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Nadine E Graven, MD

Obstetrics/Gynecology · Escondido

NPI 1295899847

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

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 Dr. Graven’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$19,557

Medicare paid this office $19,557 for 45 people.

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

Largest Original Medicare bills
Return visit (30+ min)19$3,055$109
Short return visit (20+ min)20$2,636$75
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina11$1,610$107

Who their Medicare patients are

45 Original Medicare patients in 2024. Average age 73 · Women 100% · Also on Medicaid 29% · Health risk score 1.08. Above the middle of the specialty; the typical obstetrics & gynecology clinician is at 0.88.

Conditions among them: High blood pressure 64% · Depression 33% · Diabetes 27%.

The office billed $69,979, Medicare allowed $25,288 and paid $19,557; for 143 services of 18 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
202445143731.08$69,979$19,557
202356173710.79$38,647$16,377
20221636710.87$5,871$2,390
2017125358680.67$104,290$25,544
2016118366680.65$70,208$25,902
201573213690.69$32,868$13,441
201468196690.65$61,470$16,116
20132149650.59$6,095$3,930

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

Original Medicare services billed in 2023
Short return visit (20+ min)29$3,936$76
Return visit (30+ min)21$2,827$101
New patient visit (30+ min)16$1,403$88

2017: 7 services

Original Medicare services billed in 2017
Return visit (30+ min)76$7,437$79
Short return visit (20+ min)56$4,419$52
Cervical or vaginal cancer screening; pelvic and clinical breast examination51$2,073$41
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina13$2,036$102
Long return visit (40+ min)11$1,037$94
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory12$590$49
Insertion of needle into vein for collection of blood sample13$59$3

2016: 6 services

Original Medicare services billed in 2016
Return visit (30+ min)90$10,403$79
Short return visit (20+ min)38$3,323$60
Cervical or vaginal cancer screening; pelvic and clinical breast examination63$2,659$42
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory44$2,268$52
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina11$1,275$106
Insertion of needle into vein for collection of blood sample11$44$3

2015: 4 services

Original Medicare services billed in 2015
Return visit (30+ min)35$3,590$78
Short return visit (20+ min)32$2,467$51
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory27$1,399$52
Cervical or vaginal cancer screening; pelvic and clinical breast examination31$1,315$42

2014: 5 services

Original Medicare services billed in 2014
Return visit (30+ min)39$3,787$81
New patient visit (45+ min)18$2,433$135
Short return visit (20+ min)21$1,812$62
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory26$1,349$52
Cervical or vaginal cancer screening; pelvic and clinical breast examination30$1,280$43

2013: 1 service

Original Medicare services billed in 2013
Cervical or vaginal cancer screening; pelvic and clinical breast examination11$472$43

Medicaid work

$5,670 in 2024

Medicaid paid $5,670 for 56 billed services this clinician did in 2024, up to 15 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
Short return visit (20+ min)43$3,884
Return visit (30+ min)13$1,786
Medicaid work by year
202456215$5,670
2023152424$15,113
202224212$2,563
202114113$0
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Short return visit (20+ min)100$8,673
Ultrasound by transvaginal approach26$3,153
Return visit (30+ min)12$1,667
New patient visit (30+ min)14$1,620

2022

Largest Medicaid services in 2022
New patient visit (30+ min)12$1,484
Short return visit (20+ min)12$1,079

2021

Largest Medicaid services in 2021
Medication list documented in medical record (COA)14$0

Drugs they prescribed that Part D paid

$35,615

Pharmacies billed $35,615 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 376) in 2024. At or below the middle of the specialty; the typical obstetrics & gynecology clinician is at 0%.

280 generic and 96 brand-name prescriptions · $35,615 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
Myrbetriq23$12,771$555
Estradiol (Twice Weekly)59$6,213$105
Estradiol109$5,594$51
Imvexxy18$4,765$265
Progesterone58$1,396$24
See all 9 drugs
Every Part D drug this clinician prescribed
Myrbetriq23$12,771$555
Estradiol (Twice Weekly)59$6,213$105
Estradiol109$5,594$51
Imvexxy18$4,765$265
Progesterone58$1,396$24
Tolterodine Tartrate Er18$1,013$56
Medroxyprogesterone Acetate18$206$11
Fluconazole11$72$7
Levothyroxine17$62$4

Year by year

Part D prescribing by year
2024376870% (0)26%$35,615
2023251700% (0)None$23,594
202249210% (0)39%$4,032
202131None0% (0)None$522
202022None0% (0)None$3,265
201973None0% (0)25%$5,145
2018204480% (0)36%$25,231
201763695None29%$50,718
201670289NoneNone$48,284
201554366NoneNone$35,123
201426652None30%$17,996
2013121270% (0)None$9,095

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

See the drugs prescribed each year

2023: 5 drugs

Part D drugs prescribed in 2023
Myrbetriq14$7,758$554
Estradiol77$4,883$63
Estradiol (Twice Weekly)46$4,563$99
Tolterodine Tartrate Er18$1,977$110
Progesterone28$1,060$38

2022: 1 drug

Part D drugs prescribed in 2022
Estradiol (Twice Weekly)14$851$61

2019: 1 drug

Part D drugs prescribed in 2019
Estradiol16$167$10

2018: 3 drugs

Part D drugs prescribed in 2018
Premarin11$5,133$467
Estradiol50$2,251$45
Progesterone22$1,622$74

2017: 16 drugs

Part D drugs prescribed in 2017
Myrbetriq15$7,899$527
Premarin22$7,246$329
Estradiol161$5,769$36
Divigel12$2,784$232
Vivelle-Dot16$2,671$167
Minivelle14$2,491$178
Progesterone37$2,336$63
Ibandronate20$1,870$93
Synthroid14$578$41
Levothyroxine17$281$17
Medroxyprogesterone Acetate25$242$10
Phenazopyridine11$226$21
Fluconazole14$140$10
Fluoxetine12$129$11
Hydrochlorothiazide14$107$8
Cephalexin12$57$5

2016: 15 drugs

Part D drugs prescribed in 2016
Estradiol184$5,681$31
Premarin18$5,449$303
Vivelle-Dot24$3,242$135
Progesterone77$3,217$42
Divigel12$2,602$217
Vagifem13$2,529$195
Ibandronate11$772$70
Synthroid17$566$33
Fenofibrate12$459$38
Levothyroxine23$439$19
Atorvastatin20$366$18
Medroxyprogesterone Acetate29$243$8
Escitalopram13$171$13
Fluconazole17$89$5
Alendronate14$84$6

2015: 13 drugs

Part D drugs prescribed in 2015
Vivelle-Dot45$5,533$123
Estradiol103$3,028$29
Progesterone42$2,442$58
Divigel11$2,228$203
Minivelle12$1,659$138
Synthroid13$404$31
Losartan17$312$18
Atorvastatin20$287$14
Cryselle13$262$20
Medroxyprogesterone Acetate33$230$7
Nadolol11$195$18
Fluconazole15$132$9
Atenolol12$48$4

2014: 6 drugs

Part D drugs prescribed in 2014
Vivelle-Dot31$3,394$109
Estrace11$1,834$167
Progesterone23$1,561$68
Medroxyprogesterone Acetate21$150$7
Alendronate14$100$7
Estradiol11$87$8

2013: 2 drugs

Part D drugs prescribed in 2013
Bupropion Xl11$447$41
Alendronate14$141$10

Money from drug and device companies

$528 in 2025

Industry payments by year
2025815None$528
2024933None$488
2023913None$262
202222None$36

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Mayne Pharma CommercialBijuva$318
7 payments
  • Meals · 2025-12-15 · $25
  • Meals for Bijuva · 2025-11-05 · $123
  • Meals for Annovera · 2025-10-28 · $120
  • Meals · 2025-09-30 · $13
  • Meals · 2025-07-02 · $12
  • Meals · 2025-06-13 · $14
  • Meals · 2025-04-10 · $10
BiogenZurzuvae$47
2 payments
  • Meals for Zurzuvae · 2025-04-15 · $20
  • Meals for Zurzuvae · 2025-03-19 · $28
Shield TherapeuticsAccrufer$46
1 payment
  • Meals for Accrufer · 2025-04-11 · $46
Boston ScientificAxonics$30
1 payment
  • Meals for Axonics · 2025-06-11 · $30
Hologic Sales and ServiceAptima$24
1 payment
  • Meals for Aptima · 2025-03-25 · $24
OrganonNexplanon$22
1 payment
  • Meals for Nexplanon · 2025-06-09 · $22
See all 15 published payments
Every published payment
Mayne Pharma CommercialMeals · 2025-12-15None$25
Mayne Pharma CommercialMeals · 2025-11-05Bijuva$123
Mayne Pharma CommercialMeals · 2025-10-28Annovera$120
Mayne Pharma CommercialMeals · 2025-09-30None$13
Mayne Pharma CommercialMeals · 2025-07-02None$12
Mayne Pharma CommercialMeals · 2025-06-13None$14
Boston ScientificMeals · 2025-06-11Axonics$30
OrganonMeals · 2025-06-09Nexplanon$22
BiogenMeals · 2025-04-15Zurzuvae$20
Shield TherapeuticsMeals · 2025-04-11Accrufer$46
Mayne Pharma CommercialMeals · 2025-04-10None$10
Millicent USMeals · 2025-03-31Femring$19
Hologic Sales and ServiceMeals · 2025-03-25Aptima$24
BiogenMeals · 2025-03-19Zurzuvae$28
Evofem BiosciencesMeals · 2025-03-05Phexxi$22
See earlier years (2024, 2023, 2022)

2024: $488

Payments by company in 2024
Daiichi SankyoInjectafer$142
15 payments
  • Meals for Injectafer · 2024-12-20 · $11
  • Meals for Injectafer · 2024-12-06 · $11
  • Meals for Injectafer · 2024-11-18 · $1
  • Meals for Injectafer · 2024-11-18 · $10
  • Meals for Injectafer · 2024-10-10 · $7
  • Meals for Injectafer · 2024-09-10 · $12
  • Meals for Injectafer · 2024-08-05 · $11
  • Meals for Injectafer · 2024-07-16 · $11
  • Meals for Injectafer · 2024-04-23 · $7
  • Meals for Injectafer · 2024-04-10 · $12
  • Meals for Injectafer · 2024-04-02 · $12
  • Meals for Injectafer · 2024-03-01 · $10
  • Meals for Injectafer · 2024-02-15 · $8
  • Meals for Injectafer · 2024-02-09 · $8
  • Meals for Injectafer · 2024-02-02 · $12
Astellas Pharma USVeozah$136
7 payments
  • Meals for Veozah · 2024-11-11 · $18
  • Meals for Veozah · 2024-10-01 · $12
  • Meals for Veozah · 2024-09-06 · $20
  • Meals for Veozah · 2024-08-19 · $6
  • Meals for Veozah · 2024-06-25 · $30
  • Meals for Veozah · 2024-05-15 · $30
  • Meals for Veozah · 2024-03-04 · $21
BiogenZurzuvae$50
2 payments
  • Meals for Zurzuvae · 2024-12-06 · $25
  • Meals for Zurzuvae · 2024-10-02 · $24
PfizerPremarin$43
3 payments
  • Meals for Premarin · 2024-11-18 · $15
  • Meals for Premarin · 2024-09-18 · $14
  • Meals for Abrysvo · 2024-06-11 · $15
Aspira Women's HealthOva1$35
2 payments
  • Meals for Ova1 · 2024-06-28 · $13
  • Meals for Ova1 · 2024-04-17 · $22
Hologic Sales and ServiceAptima$23
1 payment
  • Meals for Aptima · 2024-05-07 · $23
Evofem BiosciencesNone$21
1 payment
  • Meals · 2024-09-23 · $21
Exeltis USASlynd$19
1 payment
  • Meals for Slynd · 2024-04-22 · $19
Minerva SurgicalNone$19
1 payment
  • Meals · 2024-05-24 · $19

2023: $262

Payments by company in 2023
Aspira Women's HealthOva1$61
3 payments
  • Meals for Ova1 · 2023-12-21 · $23
  • Meals for Ova1 · 2023-09-06 · $19
  • Meals for Ova1 · 2023-07-17 · $19
Mayne Pharma CommercialNone$44
2 payments
  • Meals · 2023-03-22 · $15
  • Meals · 2023-02-13 · $29
CooperSurgicalParagard T 380a$38
2 payments
  • Meals for Paragard T 380a · 2023-04-26 · $24
  • Meals for Mara Console · 2023-03-31 · $14
Ethicon USStratafix$26
1 payment
  • Meals for Stratafix · 2023-09-14 · $26
Becton Dickinson andBd Onclarity$24
1 payment
  • Meals for Bd Onclarity · 2023-06-28 · $24
AbbvieLo Loestrin Fe$23
1 payment
  • Meals for Lo Loestrin Fe · 2023-10-24 · $23
Sumitomo Pharma AmericaMyfembree$19
1 payment
  • Meals for Myfembree · 2023-03-15 · $19
PfizerComirnaty$15
1 payment
  • Meals for Comirnaty · 2023-11-28 · $15
Daiichi SankyoInjectafer$13
1 payment
  • Meals for Injectafer · 2023-09-28 · $13

2022: $36

Payments by company in 2022
HologicAptima$19
1 payment
  • Meals for Aptima · 2022-12-13 · $19
Mayne PharmaNone$17
1 payment
  • Meals · 2022-06-30 · $17

Professional record

NPI
1295899847
Licence
CA G079068
Trained
University of Missouri, Columbia School of Medicine, 1986
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207V00000X (207V00000X)
Mailing address
Po Box 321299, Los Gatos, CA, 95032
NPI first listed
2006-12-20
NPI last updated
2012-04-09

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