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Vaal P Rothman, MD

Internal Medicine · Los Altos

NPI 1386624609

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
42 years
George Washington University School of Medicine, 1984

Offices

1 location · 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. Rothman’s office at (650) 254-5200 to ask if they take your plan before you enroll.

California Medical Board record

Licence G55553 · Current

Licensed to practise in California · since 1985 · expires 2027-04-30 · George Washington University School of Medicine.

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

Original Medicare doctor bills

$5,650

Medicare paid this office $5,650 for 74 people.

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

Largest Original Medicare bills
Short return visit (20+ min)58$3,394$58
Return visit (30+ min)15$1,314$88
Automated urinalysis test12$26$2

Who their Medicare patients are

74 Original Medicare patients in 2024. Average age 73 · Women 51% · Health risk score 0.90. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 70% · Diabetes 38% · Chronic kidney disease 20% · Cancer 16% · Depression 16% · Coronary heart disease 15% · Atrial fibrillation 15%.

The office billed $23,257, Medicare allowed $8,804 and paid $5,650; for 107 services of 10 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
202474107730.90$23,257$5,650
20235776730.83$18,102$4,990
2022322491751.00$109,601$30,703
2021421665741.05$138,424$40,857
2020416637731.14$125,496$28,304
2019504869731.15$163,977$36,872
2018494812731.12$155,168$34,582
2017500819731.13$156,220$33,026
2016455743731.07$146,799$32,355
2015438697721.14$139,710$33,227
2014429764731.05$129,365$30,193
2013390752721.05$116,467$27,198

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
Short return visit (20+ min)40$2,538$63
Return visit (30+ min)13$1,241$95

2022: 5 services

Original Medicare services billed in 2022
Short return visit (20+ min)217$15,277$68
Return visit (30+ min)81$8,730$105
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen34$1,772$51
Short return visit13$716$51
Automated urinalysis test41$96$2

2021: 7 services

Original Medicare services billed in 2021
Short return visit (20+ min)273$20,284$69
Return visit (30+ min)116$12,279$101
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen47$2,412$51
Short return visit22$1,113$48
New patient visit (15+ min)13$590$45
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)11$182$17
Automated urinalysis test68$158$2

2020: 5 services

Original Medicare services billed in 2020
Short return visit (20+ min)290$15,945$51
Return visit (30+ min)92$7,163$78
Short return visit26$936$33
New patient visit (15+ min)22$870$40
Automated urinalysis test58$138$2

2019: 11 services

Original Medicare services billed in 2019
Short return visit (20+ min)342$19,134$50
Return visit (30+ min)134$11,283$81
Short return visit27$959$33
New patient visit (15+ min)14$536$38
Inhalation treatment for airway obstruction or sputum production19$371$14
Detection test by immunoassay with direct visual observation for influenza virus19$302$16
Injection of drug or substance under skin or into muscle16$298$13
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)12$194$16
Automated urinalysis test66$171$2
Blood glucose (sugar) test performed by hand-held instrument16$51$3
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme19$3None

2018: 8 services

Original Medicare services billed in 2018
Short return visit (20+ min)339$18,250$49
Return visit (30+ min)126$9,860$77
Short return visit28$992$33
New patient visit (15+ min)18$717$40
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)13$211$16
Detection test by immunoassay with direct visual observation for influenza virus11$170$15
Automated urinalysis test56$152$3
Manual urinalysis test with examination using microscope, automated34$129$4

2017: 10 services

Original Medicare services billed in 2017
Short return visit (20+ min)326$16,467$45
Return visit (30+ min)129$9,800$74
Short return visit35$1,170$31
New patient visit (15+ min)23$663$29
Manual urinalysis test with examination using microscope, automated61$280$4
Inhalation treatment for airway obstruction or sputum production15$208$12
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)14$175$12
Blood glucose (sugar) test performed by hand-held instrument16$50$3
Automated urinalysis test17$50$3
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme13$3None

2016: 8 services

Original Medicare services billed in 2016
Short return visit (20+ min)310$16,917$48
Return visit (30+ min)114$8,800$72
New patient visit (15+ min)28$1,336$48
Short return visit22$861$34
Inhalation treatment for airway obstruction or sputum production13$204$16
Manual urinalysis test with examination using microscope, automated29$144$4
Automated urinalysis test16$48$3
Blood glucose (sugar) test performed by hand-held instrument11$34$3

2015: 7 services

Original Medicare services billed in 2015
Short return visit (20+ min)274$14,701$49
Return visit (30+ min)131$11,752$85
New patient visit (30+ min)11$840$76
New patient visit (15+ min)22$805$37
Short return visit17$722$36
Manual urinalysis test with examination using microscope, automated57$243$4
Inhalation treatment for airway obstruction or sputum production11$132$12

2014: 8 services

Original Medicare services billed in 2014
Short return visit (20+ min)292$15,807$48
Return visit (30+ min)108$8,719$75
New patient visit (15+ min)20$974$49
Short return visit20$617$31
Manual urinalysis test with examination using microscope, automated64$309$4
Inhalation treatment for airway obstruction or sputum production14$214$14
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram13$3None
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg13$1None

2013: 6 services

Original Medicare services billed in 2013
Short return visit (20+ min)249$14,434$49
Return visit (30+ min)100$7,498$72
New patient visit (15+ min)25$826$33
Short return visit15$474$32
Manual urinalysis test with examination using microscope, automated51$256$4
Inhalation treatment for airway obstruction or sputum production11$227$15

Medicaid work

$20,953 in 2022

Medicaid paid $20,953 for 286 billed services this clinician did in 2022, up to 41 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
Short return visit (20+ min)245$17,761
Return visit (30+ min)26$2,433
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique15$759
Medicaid work by year
2022286341$20,953
2021328337$23,626
2020451464$24,206
2019755353$45,489
2018494248$20,531
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
Short return visit (20+ min)268$18,157
Return visit (30+ min)46$4,737
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique14$733

2020

Largest Medicaid services in 2020
Short return visit (20+ min)306$16,443
Return visit (30+ min)89$7,402
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza42$339
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, without microscopy14$22

2019

Largest Medicaid services in 2019
Short return visit (20+ min)494$28,700
Return visit (30+ min)198$16,180
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza63$609

2018

Largest Medicaid services in 2018
Short return visit (20+ min)374$14,530
Return visit (30+ min)120$6,002

Drugs they prescribed that Part D paid

$1,789

Pharmacies billed $1,789 in 2024.

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

39 generic and fewer than 11 brand-name prescriptions · $1,789 in drug cost · 20 antibiotic prescriptions to 19 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.

Year by year

Part D prescribing by year
20244639NoneNone$1,789
20234936NoneNone$1,274
20221731358% (14)None$1,928
20212031477% (14)None$4,133
2020200152NoneNone$3,911
20192812095% (13)11%$5,868
20182831968% (22)None$8,377
201729521013% (39)None$7,093
201628019214% (38)None$5,956
201523317316% (36)None$4,055
20142721897% (20)None$5,630
201319714211% (21)15%$4,886

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2022: 4 drugs

Part D drugs prescribed in 2022
Cephalexin30$212$7
Paxlovid (Eua)12$127$11
Azithromycin13$64$5
Prednisone14$34$2

2021: 4 drugs

Part D drugs prescribed in 2021
Nitrofurantoin Mono-Macro16$292$18
Cephalexin33$278$8
Azithromycin12$99$8
Prednisone21$58$3

2020: 5 drugs

Part D drugs prescribed in 2020
Nitrofurantoin Mono-Macro13$195$15
Cephalexin21$116$6
Azithromycin15$92$6
Triamcinolone Acetonide13$43$3
Prednisone13$31$2

2019: 6 drugs

Part D drugs prescribed in 2019
Nitrofurantoin Mono-Macro15$299$20
Azithromycin39$274$7
Cephalexin27$186$7
Amoxicillin20$154$8
Prednisone25$105$4
Triamcinolone Acetonide13$40$3

2018: 7 drugs

Part D drugs prescribed in 2018
Cephalexin41$298$7
Azithromycin28$190$7
Ciprofloxacin11$118$11
Amoxicillin16$103$6
Triamcinolone Acetonide15$65$4
Hydrocodone-Acetaminophen12$64$5
Prednisone15$54$4

2017: 8 drugs

Part D drugs prescribed in 2017
Ventolin Hfa11$587$53
Nitrofurantoin Mono-Macro18$363$20
Cephalexin45$265$6
Azithromycin34$235$7
Triamcinolone Acetonide11$150$14
Prednisone20$88$4
Hydrocodone-Acetaminophen16$84$5
Acetaminophen-Codeine19$68$4

2016: 8 drugs

Part D drugs prescribed in 2016
Ventolin Hfa11$573$52
Nitrofurantoin Mono-Macro11$256$23
Cephalexin32$240$7
Azithromycin30$183$6
Hydrocodone-Acetaminophen22$179$8
Triamcinolone Acetonide16$139$9
Acetaminophen-Codeine13$62$5
Prednisone16$54$3

2015: 6 drugs

Part D drugs prescribed in 2015
Proair Hfa15$764$51
Cephalexin30$168$6
Azithromycin20$128$6
Hydrocodone-Acetaminophen19$127$7
Prednisone16$73$5
Acetaminophen-Codeine16$65$4

2014: 6 drugs

Part D drugs prescribed in 2014
Proair Hfa15$737$49
Nitrofurantoin Mono-Macro16$456$29
Azithromycin38$313$8
Cephalexin41$295$7
Hydrocodone-Acetaminophen14$81$6
Prednisone16$75$5

2013: 3 drugs

Part D drugs prescribed in 2013
Proair Hfa11$515$47
Azithromycin23$312$14
Cephalexin29$237$8

Professional record

NPI
1386624609
Licence
CA G55553California G55553: Current · expires 2027-04-30
Trained
George Washington University School of Medicine, 1984 · 42 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X)
Mailing address
Po Box 276950, Sacramento, CA, 95827
NPI first listed
2006-01-20
NPI last updated
2025-06-06
NPI record certified
2025-06-06

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