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Steven P DO, NP

Nurse Practitioner · San Jose

NPI 1285005249

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
2

Offices

2 locations · Emergency Physicians Associates San Jose PC · Permanente Medical Group Inc

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Steven P DO’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$907

Medicare paid this office $907 for 18 people.

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

Who their Medicare patients are

18 Original Medicare patients in 2024. Average age 64 · Health risk score 1.13. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75%.

The office billed $5,928, Medicare allowed $1,489 and paid $907; for 20 services of 11 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
20241820641.13$5,928$907
20223345692.50$51,725$3,836
20211461,638691.64$385,694$79,539
202090118701.50$37,430$6,164
201989123691.53$33,237$5,483
20184681651.15$18,401$3,252
2017102125701.46$34,387$4,752
2016144181701.41$44,367$8,108

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

2022: 1 service

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making12$1,936$149

2021: 9 services

Original Medicare services billed in 2021
Refilling and maintenance of portable pump38$29,729$140
Short return visit (20+ min)38$16,072$76
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less37$14,114$67
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour37$7,955$20
Emergency department visit with high level of medical decision making23$3,530$153
Emergency department visit with low level of medical decision making52$3,370$51
Blood glucose (sugar) test performed by hand-held instrument38$1,391$3
Emergency department visit with moderate level of medical decision making15$1,191$79
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only18$110$6

2020: 4 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making22$2,852$130
Emergency department visit with low level of medical decision making46$1,573$33
Emergency department visit with moderate level of medical decision making13$890$68
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only17$118$7

2019: 2 services

Original Medicare services billed in 2019
Emergency department visit with low level of medical decision making62$3,043$41
Emergency department visit with moderate level of medical decision making14$946$68

2018: 2 services

Original Medicare services billed in 2018
Emergency department visit with low level of medical decision making31$1,727$43
Emergency department visit with moderate level of medical decision making11$945$86

2017: 3 services

Original Medicare services billed in 2017
Return visit (30+ min)36$1,641$41
New patient visit (30+ min)37$1,228$33
Emergency department visit with low level of medical decision making19$956$43

2016: 4 services

Original Medicare services billed in 2016
New patient visit (30+ min)60$2,955$49
Short return visit (20+ min)34$1,232$34
New patient visit (30+ min)16$1,100$69
Return visit (30+ min)17$920$54

Medicaid work

$36,653 in 2024

Medicaid paid $36,653 for 668 billed services this clinician did in 2024, up to 57 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
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES443$20,530
Short return visit211$14,878
Short return visit (20+ min)14$1,245
Medicaid work by year
2024668357$36,653
2023282143$418
2022371338$623
2021845634$0
201965417$955
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES282$418

2022

Largest Medicaid services in 2022
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES338$357
EMERGENCY DEPT VISIT LOW MDM18$265
Short return visit15$0

2021

Largest Medicaid services in 2021
Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use157$0
Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour163$0
Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)163$0
Refilling and maintenance of portable pump165$0
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES34$0
Short return visit (20+ min)163$0

2019

Largest Medicaid services in 2019
Service17$626
COMPREHENSIVE METABOLIC PANEL15$148
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count16$123
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy17$57

Drugs they prescribed that Part D paid

$3,017

Pharmacies billed $3,017 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 9% of their Part D prescriptions (14 of 160) in 2024. Above the middle of the specialty; the typical nurse practitioner clinician is at 0%.

142 generic and 18 brand-name prescriptions · $3,017 in drug cost · 86 antibiotic prescriptions to 84 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.

Largest Part D drug costs
Adacel Tdap12$612$51
Cefadroxil45$495$11
Amoxicillin-Clavulanate Potass11$131$12

Year by year

Part D prescribing by year
20241601409% (14)11%$3,017
202313611014% (19)None$4,093
202221817611% (23)None$2,106
202110874NoneNone$2,113
20201048213% (13)None$1,789
20191249311% (13)13%$1,956
20189173None19%$1,970
2017214143NoneNone$3,946
20163222268% (25)None$5,778
20153628NoneNone$529

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

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Cefadroxil30$381$13
Cephalexin13$121$9
Hydrocodone-Acetaminophen14$90$6

2022: 10 drugs

Part D drugs prescribed in 2022
Cefadroxil37$350$9
Mupirocin23$295$13
Doxycycline Monohydrate13$200$15
Cephalexin15$142$9
Amoxicillin-Clavulanate Potass11$132$12
Ibuprofen21$125$6
Hydrocodone-Acetaminophen18$115$6
Sulfamethoxazole-Trimethoprim13$82$6
Prednisone11$69$6
Cyclobenzaprine11$60$5

2021: 1 drug

Part D drugs prescribed in 2021
Ibuprofen14$56$4

2020: 2 drugs

Part D drugs prescribed in 2020
Cephalexin14$130$9
Hydrocodone-Acetaminophen13$50$4

2019: 3 drugs

Part D drugs prescribed in 2019
Cephalexin11$74$7
Hydrocodone-Acetaminophen13$57$4
Prednisone18$34$2

2018: 3 drugs

Part D drugs prescribed in 2018
Nitrofurantoin Mono-Macro11$268$24
Cephalexin13$104$8
Ibuprofen16$56$4

2017: 7 drugs

Part D drugs prescribed in 2017
Proair Hfa16$911$57
Cefdinir19$545$29
Nitrofurantoin Mono-Macro11$251$23
Azithromycin29$178$6
Sulfamethoxazole-Trimethoprim12$62$5
Ibuprofen12$48$4
Prednisone13$27$2

2016: 8 drugs

Part D drugs prescribed in 2016
Nitrofurantoin Mono-Macro22$642$29
Azithromycin45$323$7
Amoxicillin-Clavulanate Potass11$162$15
Ciprofloxacin13$121$9
Sulfamethoxazole-Trimethoprim23$113$5
Ibuprofen26$109$4
Prednisone16$45$3
Tramadol11$28$3

Professional record

NPI
1285005249
Licence
CA 95003245
Group
Emergency Physicians Associates San Jose PC · Permanente Medical Group Inc
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
160 E Artesia St, Suite 225, Pomona, CA, 91767
NPI first listed
2015-10-15
NPI last updated
2022-02-04
NPI record certified
2022-02-04

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

This office lists an electronic records connection.