Janhavi A Athavale, MD
Internal Medicine · Santa Cruez
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 1
- 1 carrier
- Office
- 1
Offices
1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Hospitals listed: 757662. That is not proof they admit you there this week.
Plans that list them
1 plan · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Athavale’s office at (831) 423-4111 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Alignment Health Sutter Advantage +More (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
California Medical Board record
Licence A152776 · Current
Licensed to practise in California · since 2017 · expires 2027-01-31 · Eastern Virginia Medical School.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$30,752
Medicare paid this office $30,752 for 106 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 63 | $10,811 | $106 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 52 | $8,177 | $157 |
| Short return visit (20+ min) | 37 | $3,753 | $75 |
| Administration of influenza virus vaccine | 11 | $430 | $39 |
Who their Medicare patients are
106 Original Medicare patients in 2024. Average age 74 · Women 55% · Health risk score 0.87. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 63% · Diabetes 25% · Chronic kidney disease 21% · Atrial fibrillation 18% · Coronary heart disease 17% · Depression 16% · Heart failure 13% · Cancer 10%.
The office billed $80,136, Medicare allowed $38,560 and paid $30,752; for 270 services of 18 kinds; $3,149 of it was for drugs given in the office and $27,602 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
| 2024 | 106 | 270 | 74 | 0.87 | $80,136 | $30,752 |
| 2023 | 140 | 328 | 73 | 1.04 | $94,743 | $34,808 |
| 2022 | 89 | 134 | 77 | 1.11 | $38,702 | $14,946 |
| 2021 | 317 | 898 | 76 | 2.60 | $485,804 | $88,797 |
| 2020 | 330 | 884 | 79 | 2.70 | $467,022 | $90,851 |
| 2019 | 91 | 251 | 77 | 2.84 | $113,586 | $21,791 |
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: 6 services
| Return visit (30+ min) | 96 | $14,557 | $104 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 | $5,924 | $156 |
| Short return visit (20+ min) | 51 | $5,105 | $75 |
| Long return visit (40+ min) | 12 | $1,874 | $156 |
| Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | $834 | $76 |
| Administration of influenza virus vaccine | 13 | $480 | $37 |
2022: 2 services
| Return visit (30+ min) | 41 | $6,144 | $114 |
| Short return visit (20+ min) | 37 | $3,501 | $92 |
2021: 7 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 194 | $42,602 | $96 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 76 | $14,398 | $185 |
| Hospital discharge day management, more than 30 minutes | 119 | $12,550 | $100 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 86 | $11,868 | $67 |
| Initial hospital observation care per day, typically 70 minutes | 16 | $2,654 | $166 |
| Hospital observation care on day of discharge | 24 | $1,681 | $67 |
| Follow-up observation care per day, typically 35 minutes | 13 | $1,346 | $96 |
2020: 8 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 190 | $43,521 | $97 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 79 | $15,669 | $189 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 68 | $9,042 | $68 |
| Hospital discharge day management, more than 30 minutes | 76 | $8,195 | $102 |
| Initial hospital observation care per day, typically 70 minutes | 23 | $3,872 | $168 |
| Hospital discharge day management, 30 minutes or less | 50 | $3,319 | $65 |
| Hospital observation care on day of discharge | 25 | $1,800 | $69 |
| Follow-up observation care per day, typically 35 minutes | 14 | $1,757 | $98 |
2019: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 75 | $15,152 | $93 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 26 | $2,342 | $65 |
| Hospital discharge day management, more than 30 minutes | 17 | $1,661 | $98 |
| Hospital discharge day management, 30 minutes or less | 24 | $1,597 | $67 |
Medicaid work
$8,528 in 2021
Medicaid paid $8,528 for 461 billed services this clinician did in 2021, up to 26 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.
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 348 | $6,283 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 68 | $1,372 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 29 | $561 |
| 1ST HOSP IP/OBS HIGH 75 | 16 | $312 |
| 2021 | 461 | 4 | 26 | $8,528 |
| 2020 | 372 | 3 | 20 | $7,023 |
| 2019 | 108 | 1 | 26 | $895 |
See the largest Medicaid services in earlier years
2020
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 321 | $5,513 |
| 1ST HOSP IP/OBS HIGH 75 | 33 | $1,256 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 18 | $253 |
2019
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 108 | $895 |
Drugs they prescribed that Part D paid
$69,924
Pharmacies billed $69,924 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 2% of their Part D prescriptions (16 of 1,075) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.
972 generic and fewer than 11 brand-name prescriptions · $69,924 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.
| Mounjaro | 11 | $12,029 | $1,094 |
| Ozempic | 13 | $9,867 | $759 |
| Atorvastatin | 115 | $955 | $8 |
| Albuterol Sulfate Hfa | 23 | $808 | $35 |
| Amlodipine Besylate | 70 | $755 | $11 |
See all 28 drugs
| Mounjaro | 11 | $12,029 | $1,094 |
| Ozempic | 13 | $9,867 | $759 |
| Atorvastatin | 115 | $955 | $8 |
| Albuterol Sulfate Hfa | 23 | $808 | $35 |
| Amlodipine Besylate | 70 | $755 | $11 |
| Levothyroxine | 70 | $629 | $9 |
| Metoprolol | 27 | $626 | $23 |
| Gabapentin | 25 | $579 | $23 |
| Valacyclovir | 11 | $556 | $51 |
| Ciclopirox | 11 | $448 | $41 |
| Tamsulosin | 33 | $443 | $13 |
| Lisinopril | 31 | $365 | $12 |
| Losartan | 57 | $363 | $6 |
| Rosuvastatin | 34 | $332 | $10 |
| Pantoprazole | 13 | $314 | $24 |
| Lisinopril-Hydrochlorothiazide | 12 | $298 | $25 |
| Simvastatin | 28 | $280 | $10 |
| Finasteride | 20 | $217 | $11 |
| Benazepril | 12 | $207 | $17 |
| Duloxetine | 19 | $206 | $11 |
| Escitalopram | 16 | $203 | $13 |
| Trazodone | 28 | $197 | $7 |
| Pramipexole Dihydrochloride | 12 | $189 | $16 |
| Hydrochlorothiazide | 28 | $130 | $5 |
| Donepezil | 11 | $94 | $9 |
| Metformin Hcl Er | 15 | $65 | $4 |
| Allopurinol | 15 | $56 | $4 |
| Metformin | 15 | $51 | $3 |
Year by year
| 2024 | 1,075 | 144 | 2% (16) | None | $69,924 |
| 2023 | 999 | 142 | 3% (34) | None | $63,449 |
| 2022 | 207 | 57 | None | None | $11,824 |
| 2021 | 258 | 97 | 7% (18) | None | $22,007 |
| 2020 | 156 | 80 | 9% (14) | None | $12,883 |
| 2019 | 26 | 16 | 0% (0) | None | $1,447 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 30 drugs
| Ozempic | 13 | $12,628 | $971 |
| Eliquis | 15 | $12,599 | $840 |
| Atorvastatin | 93 | $1,395 | $15 |
| Lisinopril | 40 | $748 | $19 |
| Levothyroxine | 61 | $720 | $12 |
| Amlodipine Besylate | 64 | $621 | $10 |
| Valacyclovir | 14 | $613 | $44 |
| Metoprolol | 28 | $552 | $20 |
| Tamsulosin | 21 | $542 | $26 |
| Losartan | 43 | $497 | $12 |
| Oxycodone | 14 | $477 | $34 |
| Trazodone | 36 | $435 | $12 |
| Pantoprazole | 12 | $366 | $31 |
| Gabapentin | 19 | $362 | $19 |
| Bupropion Xl | 13 | $351 | $27 |
| Simvastatin | 19 | $338 | $18 |
| Mirtazapine | 14 | $322 | $23 |
| Metformin | 14 | $216 | $15 |
| Verapamil | 13 | $202 | $16 |
| Rosuvastatin | 18 | $189 | $10 |
| Lisinopril-Hydrochlorothiazide | 12 | $179 | $15 |
| Citalopram Hbr | 13 | $170 | $13 |
| Hydrochlorothiazide | 18 | $132 | $7 |
| Carvedilol | 12 | $127 | $11 |
| Baclofen | 11 | $111 | $10 |
| Escitalopram | 17 | $82 | $5 |
| Allopurinol | 11 | $81 | $7 |
| Furosemide | 13 | $73 | $6 |
| Fluconazole | 15 | $58 | $4 |
| Diazepam | 11 | $35 | $3 |
2022: 3 drugs
| Atorvastatin | 14 | $145 | $10 |
| Amlodipine Besylate | 23 | $90 | $4 |
| Escitalopram | 15 | $70 | $5 |
2021: 1 drug
| Pantoprazole | 18 | $208 | $12 |
Professional record
- NPI
- 1295197317
- Licence
- CA A152776California A152776: Current · expires 2027-01-31
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Internal medicine (207R00000X); Student in a training program (390200000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2016-03-28
- NPI last updated
- 2022-01-27
- NPI record certified
- 2022-01-27
This is when the NPI record was last certified, not a medical board exam.