Richard Hidalgo, MD

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

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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. Hidalgo’s office at (408) 885-5000 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$40,441

Medicare paid this office $40,441 for 248 people.

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

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Largest Original Medicare bills

Initial hospital care with moderate level of medical decision making at least 75 minutes	241	$39,566	$155

Who their Medicare patients are

248 Original Medicare patients in 2024. Average age 79 · Under 65 7% · 85 and older 28% · Women 54% · Also on Medicaid 70% · Health risk score 2.28. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 62% · Chronic kidney disease 43% · Coronary heart disease 41% · Heart failure 40% · Dementia 40% · Atrial fibrillation 36% · Stroke 29% · Depression 27% · COPD 24% · Cancer 19%.

The office billed $201,866, Medicare allowed $50,757 and paid $40,441; for 263 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

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Original Medicare by year

2024	248	263	79	2.28	$201,866	$40,441
2023	309	332	78	2.30	$241,268	$51,236
2022	272	288	77	2.56	$186,503	$48,174
2021	235	259	75	2.35	$177,664	$46,411
2020	204	397	76	2.94	$173,185	$42,481
2019	317	1,299	73	2.55	$242,661	$82,471
2018	421	1,340	73	2.58	$329,967	$108,224
2017	318	877	74	2.46	$155,626	$99,745
2016	434	1,148	73	2.15	$139,929	$82,300
2015	385	1,123	69	2.02	$149,594	$82,837
2014	319	935	71	1.86	$136,464	$74,725
2013	302	940	71	1.77	$185,116	$72,232

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: 1 service

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Original Medicare services billed in 2023

Initial hospital care with moderate level of medical decision making at least 75 minutes	302	$49,822	$156

2022: 3 services

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Original Medicare services billed in 2022

Initial hospital care with moderate level of medical decision making at least 75 minutes	219	$41,760	$182
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes	38	$3,476	$91
Initial hospital observation care per day, typically 70 minutes	14	$2,290	$164

2021: 3 services

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Original Medicare services billed in 2021

Initial hospital care with moderate level of medical decision making at least 75 minutes	203	$40,542	$189
Initial hospital observation care per day, typically 70 minutes	17	$2,940	$173
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes	14	$1,316	$94

2020: 6 services

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Original Medicare services billed in 2020

Initial hospital care with moderate level of medical decision making at least 75 minutes	96	$20,460	$201
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	54	$8,926	$61
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes	22	$5,038	$85
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes	29	$2,855	$98
Hospital discharge day management, more than 30 minutes	28	$2,505	$89
Hospital discharge day management, 30 minutes or less	12	$683	$57

2019: 7 services

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Original Medicare services billed in 2019

Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	242	$56,592	$57
Hospital discharge day management, more than 30 minutes	109	$9,381	$82
Initial hospital care with moderate level of medical decision making at least 75 minutes	41	$6,596	$161
Follow-up observation care per day, typically 25 minutes	34	$4,250	$57
Hospital discharge day management, 30 minutes or less	29	$1,675	$58
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes	12	$1,531	$85
Hospital observation care on day of discharge	17	$966	$57

2018: 7 services

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Original Medicare services billed in 2018

Subsequent hospital care with moderate levelof medical decision making at least 50 minutes	162	$37,239	$85
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	159	$28,204	$57
Initial hospital care with moderate level of medical decision making at least 75 minutes	130	$21,150	$161
Hospital discharge day management, more than 30 minutes	92	$7,941	$86
Hospital discharge day management, 30 minutes or less	75	$4,613	$61
Follow-up observation care per day, typically 25 minutes	15	$1,135	$57
Hospital observation care on day of discharge	12	$700	$58

2017: 9 services

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Original Medicare services billed in 2017

Subsequent hospital care with moderate levelof medical decision making at least 50 minutes	171	$46,889	$104
Initial hospital care with moderate level of medical decision making at least 75 minutes	107	$21,798	$202
Hospital discharge day management, more than 30 minutes	98	$10,779	$108
Critical care, first 30-74 minutes	19	$6,015	$172
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	38	$5,323	$59
Initial hospital observation care per day, typically 70 minutes	20	$3,758	$188
Follow-up observation care per day, typically 35 minutes	13	$1,837	$102
Hospital observation care on day of discharge	18	$1,350	$75
Hospital discharge day management, 30 minutes or less	14	$863	$62

2016: 7 services

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Original Medicare services billed in 2016

Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	217	$29,141	$55
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes	151	$27,457	$80
Hospital discharge day management, more than 30 minutes	138	$11,455	$81
Critical care, first 30-74 minutes	24	$6,508	$171
Initial hospital care with moderate level of medical decision making at least 75 minutes	23	$3,597	$156
Hospital observation care on day of discharge	30	$1,677	$56
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes	13	$465	$29

2015: 9 services

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Original Medicare services billed in 2015

Subsequent hospital care with moderate levelof medical decision making at least 50 minutes	132	$29,246	$81
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	216	$27,892	$55
Initial hospital care with moderate level of medical decision making at least 75 minutes	52	$8,042	$155
Hospital discharge day management, more than 30 minutes	94	$7,694	$82
Critical care, first 30-74 minutes	13	$2,692	$179
Initial hospital observation care per day, typically 70 minutes	16	$2,302	$144
Follow-up observation care per day, typically 35 minutes	17	$2,193	$81
Hospital observation care on day of discharge	19	$1,063	$56
Hospital discharge day management, 30 minutes or less	11	$619	$56

2014: 8 services

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Original Medicare services billed in 2014

Subsequent hospital care with moderate levelof medical decision making at least 50 minutes	203	$41,837	$77
Hospital discharge day management, more than 30 minutes	105	$8,309	$78
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	59	$7,154	$56
Initial hospital care with moderate level of medical decision making at least 75 minutes	45	$6,936	$151
Initial hospital observation care per day, typically 70 minutes	20	$2,861	$143
Follow-up observation care per day, typically 35 minutes	15	$2,255	$81
Hospital observation care on day of discharge	23	$1,223	$53
Hospital discharge day management, 30 minutes or less	12	$667	$56

2013: 8 services

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Original Medicare services billed in 2013

Subsequent hospital care with moderate levelof medical decision making at least 50 minutes	205	$40,065	$79
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	63	$11,038	$54
Hospital discharge day management, more than 30 minutes	93	$7,563	$80
Initial hospital care with moderate level of medical decision making at least 75 minutes	37	$5,967	$153
Critical care, first 30-74 minutes	12	$2,161	$180
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes	19	$1,468	$77
Hospital observation care on day of discharge	13	$711	$55
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes	11	$676	$29

Medicaid work

$10,366 in 2024

Medicaid paid $10,366 for 285 billed services this clinician did in 2024, up to 44 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.

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Largest Medicaid services in 2024

1ST HOSP IP/OBS HIGH 75	285	$10,366

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Medicaid work by year

2024	285	1	44	$10,366
2023	466	1	49	$9,148
2022	371	1	39	$11,448
2021	375	1	44	$17,592
2020	161	3	29	$7,567
2019	509	1	22	$18,990
2018	95	1	16	$6,459

See the largest Medicaid services in earlier years

2023

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Largest Medicaid services in 2023

1ST HOSP IP/OBS HIGH 75	466	$9,148

2022

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Largest Medicaid services in 2022

1ST HOSP IP/OBS HIGH 75	371	$11,448

2021

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Largest Medicaid services in 2021

1ST HOSP IP/OBS HIGH 75	375	$17,592

2020

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Largest Medicaid services in 2020

SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES	39	$3,867
1ST HOSP IP/OBS HIGH 75	107	$3,535
1ST HOSP IP/OBS SF/LOW 40	15	$165

2019

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Largest Medicaid services in 2019

SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES	509	$18,990

2018

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Largest Medicaid services in 2018

SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES	95	$6,459

Drugs they prescribed that Part D paid

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

Opioids were 3% of their 331 Part D prescriptions in 2017.

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

Year by year

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Part D prescribing by year

2020	88	28	None	16%	$3,064
2019	446	166	None	19%	$19,775
2018	382	136	None	18%	$19,756
2017	331	110	3% (11)	None	$14,885
2016	354	99	None	None	$21,030
2015	182	60	None	None	$7,099
2014	157	54	None	None	$6,189
2013	137	59	None	None	$5,265

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

See the drugs prescribed each year

2019: 9 drugs

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Part D drugs prescribed in 2019

Pantoprazole	40	$291	$7
Atorvastatin	18	$159	$9
Prednisone	30	$153	$5
Hydralazine	12	$149	$12
Furosemide	29	$119	$4
Amoxicillin-Clavulanate Potass	14	$106	$8
Ranitidine	18	$88	$5
Lisinopril	15	$66	$4
Metoprolol	11	$47	$4

2018: 9 drugs

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Part D drugs prescribed in 2018

Eliquis	13	$4,976	$383
Pantoprazole	36	$299	$8
Levofloxacin	18	$137	$8
Prednisone	21	$132	$6
Ciprofloxacin	12	$129	$11
Atorvastatin	14	$125	$9
Furosemide	23	$85	$4
Carvedilol	12	$53	$4
Lisinopril	20	$51	$3

2017: 8 drugs

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Part D drugs prescribed in 2017

Pantoprazole	18	$179	$10
Levofloxacin	19	$118	$6
Isosorbide Mononitrate Er	13	$99	$8
Prednisone	15	$86	$6
Lisinopril	25	$78	$3
Carvedilol	22	$67	$3
Furosemide	19	$67	$4
Ciprofloxacin	14	$63	$5

2016: 5 drugs

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Part D drugs prescribed in 2016

Prednisone	17	$205	$12
Pantoprazole	20	$200	$10
Atorvastatin	17	$125	$7
Carvedilol	17	$83	$5
Furosemide	20	$65	$3

2015: 1 drug

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Part D drugs prescribed in 2015

Furosemide	13	$30	$2

2014: 1 drug

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Part D drugs prescribed in 2014

Pantoprazole	13	$202	$16

2013: 1 drug

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Part D drugs prescribed in 2013

Omeprazole	15	$197	$13

Money from drug and device companies

$56 in 2021

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Industry payments by year

2021	1	1	None	$56
2019	4	8	None	$139

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

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Payments by company

AbbVie	Vraylar	$56	1 payment Meals for Vraylar · 2021-11-04 · $56

See the published payment

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Every published payment

AbbVie	Meals · 2021-11-04	Vraylar	$56

See earlier years (2019)

2019: $139

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Payments by company in 2019

ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	Lifevest	$65	4 payments Meals for Lifevest · 2019-09-05 · $14 Meals for Lifevest · 2019-07-19 · $16 Meals for Lifevest · 2019-04-30 · $16 Meals for Lifevest · 2019-02-28 · $18
Novartis Pharmaceuticals	Entresto	$43	2 payments Meals for Entresto · 2019-06-19 · $24 Meals for Entresto · 2019-04-24 · $19
Alexion Pharmaceuticals	Soliris	$17	1 payment Meals for Soliris · 2019-04-18 · $17
Boehringer Ingelheim Pharmaceuticals	Jardiance	$13	1 payment Meals for Jardiance · 2019-02-27 · $13

Professional record

NPI: 1427053115
Licence: MI 4301072052
Group: County of Santa Clara
Gender: Male

More record details

Sole proprietor: No
Medicaid ID: MI 4846389
Taxonomy: Internal medicine (207R00000X); Hospitalist (208M00000X)
Mailing address: 36123 Schoolcraft Rd, Livonia, MI, 48150
NPI first listed: 2005-06-17
NPI last updated: 2017-04-18

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