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Paul Tiger, MD

Psychiatry · San Jose

NPI 1821022583

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

Offices

1 location · Gardner Family Health Network Inc · 24 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. Tiger’s office at (408) 918-2618 to ask if they take your plan before you enroll.

California Medical Board record

Licence C158178 · Current

Licensed to practise in California · since 2018 · expires 2028-08-31 · Medical College of Wisconsin.

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

Original Medicare doctor bills

$3,376

Medicare paid this office $3,376 for 14 people.

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

Who their Medicare patients are

14 Original Medicare patients in 2024. Average age 53 · Also on Medicaid 100% · Health risk score 1.58. Above the middle of the specialty; the typical psychiatry clinician is at 1.35.

The office billed $19,201, Medicare allowed $4,717 and paid $3,376; for 27 services of 6 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
20241427531.58$19,201$3,376
201964433511.76$53,948$23,926
20183684631.27$7,199$3,388
20173291601.50$7,761$4,779
2016139322551.40$52,763$15,326
201593256581.30$39,947$10,562
20145872591.14$10,792$3,056
20131621540.86$3,129$611

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

2019: 5 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes44$12,978$58
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes37$3,887$31
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,802$100
Hospital discharge day management, more than 30 minutes21$2,206$85
Hospital discharge day management, 30 minutes or less15$926$58

2018: 1 service

Original Medicare services billed in 2018
Psychotherapy, 30 minutes33$2,696$40

2017: 2 services

Original Medicare services billed in 2017
Psychotherapy, 30 minutes26$3,466$50
Psychotherapy, 45 minutes12$1,029$64

2016: 6 services

Original Medicare services billed in 2016
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes53$3,744$32
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$3,650$60
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$1,901$86
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes13$1,595$114
Return visit (30+ min)33$1,579$39
Short return visit (20+ min)36$1,262$26

2015: 4 services

Original Medicare services billed in 2015
Return visit (30+ min)54$4,427$57
Short return visit (20+ min)65$3,763$31
Psychiatric diagnostic evaluation with medical services11$1,216$111
Short return visit25$533$16

2014: 3 services

Original Medicare services billed in 2014
Short return visit (20+ min)35$1,349$37
Return visit (30+ min)13$756$54
Short return visit12$274$20

2013: 1 service

Original Medicare services billed in 2013
Short return visit (20+ min)12$330$24

Medicaid work

$18,991 in 2023

Medicaid paid $18,991 for 181 billed services this clinician did in 2023, up to 52 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 2023
Return visit (30+ min)181$18,991
Medicaid work by year
2023181152$18,991
2022352242$0
201969218$11,081
201825112$883
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Return visit (30+ min)230$0
Long return visit (40+ min)122$0

2019

Largest Medicaid services in 2019
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit37$11,081
Return visit (30+ min)32$0

2018

Largest Medicaid services in 2018
PSYCHOTHERAPY W/PATIENT 30 MINUTES25$883

Drugs they prescribed that Part D paid

$114,847

Pharmacies billed $114,847 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 258) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.

219 generic and 39 brand-name prescriptions · $114,847 in drug cost · 32 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
Invega Sustenna38$97,456$2,565
Aripiprazole18$1,258$70
Benztropine Mesylate19$151$8
Trazodone13$94$7
Fluoxetine24$89$4
See all 8 drugs
Every Part D drug this clinician prescribed
Invega Sustenna38$97,456$2,565
Aripiprazole18$1,258$70
Benztropine Mesylate19$151$8
Trazodone13$94$7
Fluoxetine24$89$4
Duloxetine12$81$7
Sertraline23$75$3
Olanzapine12$73$6

Year by year

Part D prescribing by year
2024258300% (0)15%$114,847
20231,659440% (0)12%$475,850
2022912510% (0)15%$272,439
2021157270% (0)8%$17,099
2020122240% (0)None$6,741
2019142410% (0)None$9,247
2018282340% (0)8%$11,705
2017157300% (0)None$5,229
201665092None15%$44,946
2015931750% (0)17%$99,162
2014155410% (0)19%$16,660
201346120% (0)None$1,497

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

See the drugs prescribed each year

2023: 36 drugs

Part D drugs prescribed in 2023
Invega Sustenna81$259,836$3,208
Abilify Maintena22$62,326$2,833
Risperdal Consta18$30,983$1,721
Vraylar42$15,229$363
Aripiprazole58$9,273$160
Divalproex Sodium Er134$5,110$38
Fluphenazine Decanoate25$3,290$132
Clozapine85$2,919$34
Trazodone190$2,073$11
Oxtellar Xr12$1,973$164
Mirtazapine74$1,439$19
Divalproex31$1,318$43
Medroxyprogesterone Acetate23$1,158$50
Ziprasidone15$1,054$70
Gabapentin21$868$41
Buspirone75$841$11
Haloperidol Decanoate27$783$29
Loxapine27$745$28
Fluoxetine87$726$8
Olanzapine40$655$16
Olanzapine Odt24$650$27
Benztropine Mesylate75$534$7
Hydroxyzine38$523$14
Lithium Carbonate Er37$478$13
Amantadine18$382$21
Propranolol41$362$9
Lithium Carbonate42$360$9
Bupropion Xl37$341$9
Quetiapine43$311$7
Hydroxyzine Pamoate32$256$8
Risperidone17$252$15
Trihexyphenidyl22$149$7
Haloperidol11$148$13
Sertraline18$144$8
Clonidine12$97$8
Duloxetine12$94$8

2022: 25 drugs

Part D drugs prescribed in 2022
Invega Sustenna52$141,318$2,718
Abilify Maintena25$66,622$2,665
Aripiprazole20$3,793$190
Divalproex Sodium Er45$2,491$55
Quetiapine48$1,492$31
Clozapine21$1,269$60
Divalproex20$880$44
Trazodone64$848$13
Benztropine Mesylate58$536$9
Fluoxetine50$493$10
Risperidone28$391$14
Haloperidol11$380$35
Bupropion Xl23$347$15
Hydroxyzine21$346$16
Buspirone44$341$8
Lithium Carbonate39$332$9
Olanzapine20$328$16
Mirtazapine23$309$13
Desvenlafaxine Succinate Er12$300$25
Propranolol23$276$12
Sertraline21$170$8
Paroxetine13$155$12
Lamotrigine24$134$6
Trihexyphenidyl11$84$8
Hydroxyzine Pamoate15$83$6

2021: 1 drug

Part D drugs prescribed in 2021
Haloperidol15$537$36

2020: 1 drug

Part D drugs prescribed in 2020
Gabapentin11$189$17

2019: 2 drugs

Part D drugs prescribed in 2019
Risperidone19$510$27
Gabapentin16$351$22

2018: 14 drugs

Part D drugs prescribed in 2018
Divalproex21$1,682$80
Valproic Acid14$799$57
Aripiprazole11$780$71
Risperidone18$628$35
Mirtazapine28$479$17
Duloxetine17$441$26
Lithium Carbonate Er14$323$23
Benztropine Mesylate11$242$22
Sertraline17$192$11
Hydroxyzine11$138$13
Olanzapine20$128$6
Buspirone12$124$10
Lorazepam13$122$9
Trazodone17$96$6

2017: 5 drugs

Part D drugs prescribed in 2017
Mirtazapine18$230$13
Duloxetine11$204$19
Sertraline12$122$10
Trazodone13$62$5
Olanzapine12$60$5

2016: 17 drugs

Part D drugs prescribed in 2016
Risperdal Consta22$14,222$646
Duloxetine26$3,503$135
Aripiprazole12$3,290$274
Quetiapine48$1,893$39
Olanzapine33$1,099$33
Sertraline75$746$10
Buspirone26$613$24
Risperidone33$594$18
Benztropine Mesylate20$391$20
Bupropion Hcl Sr11$367$33
Haloperidol13$346$27
Trazodone61$331$5
Fluoxetine20$246$12
Lorazepam43$245$6
Clonazepam37$243$7
Venlafaxine Hcl Er14$203$15
Divalproex14$152$11

2015: 17 drugs

Part D drugs prescribed in 2015
Abilify54$43,469$805
Risperdal Consta38$22,553$593
Duloxetine34$4,709$139
Olanzapine80$3,203$40
Quetiapine57$2,608$46
Bupropion Hcl Sr21$1,205$57
Sertraline103$1,112$11
Buspirone33$881$27
Benztropine Mesylate60$725$12
Risperidone55$547$10
Clonazepam81$534$7
Trazodone95$532$6
Venlafaxine Hcl Er17$415$24
Lorazepam63$375$6
Fluoxetine41$336$8
Valproic Acid13$317$24
Mirtazapine12$243$20

2014: 6 drugs

Part D drugs prescribed in 2014
Risperdal Consta12$6,587$549
Olanzapine13$856$66
Quetiapine14$395$28
Benztropine Mesylate15$182$12
Trazodone21$123$6
Lorazepam12$70$6

Professional record

NPI
1821022583
Licence
AZ 53567, CA C158178California C158178: Current · expires 2028-08-31
Trained
Medical College of Wisconsin, 2002
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Psychiatry (2084P0800X)
Mailing address
Po Box 17041, Tucson, AZ, 85731
NPI first listed
2006-07-10
NPI last updated
2023-11-10
NPI record certified
2023-11-10

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

Extra NPI addresses: 516 E. Nizhoni Blvd., Gallup, NM, 87301 · Indio Clinic, Indio, CA, 92201 · 1855 W Baseline Rd Ste 101, Mesa, AZ, 85202 · 12450 Van Nuys Blvd Ste 100, Pacoima, CA, 91331 · Windy Springs Wellness Center/Desert Fsp, Palm Springs, CA, 92262