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Karla K Prodany, MD

Emergency Medicine · San Mateo

NPI 1790862639

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: Mills-Peninsula Medical Center. That is not proof they admit you there this week.

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. Prodany’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A89129 · Current

Licensed to practise in California · since 2004 · expires 2028-09-30 · New York Medical College.

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.

  • Peninsula Medical CenterBurlingame, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.139, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.242, Oct 2024 – Sep 2025
See every measure and the patient survey for Peninsula Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 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 Peninsula Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.139BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.242BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.21 (0.27 to 2.15) · 1,258 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.81 (0.51 to 1.1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths155.44 (112.67 to 198.21) · 90 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.5 · 32 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 82 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10 · 188 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9 · 473 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.8 · 342 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.4 · 485 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 3,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.4) · 6,904 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,052 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.41 (1.43 to 5.39) · 1,695 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.72 (0.17 to 3.28) · 665 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,545 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.1 (1.3 to 12.9) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.96 (2.63 to 9.29) · 653 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.08) · 418 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.14 (0 to 0.78) · 5,539 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.7 · 192 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.215No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.263No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.74No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.3 · 300 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19 · 702 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits1.2 · 207 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-13.6 · 531 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits24.3 · 343 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 449 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.5 (2.8 to 7) · 85 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.6 (6.7 to 13.7) · 85 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.7 · 189 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11 · 45 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.6 · 117 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.7 to 17.2) · 584 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 764 casesNo differentJan 2024 – Dec 2024

What patients said (523 patients answered, 27% of those asked)

Patient survey stars by topic at Peninsula Medical Center
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Peninsula Medical Center
Room was "always" clean76%
Nurses "always" communicated well81%
Doctors "always" communicated well80%
Staff "always" explained58%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$27,268

Medicare paid this office $27,268 for 207 people.

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

Largest Original Medicare bills
New patient visit (45+ min)63$7,669$122
Return visit (30+ min)60$6,714$108
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus26$3,634$140
Short return visit (20+ min)39$2,787$71
New patient visit (30+ min)37$2,726$74
See all 9 services
Every Original Medicare service billed
New patient visit (45+ min)63$7,669$122
Return visit (30+ min)60$6,714$108
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus26$3,634$140
Short return visit (20+ min)39$2,787$71
New patient visit (30+ min)37$2,726$74
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen14$704$50
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)16$259$16
Inhalation treatment for airway obstruction or sputum production12$95$8
Automated urinalysis test24$53$2

Procedures Medicare counted

Procedure volume Medicare published
Removal of tissue1-10None

Who their Medicare patients are

207 Original Medicare patients in 2024. Average age 77 · Women 61% · Also on Medicaid 5% · Health risk score 1.06. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 63% · Coronary heart disease 25% · Diabetes 21% · Chronic kidney disease 20% · Atrial fibrillation 19% · Cancer 15% · Depression 14% · Heart failure 12% · COPD 8% · Dementia 5%.

The office billed $104,754, Medicare allowed $39,395 and paid $27,268; for 369 services of 39 kinds; $98 of it was for drugs given in the office and $27,170 for care.

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
2024207369771.06$104,754$27,268
2023227445770.89$103,992$28,521
20191111683.03$4,273$753
20171213702.59$4,811$872
20161717631.27$5,850$1,049
20141414672.20$6,120$970

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: 10 services

Original Medicare services billed in 2023
New patient visit (45+ min)56$7,356$131
Return visit (30+ min)51$5,919$116
New patient visit (30+ min)57$5,032$88
Short return visit (20+ min)55$4,705$84
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen18$905$50
Detection test by immunoassay with direct visual observation for influenza virus14$260$16
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)15$243$16
Inhalation treatment for airway obstruction or sputum production15$135$9
Automated urinalysis test35$77$2
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme13$1None

2016: 1 service

Original Medicare services billed in 2016
Emergency department visit with moderate level of medical decision making11$912$83

2014: 1 service

Original Medicare services billed in 2014
Emergency department visit with moderate level of medical decision making12$917$76

Drugs they prescribed that Part D paid

$3,120

Pharmacies billed $3,120 in 2024.

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

188 generic and fewer than 11 brand-name prescriptions · $3,120 in drug cost · 96 antibiotic prescriptions to 82 people.

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
Albuterol Sulfate Hfa19$466$25
Amoxicillin-Clavulanate Potass18$148$8
Cefadroxil16$143$8
Fluticasone Propionate15$138$9
Doxycycline Monohydrate17$128$8
See all 7 drugs
Every Part D drug this clinician prescribed
Albuterol Sulfate Hfa19$466$25
Amoxicillin-Clavulanate Potass18$148$8
Cefadroxil16$143$8
Fluticasone Propionate15$138$9
Doxycycline Monohydrate17$128$8
Azithromycin15$64$4
Prednisone13$48$4

Year by year

Part D prescribing by year
2024220149NoneNone$3,120
2023221160None7%$4,131
202213810210% (14)None$2,561
20218668NoneNone$1,822
2020937513% (12)13%$3,674
20191289913% (16)12%$2,341
20181159114% (16)11%$2,081
20171511099% (14)None$4,284
20161861619% (16)10%$2,914
201515413211% (17)10%$2,855
201413410315% (20)None$2,086
201312910618% (23)None$2,429

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

See the drugs prescribed each year

2023: 6 drugs

Part D drugs prescribed in 2023
Albuterol Sulfate Hfa16$444$28
Doxycycline Monohydrate20$237$12
Cefadroxil15$129$9
Paxlovid (Eua)11$117$11
Amoxicillin-Clavulanate Potass11$104$9
Cephalexin13$93$7

2022: 1 drug

Part D drugs prescribed in 2022
Cefadroxil21$224$11

2019: 2 drugs

Part D drugs prescribed in 2019
Cephalexin20$214$11
Hydrocodone-Acetaminophen11$72$7

2018: 2 drugs

Part D drugs prescribed in 2018
Cephalexin18$225$12
Hydrocodone-Acetaminophen12$91$8

2017: 3 drugs

Part D drugs prescribed in 2017
Nabumetone16$347$22
Triamcinolone Acetonide11$236$21
Cephalexin14$175$13

2016: 2 drugs

Part D drugs prescribed in 2016
Cephalexin55$528$10
Hydrocodone-Acetaminophen12$175$15

2015: 2 drugs

Part D drugs prescribed in 2015
Cephalexin41$409$10
Hydrocodone-Acetaminophen13$203$16

2014: 3 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen17$148$9
Cephalexin14$129$9
Sulfamethoxazole-Trimethoprim11$70$6

2013: 3 drugs

Part D drugs prescribed in 2013
Cephalexin16$196$12
Hydrocodone-Acetaminophen19$163$9
Sulfamethoxazole-Trimethoprim17$121$7

Professional record

NPI
1790862639
Licence
CA A89129California A89129: Current · expires 2028-09-30
Trained
New York Medical College, 2001
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
CA 00A891290
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
1800 Harrison St Fl 7, Oakland, CA, 94612
NPI first listed
2006-10-31
NPI last updated
2021-12-17

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

This office lists an electronic records connection.