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Shengsheng Guan, DPM

Podiatry · San Jose

NPI 1396195475

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
25
5 carriers
Office
1

Offices

1 location

Looking this up.

Plans that list them

25 plans · 5 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Guan’s office at (650) 762-9855 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

25 of 25 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$45,868

Medicare paid this office $45,868 for 58 people.

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

Largest Original Medicare bills
Return visit (30+ min)23$11,355$120
New patient visit (60+ min)44$7,858$179
Long return visit (40+ min)18$5,180$167
X-ray of foot, minimum of 3 views45$4,353$36
X-ray of ankle, minimum of 3 views42$4,061$39
See all 6 services
Every Original Medicare service billed
Return visit (30+ min)23$11,355$120
New patient visit (60+ min)44$7,858$179
Long return visit (40+ min)18$5,180$167
X-ray of foot, minimum of 3 views45$4,353$36
X-ray of ankle, minimum of 3 views42$4,061$39
Complete ultrasound scan of joint14$715$51

Procedures Medicare counted

Procedure volume Medicare published
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10None
Removal of nail tissue13More than 59% of doctors who do this
Removal of skin lesions12More than 59% of doctors who do this
Removal or shaving of skin growth1-10None

Who their Medicare patients are

58 Original Medicare patients in 2024. Average age 74 · Women 62% · Also on Medicaid 28% · Health risk score 1.09. At or below the middle of the specialty; the typical podiatry clinician is at 1.55.

Conditions among them: High blood pressure 67% · Diabetes 34% · Coronary heart disease 26% · Atrial fibrillation 22% · Depression 22% · Cancer 19%.

The office billed $91,955, Medicare allowed $60,373 and paid $45,868; for 475 services of 29 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
202458475741.09$91,955$45,868
202335203751.14$37,598$18,463
202287820801.31$104,183$58,947
20211201,005801.48$127,509$70,248
202081385831.57$49,434$28,068

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: 4 services

Original Medicare services billed in 2023
Short return visit (20+ min)18$5,388$83
New patient visit (45+ min)19$2,380$125
X-ray of foot, minimum of 3 views14$1,152$34
X-ray of ankle, minimum of 3 views11$1,050$39

2022: 6 services

Original Medicare services billed in 2022
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes47$16,630$71
Removal of noncancer thickened skin growth, 2-4 growths28$11,305$87
Removal of fingernails or toenails, 6 or more nails56$9,554$42
Short return visit (20+ min)26$7,715$83
New patient visit (45+ min)28$3,816$136
X-ray of foot, minimum of 3 views22$1,937$37

2021: 7 services

Original Medicare services billed in 2021
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes66$21,707$72
Removal of fingernails or toenails, 6 or more nails96$13,590$41
Removal of noncancer thickened skin growth, 2-4 growths49$12,373$84
Short return visit (20+ min)27$5,170$80
New patient visit (45+ min)35$4,006$114
New patient home visit, typically 45 minutes25$2,163$87
X-ray of foot, minimum of 3 views14$803$37

2020: 5 services

Original Medicare services billed in 2020
New patient home visit, typically 45 minutes68$7,484$110
Removal of fingernails or toenails, 6 or more nails78$6,460$44
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes42$5,577$79
Removal of noncancer thickened skin growth, 2-4 growths29$3,907$77
New patient visit (45+ min)13$1,744$134

Medicaid work

$61 in 2022

Medicaid paid $61 for 77 billed services this clinician did in 2022, up to 19 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
HOME/RES VST EST LOW MDM 3077$61
Medicaid work by year
202277119$61
2021234221$508
202052227$0
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
Debridement of nail(s) by any method(s); 6 or more119$324
HOME/RES VST EST LOW MDM 30115$184

2020

Largest Medicaid services in 2020
Debridement of nail(s) by any method(s); 6 or more27$0
HOME/RES VST EST LOW MDM 3025$0

Money from drug and device companies

$423 in 2025

Industry payments by year
202558None$423
2024418None$2,131
202348None$454
2022333None$6,243
2021714None$3,028
202048None$2,688
2019314None$4,846

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
AmgenKrystexxa$210
4 payments
  • Meals for Krystexxa · 2025-04-21 · $125
  • Meals for Krystexxa · 2025-04-11 · $29
  • Meals for Krystexxa · 2025-03-12 · $29
  • Meals for Krystexxa · 2025-01-21 · $27
StrykerProstep Mica$125
1 payment
  • Meals for Prostep Mica · 2025-03-06 · $125
BioventusExogen Ultrasound Bone Healing System$31
1 payment
  • Meals for Exogen Ultrasound Bone Healing System · 2025-06-06 · $31
Evolution SurgicalNone$30
1 payment
  • Meals · 2025-03-17 · $30
Orthofix MedicalPhysio-Stim$27
1 payment
  • Meals for Physio-Stim · 2025-11-07 · $27
See all 8 published payments
Every published payment
Orthofix MedicalMeals · 2025-11-07Physio-Stim$27
BioventusMeals · 2025-06-06Exogen Ultrasound Bone Healing System$31
AmgenMeals · 2025-04-21Krystexxa$125
AmgenMeals · 2025-04-11Krystexxa$29
Evolution SurgicalMeals · 2025-03-17None$30
AmgenMeals · 2025-03-12Krystexxa$29
StrykerMeals · 2025-03-06Prostep Mica$125
AmgenMeals · 2025-01-21Krystexxa$27
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $2,131

Payments by company in 2024
Smith+NephewJet-X$1,535
6 payments
  • Meals for Jet-X · 2024-10-19 · $75
  • Travel for Jet-X · 2024-10-19 · $261
  • Travel for Jet-X · 2024-10-19 · $509
  • Travel for Taylor Spatial Frame · 2024-10-18 · $394
  • Meals · 2024-08-23 · $167
  • Meals for Maverick · 2024-06-03 · $129
Paragon 28Trauma$524
6 payments
  • Travel for Trauma · 2024-07-20 · $77
  • Meals for Trauma · 2024-07-20 · $146
  • Travel for Trauma · 2024-07-20 · $174
  • Travel for Trauma · 2024-07-20 · $70
  • Travel for Trauma · 2024-07-19 · $17
  • Meals · 2024-02-13 · $40
Evolution SurgicalNone$49
1 payment
  • Meals · 2024-11-06 · $49
International Rehabilitative SciencesRs 4i Plus Sequential Stimulator$22
1 payment
  • Meals for Rs 4i Plus Sequential Stimulator · 2024-05-14 · $22

2023: $454

Payments by company in 2023
DePuy Synthes SalesHealix Knotless Peek$185
3 payments
  • Meals for Healix Knotless Peek · 2023-08-16 · $125
  • Meals for Na · 2023-04-25 · $35
  • Meals for Healix Knotless Peek · 2023-04-18 · $25
StrykerProstep$132
1 payment
  • Meals for Prostep · 2023-06-01 · $132
Smith+NephewTaylor Spatial Frame$74
2 payments
  • Meals for Stravix Pl · 2023-04-26 · $25
  • Meals for Taylor Spatial Frame · 2023-04-20 · $49
Evolution SurgicalNone$62
2 payments
  • Meals · 2023-04-10 · $34
  • Meals · 2023-03-30 · $29

2022: $6,243

Payments by company in 2022
ArthrexNone$3,240
15 payments
  • Meals · 2022-01-29 · $10
  • Meals · 2022-01-29 · $10
  • Meals · 2022-01-29 · $10
  • Meals · 2022-01-29 · $10
  • Meals · 2022-01-29 · $24
  • Education · 2022-01-29 · $1,200
  • Meals · 2022-01-28 · $10
  • Meals · 2022-01-28 · $10
  • Meals · 2022-01-28 · $10
  • Meals · 2022-01-28 · $15
  • Meals · 2022-01-28 · $24
  • Meals · 2022-01-28 · $60
  • Travel · 2022-01-28 · $324
  • Education · 2022-01-28 · $1,200
  • Travel · 2022-01-27 · $324
Evolution SurgicalNone$1,884
10 payments
  • Meals · 2022-06-03 · $30
  • Education · 2022-06-03 · $1,200
  • Travel · 2022-01-30 · $54
  • Meals · 2022-01-29 · $39
  • Meals · 2022-01-29 · $9
  • Meals · 2022-01-28 · $122
  • Travel · 2022-01-28 · $60
  • Travel · 2022-01-27 · $354
  • Meals · 2022-01-27 · $9
  • Meals · 2022-01-27 · $8
StrykerProstep$1,118
8 payments
  • Meals for Prostep · 2022-08-09 · $44
  • Meals for Prostep · 2022-07-26 · $36
  • Travel for Prostep · 2022-07-18 · $215
  • Travel for Prophecy · 2022-07-16 · $61
  • Meals for Prophecy · 2022-07-15 · $10
  • Meals for Prophecy · 2022-07-15 · $126
  • Travel for Prostep · 2022-07-11 · $167
  • Travel for Prostep · 2022-07-11 · $459

2021: $3,028

Payments by company in 2021
Evolution SurgicalNone$2,444
3 payments
  • Meals · 2021-07-10 · $44
  • Education · 2021-07-10 · $1,200
  • Education · 2021-04-15 · $1,200
Treace Medical ConceptsLapiplasty System$158
1 payment
  • Travel for Lapiplasty System · 2021-04-01 · $158
Smith+NephewTotal Foot System 2$144
5 payments
  • Meals for Total Foot System 2 · 2021-10-29 · $35
  • Meals for Evos Small · 2021-09-30 · $25
  • Meals for Invisiknot · 2021-09-24 · $33
  • Meals for Cadence · 2021-08-19 · $23
  • Meals for Stravix · 2021-03-31 · $28
Extremity MedicalNone$111
1 payment
  • Meals · 2021-03-31 · $111
Forte Bio-PharmaNalocet$109
1 payment
  • Meals for Nalocet · 2021-10-14 · $109
Paratek PharmaceuticalsNuzyra$32
2 payments
  • Meals for Nuzyra · 2021-06-10 · $19
  • Meals for Nuzyra · 2021-05-26 · $13
Musculoskeletal Transplant FoundationNone$30
1 payment
  • Meals · 2021-07-01 · $30

2020: $2,688

Payments by company in 2020
Evolution SurgicalNone$2,631
5 payments
  • Education · 2020-08-29 · $850
  • Meals · 2020-08-29 · $27
  • Meals · 2020-08-26 · $21
  • Meals · 2020-08-13 · $19
  • Education · 2020-08-03 · $1,714
Wright Medical TechnologyInfinity$24
1 payment
  • Meals for Infinity · 2020-10-07 · $24
StrykerSalvation$17
1 payment
  • Meals for Salvation · 2020-11-17 · $17
Smith+NephewSantyl$15
1 payment
  • Meals for Santyl · 2020-07-23 · $15

2019: $4,846

Payments by company in 2019
Supreme Orthopedic SystemsNone$3,803
3 payments
  • Education · 2019-04-15 · $1,734
  • Education · 2019-01-05 · $2,056
  • Meals · 2019-01-05 · $13
Wright Medical TechnologySalvation$907
10 payments
  • Meals for Salvation · 2019-04-27 · $15
  • Meals for Salvation · 2019-04-27 · $24
  • Meals for Salvation · 2019-04-27 · $15
  • Meals for Salvation · 2019-04-27 · $57
  • Meals for Salvation · 2019-04-27 · $76
  • Travel for Salvation · 2019-04-26 · $221
  • Meals for Salvation · 2019-04-26 · $25
  • Meals for Salvation · 2019-04-26 · $31
  • Meals for Salvation · 2019-04-26 · $129
  • Travel for Salvation · 2019-04-05 · $314
StrykerAllograft$136
1 payment
  • Meals for Allograft · 2019-06-11 · $136

Professional record

NPI
1396195475
Licence
CA E5590, MD 9764
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 213ES0103X (213ES0103X)
Mailing address
3150 Almaden Expy Ste 205, San Jose, CA, 95118
NPI first listed
2016-06-20
NPI last updated
2020-06-24
NPI record certified
2020-06-24

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