Mario Rofael, PA
Physician Assistant · Palo Alto
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 3
Offices
3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Mario Rofael’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$31,174
Medicare paid this office $31,174 for 228 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Long return visit (40+ min) | 86 | $11,536 | $128 |
| Return visit (30+ min) | 53 | $4,309 | $80 |
| New patient visit (45+ min) | 40 | $4,087 | $102 |
| New patient visit (60+ min) | 19 | $2,850 | $150 |
| New patient visit (30+ min) | 23 | $1,623 | $71 |
See all 8 services
| Long return visit (40+ min) | 86 | $11,536 | $128 |
| Return visit (30+ min) | 53 | $4,309 | $80 |
| New patient visit (45+ min) | 40 | $4,087 | $102 |
| New patient visit (60+ min) | 19 | $2,850 | $150 |
| New patient visit (30+ min) | 23 | $1,623 | $71 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 27 | $1,386 | $25 |
| Automated urinalysis test | 23 | $51 | $2 |
| Injection, ceftriaxone sodium, per 250 mg | 13 | $22 | None |
Procedures Medicare counted
| Removal of nail tissue | 1-10 | None |
| Removal of skin lesions | 1-10 | None |
Who their Medicare patients are
228 Original Medicare patients in 2024. Average age 79 · Women 62% · Also on Medicaid 8% · Health risk score 0.92. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.
Conditions among them: High blood pressure 61% · Atrial fibrillation 22% · Coronary heart disease 19% · Cancer 17% · Diabetes 14% · Chronic kidney disease 13% · Depression 11% · Heart failure 9% · COPD 8%.
The office billed $145,318, Medicare allowed $45,518 and paid $31,174; for 996 services of 50 kinds; $220 of it was for drugs given in the office and $30,954 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
| 2024 | 228 | 996 | 79 | 0.92 | $145,318 | $31,174 |
| 2023 | 272 | 1,074 | 77 | 0.81 | $152,413 | $34,557 |
| 2022 | 221 | 1,402 | 78 | 0.91 | $116,739 | $32,209 |
| 2021 | 237 | 485 | 77 | 0.85 | $110,193 | $30,256 |
| 2020 | 163 | 1,164 | 77 | 1.09 | $48,465 | $13,559 |
| 2019 | 117 | 210 | 74 | 0.93 | $47,290 | $10,923 |
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: 10 services
| Return visit (30+ min) | 77 | $8,014 | $95 |
| New patient visit (30+ min) | 83 | $6,343 | $76 |
| Long return visit (40+ min) | 47 | $6,184 | $126 |
| New patient visit (45+ min) | 35 | $3,766 | $108 |
| New patient visit (60+ min) | 24 | $3,744 | $156 |
| Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 12 | $893 | $60 |
| Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 16 | $804 | $50 |
| Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 13 | $211 | $16 |
| Automated urinalysis test | 40 | $90 | $2 |
| Injection, ceftriaxone sodium, per 250 mg | 13 | $42 | None |
2022: 9 services
| Long return visit (40+ min) | 49 | $7,541 | $148 |
| Return visit (30+ min) | 65 | $6,435 | $99 |
| New patient visit (60+ min) | 23 | $4,319 | $188 |
| New patient visit (45+ min) | 28 | $3,890 | $139 |
| New patient visit (30+ min) | 38 | $3,335 | $88 |
| Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 35 | $1,817 | $50 |
| Short return visit (20+ min) | 15 | $1,015 | $68 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 13 | $572 | $26 |
| Automated urinalysis test | 41 | $93 | $2 |
2021: 11 services
| Long return visit (40+ min) | 61 | $9,163 | $145 |
| Return visit (30+ min) | 60 | $5,655 | $93 |
| New patient visit (45+ min) | 27 | $3,415 | $126 |
| New patient visit (30+ min) | 29 | $2,563 | $88 |
| New patient visit (60+ min) | 12 | $1,971 | $164 |
| Short return visit (20+ min) | 26 | $1,841 | $71 |
| Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 26 | $1,334 | $51 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 21 | $865 | $26 |
| Injection of drug or substance under skin or into muscle | 16 | $205 | $12 |
| Automated urinalysis test | 50 | $115 | $2 |
| Injection, ketorolac tromethamine, per 15 mg | 11 | $5 | None |
2020: 5 services
| Return visit (30+ min) | 58 | $4,696 | $78 |
| Telephone medical discussion with physician, 11-20 minutes | 31 | $2,108 | $68 |
| Short return visit (20+ min) | 20 | $1,075 | $54 |
| Telephone medical discussion with physician, 5-10 minutes | 25 | $982 | $39 |
| Automated urinalysis test | 15 | $34 | $2 |
2019: 4 services
| Return visit (30+ min) | 76 | $6,475 | $83 |
| New patient visit (30+ min) | 16 | $954 | $60 |
| Short return visit (20+ min) | 11 | $600 | $55 |
| Automated urinalysis test | 23 | $59 | $2 |
Drugs they prescribed that Part D paid
$2,111
Pharmacies billed $2,111 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
102 generic and fewer than 11 brand-name prescriptions · $2,111 in drug cost · 74 antibiotic prescriptions to 70 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.
| Cephalexin | 15 | $69 | $5 |
Year by year
| 2024 | 125 | 110 | None | None | $2,111 |
| 2023 | 153 | 128 | None | None | $2,609 |
| 2022 | 141 | 111 | None | 11% | $7,518 |
| 2021 | 133 | 107 | None | 16% | $3,723 |
| 2020 | 53 | 48 | None | None | $1,300 |
| 2019 | 66 | 52 | None | None | $1,415 |
| 2018 | 57 | 33 | None | None | $950 |
| 2017 | 46 | 27 | None | None | $2,324 |
| 2016 | 27 | 12 | None | None | $904 |
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
| Cefdinir | 21 | $618 | $29 |
| Cephalexin | 16 | $167 | $10 |
| Paxlovid (Eua) | 11 | $117 | $11 |
| Amoxicillin-Clavulanate Potass | 13 | $74 | $6 |
| Sulfamethoxazole-Trimethoprim | 11 | $35 | $3 |
2022: 3 drugs
| Nitrofurantoin Mono-Macro | 15 | $337 | $22 |
| Cephalexin | 26 | $245 | $9 |
| Paxlovid (Eua) | 16 | $165 | $10 |
2021: 2 drugs
| Nitrofurantoin Mono-Macro | 18 | $370 | $21 |
| Cephalexin | 23 | $198 | $9 |
2020: 1 drug
| Cephalexin | 11 | $45 | $4 |
2019: 2 drugs
| Nitrofurantoin Mono-Macro | 11 | $165 | $15 |
| Cephalexin | 11 | $83 | $8 |
2018: 1 drug
| Ibuprofen | 11 | $36 | $3 |
Professional record
- NPI
- 1235585951
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Physician assistant (363A00000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2016-05-11
- NPI last updated
- 2020-06-03
- NPI record certified
- 2020-06-03
This is when the NPI record was last certified, not a medical board exam.