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Maria A Rodriguez Ballestas, MD

Obstetrics/Gynecology · San Jose

NPI 1669768420

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
14
2 carriers
Office
1

Offices

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

Looking this up.

Plans that list them

14 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Ballestas’s office at (800) 597-2234 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

14 of 14 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 Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A128978 · Current

Licensed to practise in California · since 2014 · expires 2027-12-31 · University of the North Faculty of Medicine.

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

Original Medicare doctor bills

$2,507

Medicare paid this office $2,507 for 16 people.

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

Who their Medicare patients are

16 Original Medicare patients in 2024. Average age 72 · 85 and older 0% · Women 100% · Health risk score 0.71. At or below the middle of the specialty; the typical obstetrics & gynecology clinician is at 0.88.

The office billed $9,078, Medicare allowed $3,067 and paid $2,507; for 22 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
20241622720.71$9,078$2,507
20222340731.43$14,202$3,798
20211931731.09$8,394$2,311
202014170681.17$7,867$2,356
20181629481.37$1,404$286

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

2018: 1 service

Original Medicare services billed in 2018
Urine pregnancy test11$143$8

Medicaid work

$65,141 in 2019

Medicaid paid $65,141 for 911 billed services this clinician did in 2019, up to 55 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 2019
Short return visit148$20,322
Short return visit (20+ min)138$19,157
Clinic visit/encounter, all-inclusive152$18,344
Injection, medroxyprogesterone acetate, 1 mg52$4,425
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus15$1,020
URINE PREGNANCY TEST218$910
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete15$614
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy158$338
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular15$12
Medicaid work by year
2019911955$65,141
20182,783986$243,231
See the largest Medicaid services in earlier years

2018

Largest Medicaid services in 2018
Short return visit (20+ min)929$112,084
Clinic visit/encounter, all-inclusive588$77,622
Short return visit251$33,889
Injection, medroxyprogesterone acetate, 1 mg157$13,159
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation33$2,528
Return visit (30+ min)16$1,792
URINE PREGNANCY TEST473$1,744
URINALYSIS205$227
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy131$186

Money from drug and device companies

$25 in 2025

Industry payments by year
202511None$25
202411None$18

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
Astellas Pharma USVyloy$25
1 payment
  • Meals for Vyloy · 2025-04-14 · $25
See the published payment
Every published payment
Astellas Pharma USMeals · 2025-04-14Vyloy$25
See earlier years (2024)

2024: $18

Payments by company in 2024
Hologic Sales and ServiceAcessa Provu System$18
1 payment
  • Meals for Acessa Provu System · 2024-11-15 · $18

Professional record

NPI
1669768420
Licence
CA A128978, SC 38711California A128978: Current · expires 2027-12-31
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
SC 387110
Taxonomy
Federal specialty code 207V00000X (207V00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2011-06-21
NPI last updated
2020-06-08
NPI record certified
2020-06-08

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