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Subaila Zia, MD

Critical Care (Intensivists) · Sunnyvale

NPI 1649479866

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

Looking this up.

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. Zia’s office at (650) 687-7368 to ask if they take your plan before you enroll.

California Medical Board record

Licence A132791 · Current

Licensed to practise in California · since 2014 · expires 2028-10-31 · University of Karachi, Dow Medical College.

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

State licence records

1 licence

  • Illinois 036142162Licensed Physician And Surgeon · since 2017 · expires 2029-07-31
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Original Medicare doctor bills

$10,746

Medicare paid this office $10,746 for 17 people. Most of that is long return visits and Botox.

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

Largest Original Medicare bills
Long return visit (40+ min)12$4,829$172
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's16$672$15

Who their Medicare patients are

17 Original Medicare patients in 2024. Average age 73 · Also on Medicaid 0% · Health risk score 0.72. At or below the middle of the specialty; the typical critical care (intensivists) clinician is at 2.58.

Conditions among them: High blood pressure 65%.

The office billed $21,440, Medicare allowed $14,116 and paid $10,746; for 122 services of 8 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
202417122730.72$21,440$10,746
2023201670771.77$192,533$55,625
202282174751.95$60,892$17,807
20203811,044702.32$184,344$76,996
20196071,789701.84$278,419$109,320
20185181,578702.12$322,323$123,417
20173991,360691.81$286,084$103,282
20164371,312722.45$257,964$104,302
2015210555712.39$133,907$53,473
2014145397722.55$72,387$34,354
20134101,500722.32$217,325$105,120

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: 9 services

Original Medicare services billed in 2023
Long return visit (40+ min)127$23,544$145
Return visit (30+ min)123$16,237$98
Test to examine how well the lungs exchange gases78$3,376$43
Test to determine lung volumes using gas dilution or washout78$2,606$33
New patient visit (60+ min)16$2,524$158
Sleep study including heart rate, breathing, and sleep time11$2,054$147
New patient visit (45+ min)20$1,865$93
Test for exercise-induced lung stress30$745$24
Test to measure expiratory airflow and volume changes before and after medication administration65$730$11

2022: 5 services

Original Medicare services billed in 2022
New patient visit (45+ min)31$3,794$122
Long return visit (40+ min)16$2,806$156
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes21$2,247$56
Return visit (30+ min)15$2,100$111
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,865$85

2020: 18 services

Original Medicare services billed in 2020
Critical care, first 30-74 minutes47$29,300$181
Return visit (30+ min)118$11,768$78
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes40$6,387$84
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes46$5,229$111
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes47$3,497$58
Short return visit (20+ min)47$2,542$51
Sleep study in sleep lab with continuous airway pressure (6 years or older)26$2,410$93
New patient visit (45+ min)15$1,794$120
Sleep study in sleep lab (6 years or older)22$1,780$81
Irrigation and suction of lung airways to obtain cells using an endoscope13$1,554$111
Telephone medical discussion with physician, 11-20 minutes17$1,081$64
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes28$1,056$32
New patient visit (30+ min)12$930$78
Test to determine lung volumes using sensors88$825$9
Test to examine how well the lungs exchange gases87$606$7
Test to measure expiratory airflow and volume changes before and after medication administration58$565$10
Test for exercise-induced lung stress26$498$18
Test to measure expiratory airflow and volume37$240$6

2019: 19 services

Original Medicare services billed in 2019
Return visit (30+ min)213$27,893$80
Critical care, first 30-74 minutes54$24,597$177
Sleep study in sleep lab (6 years or older)100$8,944$89
Sleep study in sleep lab with continuous airway pressure (6 years or older)74$7,365$98
New patient visit (45+ min)49$5,851$119
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes52$5,824$110
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes35$4,581$83
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes49$4,079$58
Short return visit (20+ min)49$3,160$56
Long return visit (40+ min)22$2,406$109
Test to determine lung volumes using sensors206$2,051$10
New patient visit (30+ min)20$1,638$82
Test to measure expiratory airflow and volume changes before and after medication administration151$1,571$10
Test to examine how well the lungs exchange gases207$1,542$7
Irrigation and suction of lung airways to obtain cells using an endoscope11$1,211$110
Test for exercise-induced lung stress60$1,182$18
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation15$936$62
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes22$822$32
Test to measure expiratory airflow and volume75$509$7

2018: 18 services

Original Medicare services billed in 2018
Critical care, first 30-74 minutes83$44,342$177
Return visit (30+ min)157$21,770$75
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes74$8,092$106
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes55$6,930$82
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes84$6,720$57
New patient visit (45+ min)56$6,163$110
Sleep study in sleep lab with continuous airway pressure (6 years or older)60$6,111$100
Sleep study in sleep lab (6 years or older)48$4,611$94
Long return visit (40+ min)25$3,597$112
Initial hospital care with moderate level of medical decision making at least 75 minutes19$3,201$160
Irrigation and suction of lung airways to obtain cells using an endoscope24$2,356$98
Short return visit (20+ min)30$1,743$53
Test to determine lung volumes using sensors121$1,183$10
Test to measure expiratory airflow and volume changes before and after medication administration95$1,001$10
Test to examine how well the lungs exchange gases123$895$7
Test for exercise-induced lung stress30$438$15
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$434$31
Test to measure expiratory airflow and volume40$254$6

2017: 16 services

Original Medicare services billed in 2017
Critical care, first 30-74 minutes69$30,427$177
Return visit (30+ min)135$19,260$82
New patient visit (45+ min)93$11,778$127
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes49$6,638$82
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes53$5,152$57
Long return visit (40+ min)32$3,837$107
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes34$3,770$108
Initial hospital care with moderate level of medical decision making at least 75 minutes23$3,664$159
Sleep study in sleep lab with continuous airway pressure (6 years or older)34$3,498$100
New patient visit (60+ min)21$3,095$147
Sleep study in sleep lab (6 years or older)29$2,880$96
Test to determine lung volumes using sensors129$1,255$10
Test to measure expiratory airflow and volume changes before and after medication administration107$1,098$10
Test to examine how well the lungs exchange gases134$970$7
Pulmonary exercise testing39$933$24
Test to measure expiratory airflow and volume33$220$7

2016: 18 services

Original Medicare services billed in 2016
Critical care, first 30-74 minutes102$45,161$167
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes129$17,852$79
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes105$8,602$55
Return visit (30+ min)53$6,195$72
Initial hospital care with moderate level of medical decision making at least 75 minutes33$5,072$149
Hospital discharge day management, more than 30 minutes43$3,596$80
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$2,179$104
New patient visit (45+ min)17$2,064$121
Irrigation and suction of lung airways to obtain cells using an endoscope13$1,379$99
Test to examine how well the lungs exchange gases28$1,122$40
Test to determine lung volumes using sensors27$1,051$39
Test to measure expiratory airflow and volume changes before and after medication administration19$853$45
Test to measure expiratory airflow and volume48$302$6
Test to measure expiratory airflow and volume changes before and after medication administration29$292$10
Test to determine lung volumes using sensors30$278$9
Test to examine how well the lungs exchange gases33$227$7
Insertion of needle into vein for collection of blood sample27$118$3
Blood count, hemoglobin17$54$3

2015: 9 services

Original Medicare services billed in 2015
Critical care, first 30-74 minutes66$24,769$159
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes63$8,511$75
Initial hospital care with moderate level of medical decision making at least 75 minutes32$4,950$155
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes60$4,752$55
New patient visit (45+ min)13$1,611$124
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,253$104
Hospital discharge day management, more than 30 minutes15$1,227$82
Return visit (30+ min)13$892$64
Test to measure expiratory airflow and volume14$91$7

2014: 8 services

Original Medicare services billed in 2014
Critical care, first 30-74 minutes22$16,790$171
Return visit (30+ min)69$5,582$68
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes33$2,782$53
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,442$80
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes13$1,387$107
Test to measure expiratory airflow and volume changes before and after medication administration24$194$8
Test to determine lung volumes using sensors16$135$8
Test to examine how well the lungs exchange gases15$93$6

2013: 18 services

Original Medicare services billed in 2013
Critical care, first 30-74 minutes62$31,583$170
Return visit (30+ min)199$27,571$74
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes80$11,591$78
Initial hospital care with moderate level of medical decision making at least 75 minutes40$6,486$147
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes74$6,130$54
Long return visit (40+ min)17$2,041$107
Aspiration of fluid from chest cavity using imaging guidance17$2,008$87
Irrigation and suction of lung airways to obtain cells using an endoscope26$1,883$72
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes24$1,731$72
New patient visit (60+ min)12$1,526$127
Insertion of non-tunneled central venous tube for infusion (5 years or older)12$1,236$95
Test to measure expiratory airflow and volume changes before and after medication administration124$1,070$8
Smoking and tobacco use intensive counseling, 4-10 minutes43$746$10
Test to determine lung volumes using sensors86$698$8
Test to measure expiratory airflow and volume changes before and after medication administration13$612$47
Test to examine how well the lungs exchange gases81$486$6
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$469$29
Inhalation treatment for airway obstruction or sputum production12$169$14

Medicaid work

$375 in 2023

Medicaid paid $375 for 16 billed services this clinician did in 2023, up to 15 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 2023
Return visit (30+ min)16$375
Medicaid work by year
202316115$375
2020348629$6,102
2019659641$10,392
2018394642$5,806
See the largest Medicaid services in earlier years

2020

Largest Medicaid services in 2020
Return visit (30+ min)153$4,251
Short return visit (20+ min)28$785
Plethysmography for determination of lung volumes and, when performed, airway resistance64$366
EVALUATION OF WHEEZING22$320
Diffusing capacity59$232
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation22$147

2019

Largest Medicaid services in 2019
Return visit (30+ min)258$6,165
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist52$2,088
EVALUATION OF WHEEZING75$797
Plethysmography for determination of lung volumes and, when performed, airway resistance113$625
Diffusing capacity115$413
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation46$304

2018

Largest Medicaid services in 2018
Return visit (30+ min)177$3,836
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist17$604
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist14$490
EVALUATION OF WHEEZING49$402
Plethysmography for determination of lung volumes and, when performed, airway resistance67$284
Diffusing capacity70$190

Money from drug and device companies

$147 in 2022

Industry payments by year
202246None$147
202011None$12
201924None$40

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
Harmony BiosciencesWakix$46
1 payment
  • Meals for Wakix · 2022-04-04 · $46
Grifols USAProlastin-C Liquid$40
2 payments
  • Meals for Prolastin-C Liquid · 2022-06-08 · $24
  • Meals for Prolastin-C Liquid · 2022-04-20 · $16
Jazz PharmaceuticalsXywav$37
2 payments
  • Meals for Xywav · 2022-05-16 · $14
  • Meals for Xywav · 2022-03-21 · $23
Boehringer Ingelheim PharmaceuticalsStiolto Respimat$23
1 payment
  • Meals for Stiolto Respimat · 2022-04-28 · $23
See all 6 published payments
Every published payment
Grifols USAMeals · 2022-06-08Prolastin-C Liquid$24
Jazz PharmaceuticalsMeals · 2022-05-16Xywav$14
Boehringer Ingelheim PharmaceuticalsMeals · 2022-04-28Stiolto Respimat$23
Grifols USAMeals · 2022-04-20Prolastin-C Liquid$16
Harmony BiosciencesMeals · 2022-04-04Wakix$46
Jazz PharmaceuticalsMeals · 2022-03-21Xywav$23
See earlier years (2020, 2019)

2020: $12

Payments by company in 2020
GlaxoSmithKlineAnoro Ellipta$12
1 payment
  • Meals for Anoro Ellipta · 2020-02-25 · $12

2019: $40

Payments by company in 2019
Sunovion PharmaceuticalsBrovana$29
3 payments
  • Meals for Brovana · 2019-05-16 · $16
  • Meals for Lonhala Magnair · 2019-05-06 · $3
  • Meals for Lonhala Magnair · 2019-01-31 · $10
Actelion Pharmaceuticals USOpsumit$11
1 payment
  • Meals for Opsumit · 2019-02-12 · $11

Professional record

NPI
1649479866
Licence
CA A132791, FL TPME6212, IL 036142162, IN 01075469ACalifornia A132791: Current · expires 2028-10-31Illinois 036142162: Active
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
IN 201312390
Taxonomy
Federal specialty code 207RP1001X (207RP1001X); Federal specialty code 207RC0200X (207RC0200X); Federal specialty code 207RS0012X (207RS0012X); Federal specialty code 2084S0012X (2084S0012X)
Mailing address
Po Box 3988, Carbondale, IL, 62902
NPI first listed
2007-07-17
NPI last updated
2024-04-04
NPI record certified
2024-04-04

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

Extra NPI addresses: 333 Se 2nd Ave Ste 2000, Miami, FL, 33131 · 585 W College Ave Ste A, Santa Rosa, CA, 95401