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Arturo Melgoza Ramirez, NP

Nurse Practitioner · Palo Alto

NPI 1417479825

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
14
1 carrier
Office
1
Since medical school
9 years
Graduated 2017

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plans that list them

14 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Arturo Melgoza Ramirez’s office at (415) 600-1020 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

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 Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026

Original Medicare doctor bills

$20,952

Medicare paid this office $20,952 for 31 people.

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

Largest Original Medicare bills
Return visit (30+ min)31$12,545$98
Psychotherapy with evaluation and management visit, 30 minutes30$5,273$52
Psychiatric services complicated by communication factor22$827$10

Who their Medicare patients are

31 Original Medicare patients in 2024. Average age 71 · Women 58% · Health risk score 0.86. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: Depression 71% · High blood pressure 58%.

The office billed $74,007, Medicare allowed $28,456 and paid $20,952; for 334 services of 8 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
202431334710.86$74,007$20,952
202331283700.78$57,225$17,983
202226187700.85$38,243$12,788
202124159711.06$33,377$11,506
202027106711.12$23,435$7,515
201942202681.07$44,051$12,085
201842145661.24$34,736$10,321

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
Return visit (30+ min)28$8,035$97
Psychotherapy with evaluation and management visit, 30 minutes29$4,341$52
Psychiatric services complicated by communication factor22$785$11

2022: 3 services

Original Medicare services billed in 2022
Return visit (30+ min)24$4,390$90
Psychotherapy with evaluation and management visit, 30 minutes20$2,423$49
Psychiatric services complicated by communication factor12$364$10

2021: 2 services

Original Medicare services billed in 2021
Return visit (30+ min)24$6,849$98
Psychotherapy with evaluation and management visit, 30 minutes22$3,017$54

2020: 2 services

Original Medicare services billed in 2020
Return visit (30+ min)24$3,927$79
Psychotherapy with evaluation and management visit, 30 minutes16$1,515$52

2019: 2 services

Original Medicare services billed in 2019
Return visit (30+ min)40$7,304$75
Psychotherapy with evaluation and management visit, 30 minutes36$3,595$47

2018: 4 services

Original Medicare services billed in 2018
Return visit (30+ min)38$5,542$84
Psychotherapy with evaluation and management visit, 45 minutes27$1,811$62
Psychotherapy with evaluation and management visit, 30 minutes16$1,683$49
Psychiatric diagnostic evaluation with medical services11$1,163$106

Medicaid work

$8,498 in 2018

Medicaid paid $8,498 for 56 billed services this clinician did in 2018, up to 34 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 2018
Clinic visit/encounter, all-inclusive34$7,418
Return visit (30+ min)22$1,080
Medicaid work by year
201856234$8,498

Drugs they prescribed that Part D paid

$18,648

Pharmacies billed $18,648 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 729) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.

717 generic and 12 brand-name prescriptions · $18,648 in drug cost · 39 antipsychotic prescriptions to people over 65.

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
Bupropion Xl46$1,944$42
Duloxetine56$1,334$24
Risperidone17$992$58
Olanzapine24$920$38
Divalproex Sodium Er16$866$54
See all 21 drugs
Every Part D drug this clinician prescribed
Bupropion Xl46$1,944$42
Duloxetine56$1,334$24
Risperidone17$992$58
Olanzapine24$920$38
Divalproex Sodium Er16$866$54
Mirtazapine25$866$35
Buspirone55$732$13
Venlafaxine Hcl Er28$695$25
Methylphenidate35$553$16
Trazodone63$498$8
Dextroamphetamine-Amphet Er19$457$24
Fluoxetine40$446$11
Lamotrigine43$429$10
Lurasidone12$325$27
Lorazepam28$323$12
Gabapentin25$316$13
Citalopram Hbr13$240$18
Bupropion Hcl Sr14$233$17
Sertraline19$218$11
Clonazepam22$191$9
Zolpidem12$126$10

Year by year

Part D prescribing by year
20247291190% (0)2%$18,648
20237511250% (0)1%$48,816
20227331000% (0)7%$61,662
20217321020% (0)7%$68,729
2020617830% (0)8%$51,260
20197601310% (0)12%$71,842
20184691140% (0)10%$33,630
201792210% (0)None$4,545

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

See the drugs prescribed each year

2023: 23 drugs

Part D drugs prescribed in 2023
Bupropion Xl69$2,831$41
Divalproex Sodium Er21$1,743$83
Duloxetine43$1,477$34
Aripiprazole25$1,303$52
Venlafaxine Hcl Er30$1,116$37
Trazodone53$1,034$20
Buspirone35$1,020$29
Risperidone20$905$45
Fluoxetine52$802$15
Mirtazapine23$750$33
Olanzapine22$712$32
Lamotrigine32$518$16
Methylphenidate23$513$22
Gabapentin21$432$21
Lorazepam39$429$11
Dextroamphetamine-Amphet Er12$420$35
Bupropion Hcl Sr28$393$14
Hydroxyzine14$351$25
Quetiapine15$338$23
Sertraline31$260$8
Citalopram Hbr11$197$18
Zolpidem15$141$9
Clonazepam25$132$5

2022: 24 drugs

Part D drugs prescribed in 2022
Latuda20$27,579$1,379
Lamictal11$6,365$579
Bupropion Xl49$3,046$62
Divalproex Sodium Er18$1,867$104
Venlafaxine Hcl Er19$1,548$81
Methylphenidate28$1,490$53
Risperidone24$1,477$62
Trazodone32$1,235$39
Fluoxetine54$1,154$21
Olanzapine21$948$45
Aripiprazole13$795$61
Lorazepam73$639$9
Buspirone20$586$29
Quetiapine20$545$27
Duloxetine32$542$17
Dextroamphetamine-Amphetamine11$524$48
Bupropion Hcl Sr25$438$18
Dextroamphetamine-Amphet Er11$420$38
Clonazepam34$319$9
Citalopram Hbr21$254$12
Sertraline39$243$6
Hydroxyzine12$148$12
Zolpidem13$100$8
Lamotrigine26$78$3

2021: 25 drugs

Part D drugs prescribed in 2021
Latuda20$25,871$1,294
Dexedrine12$8,873$739
Lamictal12$6,530$544
Quetiapine Fumarate Er23$5,197$226
Bupropion Xl53$2,045$39
Divalproex Sodium Er16$1,786$112
Venlafaxine Hcl Er14$1,687$120
Buspirone42$1,273$30
Risperidone15$1,090$73
Aripiprazole26$872$34
Fluoxetine38$758$20
Lorazepam71$704$10
Mirtazapine13$701$54
Duloxetine26$614$24
Methylphenidate14$610$44
Trazodone25$571$23
Bupropion Hcl Sr26$567$22
Quetiapine28$532$19
Clonazepam40$426$11
Citalopram Hbr25$382$15
Bupropion12$340$28
Sertraline30$265$9
Hydroxyzine14$201$14
Escitalopram12$126$11
Lamotrigine28$96$3

2020: 20 drugs

Part D drugs prescribed in 2020
Latuda13$17,441$1,342
Bupropion Xl46$2,064$45
Divalproex Sodium Er14$1,718$123
Risperidone15$1,097$73
Aripiprazole17$885$52
Buspirone36$878$24
Bupropion Hcl Sr27$796$29
Lorazepam55$779$14
Mirtazapine11$761$69
Duloxetine15$733$49
Fluoxetine29$673$23
Methylphenidate20$669$33
Seroquel11$625$57
Quetiapine25$562$22
Sertraline44$448$10
Clonazepam39$438$11
Trazodone26$282$11
Citalopram Hbr19$247$13
Gabapentin11$200$18
Lamotrigine27$139$5

2019: 21 drugs

Part D drugs prescribed in 2019
Latuda23$28,506$1,239
Vyvanse13$4,859$374
Bupropion Xl43$2,018$47
Divalproex Sodium Er14$1,664$119
Mirtazapine13$1,272$98
Lorazepam96$962$10
Fluoxetine40$913$23
Seroquel13$739$57
Bupropion Hcl Sr24$678$28
Venlafaxine Hcl Er18$671$37
Aripiprazole11$514$47
Quetiapine23$487$21
Lamotrigine42$471$11
Risperidone20$445$22
Alprazolam48$353$7
Clonazepam44$346$8
Sertraline41$330$8
Gabapentin23$311$14
Citalopram Hbr15$265$18
Trazodone20$183$9
Zolpidem27$170$6

2018: 14 drugs

Part D drugs prescribed in 2018
Latuda12$15,362$1,280
Bupropion Xl20$709$35
Duloxetine11$669$61
Lorazepam61$501$8
Clonazepam21$475$23
Gabapentin18$437$24
Alprazolam34$399$12
Fluoxetine14$338$24
Lamotrigine32$299$9
Sertraline44$202$5
Quetiapine20$197$10
Trazodone24$152$6
Buspirone12$118$10
Zolpidem11$74$7

2017: 2 drugs

Part D drugs prescribed in 2017
Duloxetine11$356$32
Sertraline14$92$7

Money from drug and device companies

$13 in 2024

A payment is not proof that care is biased.

Payments by company
Baxter HealthcareNone$13
1 payment
  • Debt forgiveness · 2024-02-27 · $13
See the published payment
Every published payment
Baxter HealthcareDebt forgiveness · 2024-02-27None$13

Professional record

NPI
1417479825
Licence
CA 95006866, CA 95084470
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LP0808X (363LP0808X); Federal specialty code 163W00000X (163W00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2017-07-07
NPI last updated
2020-06-11
NPI record certified
2020-06-11

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

Extra NPI addresses: 616 16th St, Oakland, CA, 94612