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Virgilio Yabut Baluyut, NP

Nurse Practitioner · Fairfield

NPI 1548605587

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Office
1
Since medical school
14 years
Graduated 2012

Offices

1 location · Gurpreet S Dhugga Medical Corporation · 5 clinicians in this group

Looking this up.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Virgilio Yabut Baluyut’s office at (707) 864-1056 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$182,813

Medicare paid this office $182,813 for 401 people.

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

Largest Original Medicare bills
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more400$180,071$51
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes25$2,065$76
Advance care planning, first 30 minutes13$677$52

Who their Medicare patients are

401 Original Medicare patients in 2024. Average age 76 · Under 65 11% · 85 and older 21% · Women 57% · Also on Medicaid 73% · Health risk score 2.78. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 58% · Depression 56% · Chronic kidney disease 48% · Heart failure 44% · Coronary heart disease 42% · Dementia 41% · COPD 38% · Atrial fibrillation 35% · Stroke 26% · Cancer 17%.

The office billed $577,020, Medicare allowed $246,281 and paid $182,813; for 3,602 services of 3 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
20244013,602762.78$577,020$182,813
20234003,482762.84$558,180$191,251
20223953,334772.44$529,160$168,717
20213104,154772.59$612,130$211,183
20203314,307772.84$628,247$211,062
20194614,770782.69$700,890$232,859
20184654,498782.55$668,240$228,695
20175584,182782.44$659,220$212,183
20165253,893772.60$671,690$209,920
20156293,107762.56$452,752$166,588
20143182,387742.71$535,335$131,467
20131481,251752.95$198,096$66,332

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: 3 services

Original Medicare services billed in 2023
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more398$185,685$55
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes43$3,963$83
Advance care planning, first 30 minutes30$1,602$53

2022: 2 services

Original Medicare services billed in 2022
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more393$166,014$50
Advance care planning, first 30 minutes33$1,935$59

2021: 3 services

Original Medicare services billed in 2021
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more308$208,546$51
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes16$1,277$71
Advance care planning, first 30 minutes20$1,198$60

2020: 3 services

Original Medicare services billed in 2020
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more323$206,722$49
Advance care planning, first 30 minutes48$2,716$55
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes15$1,112$65

2019: 3 services

Original Medicare services billed in 2019
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more447$224,116$49
Advance care planning, first 30 minutes113$6,485$55
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes25$1,782$61

2018: 3 services

Original Medicare services billed in 2018
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more441$211,127$50
Advance care planning, first 30 minutes184$11,526$60
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes65$5,988$67

2017: 3 services

Original Medicare services billed in 2017
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more539$191,315$50
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes133$13,321$63
Advance care planning, first 30 minutes124$7,492$57

2016: 3 services

Original Medicare services billed in 2016
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more469$142,605$49
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes335$66,222$68
Advance care planning, first 30 minutes11$637$58

2015: 6 services

Original Medicare services billed in 2015
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more400$67,560$48
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes316$48,477$64
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more201$32,352$50
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes102$15,816$65
Nursing facility discharge day management, 30 minutes or less24$1,212$50
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes12$403$34

2014: 5 services

Original Medicare services billed in 2014
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes132$43,156$66
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more104$35,541$50
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more159$31,185$46
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes105$19,536$64
Nursing facility discharge management, more than 30 minutes11$795$72

2013: 6 services

Original Medicare services billed in 2013
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more86$25,588$49
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more49$17,415$50
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes68$14,822$65
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes33$6,272$65
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes17$1,152$32
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes12$518$32

Medicaid work

$20,050 in 2024

Medicaid paid $20,050 for 499 billed services this clinician did in 2024, up to 100 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 2024
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES499$20,050
Medicaid work by year
20244991100$20,050
2023555291$10,083
2022306150$4,154
2021443162$5,977
2020542178$7,074
2019814192$14,364
2018969289$14,641
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES541$10,083
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES14$0

2022

Largest Medicaid services in 2022
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES306$4,154

2021

Largest Medicaid services in 2021
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES443$5,977

2020

Largest Medicaid services in 2020
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES542$7,074

2019

Largest Medicaid services in 2019
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES814$14,364

2018

Largest Medicaid services in 2018
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES943$14,249
Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate26$392

Drugs they prescribed that Part D paid

$109,430

Pharmacies billed $109,430 in 2024.

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

Opioids were 29% of their Part D prescriptions (518 of 1,812) in 2024. A higher opioid share than 9 in 10 peers; the typical nurse practitioner clinician is at 0%. Long-acting opioids: 8% of their opioid prescriptions.

1,510 generic and 280 brand-name prescriptions · $109,430 in drug cost · 37 antibiotic prescriptions to 25 people · 41 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
Hydrocodone-Acetaminophen216$6,758$31
Xarelto18$5,468$304
Cyclosporine18$5,049$280
Eliquis11$3,255$296
Levetiracetam24$2,768$115
See all 43 drugs
Every Part D drug this clinician prescribed
Hydrocodone-Acetaminophen216$6,758$31
Xarelto18$5,468$304
Cyclosporine18$5,049$280
Eliquis11$3,255$296
Levetiracetam24$2,768$115
Hydromorphone87$2,768$32
Lorazepam106$2,340$22
Acetaminophen-Codeine34$2,099$62
Oxycodone-Acetaminophen54$2,033$38
Divalproex32$1,972$62
Morphine Sulfate Er27$1,906$71
Modafinil13$1,867$144
Pregabalin35$1,850$53
Gabapentin41$1,778$43
Basaglar Kwikpen U-10012$1,486$124
Amantadine11$1,362$124
Tramadol66$1,058$16
Olanzapine28$841$30
Memantine15$831$55
Phenobarbital16$745$47
Metformin29$684$24
Clonazepam35$634$18
Losartan20$610$30
Klayesta14$595$42
Hydroxyzine20$572$29
Diclofenac12$526$44
Sertraline28$513$18
Albuterol Sulfate17$468$28
Oxycodone21$460$22
Atorvastatin28$433$15
Furosemide62$421$7
Ondansetron32$327$10
Potassium Chloride27$320$12
Levothyroxine29$299$10
Benztropine Mesylate12$296$25
Carvedilol15$289$19
Amlodipine Besylate23$281$12
Trazodone15$270$18
Triamcinolone Acetonide16$247$15
Diazepam14$238$17
Metoprolol15$225$15
Zolpidem12$188$16
Lisinopril14$173$12

Year by year

Part D prescribing by year
20241,81220329% (518)15%$109,430
20231,35115632% (428)None$91,002
202282711922% (180)17%$61,954
20215027736% (178)None$16,465
20203427342% (142)19%$19,932
20194678942% (195)15%$24,781
20183569158% (206)16%$10,391
201754615950% (273)23%$18,448
201661112634% (210)None$25,962
201561414448% (295)None$26,099
201484316756% (469)None$36,182
20131715339% (66)None$5,799

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

See the drugs prescribed each year

2023: 29 drugs

Part D drugs prescribed in 2023
Nuedexta16$11,992$749
Xarelto31$8,299$268
Eliquis16$4,479$280
Hydrocodone-Acetaminophen141$2,859$20
Jardiance11$2,668$243
Hydromorphone127$2,449$19
Divalproex12$1,338$112
Lorazepam86$1,266$15
Tramadol62$1,122$18
Duloxetine17$995$59
Olanzapine20$828$41
Oxycodone48$820$17
Mirtazapine15$760$51
Quetiapine18$608$34
Oxycodone-Acetaminophen26$583$22
Baclofen12$531$44
Ondansetron33$483$15
Furosemide66$450$7
Donepezil13$448$34
Amlodipine Besylate30$411$14
Hydralazine14$369$26
Sertraline16$302$19
Levothyroxine18$265$15
Metoprolol12$181$15
Clonazepam13$178$14
Risperidone11$177$16
Zolpidem12$157$13
Trazodone14$113$8
Carvedilol12$92$8

2022: 20 drugs

Part D drugs prescribed in 2022
Nuedexta14$9,576$684
Eliquis31$9,143$295
Xarelto19$4,784$252
Divalproex15$2,164$144
Hydrocodone-Acetaminophen69$1,015$15
Lorazepam44$696$16
Baclofen14$542$39
Hydromorphone40$533$13
Duloxetine13$513$39
Ondansetron13$340$26
Tramadol43$317$7
Levothyroxine17$290$17
Amlodipine Besylate29$288$10
Furosemide29$267$9
Atorvastatin16$250$16
Gabapentin17$222$13
Trazodone26$194$7
Potassium Chloride11$138$13
Carvedilol11$107$10
Metformin12$92$8

2021: 15 drugs

Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen84$1,923$23
Oxycodone-Acetaminophen30$1,342$45
Pregabalin13$783$60
Midodrine15$756$50
Hydromorphone28$372$13
Mirtazapine11$345$31
Lorazepam23$303$13
Potassium Chloride19$269$14
Alprazolam17$222$13
Zaleplon12$212$18
Metformin14$174$12
Clobetasol Propionate16$163$10
Clonazepam21$137$7
Tramadol17$121$7
Amlodipine Besylate22$97$4

2020: 9 drugs

Part D drugs prescribed in 2020
Epogen15$7,943$530
Breo Ellipta17$3,044$179
Hydrocodone-Acetaminophen79$1,307$17
Pregabalin12$495$41
Oxycodone-Acetaminophen13$312$24
Tramadol21$268$13
Zaleplon13$184$14
Mirtazapine15$167$11
Lorazepam14$122$9

2019: 13 drugs

Part D drugs prescribed in 2019
Vimpat19$8,411$443
Lyrica12$2,830$236
Breo Ellipta12$2,678$223
Hydrocodone-Acetaminophen58$1,038$18
Tramadol65$779$12
Levetiracetam23$722$31
Lorazepam37$415$11
Morphine Sulfate Er24$370$15
Oxycodone-Acetaminophen13$320$25
Clonazepam31$297$10
Lithium Carbonate11$148$13
Isosorbide Mononitrate Er11$128$12
Alprazolam16$126$8

2018: 9 drugs

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen85$1,459$17
Morphine Sulfate Er38$924$24
Temazepam14$686$49
Oxycodone-Acetaminophen12$438$37
Tramadol35$437$12
Lorazepam37$305$8
Levothyroxine15$177$12
Alprazolam13$153$12
Clonazepam20$137$7

2017: 9 drugs

Part D drugs prescribed in 2017
Morphine Sulfate Er37$2,025$55
Hydrocodone-Acetaminophen127$1,922$15
Oxycodone-Acetaminophen17$477$28
Lorazepam49$345$7
Hydromorphone18$231$13
Gabapentin22$211$10
Allopurinol21$181$9
Levothyroxine18$176$10
Tramadol25$140$6

2016: 9 drugs

Part D drugs prescribed in 2016
Morphine Sulfate Er46$2,630$57
Hydrocodone-Acetaminophen69$1,184$17
Hydromorphone35$417$12
Gabapentin37$374$10
Lorazepam52$369$7
Oxycodone-Acetaminophen11$345$31
Methadone16$174$11
Atorvastatin11$90$8
Furosemide12$38$3

2015: 13 drugs

Part D drugs prescribed in 2015
Morphine Sulfate Er45$3,801$84
Hydrocodone-Acetaminophen147$2,576$18
Temazepam16$957$60
Oxycodone-Acetaminophen23$936$41
Carisoprodol11$912$83
Lorazepam63$781$12
Morphine Sulfate16$521$33
Hydromorphone30$381$13
Citalopram Hbr13$347$27
Gabapentin33$342$10
Zolpidem24$270$11
Clonazepam22$188$9
Diazepam11$61$6

2014: 17 drugs

Part D drugs prescribed in 2014
Oxycontin56$9,801$175
Morphine Sulfate Er34$3,452$102
Hydrocodone-Acetaminophen199$3,125$16
Fentanyl30$2,470$82
Novolog12$2,277$190
Temazepam22$2,248$102
Lorazepam109$1,130$10
Oxycodone-Acetaminophen24$1,027$43
Morphine Sulfate34$745$22
Oxycodone28$578$21
Hydromorphone40$531$13
Gabapentin29$325$11
Zolpidem16$278$17
Clonazepam21$277$13
Acetaminophen-Codeine11$199$18
Alprazolam19$167$9
Warfarin14$72$5

2013: 2 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen32$430$13
Lorazepam31$227$7

Money from drug and device companies

$20 in 2025

A payment is not proof that care is biased.

Payments by company
Neurocrine BioSciencesIngrezza$20
1 payment
  • Meals for Ingrezza · 2025-10-14 · $20
See the published payment
Every published payment
Neurocrine BioSciencesMeals · 2025-10-14Ingrezza$20

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
16.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1548605587
Licence
CA NPF22735
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Nurse practitioner (363L00000X)
Mailing address
1510 4th St, Suite 1, Berkeley, CA, 94710
NPI first listed
2013-05-03
NPI last updated
2013-05-03

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