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Mahesh J Shetty, MD

Sleep Medicine · Sunnyvale

NPI 1295954121

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
32
9 carriers
Offices
2

Offices

2 locations · Physician Services at El Camino Hospital · 10 clinicians in this group

Looking this up.

Hospitals listed: El Camino Health. That is not proof they admit you there this week.

Plans that list them

32 plans · 9 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Shetty’s office at (917) 562-5960 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

32 of 32 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 Sutter Advantage +More (HMO)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
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 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

California Medical Board record

Licence A129323 · Current

Licensed to practise in California · since 2014 · expires 2027-04-30 · University of Mumbai, Lokmanya Tilak Municipal Medical College.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

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

  • El Camino HealthMountain View, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of El Camino Health, which runs 2 hospitalsPatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.291, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
See every measure and the patient survey for El Camino Health

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 1 better, 9 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 El Camino Health
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.291BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.393BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0.12 to 1.79) · 2,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.38 (125.03 to 209.73) · 96 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 68 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 185 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 200 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 814 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 842 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 361 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 4,633 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.34) · 11,474 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,626 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.14 (1.39 to 4.9) · 2,814 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2 (0.61 to 3.39) · 1,327 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.8 to 3.43) · 2,641 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.39 (4.18 to 14.6) · 1,287 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.57 (3.47 to 9.68) · 1,308 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.14 (0.71 to 3.57) · 827 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.6 (0.05 to 1.15) · 9,460 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 122 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.993No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.706No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.376No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.5 · 218 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 962 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits3.8 · 200 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-17 · 922 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18.6 · 860 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.7 · 827 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4.5 to 8.2) · 313 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (10.6 to 16.5) · 313 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.7 · 237 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (10 to 16.1) · 1,639 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.8 to 1.1) · 1,619 casesNo differentJan 2024 – Dec 2024

What patients said (1,535 patients answered, 22% of those asked)

Patient survey stars by topic at El Camino Health
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at El Camino Health
Room was "always" clean75%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
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)76%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$153,104

Medicare paid this office $153,104 for 339 people.

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

Largest Original Medicare bills
Critical care, first 30-74 minutes96$48,028$187
Return visit (30+ min)172$32,430$114
Critical care, each additional 30 minutes67$22,257$94
Sleep study in sleep lab (6 years or older)21$14,260$679
Long return visit (40+ min)53$13,256$164
See all 13 services
Every Original Medicare service billed
Critical care, first 30-74 minutes96$48,028$187
Return visit (30+ min)172$32,430$114
Critical care, each additional 30 minutes67$22,257$94
Sleep study in sleep lab (6 years or older)21$14,260$679
Long return visit (40+ min)53$13,256$164
New patient visit (60+ min)36$6,208$172
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)24$1,176$41
Sleep study including heart rate, breathing, airflow, and effort11$1,070$97
Insertion of artery tube for blood sampling or infusion through skin14$529$38
Test to determine lung volumes using sensors33$358$11
Test for exercise-induced lung stress17$332$20
Test to examine how well the lungs exchange gases33$265$8
Test to measure expiratory airflow and volume changes before and after medication administration17$154$9

Who their Medicare patients are

339 Original Medicare patients in 2024. Average age 77 · Under 65 4% · 85 and older 20% · Women 44% · Also on Medicaid 20% · Health risk score 1.97. Sicker patients than 9 in 10 peers; the typical sleep medicine clinician is at 1.21.

Conditions among them: High blood pressure 75% · Diabetes 39% · COPD 39% · Coronary heart disease 38% · Heart failure 35% · Atrial fibrillation 34% · Chronic kidney disease 30% · Depression 29% · Cancer 22% · Stroke 21% · Dementia 17%.

The office billed $652,926, Medicare allowed $197,661 and paid $153,104; for 1,158 services of 33 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
20243391,158771.97$652,926$153,104
20234761,841771.95$1,048,298$245,527
20225272,033762.07$1,191,128$276,929
20215521,882771.96$1,202,332$280,529
20205021,595762.25$978,241$220,691
20196042,174762.10$1,164,978$282,131
20184911,979772.22$931,197$243,681
20175232,189772.02$728,898$266,367
20164882,187782.36$448,980$209,893
20153841,884802.23$351,644$174,481
2014204644782.18$140,219$66,917

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: 16 services

Original Medicare services billed in 2023
Critical care, first 30-74 minutes179$84,854$189
Return visit (30+ min)202$44,612$115
Critical care, each additional 30 minutes112$32,375$96
Long return visit (40+ min)75$17,911$159
Sleep study in sleep lab (6 years or older)27$17,353$643
New patient visit (60+ min)60$12,094$202
Sleep study in sleep lab with continuous airway pressure (6 years or older)15$11,124$695
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$5,819$72
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$3,058$109
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes18$2,500$114
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)30$1,622$41
Insertion of artery tube for blood sampling or infusion through skin16$700$39
Test to determine lung volumes using sensors53$567$10
Test for exercise-induced lung stress24$496$19
Test to examine how well the lungs exchange gases52$411$8
Test to measure expiratory airflow and volume changes before and after medication administration30$275$9

2022: 19 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes197$98,633$193
Return visit (30+ min)193$37,060$111
Long return visit (40+ min)116$34,737$165
Critical care, each additional 30 minutes106$31,245$98
Sleep study in sleep lab (6 years or older)26$17,653$654
Sleep study in sleep lab with continuous airway pressure (6 years or older)20$13,749$687
New patient visit (60+ min)68$13,116$193
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes38$7,443$65
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$4,599$90
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$3,312$123
Initial hospital care with moderate level of medical decision making at least 75 minutes12$2,147$179
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)29$1,628$41
Short return visit (20+ min)15$1,584$83
Insertion of non-tunneled central venous tube for infusion (5 years or older)13$1,043$75
Insertion of artery tube for blood sampling or infusion through skin21$856$39
Test for exercise-induced lung stress33$689$20
Test to determine lung volumes using sensors54$556$10
Test to examine how well the lungs exchange gases56$412$7
Test to measure expiratory airflow and volume changes before and after medication administration28$215$8

2021: 18 services

Original Medicare services billed in 2021
Critical care, first 30-74 minutes230$99,172$199
Return visit (30+ min)184$37,714$117
Long return visit (40+ min)129$37,260$157
Sleep study in sleep lab (6 years or older)33$23,068$678
New patient visit (60+ min)87$17,670$203
Sleep study in sleep lab with continuous airway pressure (6 years or older)22$16,297$709
Critical care, each additional 30 minutes66$16,058$100
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes28$7,082$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$5,257$67
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$3,014$126
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,875$169
Telephone medical discussion with physician, 11-20 minutes13$1,086$84
Test for exercise-induced lung stress27$896$32
Insertion of artery tube for blood sampling or infusion through skin13$558$40
Test to determine lung volumes using sensors50$513$10
Test to examine how well the lungs exchange gases51$388$8
Test to measure expiratory airflow and volume changes before and after medication administration36$306$8
Test for exercise-induced lung stress13$269$21

2020: 16 services

Original Medicare services billed in 2020
Critical care, first 30-74 minutes221$104,781$202
Long return visit (40+ min)155$36,984$133
Critical care, each additional 30 minutes61$14,956$102
Return visit (30+ min)117$14,481$87
Sleep study in sleep lab (6 years or older)14$9,070$648
New patient visit (60+ min)50$8,431$169
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes41$7,958$67
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$3,995$97
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$3,554$123
Initial hospital care with moderate level of medical decision making at least 75 minutes12$2,259$188
Insertion of non-tunneled central venous tube for infusion (5 years or older)14$1,081$77
Test for exercise-induced lung stress20$722$33
Insertion of artery tube for blood sampling or infusion through skin13$565$40
Test to determine lung volumes using sensors27$308$11
Test to measure expiratory airflow and volume changes before and after medication administration23$278$12
Test to examine how well the lungs exchange gases26$219$8

2019: 17 services

Original Medicare services billed in 2019
Critical care, first 30-74 minutes219$79,583$195
Long return visit (40+ min)236$70,354$131
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes96$23,084$65
Sleep study in sleep lab with continuous airway pressure (6 years or older)31$22,789$670
Sleep study in sleep lab (6 years or older)32$20,876$614
New patient visit (60+ min)80$14,302$179
Return visit (30+ min)102$13,351$89
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes59$9,001$120
Critical care, each additional 30 minutes45$6,263$98
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes30$3,742$94
Initial hospital care with moderate level of medical decision making at least 75 minutes17$3,258$181
Test for exercise-induced lung stress50$1,869$32
Influenza vaccine split virus, preservative free33$1,806$55
Administration of influenza virus vaccine37$759$21
Test to measure expiratory airflow and volume changes before and after medication administration48$556$12
Test to determine lung volumes using sensors45$489$11
Test to examine how well the lungs exchange gases44$353$8

2018: 19 services

Original Medicare services billed in 2018
Critical care, first 30-74 minutes145$63,012$196
Long return visit (40+ min)199$53,200$126
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes93$25,952$65
Return visit (30+ min)126$19,607$99
Sleep study in sleep lab with continuous airway pressure (6 years or older)24$17,847$686
Sleep study in sleep lab (6 years or older)21$13,723$653
Critical care, each additional 30 minutes60$13,047$98
New patient visit (60+ min)61$11,071$181
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes72$9,425$121
Initial hospital care with moderate level of medical decision making at least 75 minutes15$2,729$182
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$1,685$94
Test for exercise-induced lung stress30$1,205$33
Influenza vaccine split virus, preservative free23$1,203$52
Administration of influenza virus vaccine25$643$26
Insertion of artery tube for blood sampling or infusion through skin14$542$39
Test to determine lung volumes using sensors37$433$11
Test to measure expiratory airflow and volume changes before and after medication administration29$359$12
Test to examine how well the lungs exchange gases38$320$8
Test for exercise-induced lung stress11$227$21

2017: 18 services

Original Medicare services billed in 2017
Return visit (30+ min)241$52,401$91
Critical care, first 30-74 minutes114$49,201$190
Sleep study in sleep lab with continuous airway pressure (6 years or older)52$39,068$601
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes97$28,321$63
Sleep study in sleep lab (6 years or older)35$23,425$601
New patient visit (45+ min)126$15,929$126
Long return visit (40+ min)88$13,401$134
Critical care, each additional 30 minutes62$13,297$96
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes69$9,234$118
Initial hospital care with moderate level of medical decision making at least 75 minutes38$7,392$176
New patient visit (60+ min)16$2,757$172
Influenza vaccine split virus, preservative free24$1,237$48
Administration of influenza virus vaccine27$912$30
Short return visit (20+ min)14$864$58
Test to determine lung volumes using sensors46$511$11
Pulmonary exercise testing17$468$28
Test to examine how well the lungs exchange gases46$377$8
Test to measure expiratory airflow and volume changes before and after medication administration23$271$11

2016: 17 services

Original Medicare services billed in 2016
Critical care, first 30-74 minutes131$53,695$192
Return visit (30+ min)192$47,478$91
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes127$40,484$63
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes123$18,931$118
New patient visit (45+ min)96$13,952$145
Critical care, each additional 30 minutes52$11,640$96
Short return visit (20+ min)55$4,964$63
Initial hospital care with moderate level of medical decision making at least 75 minutes16$3,003$177
New patient visit (30+ min)13$1,074$83
Influenza vaccine split virus, preservative free22$858$39
Pneumococcal vaccine, 23-valent11$809$74
Administration of influenza virus vaccine28$561$20
Insertion of artery tube for blood sampling or infusion through skin12$525$44
Administration of pneumococcal vaccine15$475$32
Test to determine lung volumes using sensors36$399$11
Test to examine how well the lungs exchange gases37$303$8
Test to measure expiratory airflow and volume changes before and after medication administration19$224$12

2015: 15 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes134$45,203$64
Return visit (30+ min)150$37,393$97
Critical care, first 30-74 minutes92$34,744$196
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes106$15,774$120
New patient visit (45+ min)65$9,852$152
Initial hospital care with moderate level of medical decision making at least 75 minutes33$6,865$181
Pneumococcal vaccine, 13-valent37$6,109$165
Short return visit (20+ min)62$5,556$67
Critical care, each additional 30 minutes12$2,065$98
Administration of pneumococcal vaccine40$1,268$32
Influenza vaccine split virus, preservative free26$925$36
Administration of influenza virus vaccine27$549$20
Test to determine lung volumes using sensors28$311$11
Test to measure expiratory airflow and volume changes before and after medication administration21$248$12
Test to examine how well the lungs exchange gases26$213$8

2014: 9 services

Original Medicare services billed in 2014
Critical care, first 30-74 minutes45$16,707$192
New patient visit (45+ min)98$14,875$152
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes51$12,125$64
Return visit (30+ min)49$8,807$100
Initial hospital care with moderate level of medical decision making at least 75 minutes23$4,286$179
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes22$3,264$86
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$2,799$122
Administration of influenza virus vaccine26$510$20
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)26$307$12

Medicaid work

$1,464 in 2023

Medicaid paid $1,464 for 42 billed services this clinician did in 2023, 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 2023
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes42$1,464
Medicaid work by year
202342115$1,464
202255118$967
2021230129$11,674
2020288127$12,299
201927112$86
201822113$1,423
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes55$967

2021

Largest Medicaid services in 2021
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes230$11,674

2020

Largest Medicaid services in 2020
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes288$12,299

2019

Largest Medicaid services in 2019
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes27$86

2018

Largest Medicaid services in 2018
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes22$1,423

Drugs they prescribed that Part D paid

$172,811

Pharmacies billed $172,811 in 2024.

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

285 generic and 290 brand-name prescriptions · $172,811 in drug cost · 22 antibiotic prescriptions to 18 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
Trelegy Ellipta78$63,700$817
Spiriva Respimat40$28,101$703
Breo Ellipta31$18,778$606
Breztri Aerosphere16$10,020$626
Symbicort16$6,917$432
See all 17 drugs
Every Part D drug this clinician prescribed
Trelegy Ellipta78$63,700$817
Spiriva Respimat40$28,101$703
Breo Ellipta31$18,778$606
Breztri Aerosphere16$10,020$626
Symbicort16$6,917$432
Arnuity Ellipta15$4,803$320
Wixela Inhub18$3,754$209
Albuterol Sulfate Hfa32$1,038$32
Fluticasone Propionate34$562$17
Montelukast28$543$19
Eszopiclone18$435$24
Pramipexole Dihydrochloride12$341$28
Prednisone26$267$10
Zolpidem11$152$14
Trazodone19$112$6
Pantoprazole13$69$5
Azithromycin11$65$6

Year by year

Part D prescribing by year
2024575127None50%$172,811
20236551480% (0)58%$231,856
20227371480% (0)59%$234,401
2021629115None57%$175,560
20206871060% (0)60%$181,521
20197861290% (0)58%$195,987
20186431140% (0)59%$168,349
20176861300% (0)63%$180,149
2016781124None64%$192,500
20155871100% (0)69%$151,984
2014117500% (0)62%$20,290
201359180% (0)83%$59,510

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
Trelegy Ellipta70$64,111$916
Breo Ellipta58$34,368$593
Breztri Aerosphere33$25,377$769
Spiriva Respimat33$21,716$658
Advair Diskus21$14,328$682
Symbicort25$13,903$556
Incruse Ellipta33$12,384$375
Anoro Ellipta12$6,210$518
Fluticasone-Salmeterol11$3,605$328
Albuterol Sulfate Hfa26$1,314$51
Ventolin Hfa14$926$66
Eszopiclone11$757$69
Montelukast27$631$23
Fluticasone Propionate29$439$15
Prednisone43$438$10
Pantoprazole22$284$13
Amoxicillin-Clavulanate Potass11$192$17
Zolpidem11$131$12
Trazodone22$100$5
Azithromycin11$78$7

2022: 19 drugs

Part D drugs prescribed in 2022
Trelegy Ellipta75$53,738$717
Breztri Aerosphere38$28,076$739
Breo Ellipta59$27,981$474
Advair Diskus32$21,970$687
Spiriva Respimat36$19,769$549
Symbicort26$16,720$643
Incruse Ellipta39$15,693$402
Anoro Ellipta22$13,127$597
Fluticasone-Salmeterol11$2,756$251
Albuterol Sulfate Hfa37$2,268$61
Wixela Inhub14$2,113$151
Montelukast38$1,137$30
Ventolin Hfa14$902$64
Fluticasone Propionate32$571$18
Azithromycin19$247$13
Prednisone33$192$6
Trazodone31$132$4
Pantoprazole13$127$10
Zolpidem19$85$4

2021: 20 drugs

Part D drugs prescribed in 2021
Spiriva Respimat35$24,388$697
Anoro Ellipta38$22,582$594
Trelegy Ellipta32$20,971$655
Breo Ellipta50$19,905$398
Symbicort37$19,707$533
Advair Diskus40$19,594$490
Incruse Ellipta22$8,145$370
Wixela Inhub21$6,330$301
Spiriva12$6,138$512
Fluticasone-Salmeterol13$4,259$328
Arnuity Ellipta16$3,680$230
Albuterol Sulfate Hfa32$1,926$60
Montelukast39$910$23
Ventolin Hfa11$710$65
Fluticasone Propionate17$295$17
Zolpidem26$252$10
Ropinirole22$224$10
Prednisone25$157$6
Trazodone13$110$8
Clonazepam11$14$1

2020: 20 drugs

Part D drugs prescribed in 2020
Anoro Ellipta43$25,982$604
Spiriva Respimat44$23,521$535
Symbicort47$22,777$485
Breo Ellipta48$19,152$399
Advair Diskus32$16,689$522
Incruse Ellipta26$9,867$380
Trelegy Ellipta17$9,702$571
Spiriva20$8,574$429
Wixela Inhub25$8,217$329
Chantix13$7,051$542
Arnuity Ellipta17$3,707$218
Albuterol Sulfate Hfa30$2,118$71
Fluticasone-Salmeterol11$2,064$188
Fluticasone Propionate32$583$18
Montelukast32$464$14
Prednisone53$423$8
Pantoprazole18$221$12
Zolpidem25$126$5
Sulfamethoxazole-Trimethoprim14$42$3
Clonazepam12$20$2

2019: 19 drugs

Part D drugs prescribed in 2019
Anoro Ellipta63$32,227$512
Spiriva Respimat47$26,983$574
Symbicort55$21,606$393
Advair Diskus31$17,831$575
Incruse Ellipta45$16,999$378
Breo Ellipta40$15,819$395
Spiriva18$9,493$527
Wixela Inhub20$6,505$325
Flovent Hfa15$5,675$378
Ventolin Hfa40$2,615$65
Fluticasone Propionate45$683$15
Prednisone75$647$9
Albuterol Sulfate Hfa12$642$54
Montelukast29$308$11
Pantoprazole11$193$18
Amoxicillin-Clavulanate Potass17$162$10
Zolpidem25$129$5
Azithromycin13$114$9
Furosemide12$60$5

2018: 18 drugs

Part D drugs prescribed in 2018
Advair Diskus63$45,447$721
Spiriva38$20,818$548
Anoro Ellipta42$19,398$462
Spiriva Respimat34$18,106$533
Symbicort37$14,402$389
Incruse Ellipta33$11,927$361
Breo Ellipta24$8,233$343
Flovent Hfa17$6,470$381
Nexium11$2,967$270
Ventolin Hfa38$2,201$58
Fluticasone Propionate56$717$13
Montelukast48$385$8
Prednisone42$268$6
Pantoprazole11$220$20
Levofloxacin14$216$15
Furosemide15$105$7
Amoxicillin-Clavulanate Potass11$96$9
Zolpidem15$19$1

2017: 19 drugs

Part D drugs prescribed in 2017
Advair Diskus99$58,817$594
Spiriva40$27,345$684
Breo Ellipta47$17,265$367
Spiriva Respimat39$15,047$386
Symbicort33$13,040$395
Incruse Ellipta22$8,545$388
Anoro Ellipta19$7,364$388
Flovent Hfa23$6,534$284
Nexium12$2,993$249
Proair Hfa17$1,617$95
Ventolin Hfa15$798$53
Prednisone56$623$11
Montelukast38$480$13
Fluticasone Propionate26$333$13
Omeprazole18$224$12
Amoxicillin-Clavulanate Potass15$139$9
Alendronate15$99$7
Zolpidem11$98$9
Furosemide21$89$4

2016: 20 drugs

Part D drugs prescribed in 2016
Advair Diskus134$60,289$450
Spiriva71$37,254$525
Symbicort46$18,316$398
Spiriva Respimat46$17,014$370
Combivent Respimat33$10,964$332
Breo Ellipta20$7,215$361
Anoro Ellipta20$6,405$320
Incruse Ellipta20$5,507$275
Flovent Hfa20$5,430$272
Nexium11$2,767$252
Proair Hfa18$1,290$72
Prednisone70$899$13
Montelukast44$495$11
Levofloxacin21$403$19
Amoxicillin-Clavulanate Potass27$339$13
Fluticasone Propionate22$265$12
Alendronate21$176$8
Omeprazole15$116$8
Azithromycin12$94$8
Furosemide12$44$4

2015: 14 drugs

Part D drugs prescribed in 2015
Advair Diskus122$51,670$424
Spiriva121$48,987$405
Symbicort26$9,585$369
Spiriva Respimat14$7,159$511
Flovent Hfa23$5,973$260
Daliresp12$3,081$257
Proair Hfa19$1,092$57
Montelukast29$456$16
Prednisone39$437$11
Levofloxacin16$206$13
Omeprazole19$167$9
Amoxicillin-Clavulanate Potass11$162$15
Fluticasone Propionate11$136$12
Azithromycin11$83$8

2014: 2 drugs

Part D drugs prescribed in 2014
Spiriva20$6,577$329
Advair Diskus15$5,715$381

2013: 2 drugs

Part D drugs prescribed in 2013
Spiriva13$3,545$273
Symbicort12$2,594$216

Money from drug and device companies

$3,939 in 2023

Industry payments by year
2023211None$3,939
202224None$182
202123None$50
202012None$52
201911None$11

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
Intuitive SurgicalIon$3,912
9 payments
  • Meals for Da Vinci Surgical System · 2023-10-24 · $95
  • Meals for Da Vinci Surgical System · 2023-04-27 · $16
  • Education for Ion · 2023-04-27 · $3,000
  • Travel for Da Vinci Surgical System · 2023-03-14 · $77
  • Meals for Da Vinci Surgical System · 2023-03-14 · $15
  • Travel for Da Vinci Surgical System · 2023-03-14 · $151
  • Travel for Da Vinci Surgical System · 2023-03-14 · $511
  • Travel for Da Vinci Surgical System · 2023-03-14 · $36
  • Meals for Da Vinci Surgical System · 2023-03-14 · $11
GlaxoSmithKlineTrelegy Ellipta$27
2 payments
  • Meals for Trelegy Ellipta · 2023-05-23 · $13
  • Meals for Trelegy Ellipta · 2023-03-21 · $13
See all 11 published payments
Every published payment
Intuitive SurgicalMeals · 2023-10-24Da Vinci Surgical System$95
GlaxoSmithKlineMeals · 2023-05-23Trelegy Ellipta$13
Intuitive SurgicalMeals · 2023-04-27Da Vinci Surgical System$16
Intuitive SurgicalEducation · 2023-04-27Ion$3,000
GlaxoSmithKlineMeals · 2023-03-21Trelegy Ellipta$13
Intuitive SurgicalTravel · 2023-03-14Da Vinci Surgical System$77
Intuitive SurgicalMeals · 2023-03-14Da Vinci Surgical System$15
Intuitive SurgicalTravel · 2023-03-14Da Vinci Surgical System$151
Intuitive SurgicalTravel · 2023-03-14Da Vinci Surgical System$511
Intuitive SurgicalTravel · 2023-03-14Da Vinci Surgical System$36
Intuitive SurgicalMeals · 2023-03-14Da Vinci Surgical System$11
See earlier years (2022, 2021, 2020, 2019)

2022: $182

Payments by company in 2022
Harmony BiosciencesWakix$140
2 payments
  • Education for Wakix · 2022-08-16 · $95
  • Education for Wakix · 2022-06-29 · $45
GlaxoSmithKlineTrelegy Ellipta$42
2 payments
  • Meals for Trelegy Ellipta · 2022-07-10 · $20
  • Meals for Trelegy Ellipta · 2022-01-24 · $22

2021: $50

Payments by company in 2021
GlaxoSmithKlineAnoro Ellipta$31
2 payments
  • Meals for Anoro Ellipta · 2021-03-01 · $20
  • Meals for Trelegy Ellipta · 2021-02-16 · $11
Philips Electronics North America(7999) Src Und$19
1 payment
  • Meals for (7999) Src Und · 2021-11-09 · $19

2020: $52

Payments by company in 2020
GlaxoSmithKlineAnoro Ellipta$52
2 payments
  • Meals for Anoro Ellipta · 2020-05-26 · $36
  • Meals for Anoro Ellipta · 2020-03-23 · $16

2019: $11

Payments by company in 2019
GlaxoSmithKlineTrelegy Ellipta$11
1 payment
  • Meals for Trelegy Ellipta · 2019-03-18 · $11

Checkups this office reported

16 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

Medicare’s overall office score
87.3 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Checkup rates this office reported to Medicare
Asked about smokingPatients asked about tobacco, with help to quit if they smoke18%That's few of the people this applied to.582
Blood pressure under controlPeople with high blood pressure whose reading was in a healthy range39%That's less than half.278
Bone-density scans that were not neededYounger women who got a bone scan without a medical reason4%That's few of the people this applied to. Better on this measure.48
Breast cancer screeningEligible women who got a mammogram42%That's less than half.154
Cervical cancer screeningEligible women who got a Pap or HPV test19%That's few of the people this applied to.177
Checked for fall riskOlder patients screened for fall risk8%That's few of the people this applied to.373
Colon cancer screeningEligible adults who got a colon cancer test21%That's few of the people this applied to.458
Depression screeningPatients screened for depression, with a follow-up plan if needed5%That's few of the people this applied to.851
See the other 8 measures
More measures this office reported to Medicare
Diabetes eye examPeople with diabetes who got a retinal eye exam5%That's few of the people this applied to.40
Diabetes poorly controlledPeople with diabetes whose blood sugar stayed very high75%That's most of the people this applied to. Worse on this measure.40
HIV screeningEligible patients who were screened for HIV16%That's few of the people this applied to.640
Medications listed in the chartVisits where the current medication list was documented72%That's more than half.2,073
Patients can see their records onlinePatients who were given electronic access to their health information100%That's most of the people this applied to.390
Prescriptions sent electronicallyPrescriptions sent to the pharmacy by computer instead of paper100%That's most of the people this applied to.328
Statin prescribed when it protects the heartPeople at cardiovascular risk who were prescribed a statin82%That's most of the people this applied to.190
Weight checked, with a follow-up planPatients whose BMI was recorded and followed up if needed27%That's less than half.989

What the office says it does

Boxes the office ticked on its Medicare worksheet for 2023. Nobody checks these.

  • Agreed to federal review of their records system
  • Checks the state prescription-drug database before prescribing
  • Did a security review of patient data
  • Exchanges records both ways with other health systems
  • Improved the patient portal
  • Lets patients read their visit notes
  • Shows lab and imaging costs when ordering tests
  • Uses standard treatment protocols
  • Exempt from electronic case reporting
  • Exempt from immunization registry reporting

Professional record

NPI
1295954121
Licence
CA 129323, NY 270208California A129323: Current · expires 2027-04-30
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RS0012X (207RS0012X); Federal specialty code 207RC0200X (207RC0200X); Federal specialty code 207RP1001X (207RP1001X)
Mailing address
1208 E Arques Ave Ste 113, Sunnyvale, CA, 94085
NPI first listed
2007-04-25
NPI last updated
2020-06-04
NPI record certified
2020-06-04

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