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Chrissy Loretta Milhomem Roualdes

Physician Assistant · Stanford

NPI 1396396362

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 · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Chrissy Loretta Milhomem Roualdes’s office at (650) 723-4000 to ask if they take your plan before you enroll.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$1,568

Medicare paid this office $1,568 for 12 people.

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

Who their Medicare patients are

12 Original Medicare patients in 2024. Average age 74 · Under 65 0% · Health risk score 2.32. Above the middle of the specialty; the typical physician assistant clinician is at 1.31.

The office billed $3,215, Medicare allowed $1,968 and paid $1,568; for 16 services of 3 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
20241216742.32$3,215$1,568
20221419681.20$659$99

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.

Medicaid work

$105,341 in 2023

Medicaid paid $105,341 for 2,104 billed services this clinician did in 2023, up to 110 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 2023
Clinic visit/encounter, all-inclusive452$85,133
Short return visit (20+ min)439$5,169
Return visit (30+ min)256$4,138
Annual alcohol misuse screening, 5 to 15 minutes326$3,549
Long return visit (40+ min)168$3,423
Short return visit340$2,891
Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use16$832
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)89$187
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy18$18
Medicaid work by year
20232,1049110$105,341
20224,94912136$269,406
20215,0808151$333,599
20203,3837147$246,631
201985335$6,874
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive1,205$224,250
Short return visit (20+ min)1,154$11,144
Return visit (30+ min)570$6,909
Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use92$5,267
Short return visit796$5,260
Annual alcohol misuse screening, 5 to 15 minutes498$4,712
Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use23$3,957
Long return visit (40+ min)227$3,789
Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use18$1,871
Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use86$1,599
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)264$416
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use16$230

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive1,686$311,177
Short return visit1,147$6,457
Short return visit (20+ min)925$6,265
Annual alcohol misuse screening, 5 to 15 minutes534$3,978
Return visit (30+ min)344$2,882
Long return visit (40+ min)161$1,982
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES152$619
New patient visit (30+ min)131$240

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive1,288$233,943
Short return visit813$4,978
Short return visit (20+ min)713$4,877
Return visit (30+ min)402$2,745
Annual alcohol misuse screening, 5 to 15 minutes17$87
New patient visit (45+ min)51$0
Alcohol and/or drug screening99$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive38$6,874
Return visit (30+ min)23$0
Alcohol and/or drug screening24$0

Drugs they prescribed that Part D paid

$156,436

Pharmacies billed $156,436 in 2024.

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

292 generic and 32 brand-name prescriptions · $156,436 in drug cost · 28 antibiotic prescriptions to 14 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
Ursodiol21$1,342$64
Acyclovir67$1,205$18
Tacrolimus23$981$43
Entecavir12$230$19
Sulfamethoxazole-Trimethoprim26$152$6
See all 7 drugs
Every Part D drug this clinician prescribed
Ursodiol21$1,342$64
Acyclovir67$1,205$18
Tacrolimus23$981$43
Entecavir12$230$19
Sulfamethoxazole-Trimethoprim26$152$6
Ondansetron11$81$7
Amlodipine Besylate13$68$5

Year by year

Part D prescribing by year
202432451None10%$156,436
2023328474% (12)None$39,724
2022647763% (22)None$66,104
2021444724% (17)None$23,073
202015729None11%$8,133

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

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Atorvastatin32$670$21
Lisinopril23$510$22
Levothyroxine15$449$30
Amlodipine Besylate20$410$21
Benazepril19$302$16
Losartan11$272$25
Acyclovir13$210$16

2022: 17 drugs

Part D drugs prescribed in 2022
Atorvastatin48$678$14
Levothyroxine20$567$28
Lisinopril40$546$14
Ketoconazole14$481$34
Valacyclovir13$408$31
Nifedipine Er12$375$31
Amlodipine Besylate26$299$11
Metformin28$281$10
Synthroid11$275$25
Fluticasone Propionate18$257$14
Omeprazole14$235$17
Hydrocodone-Acetaminophen22$229$10
Benazepril21$225$11
Losartan16$192$12
Simvastatin20$131$7
Alprazolam19$86$5
Clonazepam11$85$8

2021: 10 drugs

Part D drugs prescribed in 2021
Atorvastatin27$602$22
Levothyroxine11$317$29
Losartan30$302$10
Fluticasone Propionate12$290$24
Omeprazole17$244$14
Hydrocodone-Acetaminophen16$219$14
Amlodipine Besylate20$193$10
Lisinopril23$185$8
Hydrochlorothiazide13$114$9
Metformin18$102$6

2020: 1 drug

Part D drugs prescribed in 2020
Metformin14$132$9

Money from drug and device companies

$57 in 2025

A payment is not proof that care is biased.

Payments by company
Janssen BiotechTalvey$39
1 payment
  • Meals for Talvey · 2025-11-10 · $39
CelgeneReblozyl$18
1 payment
  • Meals for Reblozyl · 2025-10-07 · $18
See all 2 published payments
Every published payment
Janssen BiotechMeals · 2025-11-10Talvey$39
CelgeneMeals · 2025-10-07Reblozyl$18

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1396396362
Licence
CA 57138
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Physician assistant (363A00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2019-09-21
NPI last updated
2023-09-05
NPI record certified
2023-09-05

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