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Ralph L Smathers, MD

Specialist · Los Gatos

NPI 1699856187

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 Dr. Smathers’s office at (408) 356-6611 to ask if they take your plan before you enroll.

California Medical Board record

Licence G49899 · Current

Licensed to practise in California · since 1983 · expires 2027-02-28 · University of Chicago, Pritzker School of Medicine.

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

Original Medicare doctor bills

$4,098

Medicare paid this office $4,098 for 57 people.

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

Largest Original Medicare bills
Screening mammography31$1,234$40
Screening 3d breast mammography31$969$31

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201520162017201920232024
Biopsy of breast and placement of locating device using x-ray with needle, first growth315819–––
Biopsy of breast and placement of locating device using ultrasound, first growth303325–––

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

57 Original Medicare patients in 2024. Average age 76 · Health risk score 0.96. At or below the middle of the specialty; the typical diagnostic radiology clinician is at 1.7.

Conditions among them: High blood pressure 75% · Cancer 26% · Diabetes 25% · Depression 19%.

The office billed $35,655, Medicare allowed $5,017 and paid $4,098; for 110 services of 20 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
202457110760.96$35,655$4,098
20236761,147750.88$278,422$45,269
2019259488710.90$135,233$21,029
20171,5143,943730.79$2,340,365$455,638
20161,6894,792730.82$560,583$476,082
20151,6264,046720.81$490,498$402,131
20141,4514,062720.73$464,439$390,446
20131,4333,895720.70$435,303$366,306

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: 14 services

Original Medicare services billed in 2023
Screening mammography290$11,997$41
Screening 3d breast mammography284$9,292$33
Screening mammography38$6,485$171
X-ray of chest, 2 views51$1,753$34
Dxa bone density measurement of hip, pelvis, spine133$1,424$11
Screening 3d breast mammography19$1,262$66
Complete ultrasound scan of 1 breast28$1,194$43
X-ray of foot, minimum of 3 views18$952$37
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)30$785$26
Limited ultrasound scan of 1 breast23$711$31
Diagnostic mammography of both breasts16$689$43
Diagnostic mammography of 1 breast18$629$35
X-ray of shoulder, minimum of 2 views14$480$34
X-ray of chest, 1 view31$255$8

2019: 7 services

Original Medicare services billed in 2019
Screening mammography184$6,854$37
Screening 3d breast mammography156$4,575$29
Screening mammography21$3,483$166
Screening 3d breast mammography21$1,345$64
Limited ultrasound scan of 1 breast34$1,041$25
Diagnostic mammography of 1 breast15$473$32
Diagnostic mammography of both breasts13$472$36

2017: 13 services

Original Medicare services billed in 2017
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed1,235$215,125$174
Complete ultrasound scan of 1 breast378$71,620$103
Screening 3d breast mammography716$48,802$68
Dxa bone density measurement of hip, pelvis, spine526$27,765$53
3d radiographic procedure with computerized image postprocessing273$19,678$69
Biopsy of breast and placement of locating device using ultrasound, first growth24$16,933$677
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral97$14,068$128
Biopsy of breast and placement of locating device using x-ray with needle, first growth19$13,379$704
Limited ultrasound scan of 1 breast100$10,134$89
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral49$8,017$164
Short return visit69$2,948$42
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)45$2,493$54
Dxa bone density measurement of forearm, finger, hand, or foot22$766$35

2016: 11 services

Original Medicare services billed in 2016
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed1,374$233,841$170
Complete ultrasound scan of 1 breast445$79,072$103
Biopsy of breast and placement of locating device using x-ray with needle, first growth57$39,432$680
Dxa bone density measurement of hip, pelvis, spine604$31,672$52
Biopsy of breast and placement of locating device using ultrasound, first growth33$22,125$670
Screening 3d breast mammography264$17,767$67
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral120$15,296$116
Computer analysis of screening mammogram to assist detection of cancer1,373$14,183$10
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral87$13,447$155
Dxa bone density measurement of forearm, finger, hand, or foot41$1,422$35
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)24$1,346$54

2015: 11 services

Original Medicare services billed in 2015
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed1,324$225,750$170
Complete ultrasound scan of 1 breast380$56,456$121
Biopsy of breast and placement of locating device using x-ray with needle, first growth31$20,853$673
Biopsy of breast and placement of locating device using ultrasound, first growth30$19,503$650
Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment339$17,982$53
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral113$14,534$122
Computer analysis of screening mammogram to assist detection of cancer1,323$14,068$11
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral67$10,217$152
Dxa bone density measurement of hip, pelvis, spine191$10,010$52
Screening 3d breast mammography73$4,918$67
Dxa bone density measurement of forearm, finger, hand, or foot38$1,317$35

2014: 15 services

Original Medicare services billed in 2014
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed1,242$210,792$170
Ultrasound of breasts380$36,114$87
Biopsy of breast and placement of locating device using x-ray with needle, first growth43$28,812$670
Dxa bone density measurement of hip, pelvis, spine372$23,280$63
Biopsy of breast and placement of locating device using ultrasound, first growth31$21,512$672
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral125$16,228$118
Computer analysis of screening mammogram to assist detection of cancer1,239$15,254$12
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral91$14,141$150
Spine scanning X-ray done with bone density measurement for spine compression348$8,413$24
Placement of locating device in breast using ultrasound guidance, first growth12$3,123$260
Placement of locating device in breast using x-ray with needle guidance, first growth15$2,058$137
Ultrasonic guidance for needle placement19$1,651$72
3d radiographic procedure with computerized image postprocessing16$1,201$75
Dxa bone density measurement of forearm, finger, hand, or foot19$648$34
X-ray of surgical specimen15$277$18

2013: 15 services

Original Medicare services billed in 2013
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed1,215$212,914$175
Ultrasound of breasts324$31,933$86
Biopsy of breast using imaging guidance51$28,842$555
Dxa bone density measurement of hip, pelvis, spine321$20,535$64
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral101$16,682$160
Computer analysis of screening mammogram to assist detection of cancer1,207$14,924$12
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral95$12,561$124
Spine scanning X-ray done with bone density measurement for spine compression307$7,798$25
Ultrasonic guidance for needle placement30$6,425$214
Insertion of metal clip during breast biopsy or aspiration52$5,332$101
Radiological supervision and interpretation of imaging guidance for breast biopsy or insertion of needle27$3,324$123
3d radiographic procedure with computerized image postprocessing12$940$78
Dxa bone density measurement of forearm, finger, hand, or foot18$632$35
X-ray of surgical specimen30$556$19
Computer analysis of diagnostic mammogram20$199$10

Medicaid work

$7,995 in 2019

Medicaid paid $7,995 for 192 billed services this clinician did in 2019, up to 24 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 2019
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed138$6,150
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI54$1,845
Medicaid work by year
2019192224$7,995

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
83.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1699856187
Licence
CA G49899California G49899: Current · expires 2027-02-28
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 174400000X (174400000X)
Mailing address
14651 S Bascom Ave, Suite 210, Los Gatos, CA, 95032
NPI first listed
2006-10-18
NPI last updated
2007-07-08

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