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Gilbert J Ruiz, OD

Optometry · Los Gatos

NPI 1518933522

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

Looking this up.

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

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
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 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.

Largest Original Medicare bills
Short return visit (20+ min)82$5,630$66
Photography of the retina79$2,090$26

Procedures Medicare counted

Procedure volume Medicare published
Cataract surgery1-10None

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

Original Medicare by year
2024104213740.78$24,963$10,705
202377155740.70$18,019$8,444
202269144740.64$16,238$7,489
202154122720.68$13,640$6,430
202043101730.55$10,705$5,410
201956132730.82$13,468$7,111
201864154720.64$16,093$8,181
201745114710.70$11,147$5,857
201647111730.76$11,230$6,482
20154190740.80$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

Original Medicare services billed in 2023
Short return visit (20+ min)57$4,662$74
Photography of the retina52$1,462$26

2022: 3 services

Original Medicare services billed in 2022
Short return visit (20+ min)50$3,667$72
Photography of the retina53$1,492$28
Established patient problem focused exam of visual system18$1,174$62

2021: 3 services

Original Medicare services billed in 2021
Short return visit (20+ min)34$2,210$60
Photography of the retina41$1,361$32
Established patient problem focused exam of visual system14$979$70

2020: 3 services

Original Medicare services billed in 2020
Short return visit (20+ min)34$1,940$54
Established patient problem focused exam of visual system11$906$82
Photography of the retina25$793$32

2019: 4 services

Original Medicare services billed in 2019
Short return visit (20+ min)40$2,649$56
Photography of the retina31$1,317$42
Established patient problem focused exam of visual system12$861$72
Exam of visual field with extended testing11$800$62

2018: 4 services

Original Medicare services billed in 2018
Short return visit (20+ min)44$2,544$50
Photography of the retina40$1,977$48
Established patient problem focused exam of visual system15$1,067$67
Exam of visual field with extended testing13$865$58

2017: 3 services

Original Medicare services billed in 2017
Photography of the retina30$1,967$63
Short return visit (20+ min)32$1,833$54
Established patient problem focused exam of visual system15$890$56

2016: 3 services

Original Medicare services billed in 2016
Short return visit (20+ min)34$2,092$52
Photography of the retina27$1,948$72
Established patient problem focused exam of visual system12$857$66

2015: 2 services

Original Medicare services billed in 2015
Established patient problem focused exam of visual system26$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.

Largest Part D drug costs
Restasis11$5,175$470

Year by year

Part D prescribing by year
202441130% (0)39%$6,355
202333None0% (0)61%$7,778
202221110% (0)None$5,181
202125None0% (0)56%$2,326
202027120% (0)44%$3,570
201936150% (0)36%$3,622
201824120% (0)71%$3,646
201716120% (0)None$2,145
201637130% (0)None$2,870
201524130% (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

Part D drugs prescribed in 2021
Latanoprost12$371$31

2020: 1 drug

Part D drugs prescribed in 2020
Latanoprost11$191$17

2019: 1 drug

Part D drugs prescribed in 2019
Latanoprost16$263$16

2016: 1 drug

Part D drugs prescribed in 2016
Latanoprost14$119$8

Money from drug and device companies

$596 in 2025

Industry payments by year
2025314None$596
2024410None$402
202339None$353
202248None$530
202111None$125
202034None$78
201925None$320

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Alcon VisionPrecision7$329
7 payments
  • Meals for Precision7 · 2025-11-25 · $145
  • Meals for Dailies Total1 · 2025-08-29 · $28
  • Meals for Precision7 · 2025-07-30 · $43
  • Meals for Precision7 · 2025-06-19 · $24
  • Meals for Precision7 · 2025-06-12 · $27
  • Meals for Precision7 · 2025-04-03 · $34
  • Meals for Precision7 · 2025-02-17 · $28
CooperVisionClariti Contact Lens$191
5 payments
  • Meals for Clariti Contact Lens · 2025-09-30 · $94
  • Meals for Myday Contact Lens · 2025-07-14 · $12
  • Meals for Myday Contact Lens · 2025-06-16 · $9
  • Meals for Paragon Crt · 2025-03-06 · $66
  • Meals for Myday Contact Lens · 2025-01-15 · $10
Johnson & Johnson Vision CareNone$76
2 payments
  • Meals · 2025-10-29 · $41
  • Meals · 2025-07-16 · $35
See all 14 published payments
Every published payment
Alcon VisionMeals · 2025-11-25Precision7$145
Johnson & Johnson Vision CareMeals · 2025-10-29None$41
CooperVisionMeals · 2025-09-30Clariti Contact Lens$94
Alcon VisionMeals · 2025-08-29Dailies Total1$28
Alcon VisionMeals · 2025-07-30Precision7$43
Johnson & Johnson Vision CareMeals · 2025-07-16None$35
CooperVisionMeals · 2025-07-14Myday Contact Lens$12
Alcon VisionMeals · 2025-06-19Precision7$24
CooperVisionMeals · 2025-06-16Myday Contact Lens$9
Alcon VisionMeals · 2025-06-12Precision7$27
Alcon VisionMeals · 2025-04-03Precision7$34
CooperVisionMeals · 2025-03-06Paragon Crt$66
Alcon VisionMeals · 2025-02-17Precision7$28
CooperVisionMeals · 2025-01-15Myday Contact Lens$10
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $402

Payments by company in 2024
Alcon VisionTotal30$191
4 payments
  • Meals for Total30 · 2024-09-16 · $119
  • Meals for Total30 · 2024-06-12 · $24
  • Meals for Dailies Total1 · 2024-03-01 · $24
  • Meals for Dailies Total1 · 2024-02-28 · $25
CooperVisionMyday Contact Lens$162
4 payments
  • Meals for Myday Contact Lens · 2024-11-20 · $9
  • Meals for Myday Contact Lens · 2024-11-20 · $29
  • Meals for Myday Contact Lens · 2024-08-13 · $23
  • Meals for Myday Contact Lens · 2024-06-12 · $101
Johnson & Johnson Vision CareNone$27
1 payment
  • Meals · 2024-02-07 · $27
Oyster Point PharmaTyrvaya$21
1 payment
  • Meals for Tyrvaya · 2024-09-17 · $21

2023: $353

Payments by company in 2023
Alcon VisionDailies$176
5 payments
  • Meals for Dailies Total1 · 2023-12-28 · $19
  • Meals for Total30 · 2023-10-13 · $11
  • Meals for Total30 · 2023-09-29 · $23
  • Meals for Dailies · 2023-02-28 · $22
  • Meals for Dailies · 2023-01-31 · $101
Johnson & Johnson Vision CareAxert$136
2 payments
  • Meals for Axert · 2023-09-27 · $90
  • Meals for Acuvue · 2023-01-17 · $46
CooperVisionMyday Contact Lens$42
2 payments
  • Meals for Myday Contact Lens · 2023-12-27 · $18
  • Meals for Myday Contact Lens · 2023-08-15 · $24

2022: $530

Payments by company in 2022
Johnson & Johnson Vision CareAcuvue$474
5 payments
  • Meals for Acuvue · 2022-09-06 · $195
  • Meals for Acuvue · 2022-08-30 · $133
  • Meals for Acuvue · 2022-08-30 · $25
  • Meals for Acuvue · 2022-05-31 · $100
  • Meals for Acuvue · 2022-03-14 · $20
AllerganVuity$22
1 payment
  • Meals for Vuity · 2022-03-02 · $22
CooperVisionMultiple Brands Contact Lens$20
1 payment
  • Meals for Multiple Brands Contact Lens · 2022-09-20 · $20
Alcon VisionTotal30$16
1 payment
  • Meals for Total30 · 2022-12-21 · $16

2021: $125

Payments by company in 2021
Johnson & Johnson Vision CareAcuvue$125
1 payment
  • Meals for Acuvue · 2021-07-21 · $125

2020: $78

Payments by company in 2020
Johnson & Johnson Vision CareAcuvue$34
2 payments
  • Meals for Acuvue · 2020-12-14 · $19
  • Meals for Acuvue · 2020-08-26 · $15
ABB Con-Cise Optical GroupContact Lens$25
1 payment
  • Meals for Contact Lens · 2020-02-05 · $25
Carl Zeiss Meditec AGNone Specified$19
1 payment
  • Gift for None Specified · 2020-04-03 · $19

2019: $320

Payments by company in 2019
Johnson & Johnson Vision CareAcuvue$170
4 payments
  • Meals for Acuvue · 2019-12-22 · $27
  • Meals for Acuvue · 2019-11-23 · $13
  • Meals for Acuvue · 2019-03-14 · $25
  • Meals for Acuvue · 2019-01-26 · $105
Johnson & Johnson Surgical VisionTecnis Symfony Iol$150
1 payment
  • Meals for Tecnis Symfony Iol · 2019-03-19 · $150

Professional record

NPI
1518933522
Licence
CA OPT12913TPA
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.