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Patricia Biddle, NP

Nurse Practitioner · San Jose

NPI 1396219051

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 · Emergency Physicians Associates San Jose PC · 131 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 Patricia Biddle’s office at (408) 947-2500 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$2,653

Medicare paid this office $2,653 for 81 people.

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

Largest Original Medicare bills
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only59$393$6

Who their Medicare patients are

81 Original Medicare patients in 2024. Average age 77 · Women 61% · Also on Medicaid 37% · Health risk score 2.45. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 51% · Coronary heart disease 42% · Heart failure 42% · Atrial fibrillation 40% · Chronic kidney disease 35% · Depression 35% · Dementia 23% · COPD 21% · Stroke 21% · Cancer 20%.

The office billed $28,843, Medicare allowed $3,786 and paid $2,653; for 97 services of 23 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
20248197772.45$28,843$2,653
2023168220752.01$68,438$9,132
2022129208741.86$73,001$14,986
2021116173762.01$53,904$10,943
2020207295742.23$84,873$15,458
201977105731.87$20,479$3,598

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: 3 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making29$3,252$112
Emergency department visit with moderate level of medical decision making38$2,747$72
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only88$586$6

2022: 5 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making42$6,317$144
Critical care, first 30-74 minutes14$2,714$194
Emergency department visit with moderate level of medical decision making25$2,153$86
Emergency department visit with low level of medical decision making35$1,896$54
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only57$349$6

2021: 4 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making38$5,494$141
Emergency department visit with moderate level of medical decision making15$1,329$89
Emergency department visit with low level of medical decision making13$746$57
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only71$462$6

2020: 4 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making64$8,984$136
Emergency department visit with moderate level of medical decision making28$2,059$74
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only120$872$7
Emergency department visit with low level of medical decision making21$832$40

2019: 1 service

Original Medicare services billed in 2019
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only50$330$6

Drugs they prescribed that Part D paid

$13,803

Pharmacies billed $13,803 in 2024.

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

Opioids were 5% of their Part D prescriptions (13 of 241) in 2024. Above the middle of the specialty; the typical nurse practitioner clinician is at 0%.

213 generic and 28 brand-name prescriptions · $13,803 in drug cost · 58 antibiotic prescriptions to 46 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
Cephalexin17$152$9
Naproxen25$73$3

Year by year

Part D prescribing by year
20242411315% (13)12%$13,803
20233902297% (27)None$42,719
20223312186% (19)None$6,732
20211421049% (12)None$1,472
202022815211% (25)5%$2,920
20199667NoneNone$1,212

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

See the drugs prescribed each year

2023: 12 drugs

Part D drugs prescribed in 2023
Mounjaro21$24,798$1,181
Ozempic11$11,067$1,006
Albuterol Sulfate Hfa15$548$37
Cephalexin26$351$13
Methylprednisolone21$205$10
Ibuprofen30$138$5
Naproxen29$135$5
Ondansetron13$83$6
Azithromycin12$77$6
Cyclobenzaprine17$75$4
Hydrocodone-Acetaminophen21$63$3
Amoxicillin-Clavulanate Potass14$63$4

2022: 11 drugs

Part D drugs prescribed in 2022
Cephalexin52$567$11
Albuterol Sulfate Hfa12$488$41
Azithromycin18$112$6
Amoxicillin-Clavulanate Potass13$107$8
Naproxen22$97$4
Ibuprofen23$86$4
Methylprednisolone11$84$8
Ondansetron11$80$7
Cyclobenzaprine13$70$5
Hydrocodone-Acetaminophen13$44$3
Prednisone16$35$2

2021: 3 drugs

Part D drugs prescribed in 2021
Cephalexin34$341$10
Naproxen13$46$4
Hydrocodone-Acetaminophen11$42$4

2020: 5 drugs

Part D drugs prescribed in 2020
Cephalexin43$407$9
Naproxen19$62$3
Azithromycin11$58$5
Ibuprofen11$44$4
Hydrocodone-Acetaminophen13$44$3

2019: 2 drugs

Part D drugs prescribed in 2019
Cephalexin14$116$8
Naproxen13$63$5

Money from drug and device companies

$64 in 2024

A payment is not proof that care is biased.

Payments by company
Jazz PharmaceuticalsXywav$64
2 payments
  • Meals for Xywav · 2024-06-20 · $34
  • Meals for Xywav · 2024-04-09 · $30
See all 2 published payments
Every published payment
Jazz PharmaceuticalsMeals · 2024-06-20Xywav$34
Jazz PharmaceuticalsMeals · 2024-04-09Xywav$30

Professional record

NPI
1396219051
Licence
CA 95010885
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
2615 El Camino Real Apt 136, Santa Clara, CA, 95051
NPI first listed
2019-01-16
NPI last updated
2019-01-16

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