Di He, PA
Physician Assistant · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 3
- 2 carriers
- Offices
- 2
Offices
2 locations · North East Medical Services · 143 clinicians in this group
Plans that list them
3 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Di He’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
3 of 3 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
California Medical Board record
Licence A61493 · Current
Licensed to practise in California · since 2006 · expires 2028-09-30 · Loma Linda University School of Medicine.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$6,511
Medicare paid this office $6,511 for 93 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Blood test, lipids (cholesterol and triglycerides) | 54 | $800 | $13 |
| Blood test, comprehensive group of blood chemicals | 53 | $642 | $10 |
| Insertion of needle into vein for collection of blood sample | 76 | $570 | $6 |
| Tuberculosis test, gamma interferon | 12 | $529 | $44 |
| Hemoglobin a1c level | 43 | $438 | $10 |
See all 12 services
| Blood test, lipids (cholesterol and triglycerides) | 54 | $800 | $13 |
| Blood test, comprehensive group of blood chemicals | 53 | $642 | $10 |
| Insertion of needle into vein for collection of blood sample | 76 | $570 | $6 |
| Tuberculosis test, gamma interferon | 12 | $529 | $44 |
| Hemoglobin a1c level | 43 | $438 | $10 |
| Vitamin d-3 level | 15 | $435 | $29 |
| Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 17 | $301 | $18 |
| Blood test, thyroid stimulating hormone (tsh) | 17 | $280 | $16 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | 36 | $235 | $6 |
| Urine microalbumin (protein) level | 33 | $198 | $6 |
| Creatinine level to test for kidney function or muscle injury | 33 | $178 | $5 |
| Manual urinalysis test with examination using microscope, automated | 32 | $103 | $3 |
Who their Medicare patients are
93 Original Medicare patients in 2024. Average age 74 · Women 69% · Health risk score 0.79. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.
Conditions among them: High blood pressure 67% · Diabetes 27% · Chronic kidney disease 18% · Coronary heart disease 13%.
The office billed $18,398, Medicare allowed $6,526 and paid $6,511; for 527 services of 32 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 | 93 | 527 | 74 | 0.79 | $18,398 | $6,511 |
| 2023 | 67 | 334 | 73 | 0.85 | $11,213 | $3,614 |
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: 11 services
| Blood test, comprehensive group of blood chemicals | 41 | $445 | $10 |
| Insertion of needle into vein for collection of blood sample | 59 | $423 | $6 |
| Blood test, lipids (cholesterol and triglycerides) | 19 | $262 | $13 |
| Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 11 | $195 | $18 |
| Hepatitis c antibody measurement | 11 | $154 | $14 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | 23 | $146 | $6 |
| Hepatitis b surface antibody measurement | 11 | $116 | $11 |
| Urine microalbumin (protein) level | 18 | $108 | $6 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 13 | $99 | $8 |
| Creatinine level to test for kidney function or muscle injury | 18 | $97 | $5 |
| Manual urinalysis test with examination using microscope, automated | 19 | $62 | $3 |
Medicaid work
$415,275 in 2024
Medicaid paid $415,275 for 11,127 billed services this clinician did in 2024, up to 178 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.
| Clinic visit/encounter, all-inclusive | 1,673 | $415,275 |
| Pain severity quantified; pain present (COA) (ONC) | 47 | $0 |
| Pain severity quantified; no pain present (COA) (ONC) | 166 | $0 |
| Medication list documented in medical record (COA) | 938 | $0 |
| Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA) | 910 | $0 |
| BODY MASS INDEX DOCD | 1,300 | $0 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 886 | $0 |
| Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD) | 302 | $0 |
| Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM) | 265 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 941 | $0 |
| Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM) | 502 | $0 |
| Most recent diastolic blood pressure greater than or equal to 90 mm Hg (HTN, CKD, CAD) (DM) | 16 | $0 |
| 2024 | 11,127 | 20 | 178 | $415,275 |
| 2023 | 3,672 | 9 | 154 | $269,111 |
| 2022 | 52 | 2 | 18 | $3,867 |
See the largest Medicaid services in earlier years
2023
| Clinic visit/encounter, all-inclusive | 1,224 | $267,552 |
| Short return visit (20+ min) | 1,931 | $1,559 |
| Medication list documented in medical record (COA) | 13 | $0 |
| BODY MASS INDEX DOCD | 49 | $0 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 126 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 186 | $0 |
| Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | 77 | $0 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use | 12 | $0 |
| Screening for depression is documented as negative, a follow-up plan is not required | 54 | $0 |
2022
| Clinic visit/encounter, all-inclusive | 19 | $3,867 |
| Short return visit (20+ min) | 33 | $0 |
Drugs they prescribed that Part D paid
$47,785
Pharmacies billed $47,785 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
759 generic and fewer than 11 brand-name prescriptions · $47,785 in drug cost · 20 antibiotic prescriptions to 19 people.
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.
| Januvia | 18 | $14,584 | $810 |
| Albuterol Sulfate Hfa | 16 | $561 | $35 |
| Atorvastatin | 122 | $529 | $4 |
| Losartan | 62 | $339 | $5 |
| Tamsulosin | 27 | $332 | $12 |
See all 19 drugs
| Januvia | 18 | $14,584 | $810 |
| Albuterol Sulfate Hfa | 16 | $561 | $35 |
| Atorvastatin | 122 | $529 | $4 |
| Losartan | 62 | $339 | $5 |
| Tamsulosin | 27 | $332 | $12 |
| Levothyroxine | 18 | $247 | $14 |
| Metoprolol | 20 | $240 | $12 |
| Famotidine | 34 | $227 | $7 |
| Amlodipine Besylate | 75 | $181 | $2 |
| Allopurinol | 13 | $175 | $13 |
| Metformin | 30 | $132 | $4 |
| Nitroglycerin | 14 | $115 | $8 |
| Alendronate | 16 | $113 | $7 |
| Hydrocortisone | 21 | $101 | $5 |
| Hydrochlorothiazide | 17 | $65 | $4 |
| Rosuvastatin | 15 | $65 | $4 |
| Naproxen | 15 | $60 | $4 |
| Ibuprofen | 23 | $54 | $2 |
| Lisinopril | 12 | $47 | $4 |
Year by year
| 2024 | 891 | 243 | None | None | $47,785 |
| 2023 | 448 | 145 | None | 12% | $15,550 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 13 drugs
| Shingrix | 16 | $2,945 | $184 |
| Atorvastatin | 72 | $1,037 | $14 |
| Albuterol Sulfate Hfa | 14 | $543 | $39 |
| Diclofenac | 16 | $358 | $22 |
| Tamsulosin | 16 | $350 | $22 |
| Amlodipine Besylate | 40 | $318 | $8 |
| Losartan | 20 | $236 | $12 |
| Nitroglycerin | 14 | $179 | $13 |
| Metformin | 18 | $158 | $9 |
| Metoprolol | 13 | $148 | $11 |
| Paxlovid (Eua) | 11 | $132 | $12 |
| Famotidine | 12 | $91 | $8 |
| Ibuprofen | 12 | $43 | $4 |
Professional record
- NPI
- 1689393118
- Licence
- CA 61493California A61493: Current · expires 2028-09-30
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Physician assistant (363A00000X)
- Mailing address
- 10520 Pineville Ave, Cupertino, CA, 95014
- NPI first listed
- 2022-08-26
- NPI last updated
- 2024-10-01
- NPI record certified
- 2024-10-01
This is when the NPI record was last certified, not a medical board exam.