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Richard I Altesman, MD

Psychiatry · San Luis Obispo

NPI 1730292350

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
Since medical school
50 years
State University of New York at Buffalo School of Medicine, 1976

Offices

1 location · Pacific Psychiatry Inc., A Professional Medical Corporation · 6 clinicians in this group

Looking this up.

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. Altesman’s office at (805) 541-6000 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$2,601

Medicare paid this office $2,601 for 38 people.

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

Largest Original Medicare bills
Return visit (30+ min)33$1,556$37
Psychotherapy with evaluation and management visit, 30 minutes27$943$28

Who their Medicare patients are

38 Original Medicare patients in 2024. Average age 71 · Women 53% · Health risk score 1.04. At or below the middle of the specialty; the typical psychiatry clinician is at 1.35.

Conditions among them: High blood pressure 74% · Depression 68% · Coronary heart disease 32%.

The office billed $14,600, Medicare allowed $7,134 and paid $2,601; for 83 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
20243883711.04$14,600$2,601
202355479691.17$83,600$31,869
202272758661.01$118,323$54,200
202157617701.16$65,172$45,039
20201001,077701.13$120,723$69,742
20191161,058691.17$199,191$68,563
2018105924671.06$101,599$60,210
201794591691.24$91,575$33,993
201693551681.35$91,765$33,805
201586397681.28$69,130$27,009
201464319651.18$57,980$21,655
201357324651.29$56,070$20,511

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: 3 services

Original Medicare services billed in 2023
Return visit (30+ min)52$18,664$85
Psychotherapy with evaluation and management visit, 30 minutes54$9,544$48
Short return visit (20+ min)29$3,090$59

2022: 3 services

Original Medicare services billed in 2022
Return visit (30+ min)61$25,628$99
Psychotherapy with evaluation and management visit, 30 minutes71$19,490$54
Short return visit (20+ min)56$8,632$66

2021: 4 services

Original Medicare services billed in 2021
Return visit (30+ min)55$25,142$99
Psychotherapy with evaluation and management visit, 30 minutes55$15,050$54
Short return visit (20+ min)35$3,095$53
Psychotherapy with evaluation and management visit, 45 minutes14$1,565$65

2020: 5 services

Original Medicare services billed in 2020
Return visit (30+ min)95$33,846$77
Psychotherapy with evaluation and management visit, 30 minutes92$22,981$54
Short return visit (20+ min)49$6,072$55
Psychotherapy with evaluation and management visit, 45 minutes46$5,571$69
Psychiatric diagnostic evaluation with medical services12$1,232$103

2019: 7 services

Original Medicare services billed in 2019
Return visit (30+ min)103$27,369$74
Psychotherapy with evaluation and management visit, 30 minutes95$15,263$51
Psychotherapy with evaluation and management visit, 45 minutes70$10,426$62
Short return visit (20+ min)57$7,997$52
New patient visit (60+ min)20$2,997$150
Psychotherapy with evaluation and management visit, 1 hour23$2,365$88
Psychiatric diagnostic evaluation with medical services19$2,146$113

2018: 7 services

Original Medicare services billed in 2018
Return visit (30+ min)85$20,174$73
Psychotherapy with evaluation and management visit, 45 minutes58$10,879$63
Psychotherapy with evaluation and management visit, 30 minutes75$10,465$51
Short return visit (20+ min)74$7,905$47
Psychiatric diagnostic evaluation with medical services43$4,816$109
Psychotherapy with evaluation and management visit, 1 hour36$3,794$82
New patient visit (60+ min)11$1,710$155

2017: 4 services

Original Medicare services billed in 2017
Short return visit (20+ min)78$15,285$52
Psychotherapy with evaluation and management visit, 30 minutes68$9,310$48
Return visit (30+ min)31$5,126$83
Psychiatric diagnostic evaluation with medical services35$3,887$108

2016: 4 services

Original Medicare services billed in 2016
Short return visit (20+ min)79$18,867$55
Psychotherapy with evaluation and management visit, 30 minutes52$5,485$51
Psychiatric diagnostic evaluation with medical services44$4,684$106
Return visit (30+ min)23$4,540$86

2015: 5 services

Original Medicare services billed in 2015
Short return visit (20+ min)55$12,661$56
Psychiatric diagnostic evaluation with medical services45$5,828$119
Return visit (30+ min)27$5,312$89
Psychotherapy with evaluation and management visit, 30 minutes29$2,284$51
Psychotherapy with evaluation and management visit, 45 minutes12$876$67

2014: 3 services

Original Medicare services billed in 2014
Short return visit (20+ min)50$12,482$58
Return visit (30+ min)21$5,547$84
Psychiatric diagnostic evaluation with medical services30$3,117$104

2013: 4 services

Original Medicare services billed in 2013
Return visit (30+ min)43$13,671$69
Psychiatric diagnostic evaluation with medical services33$2,945$89
Short return visit (20+ min)21$2,014$49
Psychotherapy with evaluation and management visit, 30 minutes19$1,028$24

Medicaid work

$313,173 in 2024

Medicaid paid $313,173 for 2,637 billed services this clinician did in 2024, up to 311 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
Return visit (30+ min)1,238$192,939
Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)1,253$100,744
Short return visit (20+ min)128$14,841
Psychiatric diagnostic evaluation with medical services18$4,649
Medicaid work by year
20242,6374311$313,173
20238,1274326$982,270
20229,7524408$1,420,167
2021143221$15,016
202072220$7,323
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)3,732$590,484
Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)3,834$306,237
Psychiatric diagnostic evaluation with medical services194$44,564
Short return visit (20+ min)367$40,985

2022

Largest Medicaid services in 2022
Return visit (30+ min)3,652$782,556
Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)4,605$377,374
Short return visit (20+ min)1,208$183,357
Psychiatric diagnostic evaluation with medical services287$76,879

2021

Largest Medicaid services in 2021
Return visit (30+ min)75$11,059
Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)68$3,957

2020

Largest Medicaid services in 2020
Return visit (30+ min)40$5,468
Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)32$1,855

Drugs they prescribed that Part D paid

$80,047

Pharmacies billed $80,047 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 760) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.

731 generic and 29 brand-name prescriptions · $80,047 in drug cost · 45 antipsychotic prescriptions to people over 65.

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
Ziprasidone16$5,062$316
Bupropion Xl95$4,290$45
Venlafaxine Hcl Er24$3,959$165
Duloxetine69$1,610$23
Gabapentin79$1,240$16
See all 16 drugs
Every Part D drug this clinician prescribed
Ziprasidone16$5,062$316
Bupropion Xl95$4,290$45
Venlafaxine Hcl Er24$3,959$165
Duloxetine69$1,610$23
Gabapentin79$1,240$16
Lamotrigine85$1,148$14
Memantine28$959$34
Trazodone64$730$11
Quetiapine19$724$38
Lurasidone30$695$23
Escitalopram19$488$26
Methylphenidate Er12$238$20
Lithium Carbonate32$222$7
Fluoxetine30$218$7
Modafinil12$170$14
Buspirone22$70$3

Year by year

Part D prescribing by year
2024760510% (0)4%$80,047
20231,012550% (0)4%$84,171
20221,185540% (0)4%$120,345
20211,260770% (0)6%$140,008
20201,5581210% (0)9%$211,500
20191,4881270% (0)11%$216,520
20181,2351470% (0)10%$159,847
20171,2381090% (0)13%$170,525
20161,1151040% (0)17%$134,463
2015783810% (0)14%$86,150
2014609710% (0)17%$99,189
2013495570% (0)None$73,537

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

See the drugs prescribed each year

2023: 17 drugs

Part D drugs prescribed in 2023
Venlafaxine Hcl Er36$6,823$190
Bupropion Xl141$6,442$46
Ziprasidone22$5,475$249
Duloxetine92$2,250$24
Lurasidone17$2,206$130
Quetiapine31$1,885$61
Gabapentin106$1,799$17
Lamotrigine104$1,316$13
Trazodone92$1,086$12
Memantine24$949$40
Fluoxetine36$716$20
Aripiprazole13$638$49
Escitalopram24$570$24
Mirtazapine18$470$26
Lithium Carbonate49$327$7
Buspirone22$280$13
Clonidine19$230$12

2022: 23 drugs

Part D drugs prescribed in 2022
Latuda30$35,735$1,191
Venlafaxine Hcl Er39$8,774$225
Aripiprazole32$7,078$221
Bupropion Xl140$6,159$44
Duloxetine108$5,570$52
Ziprasidone30$5,163$172
Memantine57$2,317$41
Gabapentin111$2,092$19
Modafinil12$1,744$145
Quetiapine36$1,720$48
Atomoxetine14$1,580$113
Lamotrigine105$1,532$15
Trazodone114$1,354$12
Dextroamphetamine-Amphet Er22$768$35
Mirtazapine24$716$30
Escitalopram44$708$16
Fluoxetine33$529$16
Fluvoxamine Maleate13$440$34
Buspirone21$300$14
Lithium Carbonate Er17$294$17
Propranolol23$244$11
Lithium Carbonate34$211$6
Liothyronine11$194$18

2021: 21 drugs

Part D drugs prescribed in 2021
Latuda33$54,694$1,657
Venlafaxine Hcl Er50$14,796$296
Ziprasidone19$4,528$238
Bupropion Xl137$4,110$30
Duloxetine142$3,451$24
Memantine65$2,151$33
Aripiprazole40$2,067$52
Modafinil12$1,580$132
Mirtazapine34$1,320$39
Trazodone120$1,309$11
Lamotrigine97$1,195$12
Gabapentin103$1,118$11
Escitalopram61$660$11
Dextroamphetamine-Amphet Er15$643$43
Quetiapine36$628$17
Lithium Carbonate46$290$6
Lithium Carbonate Er17$285$17
Propranolol19$244$13
Fluoxetine28$236$8
Olanzapine15$109$7
Buspirone11$103$9

2020: 28 drugs

Part D drugs prescribed in 2020
Latuda36$98,352$2,732
Venlafaxine Hcl Er64$14,664$229
Trintellix23$13,850$602
Cymbalta13$11,364$874
Aripiprazole90$5,605$62
Memantine Hcl Er14$5,508$393
Bupropion Xl152$5,481$36
Duloxetine124$5,290$43
Atomoxetine18$3,275$182
Ziprasidone32$2,440$76
Mirtazapine55$1,876$34
Trazodone174$1,802$10
Desvenlafaxine Succinate Er29$1,741$60
Escitalopram127$1,542$12
Memantine39$1,334$34
Gabapentin111$1,246$11
Modafinil11$1,238$113
Methylphenidate Hcl Cd11$1,173$107
Propranolol39$863$22
Lamotrigine77$772$10
Quetiapine39$486$12
Oxcarbazepine14$424$30
Fluoxetine51$374$7
Sertraline23$354$15
Lithium Carbonate53$257$5
Olanzapine12$103$9
Nortriptyline12$81$7
Buspirone13$75$6

2019: 27 drugs

Part D drugs prescribed in 2019
Latuda35$95,234$2,721
Trintellix38$21,871$576
Rexulti12$12,687$1,057
Aripiprazole113$10,601$94
Venlafaxine Hcl Er48$9,323$194
Bupropion Xl141$7,043$50
Atomoxetine33$5,494$166
Duloxetine113$4,248$38
Lamotrigine Er13$3,596$277
Oxcarbazepine22$2,217$101
Mirtazapine57$1,767$31
Gabapentin127$1,688$13
Dextroamphetamine-Amphet Er16$1,687$105
Ziprasidone24$1,553$65
Trazodone147$1,378$9
Escitalopram76$1,355$18
Quetiapine23$1,315$57
Desvenlafaxine Succinate Er15$987$66
Propranolol40$848$21
Lamotrigine72$654$9
Fluoxetine57$599$11
Sertraline40$538$13
Memantine18$495$28
Clonidine13$159$12
Lithium Carbonate27$156$6
Clonazepam21$71$3
Alprazolam12$27$2

2018: 23 drugs

Part D drugs prescribed in 2018
Latuda20$64,526$3,226
Trintellix36$17,111$475
Aripiprazole75$8,741$117
Duloxetine154$5,965$39
Atomoxetine28$4,684$167
Venlafaxine Hcl Er35$4,562$130
Bupropion Xl97$4,120$42
Mirtazapine62$2,129$34
Gabapentin132$1,865$14
Quetiapine20$1,318$66
Escitalopram84$1,092$13
Fluoxetine50$671$13
Trazodone99$662$7
Lamotrigine49$568$12
Oxcarbazepine14$542$39
Sertraline33$441$13
Propranolol18$296$16
Lithium Carbonate Er16$234$15
Paroxetine13$133$10
Clonazepam28$112$4
Clonidine17$95$6
Lithium Carbonate13$44$3
Atenolol12$41$3

2017: 20 drugs

Part D drugs prescribed in 2017
Latuda28$69,849$2,495
Trintellix50$23,065$461
Geodon12$9,378$781
Clomipramine11$8,217$747
Aripiprazole43$7,524$175
Duloxetine153$7,235$47
Mirtazapine73$4,363$60
Escitalopram110$3,003$27
Bupropion Xl72$2,708$38
Venlafaxine Hcl Er32$2,695$84
Gabapentin118$1,660$14
Trazodone105$862$8
Fluoxetine56$796$14
Quetiapine39$734$19
Sertraline35$515$15
Lamotrigine39$498$13
Lithium Carbonate Er26$324$12
Paroxetine21$209$10
Risperidone14$184$13
Atenolol33$128$4

2016: 22 drugs

Part D drugs prescribed in 2016
Latuda26$41,742$1,605
Trintellix40$14,433$361
Aripiprazole29$8,325$287
Brintellix24$7,998$333
Lamotrigine Er15$5,490$366
Duloxetine84$5,347$64
Bupropion Xl56$2,797$50
Venlafaxine Hcl Er56$2,389$43
Gabapentin122$1,972$16
Fluoxetine43$1,852$43
Escitalopram89$1,789$20
Mirtazapine40$1,517$38
Trazodone98$732$7
Quetiapine45$659$15
Sertraline41$398$10
Lithium Carbonate Er19$352$19
Lamotrigine34$301$9
Benztropine Mesylate15$175$12
Citalopram Hbr11$145$13
Clonidine15$115$8
Atenolol24$100$4
Lorazepam18$51$3

2015: 22 drugs

Part D drugs prescribed in 2015
Latuda15$20,782$1,385
Abilify13$14,493$1,115
Duloxetine76$9,910$130
Cymbalta13$7,754$596
Brintellix29$7,675$265
Fluvoxamine Maleate Er12$4,414$368
Divalproex Sodium Er27$3,443$128
Bupropion Xl47$2,605$55
Escitalopram79$1,123$14
Fluoxetine30$901$30
Gabapentin69$841$12
Mirtazapine30$463$15
Trazodone79$451$6
Venlafaxine Hcl Er16$429$27
Lithium Carbonate Er14$366$26
Quetiapine37$328$9
Sertraline26$184$7
Lamotrigine24$165$7
Citalopram Hbr15$114$8
Atenolol25$107$4
Clonidine16$85$5
Lorazepam11$28$3

2014: 18 drugs

Part D drugs prescribed in 2014
Latuda25$40,132$1,605
Abilify13$14,111$1,085
Duloxetine45$10,672$237
Cymbalta16$8,418$526
Divalproex Sodium Er31$3,266$105
Bupropion Xl32$1,433$45
Escitalopram53$1,023$19
Lithium Carbonate Er34$931$27
Paroxetine13$792$61
Mirtazapine38$590$16
Trazodone42$325$8
Gabapentin20$312$16
Lamotrigine29$298$10
Nortriptyline12$268$22
Hydralazine13$209$16
Atenolol20$126$6
Buspirone12$124$10
Clonidine22$72$3

2013: 16 drugs

Part D drugs prescribed in 2013
Cymbalta43$14,288$332
Pristiq Er12$4,667$389
Divalproex Sodium Er27$1,763$65
Bupropion Xl32$1,143$36
Escitalopram25$1,113$45
Mirtazapine43$691$16
Gabapentin27$540$20
Buspirone17$491$29
Lithium Carbonate22$487$22
Trazodone48$298$6
Lamotrigine13$282$22
Atenolol18$205$11
Risperidone12$195$16
Citalopram Hbr16$179$11
Topiramate11$126$11
Alprazolam12$44$4

Money from drug and device companies

$111 in 2021

Industry payments by year
202111None$111
201911None$125

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Teva Pharmaceuticals USANone$111
1 payment
  • Education · 2021-05-25 · $111
See the published payment
Every published payment
Teva Pharmaceuticals USAEducation · 2021-05-25None$111
See earlier years (2019)

2019: $125

Payments by company in 2019
Neurocrine BiosciencesIngrezza$125
1 payment
  • Meals for Ingrezza · 2019-02-26 · $125

Professional record

NPI
1730292350
Licence
CA 159744-1, NY 159774-1
Trained
State University of New York at Buffalo School of Medicine, 1976 · 50 years ago
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
NY 02223843
Taxonomy
Psychiatry (2084P0800X)
Mailing address
1304 Ella St Ste B, San Luis Obispo, CA, 93401
NPI first listed
2006-08-17
NPI last updated
2025-03-20
NPI record certified
2025-03-20

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