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Mark M Held, CP

Clinical Psychologist · San Jose

NPI 1437547940

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

Offices

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

Looking this up.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Mark M Held’s office at (408) 885-5000 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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Original Medicare doctor bills

$7,328

Medicare paid this office $7,328 for 32 people.

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

Largest Original Medicare bills
Treatment of behavior impacting health, initial 30 minutes30$4,438$52
Assessment of health behavior26$2,104$78

Who their Medicare patients are

32 Original Medicare patients in 2024. Average age 72 · Women 38% · Health risk score 1.34. Above the middle of the specialty; the typical psychologist, clinical clinician is at 1.25.

Conditions among them: High blood pressure 75% · Depression 50% · Coronary heart disease 47% · Diabetes 44% · Atrial fibrillation 41%.

The office billed $77,894, Medicare allowed $9,222 and paid $7,328; for 138 services of 9 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
202432138721.34$77,894$7,328
202328153721.58$87,611$7,743
20222695711.57$55,508$5,448
20212187711.53$48,073$4,619
20202481732.19$44,400$4,754
201933150741.84$33,420$3,870
201828159672.13$29,731$4,591
201724106712.12$21,468$3,361
201619119660.99$20,024$2,968

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: 2 services

Original Medicare services billed in 2023
Treatment of behavior impacting health, initial 30 minutes21$4,101$49
Assessment of health behavior19$1,368$72

2022: 2 services

Original Medicare services billed in 2022
Treatment of behavior impacting health, initial 30 minutes17$2,754$53
Assessment of health behavior21$1,630$78

2021: 2 services

Original Medicare services billed in 2021
Treatment of behavior impacting health, initial 30 minutes18$2,380$50
Assessment of health behavior11$846$77

2020: 2 services

Original Medicare services billed in 2020
Treatment of behavior impacting health, initial 30 minutes19$2,387$54
Assessment of health behavior17$1,350$79

2019: 3 services

Original Medicare services billed in 2019
Health and behavior intervention, individual each 15 minutes23$1,545$17
Exam of neurobehavioral status, first hour12$906$76
Health and behavior assessment each 15 minutes15$576$19

2018: 2 services

Original Medicare services billed in 2018
Health and behavior intervention, individual each 15 minutes25$1,509$17
Health and behavior assessment each 15 minutes12$687$19

2017: 2 services

Original Medicare services billed in 2017
Exam of neurobehavioral status, first hour11$1,683$76
Health and behavior intervention, individual each 15 minutes15$847$17

2016: 2 services

Original Medicare services billed in 2016
Health and behavior intervention, individual each 15 minutes12$1,100$17
Health and behavior assessment each 15 minutes11$648$19

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1437547940
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 103T00000X (103T00000X)
Mailing address
459 Fulton St, Suite 107, San Francisco, CA, 94102
NPI first listed
2015-01-06
NPI last updated
2015-01-06

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