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Jonathan Nis Paulsen, MD

Emergency Medicine · San Jose

NPI 1386007128

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 · Cep America - California · 1,278 clinicians in this group

Looking this up.

Hospitals listed: Good Samaritan Hospital. That is not proof they admit you there this week.

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. Paulsen’s office at (408) 559-2011 to ask if they take your plan before you enroll.

California Medical Board record

Licence A161512 · Current

Licensed to practise in California · since 2019 · expires 2027-03-31 · Saint Louis University School of Medicine.

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

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
See every measure and the patient survey for Good Samaritan Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 1 worse of 8 measures. Readmissions: 0 better, 5 the same, 4 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Good Samaritan Hospital
Clostridium Difficile (C.Diff)Infections0.337BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.75 (0 to 1.67) · 1,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.84 (0.54 to 1.14)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths143.59 (98.7 to 188.49) · 98 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.7 · 45 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.7 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 573 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.6 · 820 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.5 · 482 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 3,711 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.12 (0 to 0.3) · 8,866 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.01 to 0.38) · 9,051 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.65 (0.74 to 4.56) · 1,929 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.8 (0.21 to 3.39) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.33 (0.88 to 3.78) · 1,836 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.73 (0 to 13.46) · 669 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.58 (3.96 to 11.19) · 654 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.59 (0.13 to 3.04) · 496 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.27 (0 to 0.87) · 7,373 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.1 · 152 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.08No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.542No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.484No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.565No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 327 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24.2 · 703 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits61.1 · 289 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits36.3 · 665 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits25.4 · 856 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19 · 978 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.3 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.3 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.2 · 135 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.8 (10.1 to 18.6) · 129 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 531 casesNo differentJan 2024 – Dec 2024

What patients said (704 patients answered, 24% of those asked)

Patient survey stars by topic at Good Samaritan Hospital
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Good Samaritan Hospital
Room was "always" clean66%
Nurses "always" communicated well75%
Doctors "always" communicated well71%
Staff "always" explained54%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night38%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$99,630

Medicare paid this office $99,630 for 604 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making328$51,800$152
Critical care, first 30-74 minutes126$23,556$185
Emergency department visit with moderate level of medical decision making138$15,885$104
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only328$2,667$7
Emergency department visit with low level of medical decision making17$1,093$64

Who their Medicare patients are

604 Original Medicare patients in 2024. Average age 77 · Under 65 8% · 85 and older 27% · Women 56% · Also on Medicaid 32% · Health risk score 1.86. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Diabetes 41% · Coronary heart disease 40% · Atrial fibrillation 34% · Chronic kidney disease 33% · Heart failure 32% · Depression 29% · Dementia 24% · Stroke 24% · COPD 20% · Cancer 17%.

The office billed $822,545, Medicare allowed $129,125 and paid $99,630; for 1,053 services of 33 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
20246041,053771.86$822,545$99,630
20236351,091771.80$818,537$104,214
20228091,436761.80$910,581$138,590
20218191,501761.88$928,737$154,769
20207041,248752.31$796,589$120,876
2019351707752.30$359,765$55,536

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: 5 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making282$44,489$149
Critical care, first 30-74 minutes178$36,570$203
Emergency department visit with moderate level of medical decision making170$17,428$96
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only340$2,500$7
X-ray of chest, 1 view11$96$8

2022: 6 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making317$57,131$175
Critical care, first 30-74 minutes195$45,719$230
Emergency department visit with moderate level of medical decision making174$18,923$106
Emergency department visit with low level of medical decision making130$8,448$60
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only440$3,560$7
X-ray of chest, 1 view30$234$8

2021: 6 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making398$75,132$179
Critical care, first 30-74 minutes194$47,602$239
Emergency department visit with moderate level of medical decision making131$15,289$113
Emergency department visit with low level of medical decision making113$8,065$65
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only494$4,090$8
X-ray of chest, 1 view16$136$8

2020: 5 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making359$56,013$151
Critical care, first 30-74 minutes208$44,085$205
Emergency department visit with moderate level of medical decision making81$8,606$105
Emergency department visit with low level of medical decision making75$4,690$57
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only408$3,428$8

2019: 6 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making215$32,934$148
Critical care, first 30-74 minutes67$12,949$193
Emergency department visit with moderate level of medical decision making49$4,832$99
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only209$1,672$8
Emergency department visit with low level of medical decision making20$1,122$53
X-ray of chest, 1 view71$605$8

Medicaid work

$179,243 in 2024

Medicaid paid $179,243 for 4,616 billed services this clinician did in 2024, up to 107 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
Service903$47,082
Service217$37,043
EMERGENCY DEPT VISIT MOD MDM624$28,969
EMERGENCY DEPARTMENT VISIT HIGH MDM409$22,540
COMPREHENSIVE METABOLIC PANEL236$10,665
Radiologic examination, chest; single view209$9,720
Service78$7,765
Unlisted special service, procedure or report27$4,550
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)60$3,770
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular113$1,294
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only142$1,178
Computed tomography, head or brain; without contrast material25$1,057
Medicaid work by year
20244,61625107$179,243
20235,16128107$169,965
20222,5841477$141,299
20212,2571357$111,695
20201,4181134$82,653
20191,8781873$49,757
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Service490$43,376
EMERGENCY DEPT VISIT MOD MDM867$36,184
Service827$27,801
EMERGENCY DEPARTMENT VISIT HIGH MDM450$21,826
Unlisted special service, procedure or report118$13,207
Radiologic examination, chest; single view214$8,390
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes72$4,994
COMPREHENSIVE METABOLIC PANEL183$4,130
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)70$2,807
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular79$2,590
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only195$1,248
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)13$975

2022

Largest Medicaid services in 2022
Service183$33,074
Unlisted special service, procedure or report201$23,726
Service374$19,526
EMERGENCY DEPT VISIT LOW MDM583$17,220
EMERGENCY DEPT VISIT MOD MDM437$16,581
EMERGENCY DEPARTMENT VISIT HIGH MDM320$16,189
Radiologic examination, chest; single view108$5,732
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc37$5,515
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes29$2,154
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only124$1,154
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug12$295
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report53$106

2021

Largest Medicaid services in 2021
Service204$34,032
EMERGENCY DEPARTMENT VISIT HIGH MDM422$18,544
EMERGENCY DEPT VISIT LOW MDM456$13,857
EMERGENCY DEPT VISIT MOD MDM371$13,740
Service311$12,576
Unlisted special service, procedure or report86$11,521
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc30$3,001
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only197$1,890
Radiologic examination, chest; single view28$1,566
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes17$671
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report40$180
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug12$63

2020

Largest Medicaid services in 2020
Service174$29,119
EMERGENCY DEPARTMENT VISIT HIGH MDM343$18,623
Service224$8,953
EMERGENCY DEPT VISIT MOD MDM184$6,814
EMERGENCY DEPT VISIT LOW MDM174$5,255
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes69$5,252
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85$4,603
Service15$2,680
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only108$727
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)12$603
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)30$25

2019

Largest Medicaid services in 2019
Service236$10,008
EMERGENCY DEPARTMENT VISIT HIGH MDM222$9,250
COLLECTION VENOUS BLOOD VENIPUNCTURE74$7,080
EMERGENCY DEPT VISIT MOD MDM172$6,396
EMERGENCY DEPT VISIT LOW MDM197$6,345
Service32$3,883
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes34$1,714
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)18$1,483
Radiologic examination, chest; single view184$918
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only158$818
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report85$815
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)169$248

Drugs they prescribed that Part D paid

$3,160

Pharmacies billed $3,160 in 2024.

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

Opioids were 17% of their Part D prescriptions (44 of 255) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%.

239 generic and fewer than 11 brand-name prescriptions · $3,160 in drug cost · 79 antibiotic prescriptions to 70 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
Cephalexin37$211$5
Ondansetron Odt26$166$6
Hydrocodone-Acetaminophen36$140$4
Amoxicillin-Clavulanate Potass15$66$4
Prednisone16$21$1

Year by year

Part D prescribing by year
202425518417% (44)None$3,160
202324817116% (40)None$2,946
202224519026% (63)None$2,876
202119314326% (51)None$1,508
20201299124% (31)None$1,521
20191147620% (23)11%$4,861
20186244None18%$1,085
20173627None0%$399

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
Cephalexin33$319$10
Ondansetron Odt29$225$8
Hydrocodone-Acetaminophen33$108$3
Cyclobenzaprine14$32$2
Prednisone16$25$2

2022: 4 drugs

Part D drugs prescribed in 2022
Ondansetron Odt32$296$9
Cephalexin30$235$8
Hydrocodone-Acetaminophen57$205$4
Prednisone18$39$2

2021: 3 drugs

Part D drugs prescribed in 2021
Ondansetron Odt24$245$10
Cephalexin31$213$7
Hydrocodone-Acetaminophen49$175$4

2020: 2 drugs

Part D drugs prescribed in 2020
Cephalexin25$178$7
Hydrocodone-Acetaminophen27$101$4

2019: 3 drugs

Part D drugs prescribed in 2019
Levetiracetam17$284$17
Cephalexin12$91$8
Hydrocodone-Acetaminophen20$73$4

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
1386007128
Licence
CA A161512, MO 2019042333California A161512: Current · expires 2027-03-31
Trained
Saint Louis University School of Medicine, 2016
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X); Student in a training program (390200000X)
Mailing address
4049 W Pine Blvd, Apt 101, Saint Louis, MO, 63108
NPI first listed
2016-03-30
NPI last updated
2019-11-27

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