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Emerald Henault, PA

Physician Assistant · San Jose

NPI 1376055277

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • 2 Medical Board actions on record

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Emerald Henault’s office at (408) 259-5000 to ask if they take your plan before you enroll.

California Medical Board record

Licence C55004 · Cancelled

Licence status: Cancelled · since 2011 · Rush Medical College of Rush University.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

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

Public record actions

Actions the Medical Board of California publishes for this licence
2018-06-07Board disciplineDisciplinePublic letter of reprimand. · 8002017039372
2017-12-11Action in another state or by a federal agencyDisciplineFlorida medical license was assessed a fine, reprimanded and has conditions. · Florida board of medicine

Original Medicare doctor bills

$8,107

Medicare paid this office $8,107 for 87 people.

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

Largest Original Medicare bills
Emergency department visit with moderate level of medical decision making50$3,885$76
Emergency department visit with high level of medical decision making28$3,142$112

Who their Medicare patients are

87 Original Medicare patients in 2024. Average age 67 · Under 65 29% · Women 48% · Also on Medicaid 72% · Health risk score 1.23. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 75% · Diabetes 49% · Chronic kidney disease 21% · Depression 17% · Coronary heart disease 15% · COPD 14%.

The office billed $87,809, Medicare allowed $11,011 and paid $8,107; for 99 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
20248799671.23$87,809$8,107
20238186651.20$72,327$6,341
2022129157621.33$90,303$10,079
20218794631.52$63,229$7,757
20208998621.20$62,382$7,576
2019104140702.34$83,078$12,448
20183739732.26$27,877$5,781

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: 2 services

Original Medicare services billed in 2023
Emergency department visit with moderate level of medical decision making57$4,108$72
Emergency department visit with high level of medical decision making18$1,708$95

2022: 3 services

Original Medicare services billed in 2022
Emergency department visit with low level of medical decision making75$3,900$47
Emergency department visit with moderate level of medical decision making39$3,417$81
Emergency department visit with high level of medical decision making15$1,910$127

2021: 3 services

Original Medicare services billed in 2021
Emergency department visit with moderate level of medical decision making32$2,741$86
Emergency department visit with high level of medical decision making17$2,271$134
Emergency department visit with low level of medical decision making37$1,864$50

2020: 3 services

Original Medicare services billed in 2020
Emergency department visit with moderate level of medical decision making32$2,867$90
Emergency department visit with high level of medical decision making22$2,634$120
Emergency department visit with low level of medical decision making31$1,592$45

2019: 4 services

Original Medicare services billed in 2019
Initial hospital care with moderate level of medical decision making at least 75 minutes37$5,788$152
Emergency department visit with high level of medical decision making19$2,361$124
Emergency department visit with moderate level of medical decision making23$1,977$86
Emergency department visit with low level of medical decision making16$726$45

2018: 1 service

Original Medicare services billed in 2018
Initial hospital care with moderate level of medical decision making at least 75 minutes27$4,484$155

Medicaid work

$8,194 in 2022

Medicaid paid $8,194 for 154 billed services this clinician did in 2022, 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 2022
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP154$8,194
Medicaid work by year
2022154123$8,194
2021185124$10,312
2020111221$5,658
20195781064$37,799
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP185$10,312

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP99$5,626
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy12$32

2019

Largest Medicaid services in 2019
Service365$26,308
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"38$9,735
Unclassified drugs26$662
COLLECTION VENOUS BLOOD VENIPUNCTURE16$590
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)63$208
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report16$119
COMPREHENSIVE METABOLIC PANEL14$96
Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)13$38
HEPATIC FUNCTION PANEL12$22
ASSAY OF LIPASE15$21

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
94.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1376055277
Licence
CA 55004California C55004: Cancelled
More record details
Sole proprietor
No
Taxonomy
Physician assistant (363A00000X)
Mailing address
Po Box 219, New Almaden, CA, 95042
NPI first listed
2017-11-01
NPI last updated
2019-12-16
NPI record certified
2019-12-16

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

Extra NPI addresses: 493 Suisse Dr, San Jose, CA, 95123