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Micah H Saste, MD

Otolaryngology · San Jose

NPI 1689862401

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
23
4 carriers
Office
1

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

23 plans · 4 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Saste’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

23 of 23 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 smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 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

California Medical Board record

Licence A88742 · Current

Licensed to practise in California · since 2004 · expires 2028-03-31 · University of California, Los Angeles School 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.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$7,148

Medicare paid this office $7,148 for 101 people.

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

Largest Original Medicare bills
Diagnostic exam of nasal passages using an endoscope31$1,731$47
New patient visit (30+ min)16$1,032$65
Short return visit38$988$25
Diagnostic exam of voice box using a flexible endoscope12$788$66
New patient visit (15+ min)17$601$35
See all 6 services
Every Original Medicare service billed
Diagnostic exam of nasal passages using an endoscope31$1,731$47
New patient visit (30+ min)16$1,032$65
Short return visit38$988$25
Diagnostic exam of voice box using a flexible endoscope12$788$66
New patient visit (15+ min)17$601$35
Removal of impacted ear wax13$233$18

Who their Medicare patients are

101 Original Medicare patients in 2024. Average age 72 · Under 65 15% · 85 and older 11% · Women 58% · Also on Medicaid 86% · Health risk score 1.45. Above the middle of the specialty; the typical otolaryngology clinician is at 1.19.

Conditions among them: High blood pressure 73% · Diabetes 42% · Chronic kidney disease 20% · Depression 20% · Heart failure 17% · COPD 17% · Coronary heart disease 16% · Atrial fibrillation 14%.

The office billed $95,485, Medicare allowed $10,603 and paid $7,148; for 146 services of 16 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
2024101146721.45$95,485$7,148
2023100152701.47$110,711$9,653
2022118215721.45$165,532$14,508
202163129711.93$148,319$13,196
202087162701.74$173,669$15,502
2019175286711.60$203,143$18,099
201892221671.44$163,991$17,994
2017128284681.63$187,370$22,199
2016129311671.60$184,233$22,119
201575141681.61$70,238$7,216
2014112279691.32$146,131$17,079
2013113260661.44$226,100$27,535

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: 4 services

Original Medicare services billed in 2023
Diagnostic exam of nasal passages using an endoscope26$1,708$53
Short return visit36$923$26
Short return visit (20+ min)16$920$57
New patient visit (15+ min)13$577$44

2022: 5 services

Original Medicare services billed in 2022
Diagnostic exam of nasal passages using an endoscope30$2,315$56
Short return visit (20+ min)34$1,989$54
Short return visit51$1,465$28
Diagnostic exam of voice box using a flexible endoscope12$778$56
Removal of impacted ear wax23$744$28

2021: 3 services

Original Medicare services billed in 2021
Diagnostic exam of nasal passages using an endoscope23$1,657$57
Short return visit (20+ min)21$1,507$63
Diagnostic exam of voice box using a flexible endoscope14$968$57

2020: 6 services

Original Medicare services billed in 2020
Telephone medical discussion with physician, 21-30 minutes18$1,319$73
Return visit (30+ min)15$1,143$60
Short return visit (20+ min)26$1,124$42
Diagnostic exam of nasal passages using an endoscope16$1,046$50
Telephone medical discussion with physician, 11-20 minutes20$957$46
Diagnostic exam of voice box using a flexible endoscope16$922$49

2019: 7 services

Original Medicare services billed in 2019
Diagnostic exam of nasal passages using an endoscope35$2,112$47
Short return visit (20+ min)45$1,848$41
New patient visit (15+ min)56$1,696$30
Diagnostic exam of voice box using a flexible endoscope32$1,651$50
New patient visit (30+ min)22$1,022$46
Return visit (30+ min)14$1,009$59
Removal of impacted ear wax17$432$24

2018: 5 services

Original Medicare services billed in 2018
Diagnostic exam of nasal passages using an endoscope39$2,855$51
Diagnostic exam of voice box using a flexible endoscope24$1,448$54
Short return visit (20+ min)23$1,237$41
Return visit (30+ min)18$1,233$62
New patient visit (30+ min)16$1,055$66

2017: 7 services

Original Medicare services billed in 2017
Diagnostic exam of nasal passages using an endoscope46$2,950$45
Return visit (30+ min)17$1,952$67
Diagnostic exam of voice box using a flexible endoscope31$1,616$50
Short return visit (20+ min)32$1,167$33
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$926$84
New patient visit (15+ min)15$680$45
Short return visit37$528$14

2016: 6 services

Original Medicare services billed in 2016
Diagnostic exam of voice box using a flexible endoscope46$3,151$61
Diagnostic exam of nasal passages using an endoscope36$2,423$53
Return visit (30+ min)31$2,070$59
Short return visit (20+ min)42$1,823$41
Short return visit53$914$17
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$853$61

2015: 5 services

Original Medicare services billed in 2015
Diagnostic exam of voice box using a flexible endoscope26$1,461$47
Diagnostic exam of nasal passages using an endoscope24$998$38
Return visit (30+ min)11$888$68
Short return visit (20+ min)19$740$35
Short return visit22$354$16

2014: 6 services

Original Medicare services billed in 2014
Diagnostic exam of voice box using a flexible endoscope42$3,674$66
Diagnostic exam of nasal passages using an endoscope43$3,094$46
Short return visit (20+ min)29$1,778$42
Return visit (30+ min)11$909$70
Short return visit31$535$17
Office for the evaluation and management of established patient that may not require presence of healthcare professional17$132$8

2013: 4 services

Original Medicare services billed in 2013
Diagnostic exam of voice box using a flexible endoscope45$3,500$70
Diagnostic exam of nasal passages using an endoscope33$3,221$57
Return visit (30+ min)37$2,454$65
Short return visit (20+ min)45$1,978$41

Medicaid work

$5,320 in 2024

Medicaid paid $5,320 for 1,217 billed services this clinician did in 2024, up to 64 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
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)215$2,057
OFF/OP CONSLTJ NEW/EST SF 20172$1,978
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES77$1,112
Removal of impacted ear wax25$173
Pain severity quantified; no pain present (COA) (ONC)33$0
Medication list documented in medical record (COA)397$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)134$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)12$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)152$0
Medicaid work by year
20241,217964$5,320
2023513537$4,239
2022281421$2,328
2021189327$2,749
2020194527$2,095
2019540629$3,801
2018586628$4,188
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
OFF/OP CONSLTJ NEW/EST SF 20169$1,640
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)193$1,457
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES88$964
Short return visit44$179
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)19$0

2022

Largest Medicaid services in 2022
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)170$1,823
OFF/OP CONSLTJ NEW/EST SF 2038$252
Short return visit60$222
Removal of impacted ear wax13$30

2021

Largest Medicaid services in 2021
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)150$2,117
Service12$375
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES27$257

2020

Largest Medicaid services in 2020
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)97$1,068
OFF/OP CONSLTJ NEW/EST SF 2029$563
Short return visit (20+ min)25$222
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES31$159
Diagnostic flexible fiberoptic laryngoscopy12$83

2019

Largest Medicaid services in 2019
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)215$1,989
OFF/OP CONSLTJ NEW/EST SF 2097$741
Diagnostic flexible fiberoptic laryngoscopy27$417
Short return visit (20+ min)154$344
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES34$159
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES13$151

2018

Largest Medicaid services in 2018
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)270$1,828
Diagnostic flexible fiberoptic laryngoscopy27$954
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES84$637
OFF/OP CONSLTJ NEW/EST SF 2082$531
Short return visit (20+ min)70$134
Return visit (30+ min)53$103

Drugs they prescribed that Part D paid

$356

Pharmacies billed $356 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 24) in 2024. Too few prescriptions to compare fairly with other clinicians.

24 generic and 0 brand-name prescriptions · $356 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
Fluticasone Propionate14$101$7

Year by year

Part D prescribing by year
202424None0% (0)0%$356
202337None0% (0)None$1,318
202238120% (0)0%$651
202160200% (0)None$1,148
202071220% (0)None$1,599
20199934None0%$2,254
20186933NoneNone$1,013
201710341NoneNone$4,976
201681370% (0)None$2,017
20159140NoneNone$3,259
201414444NoneNone$2,855
20137025NoneNone$2,199

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Fluticasone Propionate18$458$25

2022: 1 drug

Part D drugs prescribed in 2022
Fluticasone Propionate14$164$12

2021: 2 drugs

Part D drugs prescribed in 2021
Azelastine14$601$43
Fluticasone Propionate16$126$8

2020: 2 drugs

Part D drugs prescribed in 2020
Azelastine19$858$45
Fluticasone Propionate36$425$12

2019: 2 drugs

Part D drugs prescribed in 2019
Azelastine15$618$41
Fluticasone Propionate46$513$11

2018: 1 drug

Part D drugs prescribed in 2018
Fluticasone Propionate38$353$9

2017: 3 drugs

Part D drugs prescribed in 2017
Budesonide22$3,634$165
Amoxicillin-Clavulanate Potass12$333$28
Fluticasone Propionate30$330$11

2016: 1 drug

Part D drugs prescribed in 2016
Fluticasone Propionate36$323$9

2015: 2 drugs

Part D drugs prescribed in 2015
Fluticasone Propionate30$491$16
Omeprazole16$173$11

2014: 3 drugs

Part D drugs prescribed in 2014
Fluticasone Propionate72$1,339$19
Omeprazole16$222$14
Montelukast12$217$18

2013: 1 drug

Part D drugs prescribed in 2013
Fluticasone Propionate45$1,340$30

Money from drug and device companies

$63 in 2025

Industry payments by year
202512None$63
202211None$30
202111None$4

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
Smith+NephewTula$63
2 payments
  • Meals for Tula · 2025-04-18 · $28
  • Meals for Tula · 2025-02-13 · $35
See all 2 published payments
Every published payment
Smith+NephewMeals · 2025-04-18Tula$28
Smith+NephewMeals · 2025-02-13Tula$35
See earlier years (2022, 2021)

2022: $30

Payments by company in 2022
MedtronicMazor X System$30
1 payment
  • Meals for Mazor X System · 2022-12-11 · $30

2021: $4

Payments by company in 2021
KLS-Martin L.P.None$4
1 payment
  • Meals · 2021-09-30 · $4

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1689862401
Licence
CA A88742California A88742: Current · expires 2028-03-31
Trained
University of California, Geffen School of Medicine, 2003
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Otolaryngology (207Y00000X)
Mailing address
750 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2007-10-05
NPI last updated
2010-02-09

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