We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Lorena Denise Nogosek’s office at (408) 923-7121 to ask if they take your plan before you enroll.
Original Medicare doctor bills
$9,506
Medicare paid this office $9,506 for 102 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Emergency department visit with moderate level of medical decision making
75
$5,666
$74
Emergency department visit with high level of medical decision making
21
$2,436
$116
Who their Medicare patients are
102 Original Medicare patients in 2024. Average age 67 · Under 65 28% · Women 54% · Also on Medicaid 78% · Health risk score 1.34. Above the middle of the specialty; the typical physician assistant clinician is at 1.31.
The office billed $104,666, Medicare allowed $13,197 and paid $9,506; for 116 services of 12 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
2024
102
116
67
1.34
$104,666
$9,506
2023
102
112
66
1.29
$93,457
$8,681
2022
118
140
66
1.45
$83,497
$9,758
2021
79
88
64
1.21
$59,573
$6,959
2020
107
120
65
1.41
$84,716
$10,911
2019
90
100
65
1.70
$48,368
$5,979
2018
96
106
64
1.07
$42,339
$6,710
2017
94
110
62
1.12
$36,953
$5,625
2016
87
104
69
1.69
$36,162
$6,080
2015
87
122
69
1.62
$38,699
$7,250
2014
88
126
64
1.67
$36,878
$6,796
2013
190
324
66
1.78
$83,740
$16,983
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
Emergency department visit with moderate level of medical decision making
73
$5,713
$75
Emergency department visit with high level of medical decision making
20
$2,135
$107
2022: 2 services
Original Medicare services billed in 2022
Emergency department visit with low level of medical decision making
78
$3,907
$49
Emergency department visit with moderate level of medical decision making
33
$3,152
$93
2021: 3 services
Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making
24
$3,174
$127
Emergency department visit with low level of medical decision making
41
$2,046
$50
Emergency department visit with moderate level of medical decision making
17
$1,238
$73
2020: 3 services
Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making
47
$6,493
$133
Emergency department visit with low level of medical decision making
41
$1,859
$44
Emergency department visit with moderate level of medical decision making
19
$1,696
$89
2019: 3 services
Original Medicare services billed in 2019
Emergency department visit with low level of medical decision making
53
$2,274
$43
Emergency department visit with moderate level of medical decision making
25
$2,033
$81
Emergency department visit with high level of medical decision making
12
$1,337
$111
2018: 2 services
Original Medicare services billed in 2018
Emergency department visit with low level of medical decision making
61
$2,571
$41
Emergency department visit with moderate level of medical decision making
23
$1,990
$87
2017: 2 services
Original Medicare services billed in 2017
Emergency department visit with low level of medical decision making
64
$2,545
$39
Emergency department visit with moderate level of medical decision making
19
$1,249
$66
2016: 3 services
Original Medicare services billed in 2016
Emergency department visit with low level of medical decision making
55
$2,184
$39
Emergency department visit with high level of medical decision making
18
$2,040
$113
Emergency department visit with moderate level of medical decision making
16
$1,235
$77
2015: 3 services
Original Medicare services billed in 2015
Emergency department visit with moderate level of medical decision making
25
$1,961
$78
Emergency department visit with high level of medical decision making
15
$1,899
$127
Emergency department visit with low level of medical decision making
42
$1,717
$41
2014: 2 services
Original Medicare services billed in 2014
Emergency department visit with low level of medical decision making
49
$1,891
$38
Emergency department visit with moderate level of medical decision making
22
$1,881
$86
2013: 5 services
Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making
60
$7,219
$120
Emergency department visit with low level of medical decision making
95
$4,167
$43
Emergency department visit with moderate level of medical decision making
29
$2,384
$82
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
53
$331
$6
X-ray of chest, 1 view, front
26
$173
$7
Medicaid work
$4,985 in 2022
Medicaid paid $4,985 for 115 billed services this clinician did in 2022, 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.
Largest Medicaid services in 2022
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP
94
$4,908
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"
21
$77
Medicaid work by year
2022
115
2
22
$4,985
2021
187
2
27
$9,656
2020
103
1
17
$4,722
2019
44
1
18
$2,014
2018
161
1
22
$8,680
See the largest Medicaid services in earlier years
2021
Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP
165
$9,583
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"
22
$73
2020
Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP
103
$4,722
2019
Largest Medicaid services in 2019
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP
44
$2,014
2018
Largest Medicaid services in 2018
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP
161
$8,680
Drugs they prescribed that Part D paid
$412
Pharmacies billed $412 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
72 generic and fewer than 11 brand-name prescriptions · $412 in drug cost · 30 antibiotic prescriptions to 26 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
Cephalexin
17
$68
$4
Ibuprofen
13
$35
$3
Year by year
Part D prescribing by year
2024
73
52
—None
—None
$412
2023
64
47
—None
—None
$1,278
2022
83
61
—None
—None
$1,153
2021
52
41
—None
0%
$368
2020
52
39
—None
—None
$1,648
2019
51
35
—None
—None
$564
2018
65
46
20% (13)
—None
$505
2017
82
51
—None
—None
$855
2016
72
48
18% (13)
—None
$802
2015
70
47
36% (25)
—None
$591
2014
79
46
28% (22)
—None
$711
2013
122
74
32% (39)
—None
$2,962
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2022: 1 drug
Part D drugs prescribed in 2022
Cephalexin
14
$114
$8
2017: 2 drugs
Part D drugs prescribed in 2017
Cephalexin
12
$81
$7
Ibuprofen
11
$38
$3
2016: 2 drugs
Part D drugs prescribed in 2016
Cephalexin
13
$72
$6
Ibuprofen
12
$47
$4
2015: 1 drug
Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen
20
$189
$9
2014: 1 drug
Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen
19
$155
$8
2013: 3 drugs
Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen
31
$224
$7
Cephalexin
14
$111
$8
Ibuprofen
12
$41
$3
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
Medicare’s overall office score
94.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
NPI
1578518791
Licence
CA PA16161
More record details
Sole proprietor
No
Medicaid ID
CA 0PA161610
Taxonomy
Physician assistant (363A00000X)
Mailing address
2100 Powell St, Ste 920, Emeryville, CA, 94608
NPI first listed
2006-05-24
NPI last updated
2008-01-03
This is when the NPI record was last certified, not a medical board exam.