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William M Carrera, MD

Ophthalmology · Oakland

NPI 1679014013

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
16
3 carriers
Office
1
Since medical school
9 years
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University, 2017

Offices

1 location · East Bay Retina Consultants A Medical Group Inc · 6 clinicians in this group

Looking this up.

Hospitals listed: Alta Bates Summit Medical Center - Alta Bates Camp. That is not proof they admit you there this week.

Plans that list them

16 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Carrera’s office at (510) 444-1600 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

16 of 16 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
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

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.

  • Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.298, Oct 2024 – Sep 2025
See every measure and the patient survey for Alta Bates Summit Medical Center - Alta Bates Camp

Behind the star rating — Deaths: 2 better, 5 the same, 0 worse of 7 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 6 the same, 1 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Alta Bates Summit Medical Center - Alta Bates Camp
Clostridium Difficile (C.Diff)Infections0.298BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.18 (0.16 to 2.2) · 730 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.87 (0.51 to 1.23)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths188.12 (132.31 to 243.94) · 50 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.8 · 50 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.4 · 189 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.6 · 184 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 103 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 1,585 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.4) · 3,929 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.31 (0.11 to 0.51) · 3,954 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.15 (0.95 to 5.36) · 754 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.62 (0 to 3.33) · 325 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.99 (0.39 to 3.59) · 717 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.85 (2.27 to 19.44) · 326 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.79 (1.08 to 8.49) · 302 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.68 (0.19 to 3.18) · 184 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.17 (0 to 0.88) · 3,240 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.4 · 161 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.207No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.48No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.785No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.4 · 243 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-58.2 · 194 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-12.3 · 177 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 209 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (3.8 to 7.5) · 215 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.2 (9.4 to 15.5) · 215 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.8 · 150 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.2 · 81 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.4 (10 to 18.1) · 315 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1.2) · 137 casesNo differentJan 2024 – Dec 2024

What patients said (449 patients answered, 15% of those asked)

Patient survey stars by topic at Alta Bates Summit Medical Center - Alta Bates Camp
Cleanliness2
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Alta Bates Summit Medical Center - Alta Bates Camp
Room was "always" clean62%
Nurses "always" communicated well72%
Doctors "always" communicated well75%
Staff "always" explained53%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)58%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night49%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects38%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$162,266

Medicare paid this office $162,266 for 404 people.

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

Largest Original Medicare bills
Injection, aflibercept, 1 mg12$21,974None
New patient visit (45+ min)122$18,881$155
Imaging of retina267$15,010$40
Injection of drug into eye65$11,559$114
Established patient problem focused exam of visual system90$10,730$89
See all 16 services
Every Original Medicare service billed
Injection, aflibercept, 1 mg12$21,974None
New patient visit (45+ min)122$18,881$155
Imaging of retina267$15,010$40
Injection of drug into eye65$11,559$114
Established patient problem focused exam of visual system90$10,730$89
Removal of membrane of retina with removal of internal limiting membrane of retina28$6,189$213
Repair of detached retina with drainage and removal of eye fluid between lens and retina19$6,098$305
New patient visit (60+ min)31$5,951$192
Established patient complete exam of visual system41$4,844$118
Removal of eye fluid (vitreous) between lens and retina28$4,791$171
Compounded drug, not otherwise classified43$4,790None
Extended exam of the back part of the eye with optic nerve drawing178$2,964$14
Return visit (30+ min)13$1,592$122
New patient complete exam of visual system11$1,482$135
Extended exam of the back part of the eye with retinal drawing38$1,008$23
Imaging of retina34$560$16

Procedures Medicare counted

Procedure volume Medicare published
Cataract surgery1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure202220232024
Injection of drug into eye1120101
Removal of membrane of retina with removal of internal limiting membrane of retina–4429
Removal of eye fluid (vitreous) between lens and retina–3228
Repair of detached retina with drainage and removal of eye fluid between lens and retina–1920
Complex repair of detached retina and drainage of eye fluid between lens and retina–21–
Removal of membrane of retina–19–

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

404 Original Medicare patients in 2024. Average age 75 · Under 65 4% · 85 and older 12% · Women 57% · Also on Medicaid 19% · Health risk score 1.19. Above the middle of the specialty; the typical ophthalmology clinician is at 1.16.

Conditions among them: High blood pressure 73% · Diabetes 31% · Coronary heart disease 22% · Chronic kidney disease 22% · Depression 17% · Cancer 15% · Atrial fibrillation 14% · Heart failure 11% · COPD 10% · Stroke 7% · Dementia 3%.

The office billed $542,286, Medicare allowed $206,237 and paid $162,266; for 1,846 services of 44 kinds; $49,680 of it was for drugs given in the office and $112,586 for care.

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
20244041,846751.19$542,286$162,266
2023309374751.24$245,940$35,950
2022104148751.57$54,183$9,355

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
Removal of membrane of retina with removal of internal limiting membrane of retina44$6,668$152
Removal of eye fluid (vitreous) between lens and retina32$3,833$120
Complex repair of detached retina and drainage of eye fluid between lens and retina20$3,806$181
Repair of detached retina with drainage and removal of eye fluid between lens and retina18$3,050$161
Removal of membrane of retina19$2,967$156
Imaging of retina99$2,084$20
Injection of drug into eye19$1,656$83
Short return visit (20+ min)29$1,655$53
Photography of the retina11$180$16

2022: 5 services

Original Medicare services billed in 2022
Established patient complete exam of visual system26$1,726$66
Short return visit (20+ min)19$1,087$57
Injection of drug into eye11$1,072$97
Imaging of retina38$830$22
Established patient problem focused exam of visual system14$617$44

Medicaid work

$14,074 in 2024

Medicaid paid $14,074 for 346 billed services this clinician did in 2024, up to 42 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 (45+ min)61$5,638
Intravitreal injection of a pharmacologic agent (separate procedure)33$4,418
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina155$2,968
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient33$589
Bilateral extended ophthalmoscopy with drawing of optic nerve, with interpretation and report64$461
Medicaid work by year
2024346542$14,074
202393132$693
202247218$1,111
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina93$693

2022

Largest Medicaid services in 2022
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST27$874
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina20$237

Drugs they prescribed that Part D paid

$20,336

Pharmacies billed $20,336 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 190) in 2024. At or below the middle of the specialty; the typical ophthalmology clinician is at 0%.

97 generic and 93 brand-name prescriptions · $20,336 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.

Largest Part D drug costs
Restasis13$8,445$650
Bromfenac12$2,972$248
Prednisolone Acetate51$2,073$41
Ketorolac Tromethamine15$555$37
Ofloxacin14$169$12
See all 7 drugs
Every Part D drug this clinician prescribed
Restasis13$8,445$650
Bromfenac12$2,972$248
Prednisolone Acetate51$2,073$41
Ketorolac Tromethamine15$555$37
Ofloxacin14$169$12
Dorzolamide-Timolol14$117$8
Latanoprost19$92$5

Year by year

Part D prescribing by year
2024190760% (0)49%$20,336
20233581510% (0)49%$36,635
2022171820% (0)43%$15,837
2021161810% (0)37%$10,233
20184515NoneNone$675
20172615NoneNone$582

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

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Prolensa21$8,820$420
Prednisolone Acetate141$8,239$58
Ofloxacin55$751$14
Brimonidine11$674$61
Ketorolac Tromethamine25$533$21
Polymyxin B Sul-Trimethoprim27$230$9
Latanoprost13$91$7

2022: 6 drugs

Part D drugs prescribed in 2022
Prolensa15$5,315$354
Prednisolone Acetate45$2,775$62
Ofloxacin17$257$15
Dorzolamide-Timolol12$250$21
Brimonidine15$187$12
Polymyxin B Sul-Trimethoprim17$125$7

2021: 3 drugs

Part D drugs prescribed in 2021
Prednisolone Acetate44$3,887$88
Erythromycin25$336$13
Latanoprost13$209$16

Money from drug and device companies

$6,637 in 2025

Industry payments by year
202549$5,655$6,637
202469None$521
202349None$1,101
202233None$218

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
Genentech USAVabysmo$6,534
6 payments
  • Consulting for Vabysmo · 2025-10-16 · $5,655
  • Travel for Vabysmo · 2025-10-16 · $505
  • Meals for Vabysmo · 2025-10-16 · $286
  • Meals for Vabysmo · 2025-10-09 · $29
  • Meals for Vabysmo · 2025-08-14 · $33
  • Meals for Vabysmo · 2025-03-20 · $26
Regeneron PharmaceuticalsEylea Hd$54
1 payment
  • Meals for Eylea Hd · 2025-09-11 · $54
ANI PharmaceuticalsYutiq$31
1 payment
  • Meals for Yutiq · 2025-07-10 · $31
Astellas Pharma USIzervay$18
1 payment
  • Meals for Izervay · 2025-01-13 · $18
See all 9 published payments
Every published payment
Genentech USAConsulting · 2025-10-16Vabysmo$5,655
Genentech USATravel · 2025-10-16Vabysmo$505
Genentech USAMeals · 2025-10-16Vabysmo$286
Genentech USAMeals · 2025-10-09Vabysmo$29
Regeneron PharmaceuticalsMeals · 2025-09-11Eylea Hd$54
Genentech USAMeals · 2025-08-14Vabysmo$33
ANI PharmaceuticalsMeals · 2025-07-10Yutiq$31
Genentech USAMeals · 2025-03-20Vabysmo$26
Astellas Pharma USMeals · 2025-01-13Izervay$18
See earlier years (2024, 2023, 2022)

2024: $521

Payments by company in 2024
Genentech USAVabysmo$189
3 payments
  • Meals for Vabysmo · 2024-12-12 · $27
  • Meals for Vabysmo · 2024-10-16 · $35
  • Meals for Vabysmo · 2024-03-28 · $127
Apellis PharmaceuticalsSyfovre$188
2 payments
  • Meals for Syfovre · 2024-12-18 · $31
  • Meals for Syfovre · 2024-05-01 · $157
Regeneron PharmaceuticalsEylea Hd$44
1 payment
  • Meals for Eylea Hd · 2024-09-26 · $44
Alimera SciencesYutiq$41
1 payment
  • Meals for Yutiq · 2024-02-21 · $41
Astellas Pharma USIzervay$33
1 payment
  • Meals for Izervay · 2024-10-02 · $33
ANI PharmaceuticalsPurified Cortrophin Gel$26
1 payment
  • Meals for Purified Cortrophin Gel · 2024-11-14 · $26

2023: $1,101

Payments by company in 2023
Alcon VisionConstellation$579
5 payments
  • Meals for Constellation · 2023-12-15 · $151
  • Meals for Constellation · 2023-10-04 · $21
  • Meals for Constellation · 2023-09-18 · $167
  • Meals for Ngenuity · 2023-02-28 · $146
  • Meals for Ngenuity · 2023-02-27 · $94
Regeneron PharmaceuticalsEylea Hd$265
2 payments
  • Meals for Eylea Hd · 2023-11-17 · $141
  • Meals · 2023-05-16 · $124
Genentech USAVabysmo$140
1 payment
  • Meals for Vabysmo · 2023-07-13 · $140
AbbvieOzurdex$117
1 payment
  • Meals for Ozurdex · 2023-09-07 · $117

2022: $218

Payments by company in 2022
Regeneron Healthcare SolutionsEylea$112
1 payment
  • Meals for Eylea · 2022-07-19 · $112
Apellis PharmaceuticalsNone$82
1 payment
  • Meals · 2022-10-17 · $82
Alcon VisionCenturion$23
1 payment
  • Meals for Centurion · 2022-02-16 · $23

Professional record

NPI
1679014013
Trained
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University, 2017 · 9 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207W00000X (207W00000X); Federal specialty code 207WX0107X (207WX0107X)
Mailing address
3300 Telegraph Ave, Oakland, CA, 94609
NPI first listed
2017-03-18
NPI last updated
2024-07-16
NPI record certified
2024-07-16

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