Paul Namkoong, PA-C
Physician Assistant · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Paul Namkoong’s office at (408) 821-4868 to ask if they take your plan before you enroll.
Original Medicare doctor bills
$13,487
Medicare paid this office $13,487 for 139 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with high level of medical decision making | 78 | $8,728 | $110 |
| Emergency department visit with moderate level of medical decision making | 36 | $2,825 | $76 |
| Emergency department visit with low level of medical decision making | 20 | $831 | $42 |
Who their Medicare patients are
139 Original Medicare patients in 2024. Average age 68 · Under 65 27% · 85 and older 13% · Women 55% · Also on Medicaid 42% · Health risk score 2.01. Above the middle of the specialty; the typical physician assistant clinician is at 1.31.
Conditions among them: High blood pressure 75% · Diabetes 37% · Coronary heart disease 37% · Depression 37% · Chronic kidney disease 32% · COPD 27% · Heart failure 25% · Atrial fibrillation 19% · Cancer 18% · Dementia 12% · Stroke 11%.
The office billed $196,648, Medicare allowed $17,441 and paid $13,487; for 151 services of 9 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 | 139 | 151 | 68 | 2.01 | $196,648 | $13,487 |
| 2023 | 66 | 70 | 70 | 1.71 | $85,349 | $6,374 |
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: 3 services
| Emergency department visit with high level of medical decision making | 32 | $3,731 | $117 |
| Emergency department visit with moderate level of medical decision making | 20 | $1,629 | $81 |
| Emergency department visit with low level of medical decision making | 13 | $631 | $49 |
Medicaid work
$26,780 in 2024
Medicaid paid $26,780 for 334 billed services this clinician did in 2024, up to 29 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.
| EMERGENCY DEPT VISIT MOD MDM | 185 | $14,626 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 149 | $12,153 |
| 2024 | 334 | 2 | 29 | $26,780 |
| 2023 | 39 | 2 | 18 | $2,652 |
See the largest Medicaid services in earlier years
2023
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 21 | $1,668 |
| EMERGENCY DEPT VISIT MOD MDM | 18 | $984 |
Drugs they prescribed that Part D paid
$1,379
Pharmacies billed $1,379 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
129 generic and fewer than 11 brand-name prescriptions · $1,379 in drug cost · 46 antibiotic prescriptions to 44 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.
| Meloxicam | 11 | $12 | $1 |
Year by year
| 2024 | 137 | 102 | None | None | $1,379 |
| 2023 | 66 | 53 | None | None | $655 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
Professional record
- NPI
- 1265160931
- Licence
- NV PA2784
More record details
- Sole proprietor
- No
- Taxonomy
- Physician assistant (363A00000X)
- Mailing address
- 1246 Quail Creek Cir, San Jose, CA, 95120
- NPI first listed
- 2022-08-10
- NPI last updated
- 2023-02-20
- NPI record certified
- 2023-02-20
This is when the NPI record was last certified, not a medical board exam.