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Monica Marie Gascon, PA-C

Physician Assistant · San Jose

NPI 1699792309

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Monica Marie Gascon’s office at (408) 559-2552 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$1,669

Medicare paid this office $1,669 for 38 people.

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

Largest Original Medicare bills
Emergency department visit with low level of medical decision making34$1,306$37

Who their Medicare patients are

38 Original Medicare patients in 2024. Average age 59 · Women 53% · Also on Medicaid 71% · Health risk score 1.55. Above the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 47% · Diabetes 34%.

The office billed $15,147, Medicare allowed $2,694 and paid $1,669; for 41 services of 4 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
20243841591.55$15,147$1,669
20232526630.87$9,190$985
20222931610.93$9,574$1,259
2020121150591.40$80,188$8,538
2019207257611.53$138,777$13,964
2018215261591.38$127,844$14,706
2017240311591.36$126,056$15,098
2016230276591.36$118,533$15,040
2015231281571.27$96,329$13,662
2014202259571.14$76,130$12,241
2013169232551.26$58,362$10,909

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: 1 service

Original Medicare services billed in 2023
Emergency department visit with low level of medical decision making23$777$34

2022: 1 service

Original Medicare services billed in 2022
Emergency department visit with low level of medical decision making27$1,006$37

2020: 2 services

Original Medicare services billed in 2020
Emergency department visit with low level of medical decision making78$3,246$42
Emergency department visit with moderate level of medical decision making37$3,043$82

2019: 2 services

Original Medicare services billed in 2019
Emergency department visit with moderate level of medical decision making70$5,667$81
Emergency department visit with low level of medical decision making127$5,515$41

2018: 2 services

Original Medicare services billed in 2018
Emergency department visit with low level of medical decision making135$5,914$43
Emergency department visit with moderate level of medical decision making66$5,370$81

2017: 2 services

Original Medicare services billed in 2017
Emergency department visit with low level of medical decision making154$6,496$39
Emergency department visit with moderate level of medical decision making68$5,308$76

2016: 2 services

Original Medicare services billed in 2016
Emergency department visit with moderate level of medical decision making84$6,477$74
Emergency department visit with low level of medical decision making123$5,206$41

2015: 2 services

Original Medicare services billed in 2015
Emergency department visit with moderate level of medical decision making76$6,190$79
Emergency department visit with low level of medical decision making136$5,118$36

2014: 2 services

Original Medicare services billed in 2014
Emergency department visit with low level of medical decision making146$5,675$37
Emergency department visit with moderate level of medical decision making51$4,279$78

2013: 2 services

Original Medicare services billed in 2013
Emergency department visit with low level of medical decision making127$5,377$40
Emergency department visit with moderate level of medical decision making30$2,304$77

Medicaid work

$37,606 in 2024

Medicaid paid $37,606 for 183 billed services this clinician did in 2024, up to 26 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
EMERGENCY DEPT VISIT LOW MDM183$37,606
Medicaid work by year
2024183126$37,606
2023119120$1,221
202250113$45
202125113$300
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT LOW MDM119$1,221

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT LOW MDM50$45

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT LOW MDM25$300

Drugs they prescribed that Part D paid

$2,429

Pharmacies billed $2,429 in 2024.

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

Opioids were 8% of their Part D prescriptions (17 of 212) in 2024. Above the middle of the specialty; the typical physician assistant clinician is at 1%.

202 generic and fewer than 11 brand-name prescriptions · $2,429 in drug cost · 44 antibiotic prescriptions to 43 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.

Largest Part D drug costs
Lidocaine Hcl Viscous13$266$20
Erythromycin16$219$14
Cephalexin19$200$11
Amoxicillin-Clavulanate Potass11$176$16
Ibuprofen25$169$7
See all 8 drugs
Every Part D drug this clinician prescribed
Lidocaine Hcl Viscous13$266$20
Erythromycin16$219$14
Cephalexin19$200$11
Amoxicillin-Clavulanate Potass11$176$16
Ibuprofen25$169$7
Naproxen19$169$9
Methocarbamol16$108$7
Hydrocodone-Acetaminophen16$100$6

Year by year

Part D prescribing by year
20242121468% (17)None$2,429
20232971927% (22)None$3,647
20222571777% (19)None$3,176
202122615211% (25)None$3,370
20201751239% (16)6%$4,340
201918111111% (19)7%$2,094
201822112913% (28)5%$3,518
201724814020% (49)None$2,364
201623614416% (38)None$2,694
201520812526% (54)8%$3,104
201419711719% (38)None$2,266
201321512320% (42)None$2,424

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

See the drugs prescribed each year

2023: 10 drugs

Part D drugs prescribed in 2023
Ibuprofen45$339$8
Cephalexin25$254$10
Naproxen26$245$9
Erythromycin13$199$15
Amoxicillin-Clavulanate Potass11$180$16
Baclofen23$170$7
Methylprednisolone14$135$10
Hydrocodone-Acetaminophen19$116$6
Prednisone13$109$8
Methocarbamol11$83$8

2022: 8 drugs

Part D drugs prescribed in 2022
Ibuprofen50$375$7
Cephalexin23$245$11
Naproxen17$167$10
Erythromycin12$155$13
Lidocaine Hcl Viscous11$141$13
Methylprednisolone12$119$10
Hydrocodone-Acetaminophen16$104$6
Methocarbamol11$97$9

2021: 8 drugs

Part D drugs prescribed in 2021
Neomycin-Polymyxin-Hc14$783$56
Ibuprofen37$271$7
Cephalexin21$229$11
Erythromycin13$176$14
Naproxen17$172$10
Hydrocodone-Acetaminophen23$151$7
Lidocaine Hcl Viscous11$150$14
Methylprednisolone12$130$11

2020: 4 drugs

Part D drugs prescribed in 2020
Cephalexin26$249$10
Ibuprofen27$133$5
Naproxen11$64$6
Hydrocodone-Acetaminophen12$63$5

2019: 4 drugs

Part D drugs prescribed in 2019
Ibuprofen41$183$4
Cephalexin18$142$8
Cyclobenzaprine16$115$7
Hydrocodone-Acetaminophen16$83$5

2018: 6 drugs

Part D drugs prescribed in 2018
Methylprednisolone17$197$12
Ibuprofen32$141$4
Cephalexin18$137$8
Hydrocodone-Acetaminophen24$127$5
Lidocaine Hcl Viscous11$78$7
Prednisone11$44$4

2017: 6 drugs

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen47$204$4
Methylprednisolone16$196$12
Cephalexin23$146$6
Ibuprofen34$122$4
Sulfamethoxazole-Trimethoprim12$78$6
Prednisone11$42$4

2016: 4 drugs

Part D drugs prescribed in 2016
Cephalexin31$180$6
Hydrocodone-Acetaminophen32$175$5
Ibuprofen38$150$4
Sulfamethoxazole-Trimethoprim12$66$5

2015: 4 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen51$266$5
Ibuprofen25$129$5
Cephalexin19$116$6
Diazepam14$49$3

2014: 3 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen36$181$5
Cephalexin20$138$7
Ibuprofen27$113$4

2013: 5 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen40$207$5
Cephalexin21$154$7
Ibuprofen30$109$4
Prednisone12$43$4
Diazepam13$37$3

Professional record

NPI
1699792309
Licence
CA PA14167
More record details
Sole proprietor
No
Taxonomy
Physician assistant (363A00000X)
Mailing address
2100 Powell St, Ste 900, Emeryville, CA, 94608
NPI first listed
2006-07-17
NPI last updated
2021-12-30

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

This office lists an electronic records connection.