Maria A Rodriguez Ballestas, MD
Obstetrics/Gynecology · San Jose
- 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
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
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Sutter Advantage +More (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 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
| 2024 | 16 | 22 | 72 | 0.71 | $9,078 | $2,507 |
| 2022 | 23 | 40 | 73 | 1.43 | $14,202 | $3,798 |
| 2021 | 19 | 31 | 73 | 1.09 | $8,394 | $2,311 |
| 2020 | 14 | 170 | 68 | 1.17 | $7,867 | $2,356 |
| 2018 | 16 | 29 | 48 | 1.37 | $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
| Urine pregnancy test | 11 | $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.
| Short return visit | 148 | $20,322 |
| Short return visit (20+ min) | 138 | $19,157 |
| Clinic visit/encounter, all-inclusive | 152 | $18,344 |
| Injection, medroxyprogesterone acetate, 1 mg | 52 | $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 fetus | 15 | $1,020 |
| URINE PREGNANCY TEST | 218 | $910 |
| Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 15 | $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 microscopy | 158 | $338 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | 15 | $12 |
| 2019 | 911 | 9 | 55 | $65,141 |
| 2018 | 2,783 | 9 | 86 | $243,231 |
See the largest Medicaid services in earlier years
2018
| Short return visit (20+ min) | 929 | $112,084 |
| Clinic visit/encounter, all-inclusive | 588 | $77,622 |
| Short return visit | 251 | $33,889 |
| Injection, medroxyprogesterone acetate, 1 mg | 157 | $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 gestation | 33 | $2,528 |
| Return visit (30+ min) | 16 | $1,792 |
| URINE PREGNANCY TEST | 473 | $1,744 |
| URINALYSIS | 205 | $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 microscopy | 131 | $186 |
Money from drug and device companies
$25 in 2025
| 2025 | 1 | 1 | None | $25 |
| 2024 | 1 | 1 | None | $18 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Astellas Pharma US | Vyloy | $25 | 1 payment
|
See the published payment
| Astellas Pharma US | Meals · 2025-04-14 | Vyloy | $25 |
See earlier years (2024)
2024: $18
| Hologic Sales and Service | Acessa Provu System | $18 | 1 payment
|
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.