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Menaka Raju, MD

Pathology · San Jose

NPI 1346404308

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Permanente Medical Group Inc · 10,928 clinicians in this group

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. Raju’s office at (408) 972-3000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A112937 · Current

Licensed to practise in California · since 2010 · expires 2027-12-31 · Dr. M. G. R. University, Coimbatore Medical College.

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

Original Medicare doctor bills

$1,627

Medicare paid this office $1,627 for 14 people.

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

Who their Medicare patients are

14 Original Medicare patients in 2024. Average age 72 · Health risk score 1.37. At or below the middle of the specialty; the typical pathology clinician is at 1.55.

The office billed $16,663, Medicare allowed $2,354 and paid $1,627; for 57 services of 11 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
20241457721.37$16,663$1,627
20232881691.54$20,578$2,043
20223298661.51$26,097$2,656
20211843691.58$11,655$1,461
20202045622.49$12,983$1,547
20192593642.74$16,582$2,586
20182697642.98$13,353$2,902
20172262681.30$9,380$2,466
20162361672.92$5,554$1,799
2015223536730.95$115,042$29,526
2014200428731.17$89,638$21,681
2013192474731.51$70,253$13,120

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

2022: 1 service

Original Medicare services billed in 2022
Pathology examination of tissue using a microscope, intermediate complexity11$610$27

2019: 1 service

Original Medicare services billed in 2019
Pathology examination of tissue using a microscope, intermediate complexity11$537$34

2017: 1 service

Original Medicare services billed in 2017
Pathology examination of tissue using a microscope, intermediate complexity12$866$35

2016: 1 service

Original Medicare services billed in 2016
Pathology examination of tissue using a microscope, intermediate complexity13$670$35

2015: 5 services

Original Medicare services billed in 2015
Pathology examination of tissue using a microscope, intermediate complexity121$13,641$64
Pathology examination of tissue using a microscope, intermediate complexity80$4,744$32
Special stained specimen slides to examine tissue, initial procedure11$1,036$86
Special stained specimen slides to examine tissue, each additional procedure12$821$19
Special stained specimen slides to examine tissue, initial procedure24$800$32

2014: 6 services

Original Medicare services billed in 2014
Pathology examination of tissue using a microscope, intermediate complexity100$10,586$65
Pathology examination of tissue using a microscope, intermediate complexity57$3,397$33
Pathology examination of tissue using a microscope, moderately high complexity11$1,377$72
Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain11$1,087$84
Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain17$557$27
Special stained specimen slides to identify organisms including interpretation and report12$383$24

2013: 7 services

Original Medicare services billed in 2013
Pathology examination of tissue using a microscope, intermediate complexity127$4,910$25
Special stained specimen slides to examine tissue, initial procedure17$2,317$33
Pathology examination of tissue using a microscope, moderately high complexity22$1,701$61
Cell examination of specimen, selective cellular enhancement technique12$583$45
Special stained specimen slides to identify organisms including interpretation and report19$431$21
Preparation of tissue for examination by removing any calcium present41$379$9
Pathology examination of tissue using a microscope, moderately low complexity36$295$8

Medicaid work

$17,469 in 2024

Medicaid paid $17,469 for 187 billed services this clinician did in 2024, up to 23 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
TISSUE EXAM BY PATHOLOGIST187$17,469
Medicaid work by year
2024187123$17,469
2023223229$1,245
2022130120$128
202196217$89
202044116$0
201948112$180
201815115$0
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
TISSUE EXAM BY PATHOLOGIST208$1,012
Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure15$233

2022

Largest Medicaid services in 2022
TISSUE EXAM BY PATHOLOGIST130$128

2021

Largest Medicaid services in 2021
TISSUE EXAM BY PATHOLOGIST69$89
Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure27$0

2020

Largest Medicaid services in 2020
TISSUE EXAM BY PATHOLOGIST44$0

2019

Largest Medicaid services in 2019
TISSUE EXAM BY PATHOLOGIST48$180

2018

Largest Medicaid services in 2018
TISSUE EXAM BY PATHOLOGIST15$0

Professional record

NPI
1346404308
Licence
CA # A112937California A112937: Current · expires 2027-12-31
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207ZP0102X (207ZP0102X)
Mailing address
1615 Hill Rd Ste B, Novato, CA, 94947
NPI first listed
2008-07-17
NPI last updated
2021-12-21

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

This office lists an electronic records connection.