Gilbert J Ruiz, OD
Optometry · Los Gatos
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 9
- 4 carriers
- Office
- 1
Offices
1 location · Total Vision PC · 115 clinicians in this group
Plans that list them
9 plans · 4 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Ruiz’s office at (408) 354-9310 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
9 of 9 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| AARP Medicare Advantage from UHC CA-10 (HMO-POS) | UnitedHealthcare | Listed, may be out of date | Jun 10, 2026 |
Original Medicare doctor bills
$10,705
Medicare paid this office $10,705 for 104 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Short return visit (20+ min) | 82 | $5,630 | $66 |
| Photography of the retina | 79 | $2,090 | $26 |
Procedures Medicare counted
| Cataract surgery | 1-10 | None |
Who their Medicare patients are
104 Original Medicare patients in 2024. Average age 74 · Women 56% · Health risk score 0.78. At or below the middle of the specialty; the typical optometry clinician is at 0.97.
Conditions among them: High blood pressure 58% · Coronary heart disease 16% · Atrial fibrillation 15% · Diabetes 13% · Cancer 13% · Depression 11%.
The office billed $24,963, Medicare allowed $18,438 and paid $10,705; for 213 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
| 2024 | 104 | 213 | 74 | 0.78 | $24,963 | $10,705 |
| 2023 | 77 | 155 | 74 | 0.70 | $18,019 | $8,444 |
| 2022 | 69 | 144 | 74 | 0.64 | $16,238 | $7,489 |
| 2021 | 54 | 122 | 72 | 0.68 | $13,640 | $6,430 |
| 2020 | 43 | 101 | 73 | 0.55 | $10,705 | $5,410 |
| 2019 | 56 | 132 | 73 | 0.82 | $13,468 | $7,111 |
| 2018 | 64 | 154 | 72 | 0.64 | $16,093 | $8,181 |
| 2017 | 45 | 114 | 71 | 0.70 | $11,147 | $5,857 |
| 2016 | 47 | 111 | 73 | 0.76 | $11,230 | $6,482 |
| 2015 | 41 | 90 | 74 | 0.80 | $8,450 | $5,360 |
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: 2 services
| Short return visit (20+ min) | 57 | $4,662 | $74 |
| Photography of the retina | 52 | $1,462 | $26 |
2022: 3 services
| Short return visit (20+ min) | 50 | $3,667 | $72 |
| Photography of the retina | 53 | $1,492 | $28 |
| Established patient problem focused exam of visual system | 18 | $1,174 | $62 |
2021: 3 services
| Short return visit (20+ min) | 34 | $2,210 | $60 |
| Photography of the retina | 41 | $1,361 | $32 |
| Established patient problem focused exam of visual system | 14 | $979 | $70 |
2020: 3 services
| Short return visit (20+ min) | 34 | $1,940 | $54 |
| Established patient problem focused exam of visual system | 11 | $906 | $82 |
| Photography of the retina | 25 | $793 | $32 |
2019: 4 services
| Short return visit (20+ min) | 40 | $2,649 | $56 |
| Photography of the retina | 31 | $1,317 | $42 |
| Established patient problem focused exam of visual system | 12 | $861 | $72 |
| Exam of visual field with extended testing | 11 | $800 | $62 |
2018: 4 services
| Short return visit (20+ min) | 44 | $2,544 | $50 |
| Photography of the retina | 40 | $1,977 | $48 |
| Established patient problem focused exam of visual system | 15 | $1,067 | $67 |
| Exam of visual field with extended testing | 13 | $865 | $58 |
2017: 3 services
| Photography of the retina | 30 | $1,967 | $63 |
| Short return visit (20+ min) | 32 | $1,833 | $54 |
| Established patient problem focused exam of visual system | 15 | $890 | $56 |
2016: 3 services
| Short return visit (20+ min) | 34 | $2,092 | $52 |
| Photography of the retina | 27 | $1,948 | $72 |
| Established patient problem focused exam of visual system | 12 | $857 | $66 |
2015: 2 services
| Established patient problem focused exam of visual system | 26 | $2,033 | $73 |
| Short return visit (20+ min) | 15 | $898 | $56 |
Drugs they prescribed that Part D paid
$6,355
Pharmacies billed $6,355 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 41) in 2024. Too few prescriptions to compare fairly with other clinicians.
25 generic and 16 brand-name prescriptions · $6,355 in drug cost.
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.
| Restasis | 11 | $5,175 | $470 |
Year by year
| 2024 | 41 | 13 | 0% (0) | 39% | $6,355 |
| 2023 | 33 | None | 0% (0) | 61% | $7,778 |
| 2022 | 21 | 11 | 0% (0) | None | $5,181 |
| 2021 | 25 | None | 0% (0) | 56% | $2,326 |
| 2020 | 27 | 12 | 0% (0) | 44% | $3,570 |
| 2019 | 36 | 15 | 0% (0) | 36% | $3,622 |
| 2018 | 24 | 12 | 0% (0) | 71% | $3,646 |
| 2017 | 16 | 12 | 0% (0) | None | $2,145 |
| 2016 | 37 | 13 | 0% (0) | None | $2,870 |
| 2015 | 24 | 13 | 0% (0) | None | $2,706 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2021: 1 drug
| Latanoprost | 12 | $371 | $31 |
2020: 1 drug
| Latanoprost | 11 | $191 | $17 |
2019: 1 drug
| Latanoprost | 16 | $263 | $16 |
2016: 1 drug
| Latanoprost | 14 | $119 | $8 |
Money from drug and device companies
$596 in 2025
| 2025 | 3 | 14 | None | $596 |
| 2024 | 4 | 10 | None | $402 |
| 2023 | 3 | 9 | None | $353 |
| 2022 | 4 | 8 | None | $530 |
| 2021 | 1 | 1 | None | $125 |
| 2020 | 3 | 4 | None | $78 |
| 2019 | 2 | 5 | None | $320 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Alcon Vision | Precision7 | $329 | 7 payments
|
| CooperVision | Clariti Contact Lens | $191 | 5 payments
|
| Johnson & Johnson Vision Care | None | $76 | 2 payments
|
See all 14 published payments
| Alcon Vision | Meals · 2025-11-25 | Precision7 | $145 |
| Johnson & Johnson Vision Care | Meals · 2025-10-29 | None | $41 |
| CooperVision | Meals · 2025-09-30 | Clariti Contact Lens | $94 |
| Alcon Vision | Meals · 2025-08-29 | Dailies Total1 | $28 |
| Alcon Vision | Meals · 2025-07-30 | Precision7 | $43 |
| Johnson & Johnson Vision Care | Meals · 2025-07-16 | None | $35 |
| CooperVision | Meals · 2025-07-14 | Myday Contact Lens | $12 |
| Alcon Vision | Meals · 2025-06-19 | Precision7 | $24 |
| CooperVision | Meals · 2025-06-16 | Myday Contact Lens | $9 |
| Alcon Vision | Meals · 2025-06-12 | Precision7 | $27 |
| Alcon Vision | Meals · 2025-04-03 | Precision7 | $34 |
| CooperVision | Meals · 2025-03-06 | Paragon Crt | $66 |
| Alcon Vision | Meals · 2025-02-17 | Precision7 | $28 |
| CooperVision | Meals · 2025-01-15 | Myday Contact Lens | $10 |
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)
2024: $402
| Alcon Vision | Total30 | $191 | 4 payments
|
| CooperVision | Myday Contact Lens | $162 | 4 payments
|
| Johnson & Johnson Vision Care | None | $27 | 1 payment
|
| Oyster Point Pharma | Tyrvaya | $21 | 1 payment
|
2023: $353
| Alcon Vision | Dailies | $176 | 5 payments
|
| Johnson & Johnson Vision Care | Axert | $136 | 2 payments
|
| CooperVision | Myday Contact Lens | $42 | 2 payments
|
2022: $530
| Johnson & Johnson Vision Care | Acuvue | $474 | 5 payments
|
| Allergan | Vuity | $22 | 1 payment
|
| CooperVision | Multiple Brands Contact Lens | $20 | 1 payment
|
| Alcon Vision | Total30 | $16 | 1 payment
|
2021: $125
| Johnson & Johnson Vision Care | Acuvue | $125 | 1 payment
|
2020: $78
| Johnson & Johnson Vision Care | Acuvue | $34 | 2 payments
|
| ABB Con-Cise Optical Group | Contact Lens | $25 | 1 payment
|
| Carl Zeiss Meditec AG | None Specified | $19 | 1 payment
|
2019: $320
| Johnson & Johnson Vision Care | Acuvue | $170 | 4 payments
|
| Johnson & Johnson Surgical Vision | Tecnis Symfony Iol | $150 | 1 payment
|
Professional record
- NPI
- 1518933522
- Licence
- CA OPT12913TPA
- Group
- Total Vision PC
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 152W00000X (152W00000X)
- Mailing address
- 338 E Hamilton Ave, Campbell, CA, 95008
- NPI first listed
- 2006-02-28
- NPI last updated
- 2014-06-04
This is when the NPI record was last certified, not a medical board exam.