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Paul Rohde Heberlein

Clinical Psychologist · Cupertino

NPI 1730239914

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

Offices

1 location

Looking this up.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Paul Rohde Heberlein’s office at (408) 628-9518 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Original Medicare doctor bills

$10,793

Medicare paid this office $10,793 for 28 people.

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

Largest Original Medicare bills
Psychiatric diagnostic evaluation26$4,218$156
Psychotherapy, 30 minutes15$4,043$71

Who their Medicare patients are

28 Original Medicare patients in 2024. Average age 79 · Also on Medicaid 54% · Health risk score 1.97. Above the middle of the specialty; the typical psychologist, clinical clinician is at 1.25.

Conditions among them: High blood pressure 75% · Depression 75% · Dementia 54% · Atrial fibrillation 46% · Diabetes 39% · Coronary heart disease 39% · Heart failure 39%.

The office billed $16,510, Medicare allowed $13,546 and paid $10,793; for 110 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
202428110791.97$16,510$10,793
20232683842.11$12,840$8,510
20221956812.92$8,720$5,914
20212064852.41$9,690$6,378
20201697792.19$13,590$7,636
201923371753.20$50,910$26,724
201831432732.74$59,384$29,179
201717388722.11$52,637$25,552
201625546702.56$75,718$36,338
201559686652.23$95,858$47,898
201442803672.34$110,997$57,942
201338780742.26$107,031$35,635

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: 2 services

Original Medicare services billed in 2023
Psychiatric diagnostic evaluation25$3,920$157
Psychotherapy, 30 minutes12$2,462$68

2022: 1 service

Original Medicare services billed in 2022
Psychiatric diagnostic evaluation18$2,859$159

2021: 1 service

Original Medicare services billed in 2021
Psychiatric diagnostic evaluation17$2,720$160

2020: 1 service

Original Medicare services billed in 2020
Psychotherapy, 30 minutes13$3,683$60

2019: 1 service

Original Medicare services billed in 2019
Psychotherapy, 30 minutes17$14,976$59

2018: 3 services

Original Medicare services billed in 2018
Psychotherapy, 30 minutes21$16,268$56
Psychotherapy, 45 minutes18$5,263$73
Psychiatric diagnostic evaluation17$1,981$117

2017: 1 service

Original Medicare services billed in 2017
Psychotherapy, 30 minutes14$15,634$55

2016: 4 services

Original Medicare services billed in 2016
Psychotherapy, 30 minutes16$10,905$50
Psychotherapy, 45 minutes11$6,043$68
Psychotherapy, 30 minutes14$4,348$54
Psychotherapy, 45 minutes11$2,525$72

2015: 8 services

Original Medicare services billed in 2015
Psychotherapy, 1 hour20$15,259$90
Psychotherapy, 30 minutes32$12,735$51
Psychotherapy, 45 minutes19$6,452$69
Psychotherapy, 45 minutes14$4,117$71
Family psychotherapy with patient, 50 minutes18$2,756$89
Psychotherapy, 30 minutes12$2,160$53
Psychiatric diagnostic evaluation18$1,983$110
Psychiatric diagnostic evaluation14$1,371$98

2014: 4 services

Original Medicare services billed in 2014
Psychotherapy, 30 minutes27$18,121$55
Psychotherapy, 45 minutes16$15,889$74
Psychotherapy, 1 hour15$6,370$92
Family psychotherapy with patient, 50 minutes19$3,493$92

2013: 2 services

Original Medicare services billed in 2013
Psychotherapy, 30 minutes35$13,641$34
Psychotherapy, 45 minutes17$12,940$51

Medicaid work

$35,914 in 2024

Medicaid paid $35,914 for 163 billed services this clinician did in 2024, up to 16 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
Clinic visit/encounter, all-inclusive163$35,914
Medicaid work by year
2024163116$35,914
2023315220$62,738
2022162119$30,928
2021516223$81,021
2020575327$58,344
2019206227$28,441
2018119119$22,945
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive293$62,671
Psychotherapy, 45 minutes with patient22$67

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive162$30,928

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive395$80,417
Psychotherapy, 45 minutes with patient121$604

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive331$56,970
PSYCHOTHERAPY W/PATIENT 30 MINUTES135$687
Psychotherapy, 60 minutes with patient109$686

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive140$27,853
Psychotherapy, 60 minutes with patient66$588

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive119$22,945

Professional record

NPI
1730239914
Licence
CA PSY11450
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 103T00000X (103T00000X)
Mailing address
1118 Meridian Ave Ste 150, San Jose, CA, 95125
NPI first listed
2007-01-11
NPI last updated
2025-06-05
NPI record certified
2025-06-05

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

Extra NPI addresses: 1642 E Capitol Expy, San Jose, CA, 95121 · 2039 Forest Ave Ste 105, San Jose, CA, 95128 · 455 Oconnor Dr Ste 200, San Jose, CA, 95128 · 602 E Santa Clara St, San Jose, CA, 95112