Ruth A Spirakis, MNT
Registered Dietitian Or Nutrition Professional · Palo Alto
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 2
- 2 carriers
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group
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 Ruth A Spirakis’s office at (415) 600-1020 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
2 of 2 plans
| Alignment Health Sutter Advantage +More (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
Original Medicare doctor bills
$13,673
Medicare paid this office $13,673 for 66 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure for nutrition management, each 15 minutes | 41 | $5,357 | $38 |
| Diabetes outpatient self-management training services, individual, per 30 minutes | 37 | $5,035 | $50 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 26 | $3,280 | $32 |
Who their Medicare patients are
66 Original Medicare patients in 2024. Average age 75 · Women 47% · Health risk score 1.31. At or below the middle of the specialty; the typical registered dietitian or nutrition professional clinician is at 1.43.
Conditions among them: High blood pressure 75% · Diabetes 75% · Chronic kidney disease 53% · Coronary heart disease 39% · Cancer 27% · Depression 23%.
The office billed $35,875, Medicare allowed $14,940 and paid $13,673; for 341 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
| 2024 | 66 | 341 | 75 | 1.31 | $35,875 | $13,673 |
| 2023 | 57 | 237 | 75 | 1.61 | $21,749 | $9,831 |
| 2022 | 75 | 324 | 76 | 1.38 | $22,421 | $12,905 |
| 2021 | 61 | 263 | 75 | 1.20 | $20,917 | $11,265 |
| 2020 | 53 | 254 | 74 | 1.26 | $21,302 | $10,288 |
| 2019 | 67 | 290 | 74 | 1.54 | $24,074 | $11,053 |
| 2018 | 52 | 235 | 72 | 1.41 | $19,387 | $8,917 |
| 2017 | 60 | 276 | 72 | 1.33 | $21,360 | $10,454 |
| 2016 | 72 | 302 | 68 | 1.35 | $22,620 | $11,262 |
| 2015 | 56 | 264 | 69 | 1.54 | $19,939 | $9,815 |
| 2014 | 56 | 273 | 68 | 1.28 | $20,625 | $9,074 |
| 2013 | 63 | 388 | 70 | 1.15 | $27,299 | $10,489 |
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: 3 services
| Diabetes outpatient self-management training services, individual, per 30 minutes | 38 | $4,249 | $49 |
| Therapy procedure for nutrition management, each 15 minutes | 35 | $3,224 | $39 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 18 | $2,358 | $34 |
2022: 3 services
| Therapy procedure for nutrition management, each 15 minutes | 50 | $6,066 | $39 |
| Diabetes outpatient self-management training services, individual, per 30 minutes | 36 | $3,721 | $48 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 26 | $3,119 | $34 |
2021: 3 services
| Diabetes outpatient self-management training services, individual, per 30 minutes | 43 | $5,606 | $51 |
| Therapy procedure for nutrition management, each 15 minutes | 26 | $3,133 | $40 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 18 | $2,526 | $34 |
2020: 3 services
| Diabetes outpatient self-management training services, individual, per 30 minutes | 43 | $5,874 | $46 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 21 | $2,631 | $34 |
| Therapy procedure for nutrition management, each 15 minutes | 16 | $1,724 | $39 |
2019: 2 services
| Diabetes outpatient self-management training services, individual, per 30 minutes | 51 | $6,727 | $48 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 18 | $2,718 | $33 |
2018: 2 services
| Diabetes outpatient self-management training services, individual, per 30 minutes | 45 | $5,435 | $45 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 20 | $3,203 | $30 |
2017: 2 services
| Diabetes outpatient self-management training services, individual, per 30 minutes | 51 | $5,972 | $46 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 22 | $3,192 | $30 |
2016: 3 services
| Diabetes outpatient self-management training services, individual, per 30 minutes | 54 | $6,289 | $46 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 28 | $3,210 | $30 |
| Therapy procedure for nutrition management, each 15 minutes | 14 | $1,632 | $35 |
2015: 2 services
| Diabetes outpatient self-management training services, individual, per 30 minutes | 47 | $5,523 | $45 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 23 | $3,234 | $30 |
2014: 2 services
| Diabetes outpatient self-management training services, individual, per 30 minutes | 44 | $5,114 | $44 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 18 | $2,633 | $30 |
2013: 3 services
| Diabetes outpatient self-management training services, individual, per 30 minutes | 42 | $5,084 | $46 |
| Therapy procedure reassessment for nutrition management, each 15 minutes | 18 | $2,473 | $30 |
| Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes | 15 | $1,876 | $11 |
Professional record
- NPI
- 1457483091
- Licence
- CA 724001
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 133V00000X (133V00000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2007-03-09
- NPI last updated
- 2020-06-04
- NPI record certified
- 2020-06-04
This is when the NPI record was last certified, not a medical board exam.