Lance D Hein, PA
Physician Assistant · San Francisco
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 12
- 2 carriers
- Offices
- 4
Offices
4 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Looking this up.
Hospitals listed: California Pacific Medical Center- Van Ness Campus. That is not proof they admit you there this week.
Plans that list them
12 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Lance D Hein’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
12 of 12 plans
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
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.
- California Pacific Medical Center- Van Ness CampusSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend itOverall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.224, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.325, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.373, Oct 2024 – Sep 2025
See every measure and the patient survey for California Pacific Medical Center- Van Ness Campus
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 0 better, 8 the same, 2 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.224 | Better | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.325 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.373 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.14 (0.3 to 1.97) · 2,271 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.05 (0.81 to 1.28) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 192.86 (151.51 to 234.22) · 140 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.6 · 55 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 10.3 · 60 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.5 · 143 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 9.8 · 356 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.3 · 259 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 173 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.1 · 2,316 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.31 (0.12 to 0.49) · 6,430 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.28 (0.09 to 0.47) · 7,168 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.3 (1.5 to 5.09) · 2,196 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 2.47 (1.21 to 3.74) · 925 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.63 (1.37 to 3.88) · 1,954 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 10.13 (6.06 to 14.2) · 1,112 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.26 (4.67 to 9.85) · 1,084 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.67 (0.31 to 3.03) · 832 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.33 (0 to 0.85) · 5,406 cases | No different | Jul 2022 – Jun 2024 |
| MRSA BacteremiaInfections | 0.443 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 1.717 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.3 · 200 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.3 · 449 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 18.2 · 187 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 8.7 · 418 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 7.1 · 260 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 19.2 · 293 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.2 (3.6 to 7.6) · 157 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 10.2 (7.7 to 13.5) · 157 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission for CABGUnplanned return visits | 11 · 33 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.2 · 66 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.5 (9.4 to 16.7) · 551 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.3) · 219 cases | No different | Jan 2024 – Dec 2024 |
What patients said (478 patients answered, 20% of those asked)
| Cleanliness | 4 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 3 |
| Recommend hospital | 5 |
| Room was "always" clean | 75% |
| Nurses "always" communicated well | 74% |
| Doctors "always" communicated well | 77% |
| Staff "always" explained | 59% |
| Yes, staff "did" give patients this information | 88% |
| Yes, staff "did" give patients information about help after discharge | 88% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 75% |
| Doctors "always" treated them with courtesy and respect | 85% |
| Patients who gave a rating of "9" or "10" (high) | 75% |
| Staff "always" explained new medications | 75% |
| Nurses "always" explained things so they could understand | 70% |
| Nurses "always" listened carefully | 71% |
| Nurses "always" treated them with courtesy and respect | 82% |
| "Always" quiet at night | 53% |
| "YES", patients would definitely recommend the hospital | 78% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 88% |
Original Medicare doctor bills
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Procedures Medicare counted
| Coronary artery bypass graft (CABG) | 1-10 | None |
| Removal of tissue | 1-10 | None |
Year by year
| 2021 | 46 | 73 | 72 | 2.10 | $23,967 | $7,856 |
| 2020 | 38 | 82 | 72 | 2.42 | $23,812 | $6,828 |
| 2019 | 97 | 201 | 74 | 2.26 | $61,183 | $18,617 |
| 2018 | 28 | 38 | 76 | 1.70 | $7,331 | $2,359 |
| 2017 | 15 | 22 | 68 | 3.41 | $3,084 | $1,076 |
| 2016 | 79 | 153 | 73 | 2.24 | $44,704 | $13,819 |
| 2015 | 102 | 255 | 74 | 1.89 | $124,469 | $23,347 |
| 2014 | 29 | 71 | 72 | 1.74 | $18,585 | $5,578 |
| 2013 | 16 | 22 | 75 | 2.41 | $8,004 | $2,798 |
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
2021: 1 service
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 17 | $1,422 | $53 |
2019: 4 services
| Coronary artery bypass using artery graft, 1 graft | 11 | $2,146 | $195 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 36 | $1,831 | $29 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 14 | $1,403 | $54 |
| Harvest of vein using an endoscope | 13 | $24 | $2 |
2018: 1 service
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 11 | $962 | $53 |
2016: 4 services
| Critical care, first 30-74 minutes | 12 | $2,704 | $159 |
| Coronary artery bypass using artery graft, 1 graft | 11 | $2,254 | $205 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 14 | $1,433 | $53 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 20 | $1,181 | $29 |
2015: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 32 | $4,057 | $53 |
| Critical care, first 30-74 minutes | 12 | $3,892 | $162 |
| Coronary artery bypass using artery graft, 1 graft | 16 | $3,328 | $196 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 21 | $1,492 | $29 |
2014: 1 service
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 12 | $854 | $28 |
2013: 1 service
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 11 | $1,505 | $137 |
Money from drug and device companies
$935 in 2025
| 2025 | 6 | 14 | None | $935 |
| 2024 | 2 | 2 | None | $53 |
| 2023 | 1 | 1 | None | $27 |
| 2022 | 1 | 1 | None | $21 |
| 2021 | 2 | 2 | None | $37 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| AtriCure | Atriclip Laa Exclusion System | $247 | 3 payments
|
| Ethicon US | Prolene | $246 | 7 payments
|
| Medtronic | Corevalve Evolut R | $154 | 1 payment
|
| Getinge USA Sales | Vasoview Hemopro 2 | $148 | 1 payment
|
| Abiomed | None | $123 | 1 payment
|
| Octapharma USA | Balfaxar | $18 | 1 payment
|
See all 14 published payments
| Abiomed | Meals · 2025-12-19 | None | $123 |
| Medtronic | Meals · 2025-12-19 | Corevalve Evolut R | $154 |
| Ethicon US | Meals · 2025-11-20 | Prolene | $149 |
| Octapharma USA | Meals · 2025-10-15 | Balfaxar | $18 |
| AtriCure | Meals · 2025-09-10 | Synergy Ablation System | $52 |
| Ethicon US | Meals · 2025-08-14 | Vistaseal | $23 |
| Ethicon US | Meals · 2025-07-18 | Prolene | $12 |
| Ethicon US | Meals · 2025-07-11 | Prolene | $22 |
| AtriCure | Meals · 2025-06-18 | Atriclip Laa Exclusion System | $148 |
| Ethicon US | Meals · 2025-06-05 | Prolene | $11 |
| AtriCure | Meals · 2025-05-14 | Atriclip Laa Exclusion System | $47 |
| Ethicon US | Meals · 2025-05-06 | Prolene | $17 |
| Getinge USA Sales | Meals · 2025-05-01 | Vasoview Hemopro 2 | $148 |
| Ethicon US | Meals · 2025-02-10 | Prolene | $13 |
See earlier years (2024, 2023, 2022, 2021)
2024: $53
| Intuitive Surgical | Da Vinci Surgical System | $28 | 1 payment
|
| La Jolla Pharmaceutical | Giapreza | $26 | 1 payment
|
2023: $27
| La Jolla Pharmaceutical | Giapreza | $27 | 1 payment
|
2022: $21
| Cordis US | Radial 360 | $21 | 1 payment
|
2021: $37
| AngioDynamics | Angiovac | $19 | 1 payment
|
| Atricure | Atriclip Laa Exclusion System | $18 | 1 payment
|
Professional record
- NPI
- 1508949736
- Licence
- CA PA20476
- Gender
- Male
More record details
- Sole proprietor
- No
- Medicaid ID
- TX 205741601
- Taxonomy
- Physician assistant, surgical (363AS0400X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2006-10-23
- NPI last updated
- 2023-12-26
- NPI record certified
- 2023-12-26
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 212 San Jose St Ste 301, Salinas, CA, 93901
This office lists an electronic records connection.