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Ami Yamamoto, MD

Emergency Medicine · Berkeley

NPI 1447511308

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
6

Offices

6 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

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. Yamamoto’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A128047 · Current

Licensed to practise in California · since 2013 · expires 2027-12-31 · Drexel University College of Medicine.

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

Original Medicare doctor bills

$32,850

Medicare paid this office $32,850 for 221 people.

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

Largest Original Medicare bills
New patient visit (45+ min)51$7,828$153
Emergency department visit with high level of medical decision making44$5,689$126
Return visit (30+ min)41$4,710$115
Critical care, first 30-74 minutes15$2,470$165
Short return visit (20+ min)25$2,099$84
See all 10 services
Every Original Medicare service billed
New patient visit (45+ min)51$7,828$153
Emergency department visit with high level of medical decision making44$5,689$126
Return visit (30+ min)41$4,710$115
Critical care, first 30-74 minutes15$2,470$165
Short return visit (20+ min)25$2,099$84
New patient visit (30+ min)13$1,168$90
Initial hospital care with moderate level of medical decision making at least 75 minutes11$1,053$96
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only52$334$6
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)13$211$16
Automated urinalysis test17$40$2

Who their Medicare patients are

221 Original Medicare patients in 2024. Average age 73 · Under 65 10% · 85 and older 14% · Women 64% · Also on Medicaid 29% · Health risk score 1.43. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 74% · Diabetes 33% · Chronic kidney disease 29% · Coronary heart disease 23% · Depression 21% · COPD 18% · Atrial fibrillation 18% · Heart failure 17% · Cancer 16% · Stroke 11% · Dementia 7%.

The office billed $156,413, Medicare allowed $44,595 and paid $32,850; for 403 services of 49 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
2024221403731.43$156,413$32,850
2023289568752.15$299,188$52,002
2022214370722.08$210,819$37,455
2021195359712.71$173,066$37,588
2020465896712.60$377,876$84,570
20195531,042722.43$338,631$86,523
20185311,086692.66$328,981$83,167
20175321,165692.34$326,317$79,680
20165701,162702.38$351,541$85,539
2015246485702.12$148,133$36,942

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: 7 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making136$20,956$152
Critical care, first 30-74 minutes67$13,235$198
Initial hospital care with moderate level of medical decision making at least 75 minutes44$7,144$162
Emergency department visit with moderate level of medical decision making48$4,835$99
Critical care, each additional 30 minutes17$2,727$101
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only190$1,492$7
Electrocardiogram (ecg) 1 to 3 leads with review by physician only15$96$6

2022: 5 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making135$22,508$166
Critical care, first 30-74 minutes33$7,555$229
Emergency department visit with moderate level of medical decision making28$2,538$91
Initial hospital observation care per day, typically 70 minutes11$1,950$177
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only128$961$7

2021: 5 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making121$20,176$167
Critical care, first 30-74 minutes35$8,744$236
Initial hospital observation care per day, typically 70 minutes15$2,716$181
Emergency department visit with moderate level of medical decision making20$1,826$91
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only116$909$7

2020: 7 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making288$44,382$151
Critical care, first 30-74 minutes94$21,221$223
Emergency department visit with moderate level of medical decision making56$5,527$99
Initial hospital observation care per day, typically 70 minutes18$3,356$186
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only332$2,754$8
Critical care, each additional 30 minutes12$2,163$120
Emergency department visit with low level of medical decision making17$917$54

2019: 6 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making351$53,204$147
Critical care, first 30-74 minutes96$18,569$193
Emergency department visit with moderate level of medical decision making76$7,628$100
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only392$3,110$8
Emergency department visit with low level of medical decision making25$1,272$51
X-ray of chest, 1 view23$189$8

2018: 6 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making340$50,898$145
Critical care, first 30-74 minutes82$16,114$194
Emergency department visit with moderate level of medical decision making82$8,018$98
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only358$2,910$8
Emergency department visit with low level of medical decision making35$1,729$49
X-ray of chest, 1 view77$631$8

2017: 7 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making299$42,682$140
Critical care, first 30-74 minutes88$17,285$192
Emergency department visit with moderate level of medical decision making83$8,617$98
Emergency department visit with low level of medical decision making61$3,006$49
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only345$2,768$7
X-ray of chest, 1 view, front138$1,131$8
X-ray of chest, 2 views, front and side11$106$10

2016: 7 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making316$45,401$143
Critical care, first 30-74 minutes99$18,326$185
Emergency department visit with moderate level of medical decision making87$8,421$97
Emergency department visit with low level of medical decision making65$3,357$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only341$2,822$7
X-ray of chest, 1 view, front67$534$8
X-ray of chest, 2 views, front and side13$114$9

2015: 6 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making163$24,232$145
Critical care, first 30-74 minutes29$5,522$190
Emergency department visit with moderate level of medical decision making32$3,248$98
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only159$1,226$7
Emergency department visit with low level of medical decision making23$1,193$52
X-ray of chest, 1 view, front28$232$8

Medicaid work

$7,488 in 2024

Medicaid paid $7,488 for 76 billed services this clinician did in 2024, up to 23 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 2024
Clinic visit/encounter, all-inclusive24$5,353
EMERGENCY DEPARTMENT VISIT HIGH MDM25$1,944
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only27$191
Medicaid work by year
202476323$7,488
2023418325$14,302
2022444432$33,419
2021586535$32,200
2020673641$20,335
2019486427$19,453
2018828636$28,208
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPARTMENT VISIT HIGH MDM213$11,807
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only178$1,363
EMERGENCY DEPT VISIT MOD MDM27$1,132

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive114$24,154
EMERGENCY DEPARTMENT VISIT HIGH MDM137$8,326
Return visit (30+ min)130$527
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only63$412

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive109$22,556
EMERGENCY DEPARTMENT VISIT HIGH MDM168$7,497
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only173$1,049
EMERGENCY DEPT VISIT MOD MDM14$731
Return visit (30+ min)122$368

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM287$16,144
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only297$2,427
EMERGENCY DEPT VISIT MOD MDM40$1,223
EMERGENCY DEPT VISIT LOW MDM24$462
COMPREHENSIVE METABOLIC PANEL12$46
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count13$33

2019

Largest Medicaid services in 2019
EMERGENCY DEPARTMENT VISIT HIGH MDM291$14,946
EMERGENCY DEPT VISIT MOD MDM43$2,019
EMERGENCY DEPT VISIT LOW MDM93$1,846
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only59$643

2018

Largest Medicaid services in 2018
EMERGENCY DEPARTMENT VISIT HIGH MDM360$19,921
EMERGENCY DEPT VISIT MOD MDM119$5,223
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only179$1,715
EMERGENCY DEPT VISIT LOW MDM72$1,280
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count16$69
Service(s) provided between 10:00 PM and 8:00 AM at 24-hour facility, in addition to basic service82$0

Drugs they prescribed that Part D paid

$4,341

Pharmacies billed $4,341 in 2024.

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

Opioids were 5% of their Part D prescriptions (12 of 237) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

210 generic and 27 brand-name prescriptions · $4,341 in drug cost · 88 antibiotic prescriptions to 71 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
Albuterol Sulfate Hfa18$442$23
Amoxicillin-Clavulanate Potass19$168$9
Cephalexin21$102$5
Mupirocin13$82$6
Prednisone15$56$4
See all 6 drugs
Every Part D drug this clinician prescribed
Albuterol Sulfate Hfa18$442$23
Amoxicillin-Clavulanate Potass19$168$9
Cephalexin21$102$5
Mupirocin13$82$6
Prednisone15$56$4
Azithromycin12$43$4

Year by year

Part D prescribing by year
20242371525% (12)11%$4,341
20231449913% (19)None$2,365
20221479510% (14)7%$3,901
20219672NoneNone$1,679
20202111338% (16)10%$4,675
201928216214% (40)13%$7,434
201821912821% (46)11%$3,382
201729616921% (62)11%$4,740
201630719423% (70)None$6,213
201516410232% (53)None$3,489
2014382432% (12)None$825

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

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Cephalexin12$106$9
Hydrocodone-Acetaminophen11$67$6
Prednisone11$20$2

2022: 1 drug

Part D drugs prescribed in 2022
Cephalexin18$126$7

2021: 1 drug

Part D drugs prescribed in 2021
Cephalexin13$68$5

2020: 3 drugs

Part D drugs prescribed in 2020
Ondansetron21$171$8
Cephalexin15$91$6
Prednisone13$25$2

2019: 7 drugs

Part D drugs prescribed in 2019
Narcan11$1,422$129
Lidocaine14$500$36
Cephalexin30$233$8
Ondansetron32$164$5
Hydrocodone-Acetaminophen17$82$5
Tramadol19$62$3
Prednisone15$37$2

2018: 6 drugs

Part D drugs prescribed in 2018
Ventolin Hfa11$610$55
Hydrocodone-Acetaminophen28$159$6
Cephalexin21$138$7
Ondansetron21$129$6
Azithromycin12$68$6
Tramadol15$50$3

2017: 6 drugs

Part D drugs prescribed in 2017
Ventolin Hfa11$588$53
Cephalexin29$206$7
Hydrocodone-Acetaminophen48$201$4
Ondansetron26$145$6
Levofloxacin13$83$6
Prednisone13$42$3

2016: 7 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen47$273$6
Levofloxacin19$156$8
Cephalexin19$146$8
Ciprofloxacin23$137$6
Clindamycin12$136$11
Ibuprofen18$79$4
Acetaminophen-Codeine11$57$5

2015: 3 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen44$239$5
Ciprofloxacin14$92$7
Prednisone11$42$4

2014: 1 drug

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen11$48$4

Money from drug and device companies

$232 in 2019

A payment is not proof that care is biased.

Payments by company
AcelRx PharmaceuticalsDsuvia$126
1 payment
  • Meals for Dsuvia · 2019-11-13 · $126
AllerganDalvance$106
1 payment
  • Meals for Dalvance · 2019-05-07 · $106
See all 2 published payments
Every published payment
AcelRx PharmaceuticalsMeals · 2019-11-13Dsuvia$126
AllerganMeals · 2019-05-07Dalvance$106

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
98.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1447511308
Licence
CA A128047California A128047: Current · expires 2027-12-31
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
2450 Ashby Ave, Berkeley, CA, 94705
NPI first listed
2012-06-06
NPI last updated
2018-02-12

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