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Susan Thomas, NP

Nurse Practitioner · Palo Alto

NPI 1639880321

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Susan Thomas’s office at (650) 497-8000 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$7,925

Medicare paid this office $7,925 for 126 people.

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

Largest Original Medicare bills
New patient visit (30+ min)52$2,142$41
Short return visit (20+ min)39$1,567$39
New patient visit (45+ min)12$877$73
Comprehensive hearing and speech recognition test47$808$17
Return visit (30+ min)13$670$48
See all 8 services
Every Original Medicare service billed
New patient visit (30+ min)52$2,142$41
Short return visit (20+ min)39$1,567$39
New patient visit (45+ min)12$877$73
Comprehensive hearing and speech recognition test47$808$17
Return visit (30+ min)13$670$48
Test to assess middle ear function53$429$8
Removal of impacted ear wax19$366$19
Short return visit18$352$20

Procedures year by year

Procedures billed to Original Medicare by year
Procedure20232024
Removal of impacted ear wax4819

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

126 Original Medicare patients in 2024. Average age 75 · Women 56% · Also on Medicaid 12% · Health risk score 1.04. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 40% · Coronary heart disease 37% · Depression 23% · Chronic kidney disease 22% · Atrial fibrillation 20% · Stroke 17% · COPD 14% · Heart failure 13% · Cancer 13%.

The office billed $39,438, Medicare allowed $15,517 and paid $7,925; for 271 services of 13 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
2024126271751.04$39,438$7,925
2023162438751.12$62,636$19,137

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: 8 services

Original Medicare services billed in 2023
New patient visit (30+ min)101$6,868$68
Short return visit (20+ min)43$3,280$61
Return visit (30+ min)16$1,718$86
Comprehensive hearing and speech recognition test68$1,546$23
Removal of impacted ear wax44$1,499$31
New patient visit (45+ min)13$1,345$103
Test to assess middle ear function80$877$10
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing23$724$31

Medicaid work

$1,789 in 2024

Medicaid paid $1,789 for 49 billed services this clinician did in 2024, up to 19 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
New patient visit (30+ min)20$1,336
Comprehensive audiometry threshold evaluation and speech recognition14$320
TYMPANOMETRY15$133
Medicaid work by year
202449319$1,789
2023382438$15,524
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
New patient visit (30+ min)167$8,913
New patient visit (45+ min)52$5,223
TYMPANOMETRY118$788
Comprehensive audiometry threshold evaluation and speech recognition45$600

Drugs they prescribed that Part D paid

$3,803

Pharmacies billed $3,803 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 199) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.

198 generic and fewer than 11 brand-name prescriptions · $3,803 in drug cost · 16 antibiotic prescriptions to 15 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
Ipratropium35$1,755$27
Fluticasone Propionate20$422$9
Azelastine11$237$11
Methylprednisolone15$93$6

Year by year

Part D prescribing by year
2024199920% (0)None$3,803
2023132860% (0)None$3,887

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

See the drugs prescribed each year

2023: 5 drugs

Part D drugs prescribed in 2023
Ipratropium24$749$31
Azelastine15$727$48
Fluocinolone Acetonide Oil12$513$43
Fluticasone Propionate22$290$13
Methylprednisolone13$90$7

Money from drug and device companies

$91 in 2024

Industry payments by year
202434None$91
2023413None$352

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
GenzymeDupixent$39
2 payments
  • Meals for Dupixent · 2024-02-13 · $14
  • Meals for Dupixent · 2024-01-08 · $25
Regeneron Healthcare SolutionsDupixent$30
1 payment
  • Meals for Dupixent · 2024-02-15 · $30
GlaxoSmithKlineNucala$22
1 payment
  • Meals for Nucala · 2024-03-06 · $22
See all 4 published payments
Every published payment
GlaxoSmithKlineMeals · 2024-03-06Nucala$22
Regeneron Healthcare SolutionsMeals · 2024-02-15Dupixent$30
GenzymeMeals · 2024-02-13Dupixent$14
GenzymeMeals · 2024-01-08Dupixent$25
See earlier years (2023)

2023: $352

Payments by company in 2023
Regeneron Healthcare SolutionsDupixent$178
4 payments
  • Meals for Dupixent · 2023-12-11 · $15
  • Meals for Dupixent · 2023-10-17 · $24
  • Meals for Dupixent · 2023-07-09 · $115
  • Meals for Dupixent · 2023-04-06 · $25
GlaxoSmithKlineNucala$139
7 payments
  • Meals for Nucala · 2023-11-06 · $21
  • Meals for Nucala · 2023-10-09 · $22
  • Meals for Nucala · 2023-07-17 · $23
  • Meals for Nucala · 2023-06-04 · $18
  • Meals for Nucala · 2023-05-15 · $14
  • Meals for Nucala · 2023-05-07 · $18
  • Meals for Nucala · 2023-03-27 · $22
GenzymeDupixent$18
1 payment
  • Meals for Dupixent · 2023-09-20 · $18
AstraZeneca Pharmaceuticals LPAirsupra$16
1 payment
  • Meals for Airsupra · 2023-10-25 · $16

Professional record

NPI
1639880321
Licence
NV 861919, NV RN99178
More record details
Sole proprietor
Yes
Taxonomy
Nurse practitioner (363L00000X); Federal specialty code 163W00000X (163W00000X); Federal specialty code 363LF0000X (363LF0000X)
Mailing address
725 Welch Rd, Palo Alto, CA, 94304
NPI first listed
2022-12-13
NPI last updated
2024-07-02
NPI record certified
2024-07-02

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

Extra NPI addresses: 3195 Saint Rose Pkwy Ste 210, Henderson, NV, 89052