William W Nham
Family Practice · Las Vegas
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 3
- 2 carriers
- Office
- 1
- Since medical school
- 7 years
- Graduated 2019
Offices
1 location · North East Medical Services · 143 clinicians in this group
Plans that list them
3 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call William W Nham’s office at (650) 550-3923 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
3 of 3 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
Original Medicare doctor bills
$6,868
Medicare paid this office $6,868 for 101 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Vitamin d-3 level | 34 | $986 | $29 |
| Blood test, thyroid stimulating hormone (tsh) | 42 | $741 | $16 |
| Blood test, comprehensive group of blood chemicals | 63 | $714 | $10 |
| Blood test, lipids (cholesterol and triglycerides) | 49 | $669 | $13 |
| Insertion of needle into vein for collection of blood sample | 75 | $576 | $6 |
See all 13 services
| Vitamin d-3 level | 34 | $986 | $29 |
| Blood test, thyroid stimulating hormone (tsh) | 42 | $741 | $16 |
| Blood test, comprehensive group of blood chemicals | 63 | $714 | $10 |
| Blood test, lipids (cholesterol and triglycerides) | 49 | $669 | $13 |
| Insertion of needle into vein for collection of blood sample | 75 | $576 | $6 |
| Tuberculosis test, gamma interferon | 13 | $573 | $44 |
| Hemoglobin a1c level | 54 | $552 | $10 |
| Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 25 | $442 | $18 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | 47 | $304 | $6 |
| Urine microalbumin (protein) level | 40 | $232 | $6 |
| Creatinine level to test for kidney function or muscle injury | 40 | $208 | $5 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 18 | $152 | $8 |
| Manual urinalysis test with examination using microscope, automated | 11 | $40 | $3 |
Who their Medicare patients are
101 Original Medicare patients in 2024. Average age 75 · Women 58% · Also on Medicaid 88% · Health risk score 0.81. At or below the middle of the specialty; the typical family practice clinician is at 1.13.
Conditions among them: High blood pressure 63% · Diabetes 34% · Chronic kidney disease 18% · Coronary heart disease 15%.
The office billed $19,991, Medicare allowed $7,070 and paid $6,868; for 608 services of 30 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
| 2024 | 101 | 608 | 75 | 0.81 | $19,991 | $6,868 |
| 2023 | 22 | 105 | 73 | 0.65 | $3,727 | $1,147 |
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: 4 services
| Blood test, comprehensive group of blood chemicals | 14 | $155 | $10 |
| Blood test, lipids (cholesterol and triglycerides) | 11 | $144 | $13 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | 14 | $89 | $6 |
| Insertion of needle into vein for collection of blood sample | 15 | $88 | $6 |
Medicaid work
$452,092 in 2024
Medicaid paid $452,092 for 13,958 billed services this clinician did in 2024, up to 182 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.
| Clinic visit/encounter, all-inclusive | 1,812 | $446,190 |
| Short return visit (20+ min) | 1,983 | $3,539 |
| Return visit (30+ min) | 360 | $1,153 |
| Short return visit | 723 | $563 |
| Measurement of vitamin D 25 hydroxy | 45 | $133 |
| Thyroid stimulating hormone (TSH) | 59 | $89 |
| COMPREHENSIVE METABOLIC PANEL | 141 | $80 |
| Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion | 103 | $60 |
| Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon | 14 | $56 |
| Hemoglobin A1C level | 101 | $54 |
| Blood test, lipids (cholesterol and triglycerides) | 81 | $46 |
| Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | 26 | $40 |
| 2024 | 13,958 | 31 | 182 | $452,092 |
| 2023 | 2,473 | 14 | 178 | $154,439 |
See the largest Medicaid services in earlier years
2023
| Clinic visit/encounter, all-inclusive | 628 | $153,264 |
| Short return visit (20+ min) | 637 | $859 |
| Short return visit | 296 | $188 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use | 143 | $80 |
| Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion | 86 | $38 |
| COMPREHENSIVE METABOLIC PANEL | 14 | $10 |
| BODY MASS INDEX DOCD | 136 | $0 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 97 | $0 |
| Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM) | 13 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 127 | $0 |
| Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | 216 | $0 |
| Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, single dose | 34 | $0 |
Drugs they prescribed that Part D paid
$130,496
Pharmacies billed $130,496 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
1,754 generic and 207 brand-name prescriptions · $130,496 in drug cost · 56 antibiotic prescriptions to 42 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.
| Januvia | 18 | $25,783 | $1,432 |
| Jardiance | 14 | $21,970 | $1,569 |
| Breo Ellipta | 13 | $4,400 | $338 |
| Shingrix | 22 | $4,309 | $196 |
| Budesonide-Formoterol | 13 | $3,032 | $233 |
See all 40 drugs
| Januvia | 18 | $25,783 | $1,432 |
| Jardiance | 14 | $21,970 | $1,569 |
| Breo Ellipta | 13 | $4,400 | $338 |
| Shingrix | 22 | $4,309 | $196 |
| Budesonide-Formoterol | 13 | $3,032 | $233 |
| Atorvastatin | 192 | $1,050 | $5 |
| Losartan | 186 | $1,010 | $5 |
| Acarbose | 12 | $943 | $79 |
| Metoprolol | 58 | $644 | $11 |
| Rosuvastatin | 97 | $607 | $6 |
| Fluticasone Propionate | 59 | $598 | $10 |
| Amlodipine Besylate | 167 | $550 | $3 |
| Albuterol Sulfate Hfa | 12 | $454 | $38 |
| Tamsulosin | 46 | $425 | $9 |
| Alendronate | 66 | $368 | $6 |
| Levothyroxine | 27 | $320 | $12 |
| Hydrocortisone | 44 | $304 | $7 |
| Glipizide Er | 11 | $296 | $27 |
| Losartan-Hydrochlorothiazide | 18 | $295 | $16 |
| Diclofenac | 20 | $294 | $15 |
| Famotidine | 32 | $290 | $9 |
| Metformin | 60 | $272 | $5 |
| Potassium Chloride | 13 | $231 | $18 |
| Finasteride | 20 | $190 | $9 |
| Lisinopril | 47 | $181 | $4 |
| Gabapentin | 19 | $169 | $9 |
| Pravastatin | 18 | $151 | $8 |
| Metformin Hcl Er | 15 | $149 | $10 |
| Clopidogrel | 20 | $144 | $7 |
| Omeprazole | 31 | $141 | $5 |
| Simvastatin | 38 | $128 | $3 |
| Trazodone | 25 | $122 | $5 |
| Triamcinolone Acetonide | 25 | $120 | $5 |
| Ciclopirox | 11 | $117 | $11 |
| Lovastatin | 11 | $79 | $7 |
| Hydrochlorothiazide | 22 | $77 | $4 |
| Carvedilol | 18 | $67 | $4 |
| Amoxicillin-Clavulanate Potass | 13 | $60 | $5 |
| Pantoprazole | 15 | $45 | $3 |
| Azithromycin | 13 | $38 | $3 |
Year by year
| 2024 | 1,974 | 325 | None | 10% | $130,496 |
| 2023 | 519 | 157 | None | None | $38,970 |
| 2022 | 369 | 61 | 0% (0) | None | $45,462 |
| 2021 | 164 | 55 | None | None | $5,671 |
| 2020 | 22 | 12 | None | None | $256 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 16 drugs
| Symbicort | 11 | $5,539 | $504 |
| Losartan | 37 | $690 | $19 |
| Rosuvastatin | 14 | $631 | $45 |
| Atorvastatin | 32 | $620 | $19 |
| Amlodipine Besylate | 26 | $498 | $19 |
| Omeprazole | 19 | $344 | $18 |
| Diclofenac | 15 | $325 | $22 |
| Montelukast | 17 | $306 | $18 |
| Levothyroxine | 15 | $306 | $20 |
| Fluticasone Propionate | 22 | $281 | $13 |
| Meloxicam | 11 | $263 | $24 |
| Famotidine | 12 | $254 | $21 |
| Metformin | 16 | $218 | $14 |
| Metoprolol | 14 | $206 | $15 |
| Pravastatin | 11 | $155 | $14 |
| Lisinopril | 17 | $111 | $7 |
2022: 10 drugs
| Baclofen | 12 | $542 | $45 |
| Rosuvastatin | 12 | $319 | $27 |
| Atorvastatin | 22 | $276 | $13 |
| Potassium Chloride | 15 | $240 | $16 |
| Levothyroxine | 12 | $194 | $16 |
| Amlodipine Besylate | 18 | $191 | $11 |
| Omeprazole | 11 | $165 | $15 |
| Lisinopril | 21 | $152 | $7 |
| Montelukast | 20 | $115 | $6 |
| Meloxicam | 12 | $36 | $3 |
Money from drug and device companies
$23 in 2024
| 2024 | 1 | 1 | None | $23 |
| 2023 | 1 | 1 | None | $125 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Novo Nordisk | Rybelsus | $23 | 1 payment
|
See the published payment
| Novo Nordisk | Meals · 2024-11-14 | Rybelsus | $23 |
See earlier years (2023)
2023: $125
| Regeneron Healthcare Solutions | Libtayo | $125 | 1 payment
|
Professional record
- NPI
- 1265061154
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207QA0505X (207QA0505X)
- Mailing address
- 1323 Mercado Way, San Jose, CA, 95131
- NPI first listed
- 2020-04-03
- NPI last updated
- 2024-07-15
- NPI record certified
- 2024-07-15
This is when the NPI record was last certified, not a medical board exam.