Shadia Karim, MD
Family Practice · Los Altos
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 3
- 3 carriers
- Offices
- 3
Offices
3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Looking this up.
Plans that list them
3 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Karim’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
3 of 3 plans
| Alignment Health Sutter Advantage +More (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Blue Shield Inspire (HMO) | Blue Shield of California | Listed | Aug 26, 2026 |
| AARP Medicare Advantage from UHC CA-10 (HMO-POS) | UnitedHealthcare | Listed, may be out of date | Jun 10, 2026 |
California Medical Board record
Licence A151047 · Current
Licensed to practise in California · since 2017 · expires 2027-02-28 · Geisel School of Medicine at Dartmouth.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$21,595
Medicare paid this office $21,595 for 102 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 42 | $6,700 | $114 |
| Short return visit (20+ min) | 60 | $5,476 | $78 |
| Long return visit (40+ min) | 15 | $2,915 | $162 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 14 | $2,209 | $158 |
Who their Medicare patients are
102 Original Medicare patients in 2024. Average age 76 · Women 49% · 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 55% · Coronary heart disease 22% · Depression 20% · Chronic kidney disease 17% · Diabetes 16% · Cancer 15% · Atrial fibrillation 15% · Heart failure 12%.
The office billed $60,483, Medicare allowed $27,470 and paid $21,595; for 204 services of 22 kinds; $2,585 of it was for drugs given in the office and $19,010 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.
Medicaid work
$112,107 in 2024
Medicaid paid $112,107 for 2,049 billed services this clinician did in 2024, up to 136 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 | 242 | $93,948 |
| Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use | 40 | $9,841 |
| Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use | 41 | $3,406 |
| Return visit (30+ min) | 336 | $1,798 |
| Short return visit (20+ min) | 176 | $1,010 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | 18 | $346 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years | 29 | $283 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use | 69 | $279 |
| Screening for depression is documented as negative, a follow-up plan is not required | 28 | $278 |
| Alcohol and/or drug screening | 33 | $247 |
| OFF/OP EST MAY X REQ PHY/QHP | 34 | $196 |
| URINE PREGNANCY TEST | 72 | $192 |
| 2024 | 2,049 | 22 | 136 | $112,107 |
| 2023 | 8,158 | 26 | 146 | $508,599 |
| 2022 | 5,846 | 24 | 144 | $315,186 |
| 2021 | 7,355 | 21 | 167 | $513,557 |
| 2020 | 4,928 | 19 | 142 | $429,327 |
| 2019 | 1,663 | 14 | 129 | $118,192 |
See the largest Medicaid services in earlier years
2023
| Clinic visit/encounter, all-inclusive | 1,267 | $479,760 |
| Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use | 52 | $7,668 |
| Return visit (30+ min) | 2,069 | $7,421 |
| Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use | 32 | $4,034 |
| Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use | 39 | $2,485 |
| Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | 15 | $1,442 |
| Short return visit (20+ min) | 249 | $1,144 |
| Alcohol and/or drug screening | 83 | $936 |
| Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use | 27 | $831 |
| OFF/OP EST MAY X REQ PHY/QHP | 52 | $739 |
| Screening for depression is documented as negative, a follow-up plan is not required | 81 | $645 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use | 68 | $378 |
2022
| Clinic visit/encounter, all-inclusive | 762 | $281,722 |
| Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | 43 | $8,940 |
| Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use | 33 | $6,668 |
| Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use | 48 | $6,025 |
| Return visit (30+ min) | 1,440 | $4,796 |
| Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use | 68 | $1,928 |
| Screening for depression is documented as negative, a follow-up plan is not required | 251 | $1,755 |
| Alcohol and/or drug screening | 161 | $1,560 |
| Short return visit (20+ min) | 234 | $875 |
| URINE PREGNANCY TEST | 202 | $459 |
| Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | 491 | $227 |
| Handling and/or conveyance of specimen for transfer from physician office to laboratory | 353 | $116 |
2021
| Clinic visit/encounter, all-inclusive | 1,366 | $497,645 |
| Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use | 48 | $6,919 |
| Return visit (30+ min) | 1,926 | $4,242 |
| Screening for depression is documented as negative, a follow-up plan is not required | 230 | $1,454 |
| Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use | 48 | $1,017 |
| Alcohol and/or drug screening | 88 | $864 |
| OFF/OP EST MAY X REQ PHY/QHP | 96 | $354 |
| URINE PREGNANCY TEST | 170 | $334 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | 14 | $254 |
| Short return visit (20+ min) | 84 | $171 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use | 29 | $126 |
| Handling and/or conveyance of specimen for transfer from physician office to laboratory | 544 | $123 |
2020
| Clinic visit/encounter, all-inclusive | 1,170 | $415,434 |
| Return visit (30+ min) | 1,422 | $7,303 |
| Long return visit (40+ min) | 101 | $2,789 |
| New patient visit (45+ min) | 68 | $1,287 |
| Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use | 49 | $848 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use | 105 | $504 |
| Short return visit (20+ min) | 66 | $400 |
| Screening for depression is documented as negative, a follow-up plan is not required | 31 | $197 |
| Handling and/or conveyance of specimen for transfer from physician office to laboratory | 561 | $189 |
| OFF/OP EST MAY X REQ PHY/QHP | 36 | $171 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use | 24 | $99 |
| URINE PREGNANCY TEST | 42 | $73 |
2019
| Clinic visit/encounter, all-inclusive | 325 | $114,812 |
| Return visit (30+ min) | 404 | $1,827 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use | 150 | $608 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use | 82 | $450 |
| Short return visit (20+ min) | 58 | $394 |
| Handling and/or conveyance of specimen for transfer from physician office to laboratory | 192 | $80 |
| Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy | 54 | $18 |
| HEMOGLOBIN | 24 | $3 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 12 | $0 |
| COLLECTION VENOUS BLOOD VENIPUNCTURE | 129 | $0 |
| Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | 133 | $0 |
| Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) | 38 | $0 |
Drugs they prescribed that Part D paid
$131,728
Pharmacies billed $131,728 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
559 generic and fewer than 11 brand-name prescriptions · $131,728 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.
| Jardiance | 24 | $35,899 | $1,496 |
| Trulicity | 24 | $34,452 | $1,435 |
| Budesonide-Formoterol | 12 | $3,439 | $287 |
| Atorvastatin | 61 | $1,582 | $26 |
| Rosuvastatin | 17 | $1,329 | $78 |
See all 19 drugs
| Jardiance | 24 | $35,899 | $1,496 |
| Trulicity | 24 | $34,452 | $1,435 |
| Budesonide-Formoterol | 12 | $3,439 | $287 |
| Atorvastatin | 61 | $1,582 | $26 |
| Rosuvastatin | 17 | $1,329 | $78 |
| Albuterol Sulfate Hfa | 28 | $1,282 | $46 |
| Lantus Solostar | 12 | $1,275 | $106 |
| Famotidine | 24 | $852 | $35 |
| Amlodipine Besylate | 33 | $748 | $23 |
| Lisinopril | 29 | $584 | $20 |
| Metformin Hcl Er | 12 | $582 | $49 |
| Tamsulosin | 14 | $491 | $35 |
| Metformin | 38 | $437 | $12 |
| Losartan | 39 | $336 | $9 |
| Omeprazole | 12 | $327 | $27 |
| Gabapentin | 12 | $279 | $23 |
| Simvastatin | 21 | $170 | $8 |
| Lisinopril-Hydrochlorothiazide | 11 | $116 | $11 |
| Metoprolol | 11 | $94 | $9 |
Year by year
| 2024 | 717 | 124 | None | None | $131,728 |
| 2023 | 858 | 83 | None | None | $175,871 |
| 2022 | 653 | 73 | None | 20% | $103,955 |
| 2021 | 635 | 79 | None | 22% | $92,383 |
| 2020 | 512 | 83 | 0% (0) | None | $43,563 |
| 2019 | 233 | 46 | 0% (0) | None | $16,087 |
| 2018 | 234 | 42 | 0% (0) | None | $10,670 |
| 2017 | 263 | 37 | None | None | $12,274 |
| 2016 | 63 | 15 | 0% (0) | 25% | $6,873 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 21 drugs
| Jardiance | 39 | $58,488 | $1,500 |
| Trulicity | 23 | $36,016 | $1,566 |
| Symbicort | 12 | $4,422 | $369 |
| Atorvastatin | 52 | $1,955 | $38 |
| Rosuvastatin | 38 | $1,419 | $37 |
| Lisinopril | 58 | $1,204 | $21 |
| Losartan | 42 | $1,149 | $27 |
| Albuterol Sulfate Hfa | 21 | $971 | $46 |
| Metformin | 55 | $891 | $16 |
| Tamsulosin | 25 | $872 | $35 |
| Amlodipine Besylate | 27 | $663 | $25 |
| Omeprazole | 22 | $440 | $20 |
| Metoprolol | 14 | $407 | $29 |
| Gabapentin | 26 | $379 | $15 |
| Famotidine | 13 | $335 | $26 |
| Glipizide | 19 | $323 | $17 |
| Diclofenac | 11 | $286 | $26 |
| Allopurinol | 11 | $224 | $20 |
| Naproxen | 11 | $199 | $18 |
| Hydrochlorothiazide | 26 | $127 | $5 |
| Ibuprofen | 11 | $70 | $6 |
2022: 16 drugs
| Trulicity | 30 | $49,023 | $1,634 |
| Symbicort | 15 | $6,627 | $442 |
| Lantus Solostar | 11 | $4,363 | $397 |
| Atorvastatin | 44 | $1,079 | $25 |
| Albuterol Sulfate Hfa | 23 | $827 | $36 |
| Rosuvastatin | 20 | $672 | $34 |
| Losartan | 34 | $603 | $18 |
| Lisinopril | 38 | $518 | $14 |
| Metformin | 39 | $512 | $13 |
| Gabapentin | 14 | $354 | $25 |
| Amlodipine Besylate | 26 | $300 | $12 |
| Tamsulosin | 11 | $282 | $26 |
| Famotidine | 11 | $274 | $25 |
| Omeprazole | 19 | $226 | $12 |
| Ibuprofen | 13 | $62 | $5 |
| Hydrochlorothiazide | 12 | $38 | $3 |
2021: 15 drugs
| Jardiance | 23 | $26,956 | $1,172 |
| Trulicity | 16 | $14,648 | $915 |
| Symbicort | 13 | $7,555 | $581 |
| Lantus Solostar | 16 | $7,285 | $455 |
| Atorvastatin | 62 | $841 | $14 |
| Clopidogrel | 11 | $363 | $33 |
| Metoprolol | 14 | $355 | $25 |
| Metformin | 39 | $328 | $8 |
| Gabapentin | 16 | $255 | $16 |
| Lisinopril | 37 | $254 | $7 |
| Losartan | 19 | $231 | $12 |
| Amlodipine Besylate | 38 | $227 | $6 |
| Omeprazole | 15 | $221 | $15 |
| Carvedilol | 11 | $139 | $13 |
| Glipizide | 14 | $111 | $8 |
2020: 10 drugs
| Albuterol Sulfate Hfa | 11 | $570 | $52 |
| Atorvastatin | 33 | $304 | $9 |
| Amlodipine Besylate | 35 | $259 | $7 |
| Fluticasone Propionate | 12 | $221 | $18 |
| Omeprazole | 11 | $205 | $19 |
| Lisinopril | 21 | $107 | $5 |
| Losartan | 11 | $103 | $9 |
| Latanoprost | 11 | $93 | $8 |
| Pravastatin | 12 | $77 | $6 |
| Metformin | 20 | $64 | $3 |
2019: 5 drugs
| Rosuvastatin | 11 | $603 | $55 |
| Atorvastatin | 15 | $266 | $18 |
| Metoprolol | 12 | $254 | $21 |
| Amlodipine Besylate | 12 | $136 | $11 |
| Lisinopril | 18 | $69 | $4 |
2018: 4 drugs
| Oxybutynin Chloride | 11 | $287 | $26 |
| Atorvastatin | 12 | $155 | $13 |
| Losartan | 14 | $106 | $8 |
| Citalopram Hbr | 12 | $82 | $7 |
2017: 5 drugs
| Oxybutynin Chloride | 13 | $351 | $27 |
| Cyclobenzaprine | 11 | $212 | $19 |
| Levothyroxine | 12 | $188 | $16 |
| Omeprazole | 16 | $134 | $8 |
| Gabapentin | 18 | $100 | $6 |
Money from drug and device companies
$192 in 2025
A payment is not proof that care is biased.
| Heartflow | Ffrct | $192 | 1 payment
|
See the published payment
| Heartflow | Meals · 2025-10-23 | Ffrct | $192 |
Professional record
- NPI
- 1275988768
- Licence
- CA A151047California A151047: Current · expires 2027-02-28
- Trained
- Geisel School of Medicine at Dartmouth, 2016
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Family medicine (207Q00000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2016-05-03
- NPI last updated
- 2024-04-03
- NPI record certified
- 2024-04-03
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 300 Hillmont Ave, Ventura, CA, 93003