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Gilbert Simas, MD

Psychiatry · Laguna Niguel

NPI 1497802383

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
6
2 carriers
Offices
5

Offices

5 locations · Integrative Psychiatry A Medical Corporation · County of Santa Clara · Pacific Heritage Medical Group Inc · Forefront-Rosenzweig Medical Services Professional Corporation · Rainier Springs Physician Group LLC

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

6 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Simas’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

6 of 6 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence C178910 · Current

Licensed to practise in California · since 2022 · expires 2028-05-31 · St. Matthew?S University School of Medicine.

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

State licence records

2 licences

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.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • Psychiatry

Education

  • Medical school outside the United States2004

What else the board holds

Hospitals they may admit to

Where the clinician told their state board they may admit and treat patients.

  • Seattle Counseling Service · Seattle, WA

Also licensed in

States the clinician told their board they are also licensed in. Only the states we check are verified.

Arizona · Delaware · Iowa · Kentucky · Missouri · New York · Oregon · Texas · Washington

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$39,420

Medicare paid this office $39,420 for 173 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes50$6,461$60
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$6,235$58
Psychiatric diagnostic evaluation with medical services43$5,693$129
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes54$5,096$38
Short return visit (20+ min)23$3,292$44
See all 9 services
Every Original Medicare service billed
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes50$6,461$60
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$6,235$58
Psychiatric diagnostic evaluation with medical services43$5,693$129
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes54$5,096$38
Short return visit (20+ min)23$3,292$44
Psychiatric diagnostic evaluation22$3,104$124
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,438$90
Return visit (30+ min)18$1,434$65
Hospital discharge day management, 30 minutes or less11$659$60

Who their Medicare patients are

173 Original Medicare patients in 2024. Average age 53 · Under 65 64% · Women 47% · Also on Medicaid 79% · Health risk score 1.24. At or below the middle of the specialty; the typical psychiatry clinician is at 1.35.

Conditions among them: Depression 71% · High blood pressure 57% · Diabetes 25% · COPD 16% · Dementia 15% · Coronary heart disease 10% · Heart failure 9% · Chronic kidney disease 9% · Stroke 9% · Atrial fibrillation 8%.

The office billed $154,202, Medicare allowed $51,667 and paid $39,420; for 610 services of 13 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
2024173610531.24$154,202$39,420
2023235939501.15$196,532$60,934
20221981,219521.20$213,803$68,016
20211771,433551.35$229,830$67,256
20201671,167581.37$172,973$49,285
2019155955581.45$133,345$42,385
2018136951561.40$121,012$44,379
2017206860631.35$123,311$39,237
20164041,549621.45$197,613$67,766
20154183,141581.53$374,967$144,950
20142932,113511.42$336,937$130,299
201397378501.08$70,163$19,995

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: 11 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$9,943$61
Psychiatric diagnostic evaluation with medical services73$9,807$129
Short return visit (20+ min)75$9,290$51
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes17$7,439$90
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes86$7,205$38
Return visit (30+ min)44$6,032$74
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes49$3,535$61
Psychiatric diagnostic evaluation with medical services20$2,528$126
Long return visit (40+ min)11$1,744$103
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes18$1,103$61
Hospital discharge day management, 30 minutes or less16$991$62

2022: 10 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes28$14,975$53
Psychiatric diagnostic evaluation with medical services78$11,411$134
Short return visit (20+ min)49$7,733$53
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes84$7,111$30
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes50$5,544$54
Return visit (30+ min)40$5,508$78
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes19$4,955$79
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes23$4,379$27
Psychiatric diagnostic evaluation with medical services22$3,290$137
Hospital discharge day management, 30 minutes or less26$1,542$55

2021: 9 services

Original Medicare services billed in 2021
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes63$16,687$30
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes51$10,976$55
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes84$9,266$30
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes57$8,656$55
Psychiatric diagnostic evaluation with medical services52$8,524$140
Psychiatric diagnostic evaluation with medical services44$6,378$133
Hospital discharge day management, 30 minutes or less40$2,397$54
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,630$81
Hospital discharge day management, more than 30 minutes17$1,438$85

2020: 6 services

Original Medicare services billed in 2020
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes116$20,144$31
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes57$10,439$56
Psychiatric diagnostic evaluation with medical services49$5,756$109
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes25$4,215$28
Hospital discharge day management, 30 minutes or less46$2,921$56
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,308$50

2019: 9 services

Original Medicare services billed in 2019
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes86$10,222$30
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes51$7,789$31
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes47$7,440$54
Psychiatric diagnostic evaluation with medical services34$4,360$109
Hospital discharge day management, more than 30 minutes38$3,535$80
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$2,045$55
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$1,969$82
Psychiatric diagnostic evaluation with medical services14$1,703$114
Hospital discharge day management, 30 minutes or less12$670$56

2018: 5 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes72$14,752$53
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes97$12,589$29
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes74$7,690$90
Hospital discharge day management, more than 30 minutes55$5,059$78
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes18$1,504$31

2017: 5 services

Original Medicare services billed in 2017
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes168$14,355$28
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes64$8,707$49
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes70$7,102$89
Hospital discharge day management, more than 30 minutes50$4,336$76
Initial hospital care with moderate level of medical decision making at least 75 minutes18$2,703$142

2016: 8 services

Original Medicare services billed in 2016
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes320$27,378$29
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes142$17,669$53
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes102$9,854$90
Hospital discharge day management, more than 30 minutes63$4,847$76
Psychiatric diagnostic evaluation31$3,058$99
Initial hospital care with moderate level of medical decision making at least 75 minutes11$1,708$155
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$1,083$77
Hospital discharge day management, 30 minutes or less19$1,034$54

2015: 9 services

Original Medicare services billed in 2015
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes315$53,305$30
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes236$45,868$56
Psychiatric diagnostic evaluation137$15,478$97
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes101$11,082$100
Hospital discharge day management, more than 30 minutes77$7,114$84
Hospital discharge day management, 30 minutes or less87$5,541$57
Psychotherapy with evaluation and management visit, 30 minutes16$2,185$51
Psychiatric diagnostic evaluation with medical services12$1,614$95
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,122$75

2014: 9 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes183$47,297$57
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes95$37,125$82
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes97$14,010$31
Psychiatric diagnostic evaluation91$10,646$101
Initial hospital care with moderate level of medical decision making at least 75 minutes39$6,345$159
Hospital discharge day management, 30 minutes or less91$5,683$57
Hospital discharge day management, more than 30 minutes37$3,138$85
Psychotherapy, 30 minutes15$2,461$50
Psychiatric diagnostic evaluation with medical services16$1,667$98

2013: 4 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes74$8,529$55
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more17$5,795$53
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes48$2,098$30
Psychiatric diagnostic evaluation with medical services14$1,422$95

Medicaid work

$6,511,301 in 2024

Medicaid paid $6,511,301 for 237,065 billed services this clinician did in 2024, up to 330 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
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)233,019$6,348,688
Psychiatric diagnostic evaluation with medical services384$52,848
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES1,566$32,026
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES865$29,295
Unclassified drugs592$14,411
Short return visit (20+ min)267$11,918
Return visit (30+ min)98$9,977
Alcohol and/or drug assessment46$8,355
1ST HOSP IP/OBS SF/LOW 4099$2,081
PSYCH DIAGNOSTIC EVALUATION28$1,701
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)69$0
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure32$0
Medicaid work by year
2024237,06512330$6,511,301
2023249,09912288$6,112,441
2022274,22016345$5,055,828
2021163,98618362$2,365,488
202020,90211427$209,800
20192,082648$59,901
20182,074434$66,597
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)243,248$5,841,497
Short return visit (20+ min)1,236$56,635
Psychiatric diagnostic evaluation with medical services570$52,964
Return visit (30+ min)663$44,778
Clinic visit/encounter, all-inclusive116$43,039
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES1,512$30,010
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES614$21,649
1ST HOSP IP/OBS SF/LOW 40234$11,001
Unclassified drugs397$8,550
Short return visit21$2,318
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)326$0
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure162$0

2022

Largest Medicaid services in 2022
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)263,220$4,631,505
Short return visit (20+ min)1,962$118,743
Return visit (30+ min)1,162$79,141
Psychiatric diagnostic evaluation with medical services767$76,214
Buprenorphine, oral, 1 mg3,007$42,140
Alcohol and/or other drug testing: collection and handling only, specimens other than blood1,540$25,291
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES571$19,170
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES1,117$19,029
Long return visit (40+ min)107$18,282
Clinic visit/encounter, all-inclusive38$12,148
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)81$4,842
Short return visit130$4,411

2021

Largest Medicaid services in 2021
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)143,168$1,970,780
Buprenorphine, oral, 1 mg9,263$136,256
Alcohol and/or other drug testing: collection and handling only, specimens other than blood5,588$95,902
Psychiatric diagnostic evaluation with medical services738$63,156
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES1,890$27,286
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES946$26,030
Short return visit555$13,320
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)200$11,822
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit1,054$8,108
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter114$4,386
Long return visit (40+ min)68$1,992
Health behavior intervention, group (2 or more patients), face-to-face; initial 30 minutes113$1,887

2020

Largest Medicaid services in 2020
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)13,744$70,455
Buprenorphine, oral, 1 mg3,204$49,227
Alcohol and/or other drug testing: collection and handling only, specimens other than blood1,863$33,052
Psychiatric diagnostic evaluation with medical services236$16,584
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES955$15,604
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)166$10,678
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES223$6,213
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit315$4,005
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter75$3,176
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter29$806
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications92$0

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES1,055$19,761
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES547$18,953
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES92$7,540
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter130$7,498
Psychiatric diagnostic evaluation with medical services129$6,150
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications129$0

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES713$20,990
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES251$17,599
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES876$15,792
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter234$12,216

Drugs they prescribed that Part D paid

$95,981

Pharmacies billed $95,981 in 2024.

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

2,079 generic and fewer than 11 brand-name prescriptions · $95,981 in drug cost · 96 antipsychotic prescriptions to people over 65.

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
Invega Sustenna11$30,049$2,732
Aripiprazole60$3,712$62
Ziprasidone60$3,030$50
Buprenorphine-Naloxone37$2,987$81
Olanzapine Odt88$2,976$34
See all 48 drugs
Every Part D drug this clinician prescribed
Invega Sustenna11$30,049$2,732
Aripiprazole60$3,712$62
Ziprasidone60$3,030$50
Buprenorphine-Naloxone37$2,987$81
Olanzapine Odt88$2,976$34
Ziprasidone Mesylate15$2,528$169
Olanzapine97$2,369$24
Clozapine13$1,658$128
Quetiapine89$1,528$17
Divalproex Sodium Er35$1,270$36
Oxcarbazepine44$1,114$25
Trazodone178$937$5
Bupropion Xl54$872$16
Divalproex52$811$16
Risperidone81$797$10
Paliperidone Er11$720$65
Haloperidol40$667$17
Lorazepam122$612$5
Hydroxyzine Pamoate71$523$7
Duloxetine42$361$9
Buprenorphine12$360$30
Sertraline86$353$4
Gabapentin44$332$8
Prazosin23$325$14
Benztropine Mesylate46$325$7
Buspirone50$322$6
Clonidine47$298$6
Mirtazapine42$270$6
Propranolol21$230$11
Fluoxetine38$217$6
Ondansetron Odt17$179$11
Methocarbamol16$175$11
Hydroxyzine15$143$10
Bupropion Hcl Sr12$139$12
Venlafaxine Hcl Er15$137$9
Haloperidol Lactate12$137$11
Escitalopram29$136$5
Omeprazole12$124$10
Atorvastatin12$116$10
Lamotrigine22$108$5
Lithium Carbonate12$100$8
Clonazepam13$87$7
Metformin11$82$7
Chlordiazepoxide12$74$6
Diphenhydramine11$72$7
Citalopram Hbr16$69$4
Zolpidem15$59$4
Lisinopril11$41$4

Year by year

Part D prescribing by year
20242,176321NoneNone$95,981
20233,815436None5%$315,598
20224,8394410% (13)None$658,976
20211,4261871% (12)None$42,738
20201,029123None8%$29,268
20191,022130NoneNone$33,187
2018939138NoneNone$109,951
20171,277141None25%$147,010
20161,232125NoneNone$77,376
20151,0141714% (35)11%$29,564
20141,1831802% (28)12%$35,303
20131,38696None11%$67,471

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

See the drugs prescribed each year

2023: 62 drugs

Part D drugs prescribed in 2023
Invega Sustenna40$119,194$2,980
Abilify Maintena16$47,401$2,963
Aripiprazole132$15,138$115
Olanzapine211$9,241$44
Topiramate Er16$7,905$494
Asenapine Maleate20$5,572$279
Clozapine62$5,344$86
Quetiapine198$4,264$22
Divalproex Sodium Er49$4,028$82
Ziprasidone71$3,548$50
Ziprasidone Mesylate12$3,311$276
Fluphenazine16$3,172$198
Paliperidone Er16$2,906$182
Buprenorphine-Naloxone24$2,857$119
Carbidopa-Levodopa13$2,730$210
Naloxone29$2,690$93
Olanzapine Odt93$2,427$26
Trazodone253$2,404$10
Risperidone147$2,215$15
Oxcarbazepine78$1,916$25
Bupropion Xl97$1,729$18
Sertraline174$1,623$9
Duloxetine90$1,377$15
Buspirone107$1,332$12
Gabapentin66$1,285$19
Haloperidol52$1,274$24
Clonazepam116$1,105$10
Benztropine Mesylate103$1,042$10
Lorazepam148$1,027$7
Hydroxyzine Pamoate104$955$9
Doxepin24$944$39
Haloperidol Decanoate23$874$38
Divalproex44$798$18
Mirtazapine79$625$8
Escitalopram65$594$9
Bupropion Hcl Sr33$575$17
Atorvastatin47$546$12
Prazosin29$537$19
Lamotrigine52$400$8
Omeprazole31$392$13
Fluoxetine44$356$8
Propranolol32$351$11
Albuterol Sulfate Hfa12$341$28
Hydroxyzine29$336$12
Haloperidol Lactate16$319$20
Metformin21$297$14
Lithium Carbonate29$242$8
Zolpidem63$234$4
Paroxetine30$225$8
Ondansetron Odt24$219$9
Clonidine39$213$5
Citalopram Hbr30$188$6
Venlafaxine Hcl Er16$172$11
Methocarbamol12$137$11
Pantoprazole12$136$11
Lisinopril14$133$10
Levothyroxine23$130$6
Tamsulosin13$106$8
Trihexyphenidyl12$93$8
Diphenhydramine11$86$8
Alprazolam25$77$3
Diazepam13$18$1

2022: 65 drugs

Part D drugs prescribed in 2022
Invega Sustenna65$185,473$2,853
Abilify Maintena30$79,216$2,641
Latuda47$60,646$1,290
Austedo15$50,778$3,385
Clozapine228$26,831$118
Vraylar19$16,005$842
Paliperidone Er34$13,028$383
Fluphenazine40$10,361$259
Aripiprazole148$10,023$68
Divalproex Sodium Er104$9,427$91
Olanzapine261$7,975$31
Ziprasidone53$7,371$139
Quetiapine246$6,531$27
Haloperidol141$4,587$33
Olanzapine Odt107$4,444$42
Oxcarbazepine114$4,073$36
Buprenorphine-Naloxone45$4,001$89
Duloxetine126$3,498$28
Trazodone225$2,981$13
Haloperidol Decanoate29$2,820$97
Naloxone26$2,749$106
Benztropine Mesylate227$2,565$11
Bupropion Xl73$2,473$34
Risperidone179$2,453$14
Divalproex93$2,240$24
Venlafaxine Hcl Er43$1,750$41
Atomoxetine21$1,700$81
Fluoxetine94$1,629$17
Prazosin68$1,434$21
Hydroxyzine50$1,271$25
Propranolol41$1,198$29
Hydroxyzine Pamoate105$1,149$11
Lamotrigine83$1,106$13
Lorazepam122$1,074$9
Gabapentin110$1,014$9
Quetiapine Fumarate Er19$1,008$53
Buspirone83$1,005$12
Perphenazine17$1,002$59
Clonazepam95$918$10
Haloperidol Lactate25$855$34
Dextroamphetamine-Amphet Er12$854$71
Naltrexone15$853$57
Citalopram Hbr95$744$8
Donepezil25$696$28
Sertraline77$678$9
Albuterol Sulfate Hfa14$646$46
Lithium Carbonate Er30$643$21
Mirtazapine47$595$13
Escitalopram47$576$12
Lithium Carbonate65$547$8
Omeprazole47$448$10
Atorvastatin39$420$11
Topiramate20$413$21
Levothyroxine27$326$12
Pantoprazole31$267$9
Clonidine25$226$9
Trihexyphenidyl12$169$14
Metformin18$150$8
Lisinopril22$145$7
Diphenhydramine14$122$9
Metoprolol12$116$10
Metoprolol15$110$7
Diazepam20$101$5
Amlodipine Besylate18$54$3
Furosemide12$36$3

2021: 34 drugs

Part D drugs prescribed in 2021
Buprenorphine-Naloxone25$2,676$107
Ziprasidone15$1,522$101
Olanzapine69$1,100$16
Aripiprazole47$1,075$23
Olanzapine Odt34$810$24
Oxcarbazepine47$789$17
Haloperidol34$680$20
Risperidone56$569$10
Duloxetine40$558$14
Trazodone44$516$12
Levothyroxine52$487$9
Quetiapine54$472$9
Divalproex26$438$17
Lorazepam58$377$6
Pantoprazole26$295$11
Prazosin18$290$16
Omeprazole21$282$13
Atorvastatin31$279$9
Venlafaxine Hcl Er17$224$13
Gabapentin41$201$5
Clozapine12$196$16
Donepezil13$187$14
Fluticasone Propionate11$187$17
Citalopram Hbr36$150$4
Lamotrigine16$120$7
Fluoxetine12$118$10
Sertraline35$100$3
Benztropine Mesylate18$90$5
Metformin35$82$2
Tramadol12$71$6
Lisinopril19$70$4
Clonazepam19$64$3
Simvastatin14$61$4
Famotidine15$55$4

2020: 27 drugs

Part D drugs prescribed in 2020
Suboxone11$1,565$142
Buprenorphine-Naloxone11$1,077$98
Aripiprazole38$796$21
Oxcarbazepine58$736$13
Duloxetine41$515$13
Divalproex Sodium Er19$486$26
Olanzapine Odt14$435$31
Olanzapine50$378$8
Levothyroxine53$373$7
Tamsulosin17$296$17
Quetiapine37$295$8
Divalproex21$259$12
Pantoprazole31$225$7
Risperidone14$218$16
Atorvastatin38$216$6
Trazodone33$198$6
Gabapentin24$131$5
Citalopram Hbr32$127$4
Haloperidol11$122$11
Amlodipine Besylate21$114$5
Lorazepam27$97$4
Fluoxetine18$81$4
Losartan11$62$6
Lisinopril13$55$4
Lamotrigine12$55$5
Escitalopram15$50$3
Furosemide15$28$2

2019: 33 drugs

Part D drugs prescribed in 2019
Suboxone25$3,664$147
Latuda12$3,490$291
Buprenorphine-Naloxone37$2,902$78
Aripiprazole51$2,172$43
Duloxetine43$615$14
Gabapentin40$477$12
Quetiapine30$472$16
Buprenorphine11$430$39
Haloperidol33$369$11
Venlafaxine Hcl Er17$314$18
Oxcarbazepine23$277$12
Pantoprazole26$208$8
Divalproex Sodium Er31$205$7
Trazodone38$169$4
Levothyroxine20$151$8
Bupropion Xl11$137$12
Hydroxyzine17$120$7
Lamotrigine22$120$5
Olanzapine23$120$5
Diazepam24$106$4
Mirtazapine15$98$7
Benztropine Mesylate25$98$4
Escitalopram13$96$7
Lithium Carbonate13$73$6
Risperidone16$72$5
Lorazepam11$70$6
Zolpidem23$59$3
Sertraline28$57$2
Citalopram Hbr15$53$4
Propranolol11$51$5
Atorvastatin13$48$4
Buspirone15$46$3
Clonazepam13$36$3

2018: 28 drugs

Part D drugs prescribed in 2018
Suboxone129$56,503$438
Buprenorphine-Naloxone55$12,111$220
Paliperidone Er12$9,528$794
Latuda22$8,172$371
Zubsolv21$7,024$334
Aripiprazole44$2,539$58
Duloxetine22$470$21
Naltrexone17$462$27
Divalproex Sodium Er18$430$24
Haloperidol13$366$28
Ziprasidone14$341$24
Olanzapine24$272$11
Clozapine15$265$18
Oxcarbazepine24$265$11
Lorazepam45$226$5
Gabapentin26$212$8
Quetiapine38$166$4
Hydroxyzine Pamoate15$165$11
Carisoprodol15$107$7
Clonazepam25$102$4
Venlafaxine Hcl Er13$97$7
Mirtazapine22$97$4
Sertraline30$78$3
Benztropine Mesylate15$62$4
Risperidone12$61$5
Trazodone19$59$3
Levothyroxine11$57$5
Zolpidem11$26$2

2017: 27 drugs

Part D drugs prescribed in 2017
Suboxone286$95,099$333
Buprenorphine-Naloxone131$25,333$193
Aripiprazole55$6,077$110
Eszopiclone13$1,158$89
Duloxetine52$755$15
Olanzapine Odt19$715$38
Naltrexone24$607$25
Haloperidol25$475$19
Divalproex16$434$27
Quetiapine53$314$6
Venlafaxine Hcl Er17$310$18
Oxcarbazepine28$287$10
Trazodone54$263$5
Olanzapine23$208$9
Lorazepam32$207$6
Clonazepam45$163$4
Risperidone23$155$7
Gabapentin22$135$6
Benztropine Mesylate18$102$6
Carisoprodol13$93$7
Hydroxyzine Pamoate13$90$7
Sertraline27$77$3
Lamotrigine22$54$2
Lithium Carbonate15$45$3
Citalopram Hbr11$42$4
Escitalopram11$31$3
Zolpidem15$17$1

2016: 31 drugs

Part D drugs prescribed in 2016
Suboxone107$32,725$306
Aripiprazole60$13,299$222
Buprenorphine-Naloxone28$3,809$136
Pristiq20$2,467$123
Divalproex Sodium Er28$2,360$84
Buprenorphine21$1,539$73
Duloxetine48$1,299$27
Quetiapine54$731$14
Lorazepam78$380$5
Ziprasidone11$370$34
Naltrexone24$361$15
Olanzapine40$309$8
Prazosin29$231$8
Gabapentin33$228$7
Trazodone39$206$5
Amitriptyline12$195$16
Clonazepam53$171$3
Risperidone33$170$5
Carisoprodol23$164$7
Buspirone12$160$13
Propranolol25$157$6
Hydroxyzine Pamoate21$151$7
Atorvastatin16$140$9
Levothyroxine11$115$10
Oxcarbazepine17$104$6
Citalopram Hbr22$91$4
Metformin14$88$6
Lisinopril20$88$4
Omeprazole11$66$6
Escitalopram19$49$3
Zolpidem18$31$2

2015: 32 drugs

Part D drugs prescribed in 2015
Aripiprazole13$2,312$178
Suboxone17$1,745$103
Divalproex Sodium Er24$1,212$51
Buprenorphine13$862$66
Duloxetine26$839$32
Risperidone Odt15$562$37
Olanzapine Odt11$540$49
Quetiapine47$360$8
Fluoxetine12$357$30
Olanzapine51$302$6
Prazosin32$206$6
Ziprasidone14$170$12
Haloperidol13$150$12
Gabapentin25$144$6
Risperidone30$128$4
Oxcarbazepine18$119$7
Zolpidem23$111$5
Omeprazole31$109$4
Propranolol19$96$5
Mirtazapine21$92$4
Oxycodone12$86$7
Lorazepam30$82$3
Citalopram Hbr22$69$3
Lamotrigine18$63$3
Trazodone23$56$2
Clonazepam22$54$2
Sertraline17$42$2
Lisinopril22$42$2
Lithium Carbonate18$40$2
Diazepam13$28$2
Clonidine11$26$2
Tramadol11$22$2

2014: 34 drugs

Part D drugs prescribed in 2014
Abilify28$6,085$217
Suboxone33$3,328$101
Buprenorphine-Naloxone20$2,487$124
Duloxetine39$1,984$51
Olanzapine72$1,784$25
Olanzapine Odt35$1,584$45
Clozapine20$862$43
Divalproex Sodium Er23$812$35
Quetiapine37$568$15
Ziprasidone17$480$28
Bupropion Xl20$399$20
Perphenazine16$381$24
Haloperidol32$364$11
Divalproex27$324$12
Risperidone31$322$10
Oxcarbazepine31$266$9
Benztropine Mesylate45$185$4
Gabapentin24$156$6
Trazodone45$146$3
Prazosin18$145$8
Escitalopram18$94$5
Lisinopril28$94$3
Lithium Carbonate Er13$89$7
Zolpidem28$87$3
Lorazepam16$83$5
Clonidine24$73$3
Clonazepam28$70$2
Omeprazole19$69$4
Mirtazapine13$58$4
Chlordiazepoxide11$54$5
Buspirone11$49$4
Lamotrigine12$38$3
Citalopram Hbr11$28$3
Propranolol12$23$2

2013: 29 drugs

Part D drugs prescribed in 2013
Abilify45$13,135$292
Olanzapine91$4,630$51
Suboxone22$4,439$202
Olanzapine Odt72$3,693$51
Divalproex Sodium Er50$3,086$62
Perphenazine69$2,554$37
Ziprasidone30$2,357$79
Invega12$1,694$141
Haloperidol62$1,283$21
Haloperidol Decanoate15$1,120$75
Risperidone31$937$30
Benztropine Mesylate153$846$6
Quetiapine26$572$22
Bupropion Hcl Sr52$545$10
Divalproex53$472$9
Fluphenazine46$319$7
Mirtazapine28$309$11
Lithium Carbonate42$308$7
Venlafaxine Hcl Er13$289$22
Lorazepam37$256$7
Trazodone45$251$6
Clonazepam32$244$8
Oxcarbazepine17$172$10
Chlordiazepoxide20$106$5
Lisinopril20$88$4
Prazosin32$84$3
Citalopram Hbr11$71$6
Metformin12$66$5
Lamotrigine11$51$5

Money from drug and device companies

$12 in 2019

A payment is not proof that care is biased.

Payments by company
AlkermesVivitrol$12
1 payment
  • Meals for Vivitrol · 2019-04-23 · $12
See the published payment
Every published payment
AlkermesMeals · 2019-04-23Vivitrol$12

Professional record

NPI
1497802383
Licence
CA C178910, CO DR.0068674, WA MD60044426California C178910: Current · expires 2028-05-31Colorado DR.68674: ActiveWashington MD.MD.60044426: Active
Group
Integrative Psychiatry A Medical Corporation · County of Santa Clara · Pacific Heritage Medical Group Inc · Forefront-Rosenzweig Medical Services Professional Corporation · Rainier Springs Physician Group LLC
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Psychiatry (2084P0800X); Federal specialty code 2084P0802X (2084P0802X)
Mailing address
2747 Paradise Rd Unit 2105, Las Vegas, NV, 89109
NPI first listed
2007-01-04
NPI last updated
2026-07-02
NPI record certified
2026-07-02

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

Extra NPI addresses: 4526 Federal Ave, Everett, WA, 98203 · 3133 N Millbrook Ave, Fresno, CA, 93703 · 4411 E Kings Canyon Rd, Fresno, CA, 93702 · 8931 Huron St, Thornton, CO, 80260