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Kimberly L Chang, NP

Nurse Practitioner · Palo Alto

NPI 1447705603

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Office
1
Since medical school
11 years
Graduated 2015

Offices

1 location · Sutter Bay Medical Foundation · 3,783 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 Kimberly L Chang’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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Original Medicare doctor bills

$52,526

Medicare paid this office $52,526 for 143 people.

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

Largest Original Medicare bills
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes116$34,466$85
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes80$9,986$120
Nursing facility discharge management, more than 30 minutes70$7,414$102

Who their Medicare patients are

143 Original Medicare patients in 2024. Average age 85 · 85 and older 56% · Women 69% · Also on Medicaid 15% · Health risk score 1.48. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Coronary heart disease 42% · Chronic kidney disease 37% · Atrial fibrillation 36% · Depression 34% · Dementia 29% · Heart failure 27% · Diabetes 24% · COPD 22% · Cancer 20% · Stroke 14%.

The office billed $198,545, Medicare allowed $65,926 and paid $52,526; for 574 services of 7 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
2024143574851.48$198,545$52,526
202376188803.31$33,348$14,863
2022148678782.48$114,378$48,073
2021204556762.98$89,937$38,528
2020310991772.59$151,523$70,343
20194011,912822.51$435,177$123,737
20182411,100842.20$262,441$72,714
20173462,318842.41$560,649$161,931
2016246848852.67$200,205$61,880

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: 4 services

Original Medicare services billed in 2023
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes31$5,346$79
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes29$3,428$114
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes23$2,696$54
Nursing facility discharge management, more than 30 minutes26$2,499$89

2022: 4 services

Original Medicare services billed in 2022
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes87$17,394$69
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes59$16,326$64
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes72$8,086$102
Nursing facility discharge management, more than 30 minutes40$3,267$80

2021: 5 services

Original Medicare services billed in 2021
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes104$17,256$70
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes77$9,531$66
Nursing facility discharge management, more than 30 minutes62$5,198$79
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes25$2,595$100
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more28$1,705$49

2020: 7 services

Original Medicare services billed in 2020
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes209$39,068$70
Nursing facility discharge management, more than 30 minutes138$11,513$81
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes59$7,685$59
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes49$5,463$103
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more27$2,059$56
Advance care planning, first 30 minutes20$1,530$61
Nursing facility discharge day management, 30 minutes or less12$704$59

2019: 9 services

Original Medicare services billed in 2019
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes209$68,049$66
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes155$22,712$62
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more70$9,320$50
Nursing facility discharge management, more than 30 minutes78$6,832$81
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes44$5,432$104
Advance care planning, first 30 minutes53$4,013$59
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more60$3,342$46
Advance care planning, first 30 minutes14$976$61
Nursing facility annual assessment, typically 30 minutes14$953$68

2018: 6 services

Original Medicare services billed in 2018
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes96$33,374$71
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes110$19,146$71
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more62$8,095$54
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more73$7,184$54
Nursing facility annual assessment, typically 30 minutes24$1,698$71
Nursing facility discharge management, more than 30 minutes11$893$81

2017: 7 services

Original Medicare services billed in 2017
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes151$86,982$68
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes187$55,615$69
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes78$10,625$101
Nursing facility discharge management, more than 30 minutes38$3,129$80
Advance care planning, first 30 minutes27$1,826$57
Nursing facility annual assessment, typically 30 minutes24$1,706$71
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more12$860$54

2016: 8 services

Original Medicare services billed in 2016
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes116$19,506$71
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes85$18,622$71
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes47$9,029$105
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes26$4,328$106
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more43$3,472$54
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more37$2,591$54
Nursing facility annual assessment, typically 30 minutes33$2,439$74
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes17$700$35

Medicaid work

$3,380 in 2023

Medicaid paid $3,380 for 191 billed services this clinician did in 2023, up to 46 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 2023
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES164$2,815
SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES27$565
Medicaid work by year
2023191246$3,380
2022698262$12,639
2021364160$5,361
2020251132$1,729
20191,334388$12,914
2018621271$6,584
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES671$11,831
SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES27$808

2021

Largest Medicaid services in 2021
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES364$5,361

2020

Largest Medicaid services in 2020
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES251$1,729

2019

Largest Medicaid services in 2019
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES1,063$11,413
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES255$1,214
Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate16$287

2018

Largest Medicaid services in 2018
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES515$5,924
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES106$660

Drugs they prescribed that Part D paid

$18,283

Pharmacies billed $18,283 in 2024.

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

Opioids were 6% of their Part D prescriptions (25 of 450) in 2024. Above the middle of the specialty; the typical nurse practitioner clinician is at 0%.

427 generic and 23 brand-name prescriptions · $18,283 in drug cost.

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
Potassium Chloride18$4,635$257
Gabapentin50$834$17
Colchicine35$655$19
Pantoprazole50$533$11
Tamsulosin47$457$10
See all 11 drugs
Every Part D drug this clinician prescribed
Potassium Chloride18$4,635$257
Gabapentin50$834$17
Colchicine35$655$19
Pantoprazole50$533$11
Tamsulosin47$457$10
Metoprolol53$415$8
Famotidine29$385$13
Omeprazole22$273$12
Carvedilol34$239$7
Atorvastatin11$206$19
Hydrocodone-Acetaminophen11$181$16

Year by year

Part D prescribing by year
2024450356% (25)5%$18,283
20231,080891% (11)14%$76,899
20221,2421433% (42)None$81,480
20218951855% (40)None$66,699
20201,0331927% (76)None$66,671
20191,17917231% (363)None$77,267
201857411044% (253)None$46,662
201775614257% (428)17%$50,408
20162045756% (114)17%$11,961

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

See the drugs prescribed each year

2023: 27 drugs

Part D drugs prescribed in 2023
Jardiance33$12,525$380
Eliquis38$12,516$329
Xarelto16$8,519$532
Potassium Chloride46$7,977$173
Gabapentin134$2,555$19
Mirtazapine61$1,507$25
Duloxetine44$1,451$33
Tamsulosin78$1,265$16
Sevelamer Carbonate18$920$51
Sertraline21$592$28
Metoprolol48$577$12
Colchicine11$577$52
Atorvastatin41$556$14
Omeprazole21$508$24
Pantoprazole24$436$18
Levothyroxine34$411$12
Carvedilol31$406$13
Hydralazine18$331$18
Amlodipine Besylate14$222$16
Warfarin12$190$16
Allopurinol22$163$7
Furosemide21$154$7
Clonidine26$148$6
Metformin13$144$11
Quetiapine15$131$9
Losartan19$124$7
Clonazepam19$123$6

2022: 23 drugs

Part D drugs prescribed in 2022
Trulicity21$15,015$715
Eliquis11$5,351$486
Duloxetine45$3,203$71
Gabapentin164$2,397$15
Mirtazapine99$2,284$23
Pregabalin18$1,792$100
Buprenorphine15$1,468$98
Levemir Flextouch13$1,306$100
Potassium Chloride53$1,102$21
Metformin49$695$14
Levothyroxine47$599$13
Atorvastatin44$556$13
Carbidopa-Levodopa14$440$31
Furosemide74$437$6
Methadone26$352$14
Clonazepam38$350$9
Fluticasone Propionate14$337$24
Pantoprazole26$324$12
Spironolactone13$218$17
Warfarin25$207$8
Tamsulosin27$160$6
Lorazepam15$127$8
Fluoxetine16$116$7

2021: 18 drugs

Part D drugs prescribed in 2021
Eliquis23$7,797$339
Duloxetine83$2,572$31
Gabapentin102$1,793$18
Mirtazapine31$613$20
Levothyroxine41$458$11
Atorvastatin35$390$11
Tamsulosin31$364$12
Carbidopa-Levodopa11$349$32
Fluticasone Propionate13$334$26
Pantoprazole19$252$13
Methadone17$172$10
Furosemide21$149$7
Trazodone14$119$9
Amlodipine Besylate14$115$8
Oxycodone11$107$10
Metformin13$94$7
Lorazepam11$73$7
Warfarin11$63$6

2020: 24 drugs

Part D drugs prescribed in 2020
Eliquis13$5,286$407
Duloxetine102$4,984$49
Basaglar Kwikpen U-10025$3,151$126
Brimonidine11$1,382$126
Gabapentin62$1,163$19
Clozapine22$996$45
Mirtazapine27$901$33
Oxycodone21$726$35
Omeprazole16$496$31
Potassium Chloride13$479$37
Levothyroxine33$390$12
Atorvastatin32$371$12
Pantoprazole27$341$13
Felodipine Er16$318$20
Sertraline28$257$9
Metoprolol14$251$18
Methadone23$225$10
Metformin23$151$7
Furosemide27$143$5
Tamsulosin15$137$9
Hydromorphone11$131$12
Amlodipine Besylate19$128$7
Hydrochlorothiazide11$80$7
Metoprolol13$55$4

2019: 27 drugs

Part D drugs prescribed in 2019
Vimpat36$17,522$487
Novolog17$5,370$316
Fentanyl25$2,244$90
Clozapine38$1,897$50
Hydrocodone-Acetaminophen122$1,865$15
Oxycodone66$1,386$21
Clonazepam91$1,049$12
Lorazepam70$781$11
Morphine Sulfate23$776$34
Duloxetine20$767$38
Mirtazapine13$594$46
Tramadol60$461$8
Morphine Sulfate Er18$432$24
Sertraline17$395$23
Gabapentin23$336$15
Warfarin36$239$7
Hydromorphone18$226$13
Levothyroxine18$198$11
Zolpidem16$170$11
Metoprolol28$120$4
Losartan22$111$5
Hydrochlorothiazide17$107$6
Alprazolam13$105$8
Lovastatin22$86$4
Fluoxetine13$80$6
Furosemide13$72$6
Diazepam11$67$6

2018: 14 drugs

Part D drugs prescribed in 2018
Vimpat32$21,352$667
Onfi12$7,786$649
Lyrica11$3,355$305
Hydrocodone-Acetaminophen87$1,301$15
Morphine Sulfate Er12$680$57
Oxycodone-Acetaminophen18$589$33
Lorazepam51$562$11
Oxycodone27$472$17
Morphine Sulfate17$447$26
Venlafaxine Hcl Er32$446$14
Clonazepam34$408$12
Tramadol67$392$6
Atorvastatin11$327$30
Zolpidem19$156$8

2017: 14 drugs

Part D drugs prescribed in 2017
Vimpat32$19,075$596
Lyrica31$7,725$249
Morphine Sulfate Er37$2,278$62
Hydrocodone-Acetaminophen124$2,159$17
Oxycodone-Acetaminophen66$1,708$26
Oseltamivir Phosphate12$1,649$137
Fentanyl25$1,505$60
Oxycodone54$1,165$22
Tramadol82$833$10
Clonazepam30$576$19
Morphine Sulfate30$557$19
Lorazepam50$485$10
Atorvastatin12$307$26
Quetiapine12$126$11

2016: 6 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen36$1,298$36
Morphine Sulfate Er11$464$42
Oxycodone-Acetaminophen12$435$36
Tramadol23$280$12
Lorazepam23$136$6
Oxycodone13$92$7

Professional record

NPI
1447705603
Licence
CA 95003205
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2016-08-17
NPI last updated
2024-02-02
NPI record certified
2024-02-02

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

Extra NPI addresses: 1510 4th St, Berkeley, CA, 94710