Adela Cristina Thom, NP
Nurse Practitioner · Modesto
- 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
- 2
Offices
2 locations · Sutter Valley Medical Foundation · Sutter Bay Medical Foundation
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Adela Cristina Thom’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$52,060
Medicare paid this office $52,060 for 387 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 377 | $50,481 | $134 |
Who their Medicare patients are
387 Original Medicare patients in 2024. Average age 76 · Under 65 6% · 85 and older 16% · Women 57% · Also on Medicaid 10% · Health risk score 1.37. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 70% · Diabetes 26% · Coronary heart disease 24% · Atrial fibrillation 23% · Chronic kidney disease 21% · Cancer 21% · Depression 19% · Heart failure 17% · COPD 12% · Dementia 7% · Stroke 6%.
The office billed $69,008, Medicare allowed $52,087 and paid $52,060; for 387 services of 4 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
| 2024 | 387 | 387 | 76 | 1.37 | $69,008 | $52,060 |
| 2023 | 392 | 818 | 76 | 0.81 | $157,404 | $48,828 |
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: 10 services
| Short return visit (20+ min) | 315 | $26,932 | $57 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 48 | $5,479 | $114 |
| Return visit (30+ min) | 61 | $4,881 | $76 |
| Short return visit | 47 | $1,806 | $34 |
| New patient visit (30+ min) | 15 | $972 | $65 |
| New patient visit (45+ min) | 12 | $839 | $70 |
| Administration of pneumococcal vaccine | 20 | $541 | $27 |
| Hemoglobin a1c level | 30 | $305 | $10 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 17 | $173 | $10 |
| Urinalysis, manual test | 15 | $51 | $3 |
Medicaid work
$295 in 2023
Medicaid paid $295 for 147 billed services this clinician did in 2023, up to 14 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.
| Service | 122 | $290 |
| Service | 25 | $5 |
| 2023 | 147 | 2 | 14 | $295 |
Drugs they prescribed that Part D paid
$32,240
Pharmacies billed $32,240 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 343) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.
291 generic and fewer than 11 brand-name prescriptions · $32,240 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.
| Eliquis | 13 | $10,625 | $817 |
| Rosuvastatin | 18 | $373 | $21 |
| Levothyroxine | 29 | $292 | $10 |
| Losartan | 15 | $282 | $19 |
| Metoprolol | 16 | $276 | $17 |
See all 8 drugs
| Eliquis | 13 | $10,625 | $817 |
| Rosuvastatin | 18 | $373 | $21 |
| Levothyroxine | 29 | $292 | $10 |
| Losartan | 15 | $282 | $19 |
| Metoprolol | 16 | $276 | $17 |
| Amlodipine Besylate | 26 | $257 | $10 |
| Atorvastatin | 19 | $207 | $11 |
| Metformin | 11 | $140 | $13 |
Year by year
| 2024 | 343 | 90 | 0% (0) | None | $32,240 |
| 2023 | 1,248 | 217 | None | None | $120,996 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 28 drugs
| Jardiance | 19 | $24,158 | $1,271 |
| Eliquis | 24 | $21,114 | $880 |
| Levothyroxine | 61 | $1,907 | $31 |
| Metoprolol | 43 | $1,227 | $29 |
| Atorvastatin | 58 | $1,178 | $20 |
| Rosuvastatin | 48 | $1,166 | $24 |
| Ezetimibe | 20 | $1,069 | $53 |
| Amlodipine Besylate | 74 | $1,055 | $14 |
| Pantoprazole | 15 | $911 | $61 |
| Albuterol Sulfate Hfa | 31 | $865 | $28 |
| Chlorthalidone | 27 | $772 | $29 |
| Synthroid | 14 | $749 | $53 |
| Losartan | 45 | $746 | $17 |
| Tamsulosin | 21 | $733 | $35 |
| Lisinopril | 51 | $648 | $13 |
| Omeprazole | 43 | $598 | $14 |
| Gabapentin | 22 | $578 | $26 |
| Bupropion Xl | 14 | $451 | $32 |
| Escitalopram | 18 | $361 | $20 |
| Metformin | 15 | $299 | $20 |
| Metformin Hcl Er | 12 | $299 | $25 |
| Lisinopril-Hydrochlorothiazide | 14 | $243 | $17 |
| Simvastatin | 16 | $191 | $12 |
| Hydrochlorothiazide | 21 | $172 | $8 |
| Sertraline | 12 | $113 | $9 |
| Fluticasone Propionate | 12 | $111 | $9 |
| Meloxicam | 22 | $103 | $5 |
| Lorazepam | 11 | $41 | $4 |
Professional record
- NPI
- 1386360964
- Licence
- CA 335217, CA 95023015
- Group
- Sutter Valley Medical Foundation · Sutter Bay Medical Foundation
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 363LF0000X (363LF0000X); Federal specialty code 163WG0000X (163WG0000X)
- Mailing address
- 685 Morro Ave Ste C, Morro Bay, CA, 93442
- NPI first listed
- 2022-10-17
- NPI last updated
- 2023-11-27
- NPI record certified
- 2023-11-27
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 701 E El Camino Real, Mountain View, CA, 94040