,647
202029573None55%$33,532
201925857None58%$29,438
201824060None66%$28,870
201727657None63%$35,707
201616249None57%$12,469
201522544None50%$20,957
201426961None48%$19,334
201329560None55%$26,370

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

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Prednisolone Acetate88$5,551$63
Prolensa11$4,082$371
Bromfenac15$3,534$236
Ketorolac Tromethamine62$1,421$23
Dorzolamide48$1,008$21
Brimonidine19$369$19
Polymyxin B Sul-Trimethoprim17$155$9

2022: 6 drugs

Part D drugs prescribed in 2022
Prolensa17$8,133$478
Prednisolone Acetate85$5,576$66
Ketorolac Tromethamine71$2,427$34
Dorzolamide33$754$23
Brimonidine26$585$23
Polymyxin B Sul-Trimethoprim22$218$10

2021: 6 drugs

Part D drugs prescribed in 2021
Prolensa11$6,030$548
Prednisolone Acetate52$3,301$63
Brimonidine41$2,525$62
Ketorolac Tromethamine39$1,088$28
Dorzolamide22$752$34
Polymyxin B Sul-Trimethoprim16$160$10

2020: 6 drugs

Part D drugs prescribed in 2020
Prednisolone Acetate62$3,862$62
Brimonidine24$2,545$106
Ketorolac Tromethamine55$1,925$35
Dorzolamide48$1,695$35
Latanoprost14$260$19
Polymyxin B Sul-Trimethoprim15$123$8

2019: 8 drugs

Part D drugs prescribed in 2019
Azopt28$11,531$412
Combigan15$3,945$263
Prednisolone Acetate51$3,797$74
Brimonidine15$1,723$115
Ketorolac Tromethamine28$1,013$36
Dorzolamide19$683$36
Polymyxin B Sul-Trimethoprim30$256$9
Latanoprost11$148$13

2018: 7 drugs

Part D drugs prescribed in 2018
Azopt37$11,738$317
Prednisolone Acetate52$4,540$87
Brimonidine18$1,536$85
Ketorolac Tromethamine28$1,233$44
Latanoprost15$177$12
Timolol Maleate11$172$16
Polymyxin B Sul-Trimethoprim19$143$8

2017: 9 drugs

Part D drugs prescribed in 2017
Ilevro27$7,537$279
Bromfenac18$5,638$313
Azopt20$5,330$266
Prednisolone Acetate56$4,765$85
Pataday13$2,172$167
Durezol11$1,789$163
Brimonidine25$1,482$59
Latanoprost20$200$10
Polymyxin B Sul-Trimethoprim19$181$10

2016: 4 drugs

Part D drugs prescribed in 2016
Prednisolone Acetate40$2,738$68
Atropine Sulfate16$642$40
Latanoprost15$224$15
Polymyxin B Sul-Trimethoprim15$120$8

2015: 6 drugs

Part D drugs prescribed in 2015
Nevanac38$8,555$225
Prednisolone Acetate41$2,631$64
Bromfenac15$1,861$124
Latanoprost33$563$17
Brimonidine12$470$39
Timolol Maleate19$174$9

2014: 7 drugs

Part D drugs prescribed in 2014
Prednisolone Acetate47$3,580$76
Nevanac18$3,103$172
Durezol16$1,990$124
Brimonidine12$1,163$97
Latanoprost51$1,012$20
Dorzolamide-Timolol31$718$23
Timolol Maleate14$115$8

2013: 8 drugs

Part D drugs prescribed in 2013
Nevanac49$8,707$178
Brimonidine42$3,388$81
Durezol18$1,991$111
Prednisolone Acetate43$1,347$31
Dorzolamide-Timolol21$766$36
Latanoprost25$555$22
Ketorolac Tromethamine19$412$22
Timolol Maleate18$183$10

Money from drug and device companies

$27 in 2025

Industry payments by year
202511None$27
202311None$294

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
Harrow EyeIheezo$27
1 payment
  • Meals for Iheezo · 2025-04-08 · $27
See the published payment
Every published payment
Harrow EyeMeals · 2025-04-08Iheezo$27
See earlier years (2023)

2023: $294

Payments by company in 2023
Carl Zeiss Meditec USACirrus 5000 With Angioplex$294
1 payment
  • Long term medical supply or device loan for Cirrus 5000 With Angioplex · 2023-06-30 · $294

Professional record

NPI
1235157207
Licence
CA A105147, WA MD60022492California A105147: Current · expires 2028-03-31Washington MD.MD.60022492: Active
Trained
Washington University School of Medicine, 2002
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
WA 1235157207
Taxonomy
Federal specialty code 207W00000X (207W00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2006-07-18
NPI last updated
2020-05-29
NPI record certified
2020-05-29

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