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Kimberly A Mella, NP

Nurse Practitioner · San Jose

NPI 1467420455

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
1 carrier
Office
1
Since medical school
29 years
Graduated 1997

Offices

1 location · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Kimberly A Mella’s office at (408) 972-3000 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
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026

Original Medicare doctor bills

$1,135

Medicare paid this office $1,135 for 19 people.

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

Largest Original Medicare bills
Emergency department visit with moderate level of medical decision making15$993$66

Who their Medicare patients are

19 Original Medicare patients in 2024. Average age 66 · Health risk score 1.08. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 68%.

The office billed $11,016, Medicare allowed $1,683 and paid $1,135; for 19 services of 2 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
20241919661.08$11,016$1,135
20231516650.90$9,160$545
20222426631.01$12,438$1,345
20202222631.66$8,503$1,017
20191617641.04$4,133$533
2018205225651.28$227,862$12,580
2017413471681.56$405,118$28,966
2016310364671.47$203,534$21,295
2015173212661.55$86,270$10,468
2014259274671.33$61,218$11,935
2013192197631.23$70,566$9,648

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: 1 service

Original Medicare services billed in 2023
Emergency department visit with moderate level of medical decision making12$496$41

2022: 2 services

Original Medicare services billed in 2022
Emergency department visit with moderate level of medical decision making11$765$64
Emergency department visit with low level of medical decision making13$551$42

2020: 1 service

Original Medicare services billed in 2020
Emergency department visit with low level of medical decision making12$432$36

2018: 4 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making40$4,544$114
Emergency department visit with low level of medical decision making88$3,470$39
Emergency department visit with moderate level of medical decision making45$3,197$71
Short return visit (20+ min)11$345$31

2017: 5 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making98$10,805$110
Emergency department visit with moderate level of medical decision making139$10,133$72
Emergency department visit with low level of medical decision making126$4,995$39
Short return visit (20+ min)11$204$19
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only27$150$6

2016: 7 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making63$7,141$113
Emergency department visit with moderate level of medical decision making88$6,876$77
Emergency department visit with low level of medical decision making89$3,607$39
Long return visit (40+ min)17$977$57
Return visit (30+ min)13$571$44
Short return visit (20+ min)20$542$27
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only34$192$6

2015: 4 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making29$3,480$120
Emergency department visit with low level of medical decision making62$2,532$40
Emergency department visit with moderate level of medical decision making25$1,943$78
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only56$328$6

2014: 7 services

Original Medicare services billed in 2014
Return visit (30+ min)61$2,813$45
Long return visit (40+ min)39$2,504$64
Emergency department visit with high level of medical decision making13$1,442$111
Emergency department visit with moderate level of medical decision making15$1,174$78
Emergency department visit with low level of medical decision making28$1,147$41
Short return visit (20+ min)34$708$21
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only45$272$6

2013: 4 services

Original Medicare services billed in 2013
Emergency department visit with moderate level of medical decision making45$2,984$66
Emergency department visit with low level of medical decision making66$2,480$38
Emergency department visit with high level of medical decision making22$2,366$108
Short return visit (20+ min)46$1,315$29

Medicaid work

$34,835 in 2024

Medicaid paid $34,835 for 473 billed services this clinician did in 2024, up to 56 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
EMERGENCY DEPT VISIT MOD MDM388$31,625
EMERGENCY DEPT VISIT LOW MDM85$3,210
Medicaid work by year
2024473256$34,835
2023358331$1,809
2022491245$1,425
2021526338$4,193
2020430366$1,120
2019669363$3,157
2018299739$17,835
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM298$1,587
EMERGENCY DEPT VISIT LOW MDM31$222
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM29$0

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT LOW MDM290$1,425
EMERGENCY DEPT VISIT MOD MDM201$0

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM197$2,693
EMERGENCY DEPT VISIT LOW MDM317$1,500
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM12$0

2020

Largest Medicaid services in 2020
EMERGENCY DEPT VISIT LOW MDM352$960
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM12$160
EMERGENCY DEPT VISIT MOD MDM66$0

2019

Largest Medicaid services in 2019
Short return visit (20+ min)38$1,760
Return visit (30+ min)16$1,140
EMERGENCY DEPT VISIT LOW MDM615$257

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT MOD MDM67$4,784
Return visit (30+ min)54$3,593
EMERGENCY DEPT VISIT LOW MDM57$3,090
Short return visit (20+ min)54$2,602
EMERGENCY DEPARTMENT VISIT HIGH MDM17$2,476
Service16$775
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A34$517

Drugs they prescribed that Part D paid

$1,361

Pharmacies billed $1,361 in 2024.

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

Opioids were 18% of their Part D prescriptions (26 of 143) in 2024. A higher opioid share than 9 in 10 peers; the typical nurse practitioner clinician is at 0%.

139 generic and fewer than 11 brand-name prescriptions · $1,361 in drug cost · 35 antibiotic prescriptions to 35 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
Cephalexin21$259$12
Ibuprofen23$158$7
Hydrocodone-Acetaminophen19$131$7

Year by year

Part D prescribing by year
202414310218% (26)None$1,361
20231499711% (17)None$1,885
202229318312% (35)None$4,350
20213211889% (30)None$7,050
202030018113% (38)None$5,157
201926717413% (34)None$3,888
20181991457% (14)6%$2,776
20172201549% (20)None$3,036
2016140103None10%$1,784
20158152None14%$6,308
20143972588% (32)None$17,045
20136152828% (51)None$30,117

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

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Cephalexin14$173$12
Ibuprofen21$130$6

2022: 8 drugs

Part D drugs prescribed in 2022
Cefpodoxime Proxetil15$565$38
Albuterol Sulfate Hfa30$518$17
Cephalexin32$346$11
Doxycycline Monohydrate20$210$10
Hydrocodone-Acetaminophen25$170$7
Ibuprofen14$106$8
Ondansetron Odt16$103$6
Meloxicam13$69$5

2021: 9 drugs

Part D drugs prescribed in 2021
Cephalexin43$510$12
Cefpodoxime Proxetil12$452$38
Albuterol Sulfate Hfa20$404$20
Azithromycin21$241$11
Ibuprofen18$124$7
Hydrocodone-Acetaminophen18$120$7
Ondansetron Odt15$100$7
Prednisone13$91$7
Tramadol12$69$6

2020: 7 drugs

Part D drugs prescribed in 2020
Cephalexin35$380$11
Ibuprofen27$219$8
Baclofen23$197$9
Ondansetron Odt16$189$12
Hydrocodone-Acetaminophen24$173$7
Azithromycin20$158$8
Prednisone12$78$7

2019: 7 drugs

Part D drugs prescribed in 2019
Cephalexin40$470$12
Ibuprofen23$151$7
Hydrocodone-Acetaminophen20$128$6
Amoxicillin13$126$10
Prednisone19$108$6
Tramadol12$68$6
Cyclobenzaprine11$61$6

2018: 4 drugs

Part D drugs prescribed in 2018
Cephalexin35$260$7
Prednisone24$75$3
Cyclobenzaprine12$51$4
Ibuprofen13$47$4

2017: 3 drugs

Part D drugs prescribed in 2017
Cephalexin37$212$6
Prednisone20$81$4
Hydrocodone-Acetaminophen12$61$5

2016: 3 drugs

Part D drugs prescribed in 2016
Cephalexin28$219$8
Azithromycin11$76$7
Prednisone15$43$3

2014: 12 drugs

Part D drugs prescribed in 2014
Proair Hfa22$1,264$57
Levofloxacin11$602$55
Azithromycin28$328$12
Nabumetone14$252$18
Clindamycin11$227$21
Cephalexin27$225$8
Hydrocodone-Acetaminophen21$118$6
Amoxicillin21$113$5
Prednisone19$69$4
Ciprofloxacin17$65$4
Sulfamethoxazole-Trimethoprim11$61$6
Hydrochlorothiazide12$48$4

2013: 13 drugs

Part D drugs prescribed in 2013
Atorvastatin13$1,018$78
Proair Hfa11$514$47
Levothyroxine33$418$13
Hydrocodone-Acetaminophen29$330$11
Simvastatin12$292$24
Azithromycin22$264$12
Nabumetone11$226$21
Alendronate16$170$11
Tramadol12$153$13
Hydrochlorothiazide26$146$6
Lisinopril12$143$12
Amoxicillin15$93$6
Prednisone15$40$3

Money from drug and device companies

$131 in 2023

A payment is not proof that care is biased.

Payments by company
E.R. Squibb & Sons L.L.C.Sotyktu$131
1 payment
  • Meals for Sotyktu · 2023-03-04 · $131
See the published payment
Every published payment
E.R. Squibb & Sons L.L.C.Meals · 2023-03-04Sotyktu$131

Professional record

NPI
1467420455
Licence
FL ARNP2742832
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
FL 303931500
Taxonomy
Nurse practitioner (363L00000X)
Mailing address
14050 Nw 14th St, Suite 190, Sunrise, FL, 33323
NPI first listed
2006-03-08
NPI last updated
2021-11-29

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

This office lists an electronic records connection.