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Seolhyun Lee, MD

Nephrology · Stanford

NPI 1588087142

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
17
3 carriers
Office
1

Offices

1 location · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care · Stanford Health Care Tri-Valley. That is not proof they admit you there this week.

Plans that list them

17 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Lee’s office at (650) 723-4000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

17 of 17 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence C159407 · Current

Licensed to practise in California · since 2018 · expires 2026-11-30 · Chungnam National University College of Medicine.

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

Hospitals they work in

2 hospitals

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

  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
  • Stanford Health Care Tri-ValleyPleasanton, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Stanford Health Care, which runs 3 hospitalsPatients rate it 3 of 5 · 74% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.178, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.237, Oct 2024 – Sep 2025
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%
See every measure and the patient survey for Stanford Health Care Tri-Valley

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 7 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care Tri-Valley
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.178BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.237BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.79 (0 to 1.73) · 1,041 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.79 (0.5 to 1.08)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths145.81 (96.5 to 195.12) · 72 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.9 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 92 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.5 · 96 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.5 · 395 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 391 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 162 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 1,736 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.37) · 4,425 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.02 to 0.41) · 4,771 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.45 (1.46 to 5.44) · 1,403 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.5 (0.05 to 2.94) · 645 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.81 (0.38 to 3.24) · 1,279 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.53 (3.2 to 13.85) · 639 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.15 (1.89 to 8.41) · 648 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.14 to 3.07) · 370 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.16 (0 to 0.83) · 4,160 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 74 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.369No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.112No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 110 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.1 · 437 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-5.8 · 94 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-19.3 · 456 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-0.3 · 402 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.8 · 358 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.8 (4.7 to 9.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (7.5 to 13.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 92 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.6 to 16.2) · 1,532 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 929 casesNo differentJan 2024 – Dec 2024

What patients said (1,268 patients answered, 26% of those asked)

Patient survey stars by topic at Stanford Health Care Tri-Valley
Cleanliness3
Nurse communication3
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Stanford Health Care Tri-Valley
Room was "always" clean65%
Nurses "always" communicated well77%
Doctors "always" communicated well79%
Staff "always" explained58%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night42%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$130,335

Medicare paid this office $130,335 for 423 people.

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

Largest Original Medicare bills
Long return visit (40+ min)93$26,744$168
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes78$21,400$105
Return visit (30+ min)114$18,870$114
New patient visit (60+ min)71$14,489$204
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes67$9,361$68
See all 15 services
Every Original Medicare service billed
Long return visit (40+ min)93$26,744$168
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes78$21,400$105
Return visit (30+ min)114$18,870$114
New patient visit (60+ min)71$14,489$204
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes67$9,361$68
Initial hospital care with moderate level of medical decision making at least 75 minutes48$7,565$154
Long return visit (40+ min)41$7,129$125
Short return visit (20+ min)41$4,221$80
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's166$3,451$15
Return visit (30+ min)27$2,745$74
New patient visit (45+ min)17$2,314$136
New patient visit (60+ min)13$2,066$159
Hemodialysis procedure with physician evaluation21$1,888$63
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,743$116
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's39$702$15

Who their Medicare patients are

423 Original Medicare patients in 2024. Average age 72 · Under 65 17% · 85 and older 12% · Women 49% · Also on Medicaid 37% · Health risk score 3.85. At or below the middle of the specialty; the typical nephrology clinician is at 4.01.

Conditions among them: High blood pressure 75% · Chronic kidney disease 75% · Diabetes 50% · Coronary heart disease 43% · Heart failure 43% · Cancer 33% · Atrial fibrillation 32% · Depression 25% · COPD 19% · Stroke 16% · Dementia 15%.

The office billed $667,187, Medicare allowed $169,125 and paid $130,335; for 1,342 services of 25 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
20244231,342723.85$667,187$130,335
20234721,269724.16$580,920$118,835
2022397873723.46$387,968$85,004
202164119723.07$66,161$12,745
201931106762.98$77,684$8,025
20183861,161742.59$867,495$97,965
20174671,402752.69$851,040$110,655
20165881,987722.99$382,328$145,308
20156262,168722.96$473,421$177,671
2014149520722.54$114,648$43,648

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: 11 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes110$33,116$107
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes116$18,897$70
Return visit (30+ min)117$13,728$82
Long return visit (40+ min)70$11,723$118
Initial hospital care with moderate level of medical decision making at least 75 minutes69$10,690$155
New patient visit (60+ min)62$9,336$151
Hemodialysis procedure with physician evaluation31$4,681$64
Short return visit (20+ min)70$4,211$51
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$4,089$114
New patient visit (45+ min)30$2,999$100
Hospital discharge day management, 30 minutes or less19$1,349$71

2022: 12 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes123$22,119$92
Initial hospital care with moderate level of medical decision making at least 75 minutes67$11,674$174
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes97$11,350$64
Long return visit (40+ min)63$10,680$129
New patient visit (60+ min)50$8,294$166
Return visit (30+ min)51$6,233$85
New patient visit (45+ min)26$3,167$122
Hospital discharge day management, more than 30 minutes22$2,125$97
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$2,083$123
Hemodialysis procedure with physician evaluation20$1,763$65
Short return visit (20+ min)18$1,208$58
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes14$619$34

2021: 3 services

Original Medicare services billed in 2021
New patient visit (60+ min)23$4,005$174
Return visit (30+ min)25$2,692$93
Long return visit (40+ min)13$2,417$134

2019: 2 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$4,056$83
Initial hospital care with moderate level of medical decision making at least 75 minutes15$1,953$130

2018: 8 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes238$51,218$83
Hospital discharge day management, more than 30 minutes193$16,794$85
Initial hospital care with moderate level of medical decision making at least 75 minutes86$14,121$160
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes60$7,379$58
Initial hospital observation care per day, typically 70 minutes16$2,308$144
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes17$1,656$31
Advance care planning, first 30 minutes24$1,642$63
Hospital observation care on day of discharge19$1,109$58

2017: 10 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes212$39,870$79
Initial hospital care with moderate level of medical decision making at least 75 minutes146$22,723$151
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes158$19,527$55
Hospital discharge day management, more than 30 minutes201$16,817$82
Initial hospital observation care per day, typically 70 minutes21$2,959$141
Advance care planning, first 30 minutes32$2,032$58
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes21$1,995$30
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes18$1,867$104
Hospital discharge day management, 30 minutes or less19$1,114$56
Hospital observation care on day of discharge11$607$55

2016: 8 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes360$50,602$54
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes240$37,348$79
Hospital discharge day management, more than 30 minutes241$20,338$80
Initial hospital care with moderate level of medical decision making at least 75 minutes113$17,743$152
Critical care, first 30-74 minutes20$6,366$172
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes50$5,186$104
Hospital discharge day management, 30 minutes or less63$3,446$55
Hospital observation care on day of discharge21$1,163$55

2015: 8 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes331$61,258$79
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes308$41,636$55
Critical care, first 30-74 minutes62$24,815$171
Hospital discharge day management, more than 30 minutes268$22,212$80
Initial hospital care with moderate level of medical decision making at least 75 minutes130$20,221$153
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes30$3,013$100
Initial hospital observation care per day, typically 70 minutes11$1,573$143
Hospital discharge day management, 30 minutes or less16$891$56

2014: 5 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes107$19,879$79
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes53$6,048$55
Hospital discharge day management, more than 30 minutes72$5,927$81
Initial hospital care with moderate level of medical decision making at least 75 minutes38$5,890$155
Hospital discharge day management, 30 minutes or less13$714$55

Medicaid work

$5,672 in 2024

Medicaid paid $5,672 for 124 billed services this clinician did in 2024, up to 13 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 HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES55$3,074
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES32$1,808
Long return visit (40+ min)13$488
Return visit (30+ min)12$285
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)12$17
Medicaid work by year
2024124513$5,672
2023320220$12,472
2022245319$6,550
2018467220$14,816
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES147$7,094
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES173$5,378

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES113$2,633
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES107$2,601
1ST HOSP IP/OBS HIGH 7525$1,317

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES373$12,194
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter94$2,622

Drugs they prescribed that Part D paid

$528,298

Pharmacies billed $528,298 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 806) in 2024. At or below the middle of the specialty; the typical nephrology clinician is at 0%.

673 generic and 133 brand-name prescriptions · $528,298 in drug cost · 12 antibiotic prescriptions.

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
Everolimus18$220,962$12,276
Farxiga42$44,250$1,054
Jardiance23$22,157$963
Lokelma11$8,721$793
Eplerenone14$2,095$150
See all 23 drugs
Every Part D drug this clinician prescribed
Everolimus18$220,962$12,276
Farxiga42$44,250$1,054
Jardiance23$22,157$963
Lokelma11$8,721$793
Eplerenone14$2,095$150
Potassium Chloride16$1,268$79
Chlorthalidone89$1,098$12
Allopurinol11$1,054$96
Losartan109$1,004$9
Olmesartan Medoxomil25$603$24
Calcium Acetate22$501$23
Torsemide19$456$24
Calcitriol37$404$11
Carvedilol23$362$16
Lisinopril28$254$9
Spironolactone29$200$7
Hydralazine20$199$10
Furosemide23$197$9
Prednisone11$146$13
Amlodipine Besylate21$140$7
Hydrochlorothiazide36$81$2
Metoprolol12$76$6
Atorvastatin14$66$5

Year by year

Part D prescribing by year
20248061450% (0)17%$528,298
2023565123None13%$230,776
202221674None10%$23,107
202136200% (0)None$1,701
20193514NoneNone$2,266
20183741578% (31)None$25,134
20173961689% (36)None$15,630
201666423411% (76)16%$27,750
201539714311% (45)None$29,935
20141093717% (18)18%$6,390

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

See the drugs prescribed each year

2023: 16 drugs

Part D drugs prescribed in 2023
Farxiga24$35,545$1,481
Jardiance14$8,823$630
Retacrit11$2,332$212
Chlorthalidone70$1,544$22
Losartan89$1,137$13
Calcitriol23$892$39
Lisinopril13$356$27
Amlodipine Besylate17$333$20
Allopurinol19$262$14
Furosemide32$254$8
Carvedilol19$248$13
Spironolactone16$243$15
Zolpidem13$119$9
Hydralazine13$89$7
Levothyroxine13$73$6
Hydrochlorothiazide24$69$3

2022: 5 drugs

Part D drugs prescribed in 2022
Chlorthalidone32$538$17
Losartan35$308$9
Lisinopril18$135$7
Amlodipine Besylate15$126$8
Furosemide14$102$7

2018: 7 drugs

Part D drugs prescribed in 2018
Pantoprazole20$225$11
Cefdinir11$164$15
Potassium Chloride11$150$14
Oxycodone14$114$8
Cephalexin13$82$6
Furosemide31$62$2
Prednisone11$58$5

2017: 6 drugs

Part D drugs prescribed in 2017
Pantoprazole17$216$13
Levofloxacin19$163$9
Potassium Chloride11$160$15
Prednisone22$110$5
Furosemide25$75$3
Carvedilol13$62$5

2016: 14 drugs

Part D drugs prescribed in 2016
Oxycodone-Acetaminophen24$514$21
Hydrocodone-Acetaminophen28$459$16
Atorvastatin26$271$10
Clopidogrel22$184$8
Isosorbide Mononitrate Er15$159$11
Amlodipine Besylate32$157$5
Prednisone31$112$4
Carvedilol21$111$5
Levofloxacin20$107$5
Furosemide29$93$3
Warfarin14$61$4
Lisinopril14$53$4
Metoprolol17$50$3
Tramadol12$45$4

2015: 9 drugs

Part D drugs prescribed in 2015
Oxycodone-Acetaminophen22$754$34
Hydrocodone-Acetaminophen13$236$18
Atorvastatin11$106$10
Prednisone19$75$4
Metoprolol21$74$4
Clopidogrel12$74$6
Carvedilol18$68$4
Lisinopril15$53$4
Furosemide12$46$4

Money from drug and device companies

$14 in 2019

A payment is not proof that care is biased.

Payments by company
AllerganTeflaro$14
1 payment
  • Meals for Teflaro · 2019-08-13 · $14
See the published payment
Every published payment
AllerganMeals · 2019-08-13Teflaro$14

Professional record

NPI
1588087142
Licence
CA C159407, GA 072037California C159407: Current · expires 2026-11-30
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RN0300X (207RN0300X); Internal medicine (207R00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2014-01-31
NPI last updated
2024-04-19
NPI record certified
2024-04-19

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