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Michael H Rokeach, MD

Emergency Medicine · Novato

NPI 1366433682

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
3

Offices

3 locations · Sutter Bay Medical Foundation · 3,783 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. Rokeach’s office at (415) 600-1020 to ask if they take your plan before you enroll.

California Medical Board record

Licence G28302 · Current

Licensed to practise in California · since 1974 · expires 2027-12-31 · University of Miami School of Medicine.

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

Original Medicare doctor bills

$23,476

Medicare paid this office $23,476 for 274 people.

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

Largest Original Medicare bills
Short return visit (20+ min)185$12,326$65
Return visit (30+ min)69$6,283$90
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus15$2,097$140
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen22$1,106$50
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)17$292$16
See all 7 services
Every Original Medicare service billed
Short return visit (20+ min)185$12,326$65
Return visit (30+ min)69$6,283$90
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus15$2,097$140
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen22$1,106$50
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)17$292$16
Injection of drug or substance under skin or into muscle11$115$10
Automated urinalysis test36$84$2

Procedures Medicare counted

Procedure volume Medicare published
Removal of nail tissue1-10None

Who their Medicare patients are

274 Original Medicare patients in 2024. Average age 75 · Women 61% · Also on Medicaid 10% · Health risk score 1.05. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 60% · Coronary heart disease 21% · Depression 21% · Chronic kidney disease 18% · Atrial fibrillation 18% · Diabetes 17% · Cancer 17% · Heart failure 15% · COPD 14% · Stroke 8% · Dementia 5%.

The office billed $88,583, Medicare allowed $33,816 and paid $23,476; for 447 services of 25 kinds; $115 of it was for drugs given in the office and $23,360 for care.

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
2024274447751.05$88,583$23,476
2023303441741.21$85,509$23,566
2022263393740.92$72,226$22,760
20216973720.86$8,652$2,755
2020133161700.78$17,258$5,326
2019111154741.07$32,200$4,659
2018420612741.04$132,023$30,674
2017100129741.08$44,989$9,224
2016126162721.34$69,699$14,581
2015164205701.24$69,203$15,201
2014128163731.13$57,660$13,000
2013117151721.20$33,326$9,381

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: 6 services

Original Medicare services billed in 2023
Short return visit (20+ min)192$13,030$66
Return visit (30+ min)71$6,630$93
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen21$1,106$50
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)21$340$16
Detection test by immunoassay with direct visual observation for influenza virus15$276$16
Automated urinalysis test50$110$2

2022: 7 services

Original Medicare services billed in 2022
Short return visit (20+ min)198$15,324$75
Return visit (30+ min)42$4,066$97
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage13$913$70
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen14$705$50
Detection test by immunoassay with direct visual observation for influenza virus29$503$16
Administration of influenza virus vaccine13$435$33
Automated urinalysis test13$28$2

2021: 2 services

Original Medicare services billed in 2021
Office for the evaluation and management of established patient that may not require presence of healthcare professional47$1,127$24
Short return visit (20+ min)11$751$68

2020: 2 services

Original Medicare services billed in 2020
Office for the evaluation and management of established patient that may not require presence of healthcare professional97$3,115$28
Short return visit (20+ min)23$1,225$53

2019: 3 services

Original Medicare services billed in 2019
Short return visit (20+ min)73$2,534$35
New patient visit (30+ min)12$597$50
Automated urinalysis test11$27$2

2018: 8 services

Original Medicare services billed in 2018
Short return visit (20+ min)301$17,744$55
New patient visit (30+ min)65$4,977$77
Return visit (30+ min)44$4,175$95
Short return visit19$684$36
Detection test by immunoassay with direct visual observation for influenza virus11$178$16
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)11$178$16
Automated urinalysis test43$125$3
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme11$2None

2017: 3 services

Original Medicare services billed in 2017
New patient visit (30+ min)29$2,690$93
Emergency department visit with moderate level of medical decision making19$1,493$79
Emergency department visit with low level of medical decision making31$1,336$43

2016: 3 services

Original Medicare services billed in 2016
Emergency department visit with moderate level of medical decision making51$5,055$99
Emergency department visit with low level of medical decision making56$2,904$50
Emergency department visit with high level of medical decision making16$2,333$146

2015: 3 services

Original Medicare services billed in 2015
Emergency department visit with low level of medical decision making105$5,736$52
Emergency department visit with moderate level of medical decision making44$4,397$100
Emergency department visit with high level of medical decision making16$2,306$144

2014: 3 services

Original Medicare services billed in 2014
Emergency department visit with low level of medical decision making71$3,820$53
Emergency department visit with moderate level of medical decision making37$3,635$98
Emergency department visit with high level of medical decision making15$2,222$148

2013: 3 services

Original Medicare services billed in 2013
Emergency department visit with low level of medical decision making75$3,686$49
Emergency department visit with moderate level of medical decision making22$2,099$95
Emergency department visit with straightforward medical decision making11$381$35

Medicaid work

$250 in 2024

Medicaid paid $250 for 12 billed services this clinician did in 2024, up to 12 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)12$250
Medicaid work by year
202412112$250

Drugs they prescribed that Part D paid

$3,465

Pharmacies billed $3,465 in 2024.

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

192 generic and fewer than 11 brand-name prescriptions · $3,465 in drug cost · 95 antibiotic prescriptions to 88 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 Hfa13$408$26
Cephalexin22$134$6
Azithromycin15$106$7
Amoxicillin-Clavulanate Potass14$93$6
Sulfamethoxazole-Trimethoprim11$52$4
See all 7 drugs
Every Part D drug this clinician prescribed
Albuterol Sulfate Hfa13$408$26
Cephalexin22$134$6
Azithromycin15$106$7
Amoxicillin-Clavulanate Potass14$93$6
Sulfamethoxazole-Trimethoprim11$52$4
Prednisone20$43$2
Amoxicillin11$43$4

Year by year

Part D prescribing by year
2024220162NoneNone$3,465
2023191141NoneNone$3,574
20222021517% (15)5%$3,613
20212112None0%$248
20203718NoneNone$375
201910359NoneNone$2,621
20182822007% (21)None$5,796
2017544420% (11)None$2,119
2016624431% (19)None$1,347
2015967130% (29)None$1,836
2014755332% (24)None$1,667
2013575256% (32)None$695

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
Cephalexin20$169$8
Amoxicillin-Clavulanate Potass12$131$11
Triamcinolone Acetonide11$96$9
Azithromycin17$93$5
Prednisone16$74$5

2022: 5 drugs

Part D drugs prescribed in 2022
Cephalexin29$247$9
Azithromycin18$150$8
Prednisone20$143$7
Paxlovid (Eua)11$116$11
Hydrocodone-Acetaminophen11$60$5

2019: 2 drugs

Part D drugs prescribed in 2019
Azithromycin15$151$10
Lisinopril-Hydrochlorothiazide14$32$2

2018: 8 drugs

Part D drugs prescribed in 2018
Ventolin Hfa15$833$56
Azithromycin37$288$8
Nitrofurantoin Mono-Macro12$227$19
Triamcinolone Acetonide21$176$8
Cephalexin23$145$6
Amoxicillin-Clavulanate Potass11$113$10
Prednisone28$105$4
Hydrocodone-Acetaminophen16$90$6

2016: 1 drug

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen15$119$8

2015: 1 drug

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen16$99$6

2014: 2 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen18$121$7
Naproxen11$58$5

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen22$168$8

Professional record

NPI
1366433682
Licence
CA G28302California G28302: Current · expires 2027-12-31
Trained
University of Miami, Lm Miller School of Medicine, 1973
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00G283020
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
4301 Northstar Way, Modesto, CA, 95356
NPI first listed
2005-11-04
NPI last updated
2008-08-08

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