Skip to main content
UniHealth

Doctor search

Shirley Chi, MD

Physical Medicine and Rehabilitation · Fremont

NPI 1598974164

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

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

Looking this up.

Hospitals listed: 05t043. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Chi’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A95727 · Current

Licensed to practise in California · since 2006 · expires 2028-06-30 · University of California, Los Angeles School of Medicine.

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

Original Medicare doctor bills

$127,824

Medicare paid this office $127,824 for 226 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes216$94,812$69
Initial hospital care with moderate level of medical decision making at least 75 minutes100$15,919$153
Hospital discharge day management, more than 30 minutes91$9,706$103
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes33$4,498$105
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes62$2,690$43

Who their Medicare patients are

226 Original Medicare patients in 2024. Average age 75 · Under 65 12% · 85 and older 19% · Women 49% · Also on Medicaid 39% · Health risk score 1.94. Above the middle of the specialty; the typical physical medicine and rehabilitation clinician is at 1.53.

Conditions among them: High blood pressure 75% · Coronary heart disease 56% · Chronic kidney disease 45% · Stroke 45% · Diabetes 44% · Depression 42% · Heart failure 37% · Atrial fibrillation 36% · COPD 20% · Cancer 19% · Dementia 19%.

The office billed $203,229, Medicare allowed $160,956 and paid $127,824; for 1,670 services of 6 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
20242261,670751.94$203,229$127,824
20232261,427751.93$168,323$106,967
20222231,552731.72$149,927$107,359
20212781,777761.67$167,126$121,406
20202851,854752.03$174,446$128,649
20193422,010752.02$186,460$136,010
20183792,240752.23$205,747$150,305
20173512,052752.41$192,279$131,292
20163672,409751.91$221,831$152,887
20153562,276751.97$212,059$149,066
20142651,869752.14$172,392$121,578
20133071,944752.16$187,842$115,358

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

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes208$74,682$69
Initial hospital care with moderate level of medical decision making at least 75 minutes84$13,068$154
Hospital discharge day management, more than 30 minutes95$9,774$103
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes109$5,709$43
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes26$3,734$104

2022: 5 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes187$71,763$63
Initial hospital care with moderate level of medical decision making at least 75 minutes97$17,644$175
Hospital discharge day management, more than 30 minutes92$9,163$94
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes128$6,315$34
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes17$2,076$90

2021: 5 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes208$75,706$64
Initial hospital care with moderate level of medical decision making at least 75 minutes115$20,941$179
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes206$11,782$34
Hospital discharge day management, more than 30 minutes113$11,401$97
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,385$92

2020: 5 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes210$81,448$65
Initial hospital care with moderate level of medical decision making at least 75 minutes111$20,792$182
Hospital discharge day management, more than 30 minutes118$12,377$98
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes207$12,052$35
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$1,786$94

2019: 4 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes230$81,182$64
Initial hospital care with moderate level of medical decision making at least 75 minutes131$24,183$179
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes267$16,092$35
Hospital discharge day management, more than 30 minutes135$13,726$97

2018: 4 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes234$86,021$65
Initial hospital care with moderate level of medical decision making at least 75 minutes151$27,545$180
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes309$20,296$35
Hospital discharge day management, more than 30 minutes157$15,517$98

2017: 5 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes240$74,326$60
Initial hospital care with moderate level of medical decision making at least 75 minutes143$24,535$169
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes263$16,010$33
Hospital discharge day management, more than 30 minutes164$15,368$90
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,052$88

2016: 5 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes245$91,137$61
Initial hospital care with moderate level of medical decision making at least 75 minutes146$25,727$170
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes281$18,672$33
Hospital discharge day management, more than 30 minutes161$15,026$92
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes20$2,324$86

2015: 5 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes233$85,868$62
Initial hospital care with moderate level of medical decision making at least 75 minutes152$27,203$173
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes286$18,736$34
Hospital discharge day management, more than 30 minutes152$14,936$94
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes21$2,244$90

2014: 5 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes204$61,978$62
Initial hospital care with moderate level of medical decision making at least 75 minutes133$24,627$173
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes206$18,214$34
Hospital discharge day management, more than 30 minutes136$13,723$93
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes26$3,036$89

2013: 5 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes190$45,008$60
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes262$27,627$33
Initial hospital care with moderate level of medical decision making at least 75 minutes134$23,832$169
Hospital discharge day management, more than 30 minutes136$12,825$91
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes60$5,926$87

Medicaid work

$5,762 in 2024

Medicaid paid $5,762 for 157 billed services this clinician did in 2024, up to 14 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 MOD MDM 35 MINUTES157$5,762
Medicaid work by year
2024157114$5,762
2023193114$4,429
2022331119$7,927
2021289116$6,401
201967112$1,270
201877112$1,236
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES193$4,429

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES331$7,927

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES289$6,401

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES67$1,270

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES77$1,236

Drugs they prescribed that Part D paid

$24,411

Pharmacies billed $24,411 in 2024.

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

Opioids were 9% of their Part D prescriptions (36 of 388) in 2024. At or below the middle of the specialty; the typical physical medicine and rehabilitation clinician is at 12%.

350 generic and fewer than 11 brand-name prescriptions · $24,411 in drug cost · 13 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
Eliquis12$6,980$582
Baclofen17$240$14
Gabapentin23$230$10
Atorvastatin27$161$6
Oxycodone15$156$10
See all 10 drugs
Every Part D drug this clinician prescribed
Eliquis12$6,980$582
Baclofen17$240$14
Gabapentin23$230$10
Atorvastatin27$161$6
Oxycodone15$156$10
Metoprolol19$109$6
Hydrocodone-Acetaminophen11$90$8
Losartan11$76$7
Pantoprazole11$61$6
Amlodipine Besylate16$49$3

Year by year

Part D prescribing by year
20243881059% (36)None$24,411
2023308908% (23)None$28,493
20223831079% (34)None$19,257
20214641205% (22)None$33,923
20204711096% (27)None$34,415
20194561246% (28)None$38,241
20185571405% (27)None$37,631
20175871468% (44)None$53,081
20166621487% (44)None$43,931
20156451318% (53)None$46,468
20146211218% (47)23%$36,573
20134991007% (35)None$28,578

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

See the drugs prescribed each year

2023: 6 drugs

Part D drugs prescribed in 2023
Gabapentin22$407$19
Baclofen12$334$28
Atorvastatin22$151$7
Losartan11$88$8
Oxycodone15$81$5
Amlodipine Besylate12$35$3

2022: 8 drugs

Part D drugs prescribed in 2022
Eliquis14$7,871$562
Gabapentin32$622$19
Atorvastatin34$216$6
Metoprolol14$104$7
Hydrocodone-Acetaminophen12$104$9
Clopidogrel15$62$4
Amlodipine Besylate17$48$3
Metoprolol11$35$3

2021: 10 drugs

Part D drugs prescribed in 2021
Eliquis20$10,146$507
Gabapentin23$493$21
Atorvastatin50$404$8
Baclofen11$307$28
Tamsulosin11$138$13
Clopidogrel15$112$7
Metoprolol12$103$9
Losartan12$80$7
Lisinopril16$79$5
Amlodipine Besylate16$64$4

2020: 8 drugs

Part D drugs prescribed in 2020
Eliquis11$5,100$464
Gabapentin28$366$13
Atorvastatin41$297$7
Hydralazine13$151$12
Metoprolol11$107$10
Losartan14$72$5
Amlodipine Besylate19$62$3
Tamsulosin11$60$5

2019: 8 drugs

Part D drugs prescribed in 2019
Eliquis18$8,101$450
Xarelto13$6,108$470
Atorvastatin44$346$8
Gabapentin23$286$12
Clopidogrel24$156$6
Amlodipine Besylate19$79$4
Carvedilol13$76$6
Losartan13$51$4

2018: 11 drugs

Part D drugs prescribed in 2018
Eliquis14$5,824$416
Atorvastatin51$460$9
Gabapentin24$280$12
Metoprolol12$243$20
Pantoprazole15$114$8
Clopidogrel15$107$7
Amlodipine Besylate28$89$3
Lisinopril20$64$3
Metoprolol12$63$5
Trazodone13$62$5
Metformin11$50$5

2017: 12 drugs

Part D drugs prescribed in 2017
Polyethylene Glycol 335012$642$54
Atorvastatin60$592$10
Amlodipine Besylate29$144$5
Gabapentin19$137$7
Clopidogrel20$123$6
Hydrocodone-Acetaminophen16$116$7
Pantoprazole13$98$8
Hydralazine13$93$7
Carvedilol14$56$4
Metformin14$52$4
Lisinopril15$52$3
Furosemide11$35$3

2016: 14 drugs

Part D drugs prescribed in 2016
Xarelto17$6,673$393
Atorvastatin64$762$12
Polyethylene Glycol 335014$575$41
Amiodarone14$489$35
Gabapentin25$273$11
Metoprolol17$271$16
Metoprolol20$234$12
Amlodipine Besylate38$224$6
Hydrocodone-Acetaminophen19$204$11
Levothyroxine14$168$12
Clopidogrel17$123$7
Lisinopril24$99$4
Carvedilol16$76$5
Metformin16$69$4

2015: 12 drugs

Part D drugs prescribed in 2015
Atorvastatin58$629$11
Oxycodone-Acetaminophen11$260$24
Levothyroxine19$245$13
Hydrocodone-Acetaminophen21$216$10
Metoprolol11$207$19
Clopidogrel19$131$7
Gabapentin16$117$7
Pantoprazole12$108$9
Carvedilol19$94$5
Amlodipine Besylate22$88$4
Lisinopril18$77$4
Metformin14$67$5

2014: 12 drugs

Part D drugs prescribed in 2014
Atorvastatin47$596$13
Digoxin12$376$31
Clopidogrel22$226$10
Gabapentin17$193$11
Warfarin13$155$12
Hydrocodone-Acetaminophen16$149$9
Pantoprazole13$126$10
Amlodipine Besylate20$109$5
Atenolol14$101$7
Lisinopril17$71$4
Metoprolol11$51$5
Trazodone11$48$4

2013: 7 drugs

Part D drugs prescribed in 2013
Atorvastatin29$516$18
Clopidogrel19$489$26
Gabapentin17$267$16
Warfarin19$205$11
Amlodipine Besylate21$168$8
Pantoprazole12$155$13
Lisinopril20$129$6

Money from drug and device companies

$90 in 2025

Industry payments by year
202522None$90
202423None$48
202334None$195
202223None$61
202122None$45
202022None$45
201933None$197

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

A payment is not proof that care is biased.

Payments by company
Revance TherapeuticsDaxxify$68
1 payment
  • Meals for Daxxify · 2025-01-27 · $68
Arcutis BiotherapeuticsZoryve$23
1 payment
  • Meals for Zoryve · 2025-05-05 · $23
See all 2 published payments
Every published payment
Arcutis BiotherapeuticsMeals · 2025-05-05Zoryve$23
Revance TherapeuticsMeals · 2025-01-27Daxxify$68
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $48

Payments by company in 2024
Mayne Pharma CommercialNone$24
2 payments
  • Meals · 2024-04-11 · $2
  • Meals · 2024-04-11 · $23
Janssen BiotechTremfya$24
1 payment
  • Meals for Tremfya · 2024-06-24 · $24

2023: $195

Payments by company in 2023
Abbott LaboratoriesSupera$147
1 payment
  • Meals for Supera · 2023-03-24 · $147
Janssen BiotechRemicade$30
1 payment
  • Meals for Remicade · 2023-03-24 · $30
Mayne Pharma CommercialNone$18
2 payments
  • Meals · 2023-05-12 · $8
  • Meals · 2023-04-14 · $10

2022: $61

Payments by company in 2022
Janssen BiotechTremfya$37
2 payments
  • Meals for Tremfya · 2022-08-29 · $23
  • Meals for Tremfya · 2022-01-31 · $14
Mayne PharmaNone$23
1 payment
  • Meals · 2022-03-11 · $23

2021: $45

Payments by company in 2021
Mayne PharmaNone$24
1 payment
  • Meals · 2021-12-08 · $24
AbbVieSkyrizi$21
1 payment
  • Meals for Skyrizi · 2021-02-03 · $21

2020: $45

Payments by company in 2020
Genentech USAErivedge$23
1 payment
  • Meals for Erivedge · 2020-07-22 · $23
Janssen BiotechTremfya$22
1 payment
  • Meals for Tremfya · 2020-05-19 · $22

2019: $197

Payments by company in 2019
Janssen Scientific AffairsTremfya$125
1 payment
  • Meals for Tremfya · 2019-04-18 · $125
E.R. Squibb & Sons L.L.C.Eliquis$47
1 payment
  • Meals for Eliquis · 2019-11-22 · $47
Janssen BiotechTremfya$25
1 payment
  • Meals for Tremfya · 2019-02-12 · $25

Professional record

NPI
1598974164
Licence
CA A95727California A95727: Current · expires 2028-06-30
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 208100000X (208100000X); Federal specialty code 2081N0008X (2081N0008X)
Mailing address
Po Box 9344, Berkeley, CA, 94709
NPI first listed
2007-05-21
NPI last updated
2026-06-01
NPI record certified
2026-06-01

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