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Shivani Vora, MD

Critical Care (Intensivists) · Long Beach

NPI 1508215716

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Cep America - Intensivists PC · 112 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. Vora’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A158699 · Current

Licensed to practise in California · since 2018 · expires 2028-09-30 · St. George'S University School of Medicine.

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

Original Medicare doctor bills

$26,322

Medicare paid this office $26,322 for 76 people.

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

Largest Original Medicare bills
Critical care, first 30-74 minutes31$10,565$176
Return visit (30+ min)30$8,555$110
New patient visit (60+ min)17$2,569$151
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's13$311$14

Who their Medicare patients are

76 Original Medicare patients in 2024. Average age 80 · 85 and older 33% · Women 47% · Also on Medicaid 29% · Health risk score 2.17. At or below the middle of the specialty; the typical critical care (intensivists) clinician is at 2.58.

Conditions among them: High blood pressure 75% · Atrial fibrillation 45% · Coronary heart disease 39% · Chronic kidney disease 39% · Diabetes 36% · Heart failure 34% · Depression 33% · COPD 30% · Dementia 24% · Stroke 24% · Cancer 16%.

The office billed $158,450, Medicare allowed $33,895 and paid $26,322; for 219 services of 19 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
202476219802.17$158,450$26,322
2023125309733.63$533,529$51,564
20223457743.03$112,382$10,870

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
Critical care, first 30-74 minutes84$43,135$192
New patient visit (45+ min)15$2,203$147
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$2,037$107
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$927$71

2022: 1 service

Original Medicare services billed in 2022
Critical care, first 30-74 minutes33$10,496$198

Medicaid work

$7,215 in 2023

Medicaid paid $7,215 for 175 billed services this clinician did in 2023, up to 21 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
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes175$7,215
Medicaid work by year
2023175121$7,215
202265113$6,413
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes65$6,413

Drugs they prescribed that Part D paid

$19,942

Pharmacies billed $19,942 in 2024.

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

Opioids were 3% of their Part D prescriptions (16 of 522) in 2024. A higher opioid share than 9 in 10 peers; the typical critical care (intensivists) clinician is at 0%.

466 generic and fewer than 11 brand-name prescriptions · $19,942 in drug cost · 22 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
Gabapentin39$1,084$28
Metoprolol35$592$17
Atorvastatin29$508$18
Simvastatin16$439$27
Amlodipine Besylate27$439$16
See all 13 drugs
Every Part D drug this clinician prescribed
Gabapentin39$1,084$28
Metoprolol35$592$17
Atorvastatin29$508$18
Simvastatin16$439$27
Amlodipine Besylate27$439$16
Ziprasidone12$397$33
Humulin R11$303$28
Lisinopril11$213$19
Clopidogrel13$204$16
Warfarin26$185$7
Furosemide20$173$9
Trazodone11$145$13
Levothyroxine14$105$7

Year by year

Part D prescribing by year
2024522333% (16)None$19,942
202320None0% (0)None$3,060
202132170% (0)69%$49,202
202081380% (0)67%$91,426
201978210% (0)18%$3,348
201718None0% (0)None$1,039

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

See the drugs prescribed each year

2020: 1 drug

Part D drugs prescribed in 2020
Albuterol Sulfate Hfa11$447$41

2019: 1 drug

Part D drugs prescribed in 2019
Atorvastatin14$139$10

Money from drug and device companies

$44 in 2020

A payment is not proof that care is biased.

Payments by company
Merck Sharp & DohmeZerbaxa$32
2 payments
  • Education for Zerbaxa · 2020-02-05 · $13
  • Meals for Zerbaxa · 2020-02-05 · $19
La Jolla PharmaceuticalGiapreza$12
1 payment
  • Meals for Giapreza · 2020-01-22 · $12
See all 3 published payments
Every published payment
Merck Sharp & DohmeEducation · 2020-02-05Zerbaxa$13
Merck Sharp & DohmeMeals · 2020-02-05Zerbaxa$19
La Jolla PharmaceuticalMeals · 2020-01-22Giapreza$12

Professional record

NPI
1508215716
Licence
CA A158699California A158699: Current · expires 2028-09-30
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207RC0200X (207RC0200X); Federal specialty code 207RP1001X (207RP1001X); Student in a training program (390200000X)
Mailing address
2105 Forest Ave, San Jose, CA, 95128
NPI first listed
2016-06-08
NPI last updated
2022-12-03
NPI record certified
2022-12-03

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

Extra NPI addresses: 400 N Pepper Ave, Colton, CA, 92324