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Xuan Cao, MD

Ophthalmology · Montebello

NPI 1386139673

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
Since medical school
8 years
Drexel University College of Medicine, 2018

Offices

1 location

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. Cao’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$5,976

Medicare paid this office $5,976 for 40 people.

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

Largest Original Medicare bills
New patient visit (45+ min)12$1,715$143
Established patient complete exam of visual system15$1,558$104
Established patient problem focused exam of visual system13$1,187$74

Procedures Medicare counted

Procedure volume Medicare published
Cataract surgery1-10None

Who their Medicare patients are

40 Original Medicare patients in 2024. Average age 71 · Women 70% · Health risk score 2.12. Sicker patients than 9 in 10 peers; the typical ophthalmology clinician is at 1.16.

Conditions among them: High blood pressure 75% · Diabetes 70% · Depression 40% · Chronic kidney disease 38% · Coronary heart disease 33% · Heart failure 28%.

The office billed $17,638, Medicare allowed $8,210 and paid $5,976; for 73 services of 9 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

$3,796 in 2024

Medicaid paid $3,796 for 70 billed services this clinician did in 2024, up to 26 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
New patient visit (45+ min)70$3,796
Medicaid work by year
202470126$3,796
202320112$0
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient20$0

Drugs they prescribed that Part D paid

$30,642

Pharmacies billed $30,642 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 129) in 2024. At or below the middle of the specialty; the typical ophthalmology clinician is at 0%.

77 generic and 52 brand-name prescriptions · $30,642 in drug cost.

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
Brimonidine12$857$71
Dorzolamide-Timolol21$295$14
Latanoprost32$271$8

Year by year

Part D prescribing by year
2024129470% (0)40%$30,642
2023201520% (0)41%$33,916
2022129360% (0)40%$6,307
202163210% (0)33%$2,936
201968210% (0)None$2,688

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
Brimonidine25$3,389$136
Dorzolamide-Timolol38$1,108$29
Prednisolone Acetate15$1,098$73
Latanoprost65$767$12
Ketorolac Tromethamine12$323$27

2022: 4 drugs

Part D drugs prescribed in 2022
Brimonidine16$1,283$80
Prednisolone Acetate27$1,270$47
Dorzolamide-Timolol19$523$28
Latanoprost29$276$10

2021: 2 drugs

Part D drugs prescribed in 2021
Prednisolone Acetate12$716$60
Latanoprost11$101$9

2019: 1 drug

Part D drugs prescribed in 2019
Latanoprost22$192$9

Money from drug and device companies

$149 in 2025

Industry payments by year
202511None$149
202411None$34
202322None$279
2022514None$832
202134None$274

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Alcon VisionClareon Panoptix Pro$149
1 payment
  • Meals for Clareon Panoptix Pro · 2025-08-05 · $149
See the published payment
Every published payment
Alcon VisionMeals · 2025-08-05Clareon Panoptix Pro$149
See earlier years (2024, 2023, 2022, 2021)

2024: $34

Payments by company in 2024
Alcon VisionRocklatan$34
1 payment
  • Meals for Rocklatan · 2024-08-28 · $34

2023: $279

Payments by company in 2023
Alimera SciencesIluvien$144
1 payment
  • Meals for Iluvien · 2023-03-30 · $144
Alcon VisionHydrus Microstent$135
1 payment
  • Meals for Hydrus Microstent · 2023-01-19 · $135

2022: $832

Payments by company in 2022
Alcon VisionClareon$542
8 payments
  • Meals for Hydrus Microstent · 2022-12-09 · $24
  • Meals for Hydrus Microstent · 2022-10-14 · $25
  • Meals for Hydrus Microstent · 2022-07-27 · $166
  • Meals for Clareon · 2022-05-20 · $142
  • Meals for Centurion · 2022-05-07 · $25
  • Meals for Clareon · 2022-04-23 · $119
  • Meals for Hydrus Microstent · 2022-04-22 · $20
  • Meals for Acrysof Iq Panoptix Uv Iol · 2022-03-24 · $23
Apellis PharmaceuticalsNone$124
1 payment
  • Meals · 2022-11-09 · $124
Horizon Therapeutics plcTepezza$97
2 payments
  • Meals for Tepezza · 2022-07-15 · $79
  • Meals for Tepezza · 2022-06-02 · $18
Bausch & Lomb AmericasXipere$44
2 payments
  • Meals for Xipere · 2022-09-15 · $23
  • Meals for Prolensa · 2022-05-03 · $21
GlaukosIstent Inject W$24
1 payment
  • Meals for Istent Inject W · 2022-12-16 · $24

2021: $274

Payments by company in 2021
Regeneron Healthcare SolutionsEylea$125
1 payment
  • Meals for Eylea · 2021-09-22 · $125
Alimera SciencesIluvien$119
1 payment
  • Meals for Iluvien · 2021-11-02 · $119
Alcon VisionAcrysof$30
2 payments
  • Meals for Acrysof · 2021-08-19 · $15
  • Meals for Acrysof · 2021-06-10 · $15

Professional record

NPI
1386139673
Licence
MD D98025
Trained
Drexel University College of Medicine, 2018 · 8 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207W00000X (207W00000X)
Mailing address
2446 W Whittier Blvd, Montebello, CA, 90640
NPI first listed
2018-06-28
NPI last updated
2024-09-27
NPI record certified
2024-09-27

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