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Oner G. Gonen, MD

Psychiatry · Berkeley

NPI 1528598216

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
19
4 carriers
Office
1
Since medical school
22 years
Graduated 2004

Offices

1 location · Bay Psychiatric Associates · 60 clinicians in this group

Looking this up.

Hospitals listed: Strong Memorial Hospital. That is not proof they admit you there this week.

Plans that list them

19 plans · 4 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Gonen’s office at (510) 204-4635 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

19 of 19 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
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
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 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.

  • Strong Memorial HospitalRochester, NYAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of University of Rochester Medical Center, which runs 6 hospitalsHome of Wilmot Cancer Institute, a National Cancer Institute designated cancer centrePatients rate it 3 of 5 · 69% would definitely recommend it
    Overall rating: 3 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.33 (1.1 to 1.55), Jul 2022 – Jun 2024Worse than the national rate — In-hospital fall-associated fracture rate: 0.58 (0.4 to 0.75) · 9,824 cases, Jul 2022 – Jun 2024Worse than the national rate — Postoperative sepsis rate: 9.81 (7.02 to 12.6) · 1,063 cases, Jul 2022 – Jun 2024Worse than the national rate — SSI - Colon Surgery: 1.811, Oct 2024 – Sep 2025Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.435, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.746, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.407, Oct 2024 – Sep 2025
See every measure and the patient survey for Strong Memorial Hospital

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 2 better, 4 the same, 1 worse of 7 measures. Readmissions: 1 better, 7 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.

Every scored measure at Strong Memorial Hospital
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.33 (1.1 to 1.55)WorseJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.58 (0.4 to 0.75) · 9,824 casesWorseJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths9.81 (7.02 to 12.6) · 1,063 casesWorseJul 2022 – Jun 2024
SSI - Colon SurgeryInfections1.811WorseOct 2024 – Sep 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.435BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.746BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.407BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.99 (0.14 to 1.84) · 2,092 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths192.98 (157.6 to 228.36) · 212 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.4 · 70 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths9.1 · 72 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11 · 193 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.5 · 324 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.6 · 275 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.6 · 928 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 6,267 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.34 (0.15 to 0.52) · 9,231 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.46 (1.74 to 5.18) · 2,561 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.82 (0.49 to 3.16) · 1,021 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths3.06 (1.85 to 4.26) · 2,356 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.43 (6.13 to 14.74) · 995 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.16 (0.82 to 3.5) · 637 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.82 (0.37 to 1.27) · 8,653 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0.724No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits12.9 · 640 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.8 · 976 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-26.9 · 212 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits40.2 · 375 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits12.7 · 283 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.8 · 704 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.3 (4.2 to 6.8) · 929 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.7 (9.9 to 13.8) · 929 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits10.4 · 206 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.5 · 240 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.5 (10.3 to 17.7) · 965 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 1,047 casesNo differentJan 2024 – Dec 2024

What patients said (946 patients answered, 27% of those asked)

Patient survey stars by topic at Strong Memorial Hospital
Cleanliness2
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Strong Memorial Hospital
Room was "always" clean58%
Nurses "always" communicated well76%
Doctors "always" communicated well75%
Staff "always" explained57%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night42%
"YES", patients would definitely recommend the hospital69%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$22,268

Medicare paid this office $22,268 for 34 people.

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

Largest Original Medicare bills
Therapy using electrical currents30$20,846$79

Who their Medicare patients are

34 Original Medicare patients in 2024. Average age 63 · Under 65 47% · Women 53% · Health risk score 1.37. Above the middle of the specialty; the typical psychiatry clinician is at 1.35.

Conditions among them: High blood pressure 74% · Depression 62% · Diabetes 32% · Chronic kidney disease 32%.

The office billed $71,674, Medicare allowed $28,611 and paid $22,268; for 283 services of 7 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
202434283631.37$71,674$22,268
202330181651.19$44,961$14,030
202233176671.27$44,177$14,225

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: 1 service

Original Medicare services billed in 2023
Therapy using electrical currents24$13,402$79

2022: 1 service

Original Medicare services billed in 2022
Therapy using electrical currents25$12,141$83

Medicaid work

$444,087 in 2023

Medicaid paid $444,087 for 2,168 billed services this clinician did in 2023, up to 70 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
Psychotherapy, 45 minutes with patient816$182,789
PSYCHOTHERAPY W/PATIENT 30 MINUTES623$149,041
Psychotherapy, 60 minutes with patient415$59,333
Hospital outpatient clinic visit for assessment and management of a patient62$18,313
GROUP PSYCHOTHERAPY167$17,790
Short return visit (20+ min)51$15,075
Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service34$1,746
Medicaid work by year
20232,168770$444,087
2022818449$169,238
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Psychotherapy, 45 minutes with patient462$93,399
PSYCHOTHERAPY W/PATIENT 30 MINUTES274$63,701
GROUP PSYCHOTHERAPY59$7,955
Psychotherapy, 60 minutes with patient23$4,184

Drugs they prescribed that Part D paid

$9,887

Pharmacies billed $9,887 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 207) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.

191 generic and 16 brand-name prescriptions · $9,887 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
Methylphenidate Hcl Cd13$585$45
Duloxetine38$427$11
Trazodone13$308$24
Paroxetine12$254$21
Mirtazapine13$243$19
See all 8 drugs
Every Part D drug this clinician prescribed
Methylphenidate Hcl Cd13$585$45
Duloxetine38$427$11
Trazodone13$308$24
Paroxetine12$254$21
Mirtazapine13$243$19
Prazosin23$206$9
Bupropion Xl13$138$11
Venlafaxine Hcl Er19$116$6

Year by year

Part D prescribing by year
2024207130% (0)8%$9,887
2023105None0% (0)0%$3,584
2022148130% (0)None$20,574
202071110% (0)None$6,933
201956120% (0)None$12,155
201886240% (0)16%$5,651
2017108190% (0)24%$4,999

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

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Trazodone11$1,175$107
Divalproex Sodium Er11$513$47
Prazosin11$444$40
Paroxetine11$228$21
Venlafaxine Hcl Er11$171$16
Duloxetine12$154$13
Buspirone19$144$8

2022: 5 drugs

Part D drugs prescribed in 2022
Divalproex Sodium Er13$3,875$298
Hydroxyzine36$270$7
Buspirone27$164$6
Venlafaxine Hcl Er12$62$5
Escitalopram12$42$4

2020: 3 drugs

Part D drugs prescribed in 2020
Escitalopram13$339$26
Fluoxetine11$201$18
Trazodone11$103$9

Money from drug and device companies

$99 in 2023

A payment is not proof that care is biased.

Payments by company
Teva Pharmaceuticals USAAustedo$99
1 payment
  • Meals for Austedo · 2023-04-20 · $99
See the published payment
Every published payment
Teva Pharmaceuticals USAMeals · 2023-04-20Austedo$99

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.3 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1528598216
Licence
NY 313372
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Psychiatry (2084P0800X); Physician assistant, medical (363AM0700X)
Mailing address
1900 Ofarrell St Ste 140, San Mateo, CA, 94403
NPI first listed
2017-06-14
NPI last updated
2025-10-24
NPI record certified
2025-10-24

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

This office lists an electronic records connection.