Monica Coughlan, MD

5 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Hospitals listed: Mills-Peninsula Medical Center. That is not proof they admit you there this week.

Licence A159978 · Current

Licensed to practise in California · since 2018 · expires 2026-12-31 · Stanford University School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• Peninsula Medical CenterBurlingame, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend it
  Overall rating: 5 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.139, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.242, Oct 2024 – Sep 2025

$132,151

Medicare paid this office $132,151 for 349 people.

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

Procedures Medicare counted

Who their Medicare patients are

349 Original Medicare patients in 2024. Average age 76 · Under 65 3% · 85 and older 16% · Women 61% · Also on Medicaid 7% · Health risk score 1.14. Above the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 67% · Diabetes 29% · Chronic kidney disease 23% · Coronary heart disease 22% · Depression 18% · Heart failure 17% · Atrial fibrillation 17% · Cancer 13% · COPD 12% · Stroke 7% · Dementia 4%.

The office billed $578,698, Medicare allowed $171,494 and paid $132,151; for 1,491 services of 73 kinds; $1,393 of it was for drugs given in the office and $130,757 for care.

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 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.

$520 in 2021

Medicaid paid $520 for 50 billed services this clinician did in 2021, up to 22 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.

$1,370

Pharmacies billed $1,370 in 2024.

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

Opioids were 36% of their Part D prescriptions (59 of 162) in 2024. Above the middle of the specialty; the typical orthopedic surgery clinician is at 31%.

162 generic and 0 brand-name prescriptions · $1,370 in drug cost · 14 antibiotic prescriptions to 12 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.

Year by year

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

$180 in 2025

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

A payment is not proof that care is biased.

Medicare did not publish checkup rates for this clinician.

NPI

1568993087

Licence

CA A159978California A159978: Current · expires 2026-12-31

Group

Sutter Bay Medical Foundation

Video visits

Lists video visits

Gender

Female