Lorena F Hillman, MD
Family Practice · San Francisco
- 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
Hospitals listed: Novato Community Hospital. 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. Hillman’s office at (415) 600-1020 to ask if they take your plan before you enroll.
California Medical Board record
Licence A87172 · Current
Licensed to practise in California · since 2004 · expires 2027-12-31 · University of California, Irvine College of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Hospitals they work in
1 hospital
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Novato Community HospitalNovato, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 84% would definitely recommend itOverall rating: 5 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0, Oct 2024 – Sep 2025
See every measure and the patient survey for Novato Community Hospital
Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 3 the same, 0 worse of 3 measures. Readmissions: 0 better, 7 the same, 0 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Clostridium Difficile (C.Diff)Infections | 0 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1 (0 to 2.06) · 213 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.85 (0.4 to 1.3) | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 8.2 · 25 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 10 · 111 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 16.1 · 140 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 11.3 · 42 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.8 · 627 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.2 (0 to 0.43) · 1,872 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.25 (0.04 to 0.46) · 1,796 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 2.92 (0.5 to 5.33) · 505 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.64 (0 to 3.36) · 317 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.2 (0.51 to 3.88) · 495 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 7.93 (0 to 17.29) · 323 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 4.88 (0.69 to 9.07) · 311 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.75 (0.22 to 3.27) · 96 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.41 (0 to 1.49) · 1,320 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.2 · 143 cases | None | Apr 2023 – Mar 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 19.6 · 108 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -31.9 · 121 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 1.1 · 150 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.6 · 143 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 118 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.6 · 27 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.5 (9.5 to 16.5) · 930 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.3) · 184 cases | No different | Jan 2024 – Dec 2024 |
What patients said (334 patients answered, 30% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 3 |
| Recommend hospital | 5 |
| Room was "always" clean | 78% |
| Nurses "always" communicated well | 81% |
| Doctors "always" communicated well | 83% |
| Staff "always" explained | 63% |
| Yes, staff "did" give patients this information | 89% |
| Yes, staff "did" give patients information about help after discharge | 89% |
| Doctors "always" explained things so they could understand | 78% |
| Doctors "always" listened carefully | 84% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 82% |
| Staff "always" explained new medications | 77% |
| Nurses "always" explained things so they could understand | 76% |
| Nurses "always" listened carefully | 82% |
| Nurses "always" treated them with courtesy and respect | 86% |
| "Always" quiet at night | 54% |
| "YES", patients would definitely recommend the hospital | 84% |
| Staff "always" explained possible side effects | 49% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
Original Medicare doctor bills
$29,243
Medicare paid this office $29,243 for 75 people. Most of that is long return visits and Botox.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Long return visit (40+ min) | 74 | $24,733 | $158 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 57 | $2,782 | $28 |
Who their Medicare patients are
75 Original Medicare patients in 2024. Average age 71 · Health risk score 0.73. At or below the middle of the specialty; the typical family practice clinician is at 1.13.
Conditions among them: High blood pressure 31% · Depression 28% · Coronary heart disease 19%.
The office billed $99,541, Medicare allowed $39,645 and paid $29,243; for 270 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
| 2024 | 75 | 270 | 71 | 0.73 | $99,541 | $29,243 |
| 2023 | 75 | 325 | 70 | 0.66 | $100,719 | $29,594 |
| 2022 | 79 | 263 | 70 | 0.66 | $99,093 | $31,058 |
| 2021 | 96 | 242 | 71 | 0.75 | $102,296 | $32,248 |
| 2020 | 63 | 144 | 71 | 0.72 | $69,221 | $19,071 |
| 2017 | 19 | 58 | 73 | 1.50 | $3,866 | $1,540 |
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: 2 services
| Long return visit (40+ min) | 74 | $23,825 | $153 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 71 | $4,649 | $29 |
2022: 2 services
| Long return visit (40+ min) | 76 | $27,027 | $154 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 48 | $2,200 | $30 |
2021: 3 services
| Long return visit (40+ min) | 87 | $27,605 | $149 |
| New patient visit (60+ min) | 14 | $2,553 | $182 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 18 | $630 | $30 |
2020: 3 services
| Long return visit (40+ min) | 44 | $11,197 | $133 |
| New patient visit (60+ min) | 18 | $3,363 | $187 |
| Extended patient service without direct patient contact, first hour | 22 | $2,219 | $101 |
2017: 1 service
| Short return visit (20+ min) | 11 | $658 | $60 |
Drugs they prescribed that Part D paid
$28,290
Pharmacies billed $28,290 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 329) in 2024. At or below the middle of the specialty; the typical family practice clinician is at 2%.
210 generic and 71 brand-name prescriptions · $28,290 in drug cost.
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.
| Estradiol (Twice Weekly) | 48 | $4,776 | $100 |
| Progesterone | 50 | $4,002 | $80 |
| Estradiol | 26 | $2,890 | $111 |
| Liothyronine | 43 | $2,166 | $50 |
| NP Thyroid | 29 | $1,540 | $53 |
See all 8 drugs
| Estradiol (Twice Weekly) | 48 | $4,776 | $100 |
| Progesterone | 50 | $4,002 | $80 |
| Estradiol | 26 | $2,890 | $111 |
| Liothyronine | 43 | $2,166 | $50 |
| NP Thyroid | 29 | $1,540 | $53 |
| Armour Thyroid | 16 | $1,460 | $91 |
| Levothyroxine | 56 | $1,289 | $23 |
| Synthroid | 14 | $1,088 | $78 |
Year by year
| 2024 | 329 | 53 | 0% (0) | 22% | $28,290 |
| 2023 | 235 | 38 | 0% (0) | 28% | $25,343 |
| 2022 | 210 | 37 | 0% (0) | 24% | $25,485 |
| 2021 | 154 | 33 | 0% (0) | 25% | $11,970 |
| 2020 | 40 | 17 | 0% (0) | None | $1,810 |
| 2017 | 29 | 21 | 0% (0) | None | $710 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 8 drugs
| Estradiol (Twice Weekly) | 37 | $3,938 | $106 |
| Progesterone | 34 | $3,616 | $106 |
| Liothyronine | 32 | $3,071 | $96 |
| Estradiol | 17 | $2,925 | $172 |
| Armour Thyroid | 16 | $1,459 | $91 |
| Synthroid | 12 | $1,147 | $96 |
| NP Thyroid | 12 | $755 | $63 |
| Levothyroxine | 40 | $553 | $14 |
2022: 6 drugs
| Liothyronine | 55 | $5,445 | $99 |
| Estradiol (Twice Weekly) | 23 | $3,681 | $160 |
| Estradiol | 19 | $3,123 | $164 |
| Progesterone | 27 | $2,441 | $90 |
| Armour Thyroid | 13 | $1,457 | $112 |
| Levothyroxine | 26 | $229 | $9 |
2021: 5 drugs
| Liothyronine | 54 | $1,960 | $36 |
| Armour Thyroid | 20 | $1,557 | $78 |
| Progesterone | 16 | $1,541 | $96 |
| Synthroid | 14 | $1,280 | $91 |
| Levothyroxine | 13 | $194 | $15 |
2020: 2 drugs
| Liothyronine | 13 | $429 | $33 |
| Levothyroxine | 12 | $178 | $15 |
Professional record
- NPI
- 1659445963
- Licence
- CA A87172California A87172: Current · expires 2027-12-31
- Trained
- University of California, Irvine, California College of Medicine, 2002
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Family medicine (207Q00000X); Federal specialty code 207P00000X (207P00000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2006-11-20
- NPI last updated
- 2022-10-12
- NPI record certified
- 2022-10-12
This is when the NPI record was last certified, not a medical board exam.