Stephanie Ann Higgins, MD
Internal Medicine · Pinole
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 3
- 1 carrier
- Offices
- 2
- Since medical school
- 29 years
- University of Texas Medical School at Houston, 1997
On the public record
- 1 Medical Board action on record
Offices
2 locations · Jiva Health Inc · City Health A Medical Corporation
Plans that list them
3 plans · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Higgins’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
California Medical Board record
Licence A70849 · Current
Licensed to practise in California · since 2000 · expires 2027-06-30 · University of Texas Medical School at Houston. Board flags: Probation Completed.
Public record actions
| 2024-04-08 | Board disciplineDiscipline | Probation completed. · 032012225248 |
Original Medicare doctor bills
$2,634
Medicare paid this office $2,634 for 20 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 13 | $1,502 | $116 |
Procedures Medicare counted
| Removal of skin lesions | 1-10 | None |
| Removal of tissue | 1-10 | None |
Who their Medicare patients are
20 Original Medicare patients in 2024. Average age 70 · Health risk score 1.00. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 60%.
The office billed $5,022, Medicare allowed $3,616 and paid $2,634; for 22 services of 7 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.
Medicaid work
$5,927 in 2019
Medicaid paid $5,927 for 28 billed services this clinician did in 2019, 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.
| Clinic visit/encounter, all-inclusive | 28 | $5,927 |
| 2019 | 28 | 1 | 15 | $5,927 |
| 2018 | 571 | 2 | 49 | $66,729 |
See the largest Medicaid services in earlier years
2018
| Clinic visit/encounter, all-inclusive | 451 | $66,502 |
| Short return visit (20+ min) | 120 | $227 |
Drugs they prescribed that Part D paid
$3,680
Pharmacies billed $3,680 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
104 generic and 15 brand-name prescriptions · $3,680 in drug cost · 41 antibiotic prescriptions to 40 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.
| Amoxicillin-Clavulanate Potass | 27 | $223 | $8 |
Year by year
| 2024 | 119 | 63 | None | 13% | $3,680 |
| 2023 | 17 | None | 0% (0) | None | $5,690 |
| 2021 | 31 | None | 0% (0) | None | $4,119 |
| 2020 | 13 | None | 0% (0) | None | $534 |
| 2013 | 28 | None | 50% (14) | None | $8,164 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2013: 1 drug
| Hydrocodone-Acetaminophen | 14 | $282 | $20 |
Professional record
- NPI
- 1336275031
- Licence
- CA A70849California A70849: Current · expires 2027-06-30
- Trained
- University of Texas Medical School at Houston, 1997 · 29 years ago
- Group
- Jiva Health Inc · City Health A Medical Corporation
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- Yes
- Taxonomy
- Internal medicine (207R00000X)
- Mailing address
- 4155 Amaranta Ave, Palo Alto, CA, 94306
- NPI first listed
- 2007-02-26
- NPI last updated
- 2008-10-13
This is when the NPI record was last certified, not a medical board exam.