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Silvia Loica-Mersa, MD

Internal Medicine · Stanford

NPI 1699194001

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2
Since medical school
12 years
Graduated 2014

Offices

2 locations · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care Tri-Valley. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Loica-Mersa’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A138111 · Current

Licensed to practise in California · since 2015 · expires 2027-05-31 · University of Southern California Keck School of Medicine.

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

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Internal Medicine - Internal Medicine

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

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.

  • Stanford Health Care Tri-ValleyPleasanton, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Stanford Health Care, which runs 3 hospitalsPatients rate it 3 of 5 · 74% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.178, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.237, Oct 2024 – Sep 2025
See every measure and the patient survey for Stanford Health Care Tri-Valley

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 7 the same, 0 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 Stanford Health Care Tri-Valley
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.178BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.237BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.79 (0 to 1.73) · 1,041 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.79 (0.5 to 1.08)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths145.81 (96.5 to 195.12) · 72 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.9 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 92 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.5 · 96 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.5 · 395 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 391 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 162 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 1,736 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.37) · 4,425 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.02 to 0.41) · 4,771 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.45 (1.46 to 5.44) · 1,403 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.5 (0.05 to 2.94) · 645 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.81 (0.38 to 3.24) · 1,279 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.53 (3.2 to 13.85) · 639 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.15 (1.89 to 8.41) · 648 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.14 to 3.07) · 370 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.16 (0 to 0.83) · 4,160 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 74 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.369No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.112No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 110 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.1 · 437 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-5.8 · 94 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-19.3 · 456 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-0.3 · 402 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.8 · 358 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.8 (4.7 to 9.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (7.5 to 13.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 92 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.6 to 16.2) · 1,532 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 929 casesNo differentJan 2024 – Dec 2024

What patients said (1,268 patients answered, 26% of those asked)

Patient survey stars by topic at Stanford Health Care Tri-Valley
Cleanliness3
Nurse communication3
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Stanford Health Care Tri-Valley
Room was "always" clean65%
Nurses "always" communicated well77%
Doctors "always" communicated well79%
Staff "always" explained58%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night42%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$65,797

Medicare paid this office $65,797 for 236 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes100$33,339$105
Hospital discharge day management, more than 30 minutes112$11,605$102
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes76$10,513$69
Initial hospital care with moderate level of medical decision making at least 75 minutes53$7,965$150

Who their Medicare patients are

236 Original Medicare patients in 2024. Average age 77 · Under 65 6% · 85 and older 24% · Women 51% · Also on Medicaid 32% · Health risk score 2.50. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Chronic kidney disease 60% · Coronary heart disease 53% · Diabetes 45% · Heart failure 42% · Depression 34% · Atrial fibrillation 32% · Dementia 25% · COPD 24% · Cancer 20% · Stroke 19%.

The office billed $276,204, Medicare allowed $83,412 and paid $65,797; for 659 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
2024236659772.50$276,204$65,797
2023272612782.37$262,371$63,663
2022268618782.31$268,212$62,910
2021261589772.18$246,014$60,589
2020255706762.74$288,699$72,671
2019310744762.39$293,928$75,005
2018309793772.43$306,901$79,851
201782175762.55$68,286$17,850

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: 6 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes89$23,988$107
Initial hospital care with moderate level of medical decision making at least 75 minutes94$14,653$156
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes72$11,269$71
Hospital discharge day management, more than 30 minutes79$8,236$103
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,495$113
Hospital discharge day management, 30 minutes or less25$1,866$75

2022: 7 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes140$33,201$91
Initial hospital care with moderate level of medical decision making at least 75 minutes51$9,102$175
Hospital discharge day management, more than 30 minutes78$7,744$96
Initial hospital observation care per day, typically 70 minutes22$3,488$159
Follow-up observation care per day, typically 35 minutes20$2,014$92
Hospital observation care on day of discharge25$1,563$63
Hospital discharge day management, 30 minutes or less11$719$65

2021: 7 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes136$31,761$92
Initial hospital care with moderate level of medical decision making at least 75 minutes55$9,784$178
Hospital discharge day management, more than 30 minutes83$8,202$98
Initial hospital observation care per day, typically 70 minutes19$3,077$162
Follow-up observation care per day, typically 35 minutes16$1,610$95
Initial hospital observation care per day, typically 50 minutes12$1,397$116
Hospital observation care on day of discharge19$1,293$68

2020: 8 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes144$40,934$95
Initial hospital care with moderate level of medical decision making at least 75 minutes56$10,254$177
Hospital discharge day management, more than 30 minutes83$8,870$97
Initial hospital observation care per day, typically 70 minutes15$2,601$173
Hospital observation care on day of discharge21$1,439$69
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$1,410$67
Extended inpatient or observation hospital service, first hour12$1,373$86
Initial hospital observation care per day, typically 50 minutes11$1,113$101

2019: 9 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes140$35,478$91
Initial hospital care with moderate level of medical decision making at least 75 minutes66$11,992$179
Hospital discharge day management, more than 30 minutes83$7,919$93
Initial hospital observation care per day, typically 70 minutes43$7,015$163
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes28$2,768$64
Follow-up observation care per day, typically 35 minutes21$2,139$93
Hospital observation care on day of discharge31$2,039$66
Extended inpatient or observation hospital service, first hour17$1,649$82
Initial hospital observation care per day, typically 50 minutes14$1,607$115

2018: 10 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes150$38,244$92
Initial hospital care with moderate level of medical decision making at least 75 minutes71$12,166$171
Hospital discharge day management, more than 30 minutes100$9,989$95
Initial hospital observation care per day, typically 70 minutes34$5,429$160
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$2,523$65
Hospital observation care on day of discharge30$1,982$66
Initial hospital observation care per day, typically 50 minutes14$1,812$121
Follow-up observation care per day, typically 35 minutes15$1,800$90
Initial hospital observation care per day, typically 70 minutes11$1,601$146
Extended inpatient or observation hospital service, first hour14$1,324$83

2017: 4 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes26$6,300$91
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,895$177
Hospital discharge day management, more than 30 minutes23$2,297$96
Initial hospital observation care per day, typically 70 minutes13$2,115$163

Medicaid work

$1,262 in 2024

Medicaid paid $1,262 for 37 billed services this clinician did in 2024, up to 12 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
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES37$1,262
Medicaid work by year
202437112$1,262
202298115$3,170
202056114$1,237
201965115$1,145
201828113$705
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES98$3,170

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES56$1,237

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES65$1,145

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES28$705

Drugs they prescribed that Part D paid

$6,354

Pharmacies billed $6,354 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 17% of their Part D prescriptions (20 of 121) in 2024. A higher opioid share than 9 in 10 peers; the typical internal medicine clinician is at 1%.

107 generic and 14 brand-name prescriptions · $6,354 in drug cost · 14 antibiotic prescriptions.

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
Oxycodone11$114$10

Year by year

Part D prescribing by year
20241215617% (20)12%$6,354
20231315516% (21)20%$12,595
20222047310% (21)None$15,137
202112058NoneNone$61,875
20201145911% (12)11%$5,976
201912158None12%$10,571
2018142589% (13)18%$7,170
20172811NoneNone$2,915
201514None0% (0)None$4,848

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

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Xarelto15$4,748$317
Oxycodone12$84$7

2022: 1 drug

Part D drugs prescribed in 2022
Xarelto13$3,739$288

2021: 1 drug

Part D drugs prescribed in 2021
Pantoprazole11$259$24

2018: 1 drug

Part D drugs prescribed in 2018
Prednisone11$55$5

Money from drug and device companies

$123 in 2023

A payment is not proof that care is biased.

Payments by company
DexcomDexcom G7 Gss (161)$123
1 payment
  • Meals for Dexcom G7 Gss (161) · 2023-04-12 · $123
See the published payment
Every published payment
DexcomMeals · 2023-04-12Dexcom G7 Gss (161)$123

Professional record

NPI
1699194001
Licence
CA A138111California A138111: Current · expires 2027-05-31
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2014-04-14
NPI last updated
2024-04-19
NPI record certified
2024-04-19

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