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Margaret A Macdonald, NP

Nurse Practitioner · Folsom

NPI 1255850640

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
11
3 carriers
Office
1
Since medical school
10 years
Graduated 2016

Offices

1 location · Hisham Soliman MD Inc · 49 clinicians in this group

Looking this up.

Plans that list them

11 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Margaret A Macdonald’s office at (916) 351-9400 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

11 of 11 plans

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
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

Original Medicare doctor bills

$31,194

Medicare paid this office $31,194 for 69 people.

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

Largest Original Medicare bills
Return visit (30+ min)68$18,414$61
Psychotherapy with evaluation and management visit, 30 minutes68$12,642$42

Who their Medicare patients are

69 Original Medicare patients in 2024. Average age 60 · Under 65 45% · Women 61% · Also on Medicaid 58% · Health risk score 1.14. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: Depression 67% · High blood pressure 58% · Diabetes 22% · Chronic kidney disease 22%.

The office billed $91,775, Medicare allowed $42,574 and paid $31,194; for 611 services of 5 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
202469611601.14$91,775$31,194
202364518621.30$77,750$26,396
202293824571.15$123,468$44,436
202190501581.26$77,025$28,895
202057216591.15$34,050$12,156

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
Return visit (30+ min)64$15,882$62
Psychotherapy with evaluation and management visit, 30 minutes64$10,398$40

2022: 2 services

Original Medicare services billed in 2022
Return visit (30+ min)86$24,962$66
Psychotherapy with evaluation and management visit, 30 minutes87$16,326$43

2021: 3 services

Original Medicare services billed in 2021
Return visit (30+ min)81$14,783$68
Psychotherapy with evaluation and management visit, 30 minutes88$10,710$44
New patient visit (45+ min)23$2,039$89

2020: 3 services

Original Medicare services billed in 2020
Psychotherapy with evaluation and management visit, 30 minutes55$4,899$47
Return visit (30+ min)38$4,465$58
New patient visit (45+ min)23$2,037$89

Medicaid work

$12,717 in 2024

Medicaid paid $12,717 for 165 billed services this clinician did in 2024, up to 46 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
Short return visit (20+ min)137$10,466
Return visit (30+ min)14$1,524
Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)14$727
Medicaid work by year
2024165346$12,717
20232201101$7,686
2019187722$4,402
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Short return visit (20+ min)220$7,686

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive31$4,402
TOBACCO NON-USER20$0
WEIGHT RECORDED38$0
BODY MASS INDEX DOCD38$0
OFFICE/OUTPATIENT VISIT NEW30$0
Most recent systolic blood pressure < 140 mmhg15$0
Most recent diastolic blood pressure < 90 mmhg15$0

Drugs they prescribed that Part D paid

$262,303

Pharmacies billed $262,303 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 1,696) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.

1,631 generic and 65 brand-name prescriptions · $262,303 in drug cost · 84 antipsychotic prescriptions to people over 65.

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
Ingrezza18$156,500$8,694
Vraylar13$18,480$1,422
Divalproex Sodium Er33$3,577$108
Aripiprazole25$3,176$127
Olanzapine45$2,811$62
See all 42 drugs
Every Part D drug this clinician prescribed
Ingrezza18$156,500$8,694
Vraylar13$18,480$1,422
Divalproex Sodium Er33$3,577$108
Aripiprazole25$3,176$127
Olanzapine45$2,811$62
Clonazepam132$2,603$20
Quetiapine80$1,829$23
Dextroamphetamine-Amphet Er25$1,513$61
Mirtazapine68$1,236$18
Buspirone48$1,049$22
Quetiapine Fumarate Er12$982$82
Divalproex29$975$34
Fluoxetine51$899$18
Duloxetine61$884$14
Prazosin44$860$20
Trazodone108$859$8
Hydroxyzine22$840$38
Bupropion Xl42$773$18
Zolpidem Tartrate Er34$743$22
Risperidone37$738$20
Alprazolam93$686$7
Doxepin14$583$42
Venlafaxine Hcl Er20$576$29
Temazepam18$566$31
Escitalopram41$528$13
Lamotrigine65$515$8
Dextroamphetamine-Amphetamine20$437$22
Haloperidol12$406$34
Ziprasidone11$361$33
Gabapentin28$344$12
Hydroxyzine Pamoate32$327$10
Lorazepam57$241$4
Zaleplon20$221$11
Bupropion Hcl Sr26$219$8
Armodafinil15$212$14
Sertraline52$206$4
Diazepam47$188$4
Zolpidem32$175$5
Topiramate11$165$15
Benztropine Mesylate15$126$8
Guanfacine12$117$10
Lithium Carbonate16$95$6

Year by year

Part D prescribing by year
20241,6961110% (0)4%$262,303
20231,5851200% (0)3%$226,029
20222,0291360% (0)4%$290,166
20211,2551190% (0)None$143,606
2020433780% (0)9%$60,496
20198941375% (44)None$61,741
201882016711% (88)None$59,040

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

See the drugs prescribed each year

2023: 33 drugs

Part D drugs prescribed in 2023
Olanzapine60$5,250$87
Aripiprazole31$4,991$161
Quetiapine Fumarate Er15$4,978$332
Divalproex Sodium Er33$4,628$140
Quetiapine69$3,986$58
Zolpidem Tartrate Er41$3,141$77
Trazodone113$3,080$27
Hydroxyzine38$2,681$71
Lamotrigine59$2,455$42
Mirtazapine54$2,221$41
Clonazepam111$1,985$18
Bupropion Xl36$1,560$43
Duloxetine47$1,529$33
Fluoxetine55$1,443$26
Buspirone39$1,383$35
Prazosin23$1,261$55
Divalproex27$1,228$45
Temazepam24$1,198$50
Escitalopram55$1,122$20
Sertraline58$987$17
Alprazolam126$962$8
Propranolol25$929$37
Hydroxyzine Pamoate25$708$28
Topiramate17$626$37
Bupropion Hcl Sr23$579$25
Ziprasidone25$577$23
Zolpidem31$564$18
Gabapentin21$550$26
Venlafaxine Hcl Er27$472$17
Diazepam43$281$7
Lorazepam27$201$7
Paroxetine11$90$8
Chlordiazepoxide11$33$3

2022: 41 drugs

Part D drugs prescribed in 2022
Ingrezza12$91,033$7,586
Spravato24$49,413$2,059
Asenapine Maleate12$20,368$1,697
Quetiapine101$16,704$165
Duloxetine80$6,921$87
Divalproex Sodium Er22$5,503$250
Olanzapine79$4,424$56
Aripiprazole44$4,231$96
Quetiapine Fumarate Er47$4,048$86
Trazodone150$3,461$23
Dextroamphetamine-Amphet Er25$3,248$130
Ziprasidone24$2,892$120
Lamotrigine109$1,806$17
Hydroxyzine49$1,724$35
Bupropion Xl52$1,561$30
Temazepam28$1,403$50
Dextroamphetamine-Amphetamine21$1,357$65
Clonazepam145$1,317$9
Prazosin36$1,225$34
Alprazolam129$1,097$9
Escitalopram79$1,074$14
Buspirone45$1,032$23
Oxcarbazepine29$998$34
Mirtazapine55$975$18
Propranolol28$964$34
Fluoxetine53$898$17
Zolpidem Tartrate Er30$805$27
Sertraline57$683$12
Divalproex22$646$29
Bupropion Hcl Sr30$634$21
Zolpidem49$609$12
Hydroxyzine Pamoate28$460$16
Topiramate26$354$14
Diazepam40$322$8
Risperidone25$305$12
Lorazepam48$245$5
Gabapentin15$224$15
Bupropion16$199$12
Venlafaxine Hcl Er12$155$13
Lithium Carbonate21$152$7
Citalopram Hbr16$113$7

2021: 31 drugs

Part D drugs prescribed in 2021
Aripiprazole26$3,593$138
Divalproex Sodium Er19$2,303$121
Carbamazepine Er16$2,141$134
Bupropion Xl51$2,087$41
Olanzapine67$1,889$28
Trazodone96$1,760$18
Dextroamphetamine-Amphetamine38$1,686$44
Mirtazapine48$1,328$28
Buspirone37$1,084$29
Duloxetine32$1,022$32
Quetiapine42$1,013$24
Dextroamphetamine-Amphet Er22$1,003$46
Lamotrigine55$821$15
Alprazolam74$817$11
Zolpidem Tartrate Er27$763$28
Hydroxyzine30$580$19
Venlafaxine Hcl Er17$565$33
Escitalopram45$565$13
Clonazepam61$453$7
Sertraline33$437$13
Lorazepam53$427$8
Oxcarbazepine11$420$38
Risperidone26$409$16
Gabapentin24$381$16
Divalproex21$347$17
Fluoxetine24$310$13
Diazepam30$268$9
Prazosin14$267$19
Zolpidem30$244$8
Hydroxyzine Pamoate12$211$18
Temazepam16$158$10

2020: 17 drugs

Part D drugs prescribed in 2020
Trintellix12$5,029$419
Dextroamphetamine-Amphet Er11$780$71
Zolpidem Tartrate Er15$499$33
Trazodone32$452$14
Oxcarbazepine13$384$30
Bupropion Xl21$356$17
Buspirone17$330$19
Lamotrigine15$272$18
Olanzapine18$244$14
Risperidone12$142$12
Escitalopram13$136$10
Lorazepam19$111$6
Alprazolam15$102$7
Diazepam14$101$7
Zolpidem16$93$6
Sertraline16$85$5
Clonazepam15$62$4

2019: 20 drugs

Part D drugs prescribed in 2019
Gabapentin26$1,265$49
Hydrocodone-Acetaminophen34$1,201$35
Ventolin Hfa16$969$61
Levothyroxine35$959$27
Potassium Chloride14$957$68
Duloxetine13$917$71
Amitriptyline19$469$25
Atorvastatin26$388$15
Fluticasone Propionate16$258$16
Losartan19$236$12
Ibuprofen15$223$15
Clopidogrel12$213$18
Warfarin11$191$17
Lisinopril34$162$5
Simvastatin16$152$9
Metformin25$142$6
Metoprolol14$119$9
Amlodipine Besylate16$113$7
Azithromycin13$94$7
Hydrochlorothiazide11$69$6

2018: 19 drugs

Part D drugs prescribed in 2018
Symbicort11$4,748$432
Ventolin Hfa36$2,433$68
Hydrocodone-Acetaminophen48$1,428$30
Gabapentin27$1,274$47
Levothyroxine35$724$21
Omeprazole15$260$17
Fluticasone Propionate13$243$19
Pantoprazole14$184$13
Atorvastatin15$183$12
Losartan15$155$10
Tramadol28$141$5
Metformin24$139$6
Ibuprofen14$128$9
Metoprolol16$107$7
Azithromycin11$102$9
Sulfamethoxazole-Trimethoprim12$79$7
Amlodipine Besylate11$63$6
Furosemide12$55$5
Lisinopril13$39$3

Money from drug and device companies

$17 in 2022

A payment is not proof that care is biased.

Payments by company
AbbvieVraylar$17
1 payment
  • Meals for Vraylar · 2022-07-26 · $17
See the published payment
Every published payment
AbbvieMeals · 2022-07-26Vraylar$17

Professional record

NPI
1255850640
Licence
CA 95007356
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LP0808X (363LP0808X); Nurse practitioner (363L00000X)
Mailing address
5213 Deville Ct, Bakersfield, CA, 93308
NPI first listed
2017-09-17
NPI last updated
2026-06-19
NPI record certified
2026-06-19

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

Extra NPI addresses: 1101 Maidu Dr, Auburn, CA, 95603 · 5441 Aldrin Ct Ste A, Bakersfield, CA, 93313 · 2062 Talbert Dr Ste 100, Chico, CA, 95928 · 1245 W 6th St, Corona, CA, 92882 · 2345 Fletcher Pkwy, El Cajon, CA, 92020 · 9381 E Stockton Blvd Ste 220, Elk Grove, CA, 95624 · 15720 Ventura Blvd Ste 210, Encino, CA, 91436 · 634 H St, Eureka, CA, 95501 · 622 Jackson St Unit 103, Fairfield, CA, 94533 · 510 Plaza Dr Ste 170, Folsom, CA, 95630 · 44240 Fremont Blvd, Fremont, CA, 94538 · 4025 N Fresno St, Fresno, CA, 93726 · 2955 Main St Ste 110-K, Irvine, CA, 92614 · 3711 Long Beach Blvd Ste 4045, Long Beach, CA, 90807 · 414 W 21st St, Merced, CA, 95340 · 509 13th St Ste 8, Modesto, CA, 95354 · 7365 Carnelian St Ste 222f, Rancho Cucamonga, CA, 91730 · 169 Hartnell Ave Ste 110, Redding, CA, 96002 · 7177 Brockton Ave Ste 444a, Riverside, CA, 92506 · 2440 Professional Dr, Roseville, CA, 95661 · 2386 Fair Oaks Blvd, Sacramento, CA, 95825 · 30 E San Joaquin St Ste 203b, Salinas, CA, 93901 · 225 W Hospitality Ln # 225201p, San Bernardino, CA, 92408 · 3200 4th Ave Ste 200g, San Diego, CA, 92103 · 1254 Mission St Ste 220, San Francisco, CA, 94103 · 1040 Park Ave Ste 200-A, San Jose, CA, 95126 · 888 4th St Ste 12, San Rafael, CA, 94901 · 2222 Pacific Ave, Stockton, CA, 95204 · 2008 W Dorothea Ave Ste 203, Visalia, CA, 93277 · 1372 N Main St Ste 206-1, Walnut Creek, CA, 94596 · 1501 W Cameron Ave Ste 300-129, West Covina, CA, 91790