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Gerald D Austin, DPM

Podiatry · San Jose

NPI 1760634513

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Office
1

Offices

1 location

Looking this up.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Austin’s office 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
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

Original Medicare doctor bills

$13,836

Medicare paid this office $13,836 for 49 people.

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

Largest Original Medicare bills
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes25$3,643$64
Removal of noncancer thickened skin growth, 2-4 growths20$3,438$80
Removal of fingernails or toenails, 6 or more nails26$2,362$40
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow21$1,978$82

Procedures Medicare counted

Procedure volume Medicare published
Removal of nail tissue88More than 68% of doctors who do this
Removal of tissue1-10None
Removal or shaving of skin growth78More than 83% of doctors who do this

Who their Medicare patients are

49 Original Medicare patients in 2024. Average age 67 · Under 65 39% · Women 41% · Health risk score 1.38. At or below the middle of the specialty; the typical podiatry clinician is at 1.55.

Conditions among them: High blood pressure 75% · Diabetes 37% · Depression 37% · Chronic kidney disease 31% · COPD 22%.

The office billed $23,822, Medicare allowed $18,919 and paid $13,836; for 211 services of 11 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
202449211671.38$23,822$13,836
202366316731.59$33,360$18,358
2022206945741.65$103,836$60,500
2021121319711.73$35,664$22,354
2020116213721.81$25,356$15,938
201991268701.46$27,617$14,562
201858246701.80$27,122$15,059
201743196691.46$23,739$12,552
201634117771.41$17,604$9,670
20152589761.58$17,180$7,998
201481220701.51$34,549$19,193
201356229761.32$40,415$22,095

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
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes49$6,834$62
Removal of noncancer thickened skin growth, 2-4 growths25$3,888$73
Removal of fingernails or toenails, 6 or more nails44$3,715$38
Removal of noncancer thickened skin growth, 1 growth13$1,734$67
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow17$1,487$87

2022: 7 services

Original Medicare services billed in 2022
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes134$16,687$66
Removal of noncancer thickened skin growth, 2-4 growths80$12,495$75
Removal of fingernails or toenails, 6 or more nails132$9,008$37
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow83$8,485$82
New patient home visit, typically 45 minutes75$7,363$98
Removal of noncancer thickened skin growth, 1 growth33$3,245$60
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and35$1,563$43

2021: 5 services

Original Medicare services billed in 2021
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow55$5,494$82
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes58$5,336$69
Removal of noncancer thickened skin growth, 2-4 growths42$3,950$73
New patient home visit, typically 45 minutes28$2,868$102
Removal of fingernails or toenails, 6 or more nails52$2,657$40

2020: 5 services

Original Medicare services billed in 2020
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow76$6,669$79
New patient home visit, typically 45 minutes20$1,989$99
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes23$1,962$73
Removal of noncancer thickened skin growth, 2-4 growths20$1,758$73
Removal of fingernails or toenails, 6 or more nails30$1,246$39

2019: 4 services

Original Medicare services billed in 2019
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes80$5,709$60
Removal of noncancer thickened skin growth, 2-4 growths36$2,282$56
Removal of fingernails or toenails, 6 or more nails49$2,279$36
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and34$1,531$45

2018: 4 services

Original Medicare services billed in 2018
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes43$3,828$65
Removal of fingernails or toenails, 6 or more nails33$1,999$40
Removal of noncancer thickened skin growth, 2-4 growths19$1,488$53
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and16$749$47

2017: 3 services

Original Medicare services billed in 2017
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes28$3,834$68
Removal of fingernails or toenails, 6 or more nails20$1,778$40
Removal of noncancer thickened skin growth, 2-4 growths14$1,148$52

2016: 3 services

Original Medicare services billed in 2016
Short return visit (20+ min)12$2,489$67
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes17$1,403$70
Removal of fingernails or toenails, 6 or more nails13$743$41

2015: 1 service

Original Medicare services billed in 2015
Short return visit (20+ min)14$1,841$63

2014: 3 services

Original Medicare services billed in 2014
New patient visit (45+ min)33$4,188$127
Short return visit (20+ min)27$4,017$65
Removal of fingernails or toenails, 6 or more nails24$1,552$40

2013: 2 services

Original Medicare services billed in 2013
Short return visit (20+ min)29$5,560$65
New patient visit (45+ min)34$4,613$136

Drugs they prescribed that Part D paid

$11,981

Pharmacies billed $11,981 in 2024.

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

173 generic and 79 brand-name prescriptions · $11,981 in drug cost.

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
Ketoconazole59$6,290$60
Ciclopirox14$1,654$64
Ssd30$590$14
Silver Sulfadiazine25$379$12

Year by year

Part D prescribing by year
202425287None31%$11,981
20237530None36%$2,726
2022150518% (12)34%$6,384
2021275718% (22)38%$10,623
2020383113None29%$15,334
2019486186None7%$23,523
201813479None15%$10,504
201715169None13%$11,371
20163217NoneNone$2,120
2015481623% (11)None$5,104
20145924None19%$2,899
20132511NoneNone$499

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

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Ketoconazole30$1,452$48
Silver Sulfadiazine24$314$13

2022: 2 drugs

Part D drugs prescribed in 2022
Ketoconazole64$4,867$76
Silver Sulfadiazine41$567$14

2021: 5 drugs

Part D drugs prescribed in 2021
Ketoconazole92$6,089$66
Ciclopirox36$1,869$52
Silver Sulfadiazine63$806$13
Ssd40$480$12
Hydrocodone-Acetaminophen12$240$20

2020: 5 drugs

Part D drugs prescribed in 2020
Ciclopirox214$10,457$49
Ketoconazole23$2,481$108
Silver Sulfadiazine70$934$13
Ssd38$512$13
Triamcinolone Acetonide14$178$13

2019: 4 drugs

Part D drugs prescribed in 2019
Ciclopirox400$20,620$52
Ketoconazole16$1,190$74
Silver Sulfadiazine30$421$14
Triamcinolone Acetonide13$174$13

2018: 2 drugs

Part D drugs prescribed in 2018
Ciclopirox91$5,877$65
Ketoconazole12$1,124$94

2017: 3 drugs

Part D drugs prescribed in 2017
Ciclopirox86$5,962$69
Ketoconazole25$2,152$86
Silver Sulfadiazine11$120$11

2015: 1 drug

Part D drugs prescribed in 2015
Econazole Nitrate17$3,663$215

2014: 1 drug

Part D drugs prescribed in 2014
Econazole Nitrate33$1,747$53

2013: 1 drug

Part D drugs prescribed in 2013
Econazole Nitrate11$293$27

Money from drug and device companies

$43 in 2022

Industry payments by year
202211None$43
202125None$141
202033None$61

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
OrganogenesisPuraply$43
1 payment
  • Meals for Puraply · 2022-10-07 · $43
See the published payment
Every published payment
OrganogenesisMeals · 2022-10-07Puraply$43
See earlier years (2021, 2020)

2021: $141

Payments by company in 2021
Smith+NephewTotal Foot System 2$110
4 payments
  • Meals for Total Foot System 2 · 2021-10-29 · $35
  • Meals for Evos Small · 2021-09-30 · $25
  • Meals for Cadence · 2021-08-19 · $23
  • Meals for Stravix · 2021-03-31 · $28
Musculoskeletal Transplant FoundationNone$30
1 payment
  • Meals · 2021-07-01 · $30

2020: $61

Payments by company in 2020
Wright Medical TechnologyInfinity$24
1 payment
  • Meals for Infinity · 2020-10-07 · $24
Evolution SurgicalNone$21
1 payment
  • Meals · 2020-08-26 · $21
Smith+NephewSantyl$15
1 payment
  • Meals for Santyl · 2020-07-23 · $15

Professional record

NPI
1760634513
Licence
CA E 4373
Trained
California School of Podiatric Medicine, 2000
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 213ES0103X (213ES0103X)
Mailing address
5710 Cahalan Ave, Suite 7b, San Jose, CA, 95123
NPI first listed
2008-10-10
NPI last updated
2012-03-28

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