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Christian James Fulmer, DO

Family Practice · Campbell

NPI 1285624650

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
19
4 carriers
Office
1

Offices

1 location · University Healthcare Alliance · 334 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center · Stanford Health Care. That is not proof they admit you there this week.

Plans that list them

19 plans · 4 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Fulmer’s office at (408) 357-1410 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

19 of 19 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$31,257

Medicare paid this office $31,257 for 118 people.

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

Largest Original Medicare bills
Short return visit (20+ min)49$7,940$81
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit17$2,602$153
New patient visit (30+ min)23$2,075$90
New patient visit (45+ min)13$2,063$159
Aspiration and/or injection of fluid large joint using ultrasound guidance12$1,869$117
See all 10 services
Every Original Medicare service billed
Short return visit (20+ min)49$7,940$81
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit17$2,602$153
New patient visit (30+ min)23$2,075$90
New patient visit (45+ min)13$2,063$159
Aspiration and/or injection of fluid large joint using ultrasound guidance12$1,869$117
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,850$116
Limited ultrasound scan of joint or other extremity structure except blood vessels22$1,694$63
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,611$67
Return visit (30+ min)11$1,382$115
Hospital discharge day management, 30 minutes or less11$809$74

Who their Medicare patients are

118 Original Medicare patients in 2024. Average age 73 · Under 65 11% · 85 and older 9% · Women 36% · Also on Medicaid 26% · Health risk score 1.26. Above the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 73% · Coronary heart disease 32% · Diabetes 26% · Chronic kidney disease 24% · Atrial fibrillation 20% · Heart failure 19% · Depression 16% · Cancer 14% · Stroke 10% · Dementia 9%.

The office billed $126,109, Medicare allowed $39,961 and paid $31,257; for 1,438 services of 30 kinds; $4,348 of it was for drugs given in the office and $26,908 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.

Year by year

Original Medicare by year
20241181,438731.26$126,109$31,257
2023152478742.05$153,348$39,450
2022133383741.33$116,581$33,962
2021141355731.70$122,145$33,419
2020118332731.61$117,868$27,392
2019167424731.80$134,256$34,116
2018129353731.97$103,238$26,179
2017162454751.72$132,459$34,928
2016200508732.14$157,952$41,867
2015138295751.92$74,025$24,018
201497202711.70$41,315$15,553
201342116700.73$12,839$7,057

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: 8 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes51$8,341$70
Short return visit (20+ min)26$4,772$75
Return visit (30+ min)36$4,567$109
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$3,118$156
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$3,094$107
Hospital discharge day management, 30 minutes or less36$2,785$73
Initial hospital care with moderate level of medical decision making at least 75 minutes18$2,758$153
New patient visit (45+ min)11$1,574$143

2022: 7 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$5,434$67
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit34$5,390$159
Short return visit (20+ min)32$5,107$79
Return visit (30+ min)39$4,843$99
Initial hospital care with moderate level of medical decision making at least 75 minutes12$2,462$189
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,513$126
Hospital discharge day management, 30 minutes or less15$939$63

2021: 8 services

Original Medicare services billed in 2021
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit32$5,236$164
Initial hospital care with moderate level of medical decision making at least 75 minutes25$4,693$188
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes28$4,501$67
Return visit (30+ min)30$4,420$119
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes21$3,527$93
Hospital discharge day management, 30 minutes or less32$2,179$68
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,793$128
Short return visit (20+ min)16$1,552$71

2020: 10 services

Original Medicare services billed in 2020
Short return visit (20+ min)42$3,831$59
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$3,705$98
Return visit (30+ min)29$3,230$90
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit22$3,162$144
Initial hospital care with moderate level of medical decision making at least 75 minutes15$2,824$188
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,625$68
Hospital discharge day management, 30 minutes or less20$1,384$69
Influenza vaccine split virus, preservative free12$787$61
Administration of pneumococcal vaccine12$291$21
Administration of influenza virus vaccine12$272$21

2019: 9 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes50$5,818$66
Return visit (30+ min)25$3,792$100
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit24$3,401$142
Short return visit (20+ min)34$3,338$64
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$2,922$117
Initial hospital care with moderate level of medical decision making at least 75 minutes14$2,580$184
Hospital discharge day management, 30 minutes or less34$2,441$68
Administration of pneumococcal vaccine15$308$21
Administration of influenza virus vaccine12$246$21

2018: 12 services

Original Medicare services billed in 2018
Short return visit (20+ min)34$4,175$59
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$3,074$64
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit19$2,667$140
Initial hospital care with moderate level of medical decision making at least 75 minutes14$2,547$182
Return visit (30+ min)23$2,448$76
Pneumococcal vaccine, 13-valent11$2,187$199
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,653$97
Hospital discharge day management, 30 minutes or less24$1,605$67
Influenza vaccine split virus, preservative free11$575$52
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes11$525$35
Administration of influenza virus vaccine13$334$26
Administration of pneumococcal vaccine13$334$26

2017: 8 services

Original Medicare services billed in 2017
Short return visit (20+ min)49$7,364$61
Initial hospital care with moderate level of medical decision making at least 75 minutes25$4,532$181
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$4,311$63
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes30$3,557$119
Hospital discharge day management, 30 minutes or less39$2,562$64
Return visit (30+ min)22$2,178$84
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit15$2,078$139
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$699$35

2016: 9 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes58$7,367$64
Initial hospital care with moderate level of medical decision making at least 75 minutes33$6,850$180
Short return visit (20+ min)34$5,427$62
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes31$3,755$121
Hospital discharge day management, 30 minutes or less53$3,460$65
Return visit (30+ min)20$2,574$83
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day at least 70 minutes14$2,106$150
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit11$1,514$138
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$1,389$93

2015: 6 services

Original Medicare services billed in 2015
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes39$4,660$119
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes41$4,464$68
Short return visit (20+ min)32$3,843$65
Return visit (30+ min)16$2,194$88
Hospital discharge day management, 30 minutes or less25$1,738$70
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day at least 70 minutes12$1,552$129

2014: 5 services

Original Medicare services billed in 2014
Short return visit (20+ min)32$3,820$57
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes28$3,319$114
Return visit (30+ min)11$1,788$89
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit12$1,617$135
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$769$64

2013: 3 services

Original Medicare services billed in 2013
Return visit (30+ min)15$2,352$87
Short return visit (20+ min)29$2,190$48
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit12$1,600$133

Medicaid work

$185,475 in 2024

Medicaid paid $185,475 for 1,724 billed services this clinician did in 2024, up to 102 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
Clinic visit/encounter, all-inclusive651$165,489
Short return visit (20+ min)717$12,933
Return visit (30+ min)209$4,637
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES26$862
Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use52$701
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES55$643
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter14$211
Medicaid work by year
20241,7247102$185,475
2023994562$96,293
20221,142471$117,374
20211,945878$193,724
20202,1288122$218,221
20191,7534101$201,615
20182,1068170$329,366
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive367$87,921
Short return visit (20+ min)423$5,129
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES136$2,075
Return visit (30+ min)53$957
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter15$211

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive458$107,483
Short return visit (20+ min)601$8,125
Return visit (30+ min)46$1,203
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES37$563

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive767$179,985
Short return visit (20+ min)709$8,670
Short return visit271$2,399
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES75$1,096
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES54$724
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter35$398
1ST HOSP IP/OBS HIGH 7513$312
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use21$140

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive890$203,883
Short return visit (20+ min)879$10,120
Short return visit236$2,242
1ST HOSP IP/OBS HIGH 7529$937
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter33$500
Return visit (30+ min)23$438
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use25$100
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 discussion13$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive821$185,795
Short return visit (20+ min)686$11,835
Short return visit197$2,926
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES49$1,058

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive1,212$271,802
Short return visit (20+ min)749$51,760
Short return visit53$3,902
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES24$488
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES12$487
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter15$318
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use26$309
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use15$300

Drugs they prescribed that Part D paid

$25,034

Pharmacies billed $25,034 in 2024.

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

Opioids were 5% of their Part D prescriptions (20 of 446) in 2024. Above the middle of the specialty; the typical family practice clinician is at 2%.

397 generic and 49 brand-name prescriptions · $25,034 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.

Largest Part D drug costs
Tradjenta11$5,684$517
Brilinta22$5,001$227
Hydrocodone-Acetaminophen19$467$25
Atorvastatin29$363$13
Tamsulosin11$355$32
See all 13 drugs
Every Part D drug this clinician prescribed
Tradjenta11$5,684$517
Brilinta22$5,001$227
Hydrocodone-Acetaminophen19$467$25
Atorvastatin29$363$13
Tamsulosin11$355$32
Divalproex12$340$28
Lisinopril23$291$13
Levothyroxine23$256$11
Olanzapine14$200$14
Metoprolol16$188$12
Amlodipine Besylate13$85$7
Simvastatin15$45$3
Metformin12$23$2

Year by year

Part D prescribing by year
2024446525% (20)11%$25,034
2023725735% (36)None$54,336
2022705818% (53)None$63,796
20218301105% (44)13%$68,625
20201,0051384% (40)12%$69,992
20198551285% (42)13%$49,448
20189261206% (52)15%$54,325
20178441126% (51)None$43,441
20168441035% (38)None$39,771
2015730854% (27)None$30,779
2014468553% (14)None$24,773
201350252None25%$29,451

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

See the drugs prescribed each year

2023: 20 drugs

Part D drugs prescribed in 2023
Tradjenta12$6,810$567
Brilinta20$3,950$198
Atorvastatin55$568$10
Tamsulosin19$533$28
Hydrocodone-Acetaminophen32$514$16
Levothyroxine24$427$18
Divalproex19$304$16
Lisinopril40$294$7
Rosuvastatin23$239$10
Metoprolol18$201$11
Atenolol12$159$13
Olanzapine16$146$9
Amlodipine Besylate30$130$4
Gabapentin16$127$8
Simvastatin22$102$5
Metformin14$91$6
Zolpidem18$91$5
Losartan16$64$4
Hydrochlorothiazide13$47$4
Cyclobenzaprine11$42$4

2022: 16 drugs

Part D drugs prescribed in 2022
Jardiance12$10,931$911
Rosuvastatin26$1,115$43
Levothyroxine35$765$22
Hydrocodone-Acetaminophen47$698$15
Atorvastatin47$520$11
Escitalopram19$427$22
Tamsulosin15$367$24
Metformin27$299$11
Losartan27$262$10
Lisinopril21$223$11
Gabapentin16$220$14
Atenolol18$188$10
Zolpidem18$141$8
Amlodipine Besylate21$139$7
Simvastatin13$84$6
Hydrochlorothiazide14$23$2

2021: 19 drugs

Part D drugs prescribed in 2021
Lantus14$9,873$705
Levothyroxine45$1,131$25
Atorvastatin72$1,096$15
Escitalopram44$889$20
Hydrocodone-Acetaminophen40$815$20
Tamsulosin33$798$24
Rosuvastatin15$659$44
Metformin34$411$12
Sertraline19$377$20
Lisinopril33$362$11
Atenolol20$211$11
Triamterene-Hydrochlorothiazid11$209$19
Losartan20$166$8
Zolpidem12$150$12
Amlodipine Besylate22$147$7
Simvastatin20$130$7
Ezetimibe14$114$8
Hydrochlorothiazide19$50$3
Fluoxetine11$31$3

2020: 24 drugs

Part D drugs prescribed in 2020
Lantus14$13,768$983
Atorvastatin88$1,241$14
Levothyroxine44$1,213$28
Tamsulosin34$813$24
Hydrocodone-Acetaminophen27$677$25
Escitalopram41$530$13
Losartan35$498$14
Metformin54$477$9
Sertraline12$471$39
Lisinopril41$464$11
Insulin12$359$30
Valacyclovir12$338$28
Zolpidem Tartrate Er14$323$23
Allopurinol14$311$22
Pravastatin13$260$20
Amitriptyline16$248$16
Atenolol19$225$12
Simvastatin26$218$8
Amlodipine Besylate32$207$6
Alendronate15$184$12
Zolpidem12$164$14
Omeprazole12$133$11
Ezetimibe11$72$7
Hydrochlorothiazide22$66$3

2019: 24 drugs

Part D drugs prescribed in 2019
Lantus12$10,808$901
Testosterone12$3,525$294
Atorvastatin58$1,025$18
Levothyroxine30$878$29
Tamsulosin24$734$31
Hydrocodone-Acetaminophen31$720$23
Zolpidem Tartrate Er22$629$29
Escitalopram30$582$19
Metoprolol14$491$35
Metformin45$488$11
Losartan31$420$14
Pravastatin17$400$24
Lisinopril36$400$11
Pantoprazole12$328$27
Clonazepam11$285$26
Amitriptyline16$264$17
Simvastatin28$224$8
Triamterene-Hydrochlorothiazid11$209$19
Gabapentin13$200$15
Atenolol17$162$10
Amlodipine Besylate26$154$6
Ezetimibe12$120$10
Zolpidem12$77$6
Hydrochlorothiazide23$67$3

2018: 25 drugs

Part D drugs prescribed in 2018
Lantus20$8,281$414
Hydrocodone-Acetaminophen37$1,095$30
Atorvastatin59$1,075$18
Levothyroxine28$963$34
Tamsulosin23$715$31
Insulin12$440$37
Escitalopram19$384$20
Amitriptyline19$372$20
Metformin28$353$13
Triamterene-Hydrochlorothiazid13$347$27
Gabapentin21$334$16
Zolpidem Tartrate Er14$320$23
Lisinopril27$273$10
Losartan27$257$10
Pantoprazole14$231$17
Simvastatin20$216$11
Amlodipine Besylate24$170$7
Ezetimibe11$169$15
Alendronate12$139$12
Spironolactone17$137$8
Topiramate11$112$10
Mirtazapine13$99$8
Atenolol21$87$4
Furosemide16$74$5
Hydrochlorothiazide16$33$2

2017: 21 drugs

Part D drugs prescribed in 2017
Androgel11$5,670$515
Tamsulosin36$1,379$38
Levothyroxine32$1,114$35
Metoprolol22$772$35
Atorvastatin68$768$11
Pravastatin14$417$30
Escitalopram29$391$13
Prazosin12$380$32
Hydrocodone-Acetaminophen31$354$11
Lisinopril48$343$7
Valacyclovir17$329$19
Allopurinol15$315$21
Duloxetine13$244$19
Warfarin22$242$11
Losartan19$239$13
Metformin22$223$10
Amitriptyline16$218$14
Simvastatin27$143$5
Amlodipine Besylate21$134$6
Gemfibrozil11$108$10
Alendronate19$97$5

2016: 24 drugs

Part D drugs prescribed in 2016
Androgel13$6,557$504
Tamsulosin55$1,194$22
Levothyroxine44$1,008$23
Metoprolol21$871$41
Bupropion Xl14$647$46
Atorvastatin43$581$14
Hydrocodone-Acetaminophen28$567$20
Pravastatin20$467$23
Valacyclovir15$395$26
Prazosin12$377$31
Oxybutynin Chloride Er12$323$27
Lisinopril61$282$5
Warfarin21$274$13
Allopurinol21$254$12
Duloxetine11$216$20
Losartan29$209$7
Metformin30$205$7
Escitalopram16$196$12
Clonazepam12$184$15
Amlodipine Besylate18$117$6
Simvastatin21$67$3
Alendronate14$66$5
Paroxetine13$65$5
Hydrochlorothiazide13$59$5

2015: 20 drugs

Part D drugs prescribed in 2015
Androgel14$6,365$455
Levothyroxine53$981$19
Tamsulosin31$738$24
Duloxetine14$699$50
Atorvastatin48$641$13
Zolpidem15$514$34
Pravastatin12$429$36
Metoprolol11$384$35
Valacyclovir12$375$31
Hydrocodone-Acetaminophen23$354$15
Allopurinol18$305$17
Simvastatin29$179$6
Metformin25$178$7
Lisinopril31$135$4
Losartan27$111$4
Amlodipine Besylate29$99$3
Warfarin11$96$9
Carvedilol14$75$5
Losartan-Hydrochlorothiazide12$72$6
Furosemide16$61$4

2014: 15 drugs

Part D drugs prescribed in 2014
Androgel13$5,291$407
Levothyroxine24$455$19
Escitalopram13$417$32
Lisinopril34$174$5
Metformin20$165$8
Atorvastatin20$160$8
Losartan13$150$12
Amlodipine Besylate14$149$11
Hydrocodone-Acetaminophen12$135$11
Tamsulosin13$127$10
Simvastatin12$101$8
Pantoprazole12$97$8
Warfarin12$97$8
Losartan-Hydrochlorothiazide11$58$5
Zolpidem11$58$5

2013: 13 drugs

Part D drugs prescribed in 2013
Advair Diskus11$3,751$341
Atorvastatin19$488$26
Pantoprazole29$389$13
Lisinopril51$327$6
Tamsulosin22$308$14
Levothyroxine25$305$12
Pravastatin12$304$25
Amlodipine Besylate27$279$10
Metformin22$178$8
Warfarin18$156$9
Losartan11$132$12
Metoprolol13$118$9
Hydrochlorothiazide11$61$6

Professional record

NPI
1285624650
Licence
CA 20A9099
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X); Federal specialty code 207QS0010X (207QS0010X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2005-10-26
NPI last updated
2024-04-26
NPI record certified
2024-04-26

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