Skip to main content
UniHealth

Doctor search

Mareena Roufail, OD

Optometry · Palo Alto

NPI 1457963910

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Vista Center for the Blind and Visually Impaired · 2 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. Roufail’s office at (650) 858-0202 to ask if they take your plan before you enroll.

California Medical Board record

Licence C34899 · Cancelled

Licence status: Cancelled · since 1973 · Medical University of South Carolina College of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

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

State licence records

1 licence

  • Washington OD.OD.61092875Optometrist License · since 2020 · expires 2024-02-02
    ExpiredNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Original Medicare doctor bills

$54,957

Medicare paid this office $54,957 for 246 people.

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

Largest Original Medicare bills
New patient visit (60+ min)211$42,859$203
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or196$5,829$28
Long return visit (40+ min)19$3,281$173
Return visit (30+ min)16$2,228$124

Who their Medicare patients are

246 Original Medicare patients in 2024. Average age 84 · Under 65 5% · 85 and older 56% · Women 61% · Also on Medicaid 19% · Health risk score 1.83. Sicker patients than 9 in 10 peers; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 75% · Coronary heart disease 36% · Diabetes 33% · Atrial fibrillation 33% · Heart failure 30% · Chronic kidney disease 30% · Depression 20% · Cancer 18% · COPD 18% · Dementia 13% · Stroke 13%.

The office billed $116,603, Medicare allowed $70,692 and paid $54,957; for 467 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
2024246467841.83$116,603$54,957
2023120166731.27$92,704$13,080
20225265751.13$36,248$6,914
202170101750.77$17,535$6,209
20203333740.71$6,182$3,040

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: 5 services

Original Medicare services billed in 2023
New patient complete exam of visual system42$4,394$105
Established patient complete exam of visual system43$4,280$100
Established patient problem focused exam of visual system27$1,792$60
Exam of visual field with limited testing15$496$31
Imaging of retina17$495$29

2022: 2 services

Original Medicare services billed in 2022
New patient complete exam of visual system22$3,038$138
Established patient problem focused exam of visual system17$1,512$84

2021: 3 services

Original Medicare services billed in 2021
Established patient complete exam of visual system39$2,343$60
New patient complete exam of visual system16$1,414$88
Short return visit (20+ min)16$1,048$62

2020: 1 service

Original Medicare services billed in 2020
Established patient complete exam of visual system21$1,870$89

Money from drug and device companies

$111 in 2022

A payment is not proof that care is biased.

Payments by company
Bausch & Lomb AmericasUltra Multifocal Toric$111
1 payment
  • Meals for Ultra Multifocal Toric · 2022-04-26 · $111
See the published payment
Every published payment
Bausch & Lomb AmericasMeals · 2022-04-26Ultra Multifocal Toric$111

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
75.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1457963910
Licence
CA 34899, WA OD61092875California C34899: CancelledWashington OD.OD.61092875: Expired
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
3100 San Pablo Ave, Berkeley, CA, 94702
NPI first listed
2020-08-17
NPI last updated
2022-08-05
NPI record certified
2022-08-05

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