Firas Y Naji, DO
Internal Medicine · Irvine
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 11
- 4 carriers
- Offices
- 2
Offices
2 locations · City of Hope Medical Foundation · County of Santa Clara
Looking this up.
Plans that list them
11 plans · 4 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Naji’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
11 of 11 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
Original Medicare doctor bills
$27,444
Medicare paid this office $27,444 for 99 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 40 | $8,627 | $103 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 54 | $8,436 | $67 |
| Hospital discharge day management, more than 30 minutes | 56 | $5,657 | $101 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 16 | $2,490 | $146 |
Who their Medicare patients are
99 Original Medicare patients in 2024. Average age 75 · Women 54% · Also on Medicaid 72% · Health risk score 3.09. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 60% · Coronary heart disease 57% · Chronic kidney disease 56% · Heart failure 48% · Depression 29% · Dementia 29% · Atrial fibrillation 28% · COPD 24% · Stroke 20% · Cancer 17%.
The office billed $286,729, Medicare allowed $35,610 and paid $27,444; for 319 services of 11 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
| 2024 | 99 | 319 | 75 | 3.09 | $286,729 | $27,444 |
| 2023 | 131 | 444 | 74 | 3.48 | $317,744 | $42,331 |
| 2022 | 388 | 1,718 | 79 | 2.63 | $507,515 | $154,511 |
| 2021 | 54 | 123 | 75 | 2.84 | $76,109 | $13,463 |
| 2020 | 90 | 226 | 73 | 2.98 | $86,962 | $22,265 |
| 2019 | 115 | 279 | 72 | 3.34 | $112,233 | $29,518 |
| 2018 | 127 | 308 | 72 | 3.03 | $116,936 | $32,440 |
| 2017 | 206 | 398 | 72 | 3.26 | $194,609 | $41,396 |
| 2016 | 254 | 440 | 74 | 2.62 | $236,838 | $48,920 |
| 2015 | 159 | 283 | 72 | 2.53 | $127,266 | $34,609 |
| 2014 | 209 | 376 | 75 | 2.36 | $117,869 | $41,475 |
| 2013 | 80 | 143 | 72 | 2.13 | $36,219 | $15,412 |
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: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 55 | $12,795 | $107 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 77 | $11,304 | $72 |
| Hospital discharge day management, more than 30 minutes | 65 | $6,870 | $106 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 29 | $4,295 | $148 |
| Critical care, first 30-74 minutes | 12 | $3,868 | $176 |
2022: 12 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 190 | $43,302 | $85 |
| Critical care, first 30-74 minutes | 56 | $23,464 | $179 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 171 | $21,297 | $60 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 113 | $19,182 | $168 |
| Hospital discharge day management, more than 30 minutes | 158 | $14,880 | $89 |
| Extended inpatient or observation hospital service, first hour | 67 | $7,967 | $75 |
| Critical care, each additional 30 minutes | 41 | $5,850 | $90 |
| Advance care planning, first 30 minutes | 73 | $5,113 | $65 |
| Initial hospital observation care per day, typically 70 minutes | 17 | $2,599 | $153 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 24 | $2,182 | $36 |
| Hospital observation care on day of discharge | 18 | $1,126 | $63 |
| Advance care planning, each additional 30 minutes | 13 | $794 | $61 |
2021: 3 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 26 | $5,081 | $175 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 16 | $3,341 | $90 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 14 | $2,114 | $62 |
2020: 4 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 43 | $7,541 | $171 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 32 | $6,081 | $88 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 26 | $4,046 | $58 |
| Hospital discharge day management, more than 30 minutes | 18 | $1,659 | $92 |
2019: 4 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 60 | $10,811 | $166 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 41 | $8,445 | $89 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 28 | $3,796 | $62 |
| Hospital discharge day management, more than 30 minutes | 25 | $2,401 | $92 |
2018: 4 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 68 | $12,183 | $174 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 53 | $10,823 | $89 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 29 | $3,561 | $62 |
| Hospital discharge day management, more than 30 minutes | 33 | $3,078 | $93 |
2017: 5 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 82 | $14,120 | $166 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 74 | $13,046 | $87 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 40 | $4,307 | $61 |
| Critical care, first 30-74 minutes | 15 | $3,154 | $186 |
| Hospital discharge day management, more than 30 minutes | 32 | $3,011 | $91 |
2016: 8 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 125 | $20,101 | $158 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 62 | $13,679 | $82 |
| Initial hospital observation care per day, typically 70 minutes | 26 | $3,856 | $148 |
| Hospital discharge day management, more than 30 minutes | 32 | $2,843 | $84 |
| Critical care, first 30-74 minutes | 14 | $2,503 | $179 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 13 | $1,421 | $109 |
| Initial hospital observation care per day, typically 50 minutes | 12 | $1,302 | $108 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 16 | $1,098 | $58 |
2015: 3 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 115 | $20,252 | $161 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 42 | $9,141 | $84 |
| Hospital discharge day management, more than 30 minutes | 14 | $1,388 | $87 |
2014: 6 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 100 | $16,465 | $163 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 74 | $12,946 | $81 |
| Hospital discharge day management, more than 30 minutes | 42 | $3,480 | $83 |
| Initial hospital observation care per day, typically 70 minutes | 22 | $3,305 | $150 |
| Critical care, first 30-74 minutes | 11 | $2,216 | $170 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 12 | $1,064 | $59 |
2013: 3 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 41 | $6,518 | $159 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 22 | $4,299 | $83 |
| Hospital discharge day management, more than 30 minutes | 16 | $1,557 | $86 |
Medicaid work
$5,321 in 2024
Medicaid paid $5,321 for 423 billed services this clinician did in 2024, up to 27 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.
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 123 | $2,203 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 208 | $1,963 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 92 | $1,155 |
| 2024 | 423 | 3 | 27 | $5,321 |
| 2023 | 530 | 3 | 24 | $5,267 |
| 2022 | 35 | 2 | 12 | $843 |
See the largest Medicaid services in earlier years
2023
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 276 | $1,995 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 86 | $1,696 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 168 | $1,575 |
2022
| SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES | 23 | $555 |
| 1ST HOSP IP/OBS HIGH 75 | 12 | $288 |
Money from drug and device companies
$93 in 2022
A payment is not proof that care is biased.
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Lifevest | $93 | 1 payment
|
See the published payment
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Meals · 2022-09-21 | Lifevest | $93 |
Professional record
- NPI
- 1578883997
- Licence
- MA 244291, MA 253997
- Trained
- University of New England, College of Osteo Medicine, 2010
- Group
- City of Hope Medical Foundation · County of Santa Clara
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Medicaid ID
- MA 110099862A
- Taxonomy
- Internal medicine (207R00000X); Student in a training program (390200000X)
- Mailing address
- 17595 Harvard Ave Ste C803, Irvine, CA, 92614
- NPI first listed
- 2010-06-08
- NPI last updated
- 2023-11-27
- NPI record certified
- 2023-11-27
This is when the NPI record was last certified, not a medical board exam.