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Maria Carmela N Rosales, MD

Nephrology · San Jose

NPI 1780706762

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
23
5 carriers
Office
1

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: 052514 · 052572 · 552559 · 552767 · 552859 · Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

23 plans · 5 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Rosales’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

23 of 23 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence C54935 · Current

Licensed to practise in California · since 2011 · expires 2027-04-30 · University of Santo Tomas Faculty of Medicine and Surgery.

Matched on the licence number without its letter prefix; check the name before relying on it.

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

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$82,063

Medicare paid this office $82,063 for 145 people.

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

Largest Original Medicare bills
Dialysis services, 1 physician visit per month (20 years or older)31$33,138$188
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes47$12,195$107
Return visit (30+ min)26$4,112$81
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$3,839$71
Hemodialysis procedure with physician evaluation27$3,184$64
See all 6 services
Every Original Medicare service billed
Dialysis services, 1 physician visit per month (20 years or older)31$33,138$188
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes47$12,195$107
Return visit (30+ min)26$4,112$81
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$3,839$71
Hemodialysis procedure with physician evaluation27$3,184$64
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,936$113

Who their Medicare patients are

145 Original Medicare patients in 2024. Average age 68 · Under 65 32% · 85 and older 9% · Women 36% · Also on Medicaid 86% · Health risk score 7.04. Sicker patients than 9 in 10 peers; the typical nephrology clinician is at 4.01.

Conditions among them: High blood pressure 75% · Diabetes 75% · Chronic kidney disease 75% · Coronary heart disease 58% · Heart failure 55% · Atrial fibrillation 32% · Depression 32% · Dementia 24% · Stroke 24% · COPD 17% · Cancer 9%.

The office billed $807,448, Medicare allowed $104,803 and paid $82,063; for 605 services of 16 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
2024145605687.04$807,448$82,063
2023153632696.94$829,149$84,284
2022173617686.44$800,506$81,553
2021157518686.31$741,703$75,667
2020216873676.93$824,859$97,249
2019199754666.73$581,692$84,591
2018144472656.11$368,600$53,519
20172891,468734.72$348,641$137,644
20162911,519734.79$381,853$112,330
20152681,347734.43$357,358$92,288
201464208763.91$56,997$15,230

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: 7 services

Original Medicare services billed in 2023
Dialysis services, 1 physician visit per month (20 years or older)28$28,933$188
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes50$15,577$109
Hemodialysis procedure with physician evaluation52$6,340$63
Initial hospital care with moderate level of medical decision making at least 75 minutes23$3,678$160
Return visit (30+ min)26$3,568$74
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes23$2,335$71
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,674$120

2022: 9 services

Original Medicare services billed in 2022
Dialysis services, 1 physician visit per month (20 years or older)43$35,884$189
Dialysis services, 2-3 physician visits per month (20 years or older)19$11,221$281
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes46$9,239$94
Return visit (30+ min)29$4,451$89
Hemodialysis procedure with physician evaluation38$3,692$67
Initial hospital care with moderate level of medical decision making at least 75 minutes17$3,633$182
Short return visit (20+ min)29$1,987$47
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,622$116
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$993$66

2021: 8 services

Original Medicare services billed in 2021
Dialysis services, 1 physician visit per month (20 years or older)48$31,758$192
Dialysis services, 2-3 physician visits per month (20 years or older)23$17,740$265
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes31$7,439$95
Short return visit (20+ min)31$2,684$44
Hemodialysis procedure with physician evaluation20$2,564$67
Return visit (30+ min)15$2,403$83
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$1,659$66
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,378$125

2020: 12 services

Original Medicare services billed in 2020
Dialysis services, 1 physician visit per month (20 years or older)43$35,789$174
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes55$15,464$97
Dialysis services, 2-3 physician visits per month (20 years or older)22$12,388$229
Hemodialysis procedure with physician evaluation61$7,089$67
Initial hospital care with moderate level of medical decision making at least 75 minutes27$5,284$189
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes40$5,228$124
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes34$3,841$67
Dialysis services, 4 or more physician visits per month (20 years or older)11$3,537$272
Return visit (30+ min)29$2,365$55
Telephone medical discussion with physician, 11-20 minutes28$1,868$41
Short return visit (20+ min)22$1,051$46
Telephone medical discussion with physician, 21-30 minutes14$667$48

2019: 9 services

Original Medicare services billed in 2019
Dialysis services, 1 physician visit per month (20 years or older)52$29,673$166
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes42$9,183$93
Dialysis services, 2-3 physician visits per month (20 years or older)22$8,461$217
Return visit (30+ min)38$6,074$65
Initial hospital care with moderate level of medical decision making at least 75 minutes27$5,065$181
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes40$4,470$66
Hemodialysis procedure with physician evaluation37$3,854$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$3,211$115
New patient visit (45+ min)20$1,858$93

2018: 9 services

Original Medicare services billed in 2018
Dialysis services, 1 physician visit per month (20 years or older)30$16,330$170
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes33$7,677$94
Hemodialysis procedure with physician evaluation39$4,026$65
Initial hospital care with moderate level of medical decision making at least 75 minutes20$3,638$182
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$3,334$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,811$122
Return visit (30+ min)17$2,258$66
New patient visit (45+ min)11$1,144$104
Short return visit (20+ min)14$139$10

2017: 9 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes114$50,183$84
Initial hospital care with moderate level of medical decision making at least 75 minutes89$28,656$235
Short return visit (20+ min)142$25,480$75
Hemodialysis procedure with physician evaluation65$15,005$84
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit37$6,712$181
Long return visit (40+ min)11$1,603$146
Administration of influenza virus vaccine13$420$32
Influenza virus vaccine, not otherwise specified13$290$22
Blood glucose (sugar) test performed by hand-held instrument21$170$3

2016: 8 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes126$36,163$63
Initial hospital care with moderate level of medical decision making at least 75 minutes97$27,640$175
Short return visit (20+ min)135$16,951$57
Hemodialysis procedure with physician evaluation74$14,510$63
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit33$4,452$135
New patient visit (45+ min)20$2,316$116
Return visit (30+ min)11$1,085$99
Blood glucose (sugar) test performed by hand-held instrument23$150$3

2015: 11 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes104$32,138$65
Short return visit (20+ min)136$16,651$61
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes65$11,954$121
Hemodialysis procedure with physician evaluation62$10,828$64
Initial hospital care with moderate level of medical decision making at least 75 minutes29$6,712$181
New patient visit (45+ min)33$4,445$135
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$2,769$138
Administration of influenza virus vaccine13$413$32
Blood glucose (sugar) test performed by hand-held instrument48$279$3
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)12$153$13
Urinalysis, manual test20$68$3

2014: 4 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes23$5,124$64
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,921$122
Hemodialysis procedure with physician evaluation14$2,581$65
Short return visit (20+ min)26$1,975$68

Medicaid work

$12,909 in 2024

Medicaid paid $12,909 for 590 billed services this clinician did in 2024, up to 34 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
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month282$9,401
Return visit (30+ min)118$2,164
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES112$842
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional52$400
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES26$102
Medicaid work by year
2024590534$12,909
2023894538$17,997
20229561050$25,584
20219921361$25,091
20208791046$20,904
20199611045$23,558
2018625934$13,985
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month356$10,872
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES233$3,375
Return visit (30+ min)203$2,583
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional88$1,146
1ST HOSP IP/OBS HIGH 7514$20

2022

Largest Medicaid services in 2022
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month445$19,785
Return visit (30+ min)198$1,920
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional96$1,728
Short return visit (20+ min)75$729
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month16$659
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES74$611
1ST HOSP IP/OBS HIGH 7514$98
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count13$22
Measurement of magnesium12$19
Uric acid; blood13$13

2021

Largest Medicaid services in 2021
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month440$17,829
Short return visit (20+ min)208$3,474
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month66$2,325
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional33$502
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES45$207
Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)29$191
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count31$189
Measurement of magnesium17$129
Creatinine; other source15$85
Transferase; alanine amino (ALT) (SGPT)49$48
Uric acid; blood29$41
Cholesterol level15$36

2020

Largest Medicaid services in 2020
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month449$11,867
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES114$1,882
Return visit (30+ min)79$1,850
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month28$1,470
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month45$1,287
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional76$1,168
Short return visit (20+ min)42$487
Service13$443
1ST HOSP IP/OBS HIGH 7512$305
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES21$145

2019

Largest Medicaid services in 2019
Return visit (30+ min)270$7,653
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month275$7,642
Service100$3,376
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES140$2,076
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month26$1,098
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional60$796
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month23$485
1ST HOSP IP/OBS HIGH 7525$206
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES16$159
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES26$68

2018

Largest Medicaid services in 2018
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month189$6,908
Return visit (30+ min)103$2,695
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES104$1,392
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional87$1,144
Service17$580
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month12$475
1ST HOSP IP/OBS HIGH 7525$455
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES74$238
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES14$97

Drugs they prescribed that Part D paid

$201,562

Pharmacies billed $201,562 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 1,131) in 2024. At or below the middle of the specialty; the typical nephrology clinician is at 0%.

945 generic and 186 brand-name prescriptions · $201,562 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
Velphoro21$58,020$2,763
Veltassa45$36,604$813
Lokelma43$30,425$708
Sevelamer Carbonate56$17,022$304
Calcium Acetate52$5,702$110
See all 24 drugs
Every Part D drug this clinician prescribed
Velphoro21$58,020$2,763
Veltassa45$36,604$813
Lokelma43$30,425$708
Sevelamer Carbonate56$17,022$304
Calcium Acetate52$5,702$110
Sps30$3,780$126
Nifedipine Er41$1,189$29
Bumetanide12$1,135$95
Furosemide161$1,009$6
Cinacalcet18$975$54
Hydralazine29$505$17
Valsartan16$409$26
Carvedilol89$297$3
Losartan79$276$3
Gentamicin Sulfate13$254$20
Metoprolol21$218$10
Atorvastatin42$192$5
Amlodipine Besylate93$184$2
Prednisone12$123$10
Metoprolol16$122$8
Potassium Chloride11$120$11
Gabapentin28$120$4
Pantoprazole17$68$4
Lisinopril14$54$4

Year by year

Part D prescribing by year
20241,1311060% (0)16%$201,562
20239321170% (0)None$234,038
20221,0781450% (0)17%$196,424
20211,2741330% (0)16%$144,534
20201,0841370% (0)None$127,693
20199111650% (0)23%$180,936
20181,611296None19%$300,066
20172,8983492% (49)21%$634,188
20162,5323314% (88)22%$508,059
20151,2492013% (39)26%$232,863
201410449None26%$23,914
201336150% (0)None$3,078

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

See the drugs prescribed each year

2023: 27 drugs

Part D drugs prescribed in 2023
Renvela16$52,175$3,261
Velphoro12$30,410$2,534
Lokelma28$26,052$930
Sevelamer Carbonate32$22,422$701
Cinacalcet18$22,398$1,244
Calcium Acetate44$7,538$171
Sps50$7,263$145
Prosol24$5,455$227
Bumetanide13$3,811$293
Furosemide132$2,223$17
Nifedipine Er17$1,616$95
Valsartan11$1,484$135
Losartan58$1,104$19
Carvedilol59$1,061$18
Amlodipine Besylate100$948$9
Gabapentin21$577$27
Atorvastatin11$552$50
Gentamicin Sulfate16$510$32
Metoprolol18$371$21
Hydralazine21$333$16
Calcitriol11$315$29
Tamsulosin11$289$26
Potassium Chloride13$278$21
Metoprolol18$275$15
Allopurinol12$263$22
Lactulose15$165$11
Fosinopril13$102$8

2022: 25 drugs

Part D drugs prescribed in 2022
Sevelamer Carbonate42$48,060$1,144
Lokelma32$25,777$806
Retacrit22$13,359$607
Cinacalcet17$11,573$681
Calcium Acetate61$10,734$176
Sps35$4,124$118
Furosemide162$1,359$8
Amlodipine Besylate134$1,119$8
Hydralazine35$725$21
Losartan61$721$12
Carvedilol63$692$11
Metoprolol24$542$23
Calcitriol15$517$34
Atorvastatin20$481$24
Isosorbide Mononitrate Er11$419$38
Gabapentin15$309$21
Omeprazole14$254$18
Lisinopril24$198$8
Tamsulosin16$186$12
Metoprolol19$171$9
Nifedipine Er11$164$15
Hydrochlorothiazide15$130$9
Clonidine15$123$8
Gemfibrozil12$54$4
Insulin16$23$1

2021: 27 drugs

Part D drugs prescribed in 2021
Sevelamer Carbonate50$19,420$388
Lokelma20$14,836$742
Calcium Acetate78$10,772$138
Retacrit23$9,460$411
Cinacalcet23$7,136$310
Clinisol33$5,666$172
Sodium Polystyrene Sulfonate17$1,608$95
Sps24$1,440$60
Furosemide158$1,213$8
Carvedilol101$1,162$12
Amlodipine Besylate161$1,038$6
Hydralazine40$787$20
Nifedipine Er12$591$49
Losartan73$536$7
Atorvastatin27$510$19
Isosorbide Mononitrate Er18$486$27
Metoprolol15$369$25
Omeprazole28$296$11
Metolazone12$281$23
Gabapentin20$187$9
Lisinopril35$156$4
Prednisone18$145$8
Metoprolol15$138$9
Famotidine15$106$7
Hydrochlorothiazide19$59$3
Tamsulosin14$53$4
Insulin17$26$2

2020: 24 drugs

Part D drugs prescribed in 2020
Sevelamer Carbonate34$15,161$446
Calcium Acetate80$11,345$142
Retacrit19$9,553$503
Lidocaine12$5,263$439
Sodium Polystyrene Sulfonate29$3,137$108
Clonidine12$1,445$120
Potassium Chloride16$1,315$82
Sps21$1,258$60
Furosemide159$1,129$7
Hydralazine27$658$24
Carvedilol79$644$8
Amlodipine Besylate150$644$4
Calcitriol24$581$24
Doxazosin Mesylate16$388$24
Losartan32$240$8
Metolazone13$221$17
Atorvastatin25$219$9
Fosinopril13$217$17
Omeprazole13$199$15
Gabapentin19$147$8
Metoprolol20$133$7
Lisinopril27$130$5
Benazepril13$86$7
Tamsulosin15$48$3

2019: 24 drugs

Part D drugs prescribed in 2019
Renvela17$76,514$4,501
Sevelamer Carbonate18$22,410$1,245
Veltassa11$10,946$995
Calcium Acetate62$7,546$122
Novolog Flexpen11$6,460$587
Clonidine12$2,793$233
Furosemide136$1,199$9
Potassium Chloride13$1,044$80
Sodium Polystyrene Sulfonate13$923$71
Hydralazine25$665$27
Amlodipine Besylate85$517$6
Losartan46$421$9
Calcitriol18$420$23
Carvedilol48$408$8
Doxazosin Mesylate14$322$23
Allopurinol12$244$20
Gabapentin30$243$8
Fosinopril11$234$21
Atorvastatin20$232$12
Lisinopril24$232$10
Metoprolol32$230$7
Metolazone12$194$16
Famotidine17$133$8
Benazepril19$128$7

2018: 40 drugs

Part D drugs prescribed in 2018
Renvela40$109,342$2,734
Veltassa23$27,800$1,209
Procrit13$25,242$1,942
Sevelamer Carbonate20$18,354$918
Januvia15$10,296$686
Calcium Acetate48$6,578$137
Dexilant20$6,544$327
Novolog Flexpen12$6,522$544
Raloxifene15$3,856$257
Metoprolol26$1,348$52
Losartan117$1,038$9
Proair Hfa15$926$62
Omeprazole38$916$24
Levothyroxine36$916$25
Amlodipine Besylate114$915$8
Atorvastatin40$861$22
Allopurinol39$853$22
Simvastatin57$834$15
Calcitriol32$654$20
Tamsulosin24$627$26
Furosemide96$590$6
Hydralazine32$570$18
Doxazosin Mesylate21$493$23
Sodium Polystyrene Sulfonate18$388$22
Atenolol11$376$34
Metoprolol69$375$5
Montelukast13$323$25
Lisinopril47$321$7
Benazepril26$317$12
Pravastatin13$282$22
Carvedilol40$265$7
Clonidine29$253$9
Isosorbide Mononitrate Er16$230$14
Fluticasone Propionate15$146$10
Alendronate13$144$11
Glipizide12$141$12
Metformin15$134$9
Gabapentin21$107$5
Hydrochlorothiazide13$76$6
Famotidine13$62$5

2017: 57 drugs

Part D drugs prescribed in 2017
Renvela100$239,958$2,400
Sensipar60$114,055$1,901
Creon13$41,570$3,198
Procrit31$38,766$1,251
Januvia48$25,740$536
Veltassa20$18,950$948
Dexilant28$8,782$314
Calcium Acetate55$6,938$126
Lantus Solostar19$4,445$234
Proair Hfa33$2,626$80
Midodrine18$2,533$141
Metoprolol30$1,799$60
Raloxifene11$1,513$138
Allopurinol78$1,452$19
Doxazosin Mesylate50$1,327$27
Atorvastatin97$1,301$13
Calcitriol41$1,256$31
Losartan180$1,239$7
Nifedipine Er18$1,238$69
Levothyroxine41$1,168$28
Omeprazole83$1,012$12
Hydralazine45$969$22
Amlodipine Besylate133$831$6
Simvastatin96$733$8
Tamsulosin30$712$24
Furosemide122$711$6
Pravastatin22$620$28
Metoprolol109$620$6
Metformin53$384$7
Lisinopril52$360$7
Fluticasone Propionate28$335$12
Montelukast20$328$16
Minoxidil18$323$18
Benazepril37$312$8
Gabapentin45$295$7
Clonidine32$288$9
Glipizide46$279$6
Clopidogrel21$275$13
Atenolol24$267$11
Pioglitazone14$265$19
Alendronate28$262$9
Hydroxyzine14$257$18
Carvedilol33$248$8
Hydrocodone-Acetaminophen13$241$19
Warfarin22$229$10
Losartan-Hydrochlorothiazide18$184$10
Triamcinolone Acetonide14$184$13
Amoxicillin-Clavulanate Potass11$143$13
Isosorbide Mononitrate Er16$139$9
Pantoprazole11$135$12
Cephalexin24$116$5
Sertraline12$116$10
Hydrochlorothiazide24$111$5
Azithromycin18$111$6
Acetaminophen-Codeine12$102$9
Zolpidem20$101$5
Tramadol18$71$4

2016: 61 drugs

Part D drugs prescribed in 2016
Renvela111$252,482$2,275
Sensipar60$101,709$1,695
Januvia38$20,977$552
Calcium Acetate46$8,480$184
Advair Diskus16$5,469$342
Aripiprazole12$4,269$356
Phenobarbital15$2,818$188
Dexilant11$2,670$243
Doxazosin Mesylate69$1,944$28
Allopurinol62$1,318$21
Calcitriol44$1,261$29
Levothyroxine38$1,228$32
Lidocaine-Prilocaine31$1,069$34
Nifedipine Er13$1,037$80
Hydralazine58$1,014$17
Metoprolol25$972$39
Atorvastatin70$817$12
Hydrocodone-Acetaminophen34$803$24
Losartan100$778$8
Amlodipine Besylate126$758$6
Proair Hfa12$749$62
Lansoprazole12$708$59
Simvastatin75$699$9
Omeprazole66$688$10
Novofine 3216$639$40
Potassium Chloride16$638$40
Klor-Con 811$622$57
Metoprolol69$548$8
Diphenoxylate-Atropine15$519$35
Fluticasone Propionate40$437$11
Furosemide96$429$4
Metformin41$404$10
Carvedilol48$338$7
Triamcinolone Acetonide20$337$17
Acetaminophen-Codeine24$293$12
Atenolol29$275$9
Warfarin23$275$12
Lisinopril34$260$8
Clopidogrel13$256$20
Clonidine25$247$10
Benazepril25$239$10
Gabapentin42$221$5
Pantoprazole12$213$18
Mycophenolate Mofetil12$206$17
Glipizide38$197$5
Minoxidil16$175$11
Fosinopril15$168$11
Alendronate13$117$9
Isosorbide Mononitrate Er12$108$9
Lorazepam17$106$6
Isoniazid18$102$6
Azithromycin15$93$6
Hydroxyzine11$90$8
Tramadol20$87$4
Hydrochlorothiazide15$75$5
Zolpidem15$75$5
Ciprofloxacin11$69$6
Diazepam11$66$6
Cephalexin18$64$4
Losartan-Hydrochlorothiazide11$55$5
Alprazolam11$52$5

2015: 36 drugs

Part D drugs prescribed in 2015
Renvela66$137,465$2,083
Sensipar17$25,889$1,523
Nexium11$5,301$482
Januvia12$5,095$425
Advair Diskus11$3,537$322
Calcium Acetate18$2,667$148
Raloxifene13$1,457$112
Calcitriol39$834$21
Doxazosin Mesylate34$774$23
Levothyroxine28$580$21
Metoprolol12$499$42
Losartan58$432$7
Hydralazine25$417$17
Allopurinol16$375$23
Hydrocodone-Acetaminophen16$350$22
Atorvastatin16$317$20
Carvedilol30$301$10
Omeprazole32$294$9
Warfarin14$275$20
Glimepiride13$275$21
Zolpidem27$247$9
Furosemide55$247$4
Amlodipine Besylate45$222$5
Simvastatin35$214$6
Fluticasone Propionate20$206$10
Ciprofloxacin14$194$14
Gabapentin26$182$7
Metoprolol35$176$5
Amiodarone14$157$11
Lisinopril16$123$8
Benazepril18$121$7
Azithromycin18$107$6
Acetaminophen-Codeine12$104$9
Alprazolam11$97$9
Famotidine11$75$7
Diazepam11$57$5

2013: 1 drug

Part D drugs prescribed in 2013
Amlodipine Besylate11$110$10

Money from drug and device companies

$14 in 2023

A payment is not proof that care is biased.

Payments by company
Calliditas Therapeutics USTarpeyo$14
1 payment
  • Education for Tarpeyo · 2023-11-15 · $14
See the published payment
Every published payment
Calliditas Therapeutics USEducation · 2023-11-15Tarpeyo$14

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
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Professional record

NPI
1780706762
Licence
CA 54935California C54935: Current · expires 2027-04-30
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RN0300X (207RN0300X)
Mailing address
2360 Mckee Rd, Suite 10, San Jose, CA, 95116
NPI first listed
2007-04-03
NPI last updated
2014-07-24

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