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Doris H Hong, NP

Nurse Practitioner · Los Altos

NPI 1548635840

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Doris H Hong’s office at (650) 254-5200 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$23,220

Medicare paid this office $23,220 for 220 people.

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

Largest Original Medicare bills
Return visit (30+ min)103$10,406$92
Short return visit (20+ min)54$3,767$62
New patient visit (45+ min)35$3,585$102
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit11$1,473$134
New patient visit (30+ min)21$1,298$62

Who their Medicare patients are

220 Original Medicare patients in 2024. Average age 75 · Women 71% · Also on Medicaid 6% · Health risk score 0.75. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 50% · Coronary heart disease 22% · Diabetes 14% · Chronic kidney disease 14% · Depression 14% · Atrial fibrillation 13% · Cancer 11% · Heart failure 10% · COPD 5%.

The office billed $97,519, Medicare allowed $33,639 and paid $23,220; for 284 services of 19 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
2024220284750.75$97,519$23,220
2023200255760.75$89,606$23,526
2022154175750.65$52,507$15,366
202178100770.77$25,163$7,526
20206372770.76$14,112$3,736
2019146218760.97$50,650$11,690
2018146217760.85$42,333$10,063
2017125164741.03$32,740$8,456

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: 4 services

Original Medicare services billed in 2023
Return visit (30+ min)86$9,416$100
New patient visit (45+ min)43$4,962$115
Short return visit (20+ min)52$3,402$64
New patient visit (30+ min)31$2,366$76

2022: 4 services

Original Medicare services billed in 2022
Return visit (30+ min)64$6,346$96
Short return visit (20+ min)44$3,133$70
New patient visit (45+ min)20$2,929$146
New patient visit (30+ min)14$1,171$84

2021: 2 services

Original Medicare services billed in 2021
Return visit (30+ min)40$4,203$100
Short return visit (20+ min)34$2,415$67

2020: 4 services

Original Medicare services billed in 2020
Short return visit (20+ min)23$1,114$48
Return visit (30+ min)16$1,107$58
Telephone medical discussion with physician, 11-20 minutes11$704$64
Telephone medical discussion with physician, 5-10 minutes12$517$43

2019: 3 services

Original Medicare services billed in 2019
Return visit (30+ min)61$5,777$74
Short return visit (20+ min)92$4,496$45
Automated urinalysis test19$49$2

2018: 4 services

Original Medicare services billed in 2018
Short return visit (20+ min)103$5,129$46
Return visit (30+ min)46$3,374$69
Administration of influenza virus vaccine11$283$26
Automated urinalysis test22$70$3

2017: 3 services

Original Medicare services billed in 2017
Short return visit (20+ min)101$5,699$53
Return visit (30+ min)24$1,979$76
Automated urinalysis test11$33$3

Drugs they prescribed that Part D paid

$5,253

Pharmacies billed $5,253 in 2024.

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

157 generic and 49 brand-name prescriptions · $5,253 in drug cost · 63 antibiotic prescriptions to 53 people.

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
Nitrofurantoin Mono-Macro15$164$11
Amoxicillin-Clavulanate Potass12$72$6
Cephalexin15$64$4
Paxlovid34$0$0

Year by year

Part D prescribing by year
2024220160None22%$5,253
2023175128NoneNone$2,019
202214289NoneNone$2,669
2021102530% (0)None$3,088
202011342None13%$7,745
20192601215% (13)19%$17,801
201824911215% (37)17%$10,364
20171748818% (32)10%$8,241
201611324None10%$1,621

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Paxlovid (Eua)34$340$10

2022: 2 drugs

Part D drugs prescribed in 2022
Paxlovid (Eua)29$294$10
Atorvastatin13$100$8

2021: 1 drug

Part D drugs prescribed in 2021
Atorvastatin12$203$17

2020: 1 drug

Part D drugs prescribed in 2020
Atorvastatin15$321$21

2019: 3 drugs

Part D drugs prescribed in 2019
Flovent Hfa13$3,504$270
Azithromycin13$84$6
Cephalexin12$70$6

2018: 4 drugs

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen25$928$37
Zolpidem18$178$10
Clonazepam16$158$10
Cephalexin11$52$5

2017: 2 drugs

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen21$719$34
Zolpidem21$288$14

2016: 2 drugs

Part D drugs prescribed in 2016
Losartan11$103$9
Lisinopril15$86$6

Professional record

NPI
1548635840
Licence
CA 95003549
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Nurse practitioner (363L00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2015-12-11
NPI last updated
2020-05-29
NPI record certified
2020-05-29

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

Extra NPI addresses: 270 Grant Avenue, Palo Alto, CA, 94306