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Sheira Freedman, MD

Internal Medicine · San Jose

NPI 1700896396

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

Offices

1 location · Skilled Facility Health Care Solutions Inc · 60 clinicians in this group

Looking this up.

Plans that list them

4 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Freedman’s office at (408) 295-2665 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

4 of 4 plans

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence G69340 · Current

Licensed to practise in California · since 1990 · expires 2028-04-30 · University of Massachusetts Medical School.

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

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
100.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Original Medicare doctor bills

$69,704

Medicare paid this office $69,704 for 54 people.

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

Largest Original Medicare bills
Removal of muscle and/or tissue, 20.0 sq cm or less16$22,125$238
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more40$15,228$74
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes29$15,089$105
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more25$4,438$178
Removal of skin and tissue, 20.0 sq cm or less12$3,471$99

Procedures Medicare counted

Procedure volume Medicare published
Removal of skin lesions1-10None
Removal of tissue107More than 86% of doctors who do this

Who their Medicare patients are

54 Original Medicare patients in 2024. Average age 78 · Women 48% · Health risk score 3.16. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Depression 52% · Dementia 52% · Chronic kidney disease 50% · Heart failure 41% · COPD 39% · Diabetes 37% · Coronary heart disease 30% · Atrial fibrillation 24%.

The office billed $93,767, Medicare allowed $86,723 and paid $69,704; for 589 services of 12 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
202454589783.16$93,767$69,704
202381605753.10$87,867$64,300
2022121861753.06$118,372$84,371
20211591,320733.08$206,928$144,190
20201181,428763.48$212,594$147,399
20191961,720743.54$165,594$112,347
20181571,289753.32$157,345$105,704
201635160682.88$38,609$10,134
201552156692.16$40,490$10,843
201456151692.37$39,752$9,724
201370200691.74$39,192$11,043

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: 5 services

Original Medicare services billed in 2023
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more56$14,178$68
Removal of muscle and/or tissue, 20.0 sq cm or less18$13,873$227
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes41$13,326$97
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more53$8,481$160
Removal of skin and tissue, 20.0 sq cm or less19$2,981$106

2022: 9 services

Original Medicare services billed in 2022
Removal of muscle and/or tissue, 20.0 sq cm or less22$21,052$224
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more82$20,698$62
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes59$16,292$81
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more48$7,156$149
Removal of skin and tissue, 20.0 sq cm or less23$4,336$120
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes12$4,216$124
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes27$2,523$93
Removal of muscle and/or tissue, each additional 20.0 sq cm or less11$2,129$69
Application of chemical to stop tissue regrowth in wound13$1,870$89

2021: 9 services

Original Medicare services billed in 2021
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes112$41,669$81
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes66$40,676$122
Removal of muscle and/or tissue, 20.0 sq cm or less19$26,500$219
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes74$8,090$108
Application of chemical to stop tissue regrowth in wound23$7,719$80
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more31$4,224$136
Removal of muscle and/or tissue, each additional 20.0 sq cm or less11$3,546$68
Removal of skin and tissue, 20.0 sq cm or less11$2,608$97
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more21$1,767$63

2020: 10 services

Original Medicare services billed in 2020
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes60$47,623$124
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes62$23,708$84
Removal of muscle and/or tissue, 20.0 sq cm or less19$21,177$208
Application of chemical to stop tissue regrowth in wound21$8,386$78
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more41$6,251$152
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes45$5,230$33
Removal of skin and tissue, 20.0 sq cm or less20$4,637$95
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more25$4,170$63
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes12$1,415$118
Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes18$1,344$75

2019: 9 services

Original Medicare services billed in 2019
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes151$40,404$39
Removal of muscle and/or tissue, 20.0 sq cm or less28$25,596$213
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more46$8,829$62
Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes102$7,937$77
Application of chemical to stop tissue regrowth in wound32$7,482$76
Removal of skin and tissue, 20.0 sq cm or less23$4,093$102
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes22$3,715$83
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes20$2,307$115
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more16$2,063$129

2018: 9 services

Original Medicare services billed in 2018
Removal of muscle and/or tissue, 20.0 sq cm or less31$27,089$204
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes119$22,588$39
Removal of bone, 20.0 sq cm or less14$13,386$279
Removal of skin and tissue, 20.0 sq cm or less43$10,199$105
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more57$8,951$61
Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes90$6,977$76
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes20$5,135$80
Application of chemical to stop tissue regrowth in wound18$3,056$69
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes24$2,755$115

2016: 3 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes31$6,303$57
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,427$110
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$507$32

2015: 3 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes37$5,661$60
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,934$113
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$1,003$84

2014: 4 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$3,713$62
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$2,588$118
Return visit (30+ min)16$1,675$62
Short return visit (20+ min)14$821$33

2013: 2 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$6,845$60
Short return visit (20+ min)25$1,073$32

Medicaid work

$16,805 in 2024

Medicaid paid $16,805 for 355 billed services this clinician did in 2024, up to 19 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 NURSING FACILITY CARE LOW MDM 20 MINUTES301$14,834
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES54$1,970
Medicaid work by year
2024355219$16,805
202220112$503
202177116$1,889
2020194220$3,252
2019147119$1,459
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES20$503

2021

Largest Medicaid services in 2021
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES77$1,889

2020

Largest Medicaid services in 2020
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES100$2,483
SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES94$769

2019

Largest Medicaid services in 2019
SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES147$1,459

Professional record

NPI
1700896396
Licence
CA G69340California G69340: Current · expires 2028-04-30
Trained
University of Massachusetts Medical School, 1989
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
CA 00G345240
Taxonomy
Internal medicine (207R00000X)
Mailing address
1411 E 31st St, Oakcare Medical Group, Oakland, CA, 94602
NPI first listed
2006-08-08
NPI last updated
2012-02-21

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