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Elena Nikolova Hristova, MD

Anatomic Pathology · Santa Clara

NPI 1710066857

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. Hristova’s office at (408) 851-1000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A79963 · Current

Licensed to practise in California · since 2002 · expires 2027-12-31 · Medical Academy, Higher Medical Institute of Sofia.

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

Original Medicare doctor bills

$539

Medicare paid this office $539 for 14 people.

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

Who their Medicare patients are

14 Original Medicare patients in 2024. Average age 68 · Health risk score 2.77. Sicker patients than 9 in 10 peers; the typical pathology clinician is at 1.55.

Conditions among them: High blood pressure 75%.

The office billed $4,002, Medicare allowed $677 and paid $539; for 21 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
20241421682.77$4,002$539
20221534680.94$7,781$947
20191546653.66$13,846$1,515
20151321622.76$2,528$672

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.

Medicaid work

$9,511 in 2024

Medicaid paid $9,511 for 118 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
TISSUE EXAM BY PATHOLOGIST118$9,511
Medicaid work by year
2024118119$9,511
202385121$674
202222121$0
202127115$30
202012112$30
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
TISSUE EXAM BY PATHOLOGIST85$674

2022

Largest Medicaid services in 2022
TISSUE EXAM BY PATHOLOGIST22$0

2021

Largest Medicaid services in 2021
TISSUE EXAM BY PATHOLOGIST27$30

2020

Largest Medicaid services in 2020
TISSUE EXAM BY PATHOLOGIST12$30

Professional record

NPI
1710066857
Licence
CA A79963California A79963: Current · expires 2027-12-31
More record details
Sole proprietor
No
Medicaid ID
CA 00A799630
Taxonomy
Federal specialty code 207ZP0101X (207ZP0101X)
Mailing address
1800 Harrison St Fl 7, Oakland, CA, 94612
NPI first listed
2006-11-02
NPI last updated
2021-12-08

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

This office lists an electronic records connection.