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Candice T Tong, MD

Obstetrics/Gynecology · Mountain View

NPI 1427222686

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
2
2 carriers
Office
1

Offices

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

Looking this up.

Plans that list them

2 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Tong’s office at (650) 691-6174 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

2 of 2 plans

Plans whose provider directory lists this clinician
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A115724 · Current

Licensed to practise in California · since 2011 · expires 2028-06-30 · Virginia Commonwealth University, Medical College of Virginia.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$5,549

Medicare paid this office $5,549 for 26 people.

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

Largest Original Medicare bills
Short return visit11$662$47

Who their Medicare patients are

26 Original Medicare patients in 2024. Average age 73 · Women 100% · Health risk score 0.71. At or below the middle of the specialty; the typical obstetrics & gynecology clinician is at 0.88.

The office billed $26,622, Medicare allowed $7,749 and paid $5,549; for 57 services of 11 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
20242657730.71$26,622$5,549
20232763710.60$25,249$5,880
20223757740.92$19,961$4,794
20213776730.67$27,798$7,050
20202961700.83$22,813$5,088
20194170700.83$20,628$5,997

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

Original Medicare services billed in 2023
Short return visit (20+ min)14$1,188$74

2021: 1 service

Original Medicare services billed in 2021
Short return visit (20+ min)13$1,459$86

2020: 2 services

Original Medicare services billed in 2020
Short return visit (20+ min)13$1,009$63
Short return visit11$382$35

2019: 1 service

Original Medicare services billed in 2019
Short return visit (20+ min)15$989$66

Medicaid work

$481,680 in 2018

Medicaid paid $481,680 for 5,442 billed services this clinician did in 2018, up to 144 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-inclusive2,772$381,543
ANTEPARTUM CARE ONLY 4-6 VISITS949$61,082
OBSTETRICAL CARE40$26,523
Short return visit (20+ min)127$3,388
FETAL NON-STRESS TEST113$3,168
Short return visit103$2,229
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy1,075$1,647
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use58$859
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)87$647
Annual alcohol misuse screening, 5 to 15 minutes14$312
URINE PREGNANCY TEST104$283
Medicaid work by year
20185,44211144$481,680

Money from drug and device companies

$125 in 2024

A payment is not proof that care is biased.

Payments by company
Mayne Pharma CommercialNextstellis$125
1 payment
  • Meals for Nextstellis · 2024-03-20 · $125
See the published payment
Every published payment
Mayne Pharma CommercialMeals · 2024-03-20Nextstellis$125

Professional record

NPI
1427222686
Licence
CA A115724California A115724: Current · expires 2028-06-30
Trained
University of Virginia School of Medicine, 2007
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207V00000X (207V00000X)
Mailing address
2350 W El Camino Real Fl 2, Mountain View, CA, 94040
NPI first listed
2008-04-18
NPI last updated
2019-03-20

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