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Jose Marie M Lota, NP

Nurse Practitioner · Gilroy

NPI 1306515424

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
2
1 carrier
Office
1

Offices

1 location · Bay Area Community Health · 106 clinicians in this group

Looking this up.

Plans that list them

2 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Jose Marie M Lota’s office at (408) 729-9700 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Aetna Medicare Eagle (PPO)Aetna MedicareListedSep 8, 2026
Aetna Medicare Enhanced (PPO)Aetna MedicareListedSep 8, 2026

Original Medicare doctor bills

$10,874

Medicare paid this office $10,874 for 101 people.

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

Largest Original Medicare bills
New patient visit (30+ min)53$4,358$82
New patient visit (45+ min)15$1,985$132
Short return visit (20+ min)20$1,500$75
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen17$855$50

Who their Medicare patients are

101 Original Medicare patients in 2024. Average age 76 · Women 73% · Also on Medicaid 13% · Health risk score 1.03. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 64% · Diabetes 25% · Chronic kidney disease 20% · Coronary heart disease 18% · Atrial fibrillation 15% · Depression 15% · Cancer 13% · COPD 12%.

The office billed $53,906, Medicare allowed $14,295 and paid $10,874; for 210 services of 27 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.

Drugs they prescribed that Part D paid

$3,417

Pharmacies billed $3,417 in 2024.

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

140 generic and 14 brand-name prescriptions · $3,417 in drug cost · 46 antibiotic prescriptions to 44 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
Albuterol Sulfate Hfa12$245$20
Fluticasone Propionate19$203$11
Doxycycline Hyclate11$77$7
Cephalexin18$72$4
Meloxicam11$21$2

Year by year

Part D prescribing by year
2024154106None9%$3,417
20239752NoneNone$4,952
202256430% (0)None$1,069

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

Money from drug and device companies

$33 in 2025

A payment is not proof that care is biased.

Payments by company
Seqirus USAFluad$17
1 payment
  • Meals for Fluad · 2025-11-12 · $17
Regeneron Healthcare SolutionsDupixent$16
1 payment
  • Meals for Dupixent · 2025-10-01 · $16
See all 2 published payments
Every published payment
Seqirus USAMeals · 2025-11-12Fluad$17
Regeneron Healthcare SolutionsMeals · 2025-10-01Dupixent$16

Professional record

NPI
1306515424
Licence
CA 95017938
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
1055 Sprig Way, Gilroy, CA, 95020
NPI first listed
2021-09-11
NPI last updated
2021-09-11
NPI record certified
2021-09-11

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