Skip to main content
UniHealth

Doctor search

Albert C Shen, MD

Internal Medicine · San Jose

NPI 1851481758

Medicare standing
1 flag on the record
Listed below.
Plans that list them
25
6 carriers
Office
1

On the public record

  • California licence: Delinquent

Offices

1 location

Looking this up.

Plans that list them

25 plans · 6 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Shen’s office at (408) 296-9800 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

25 of 25 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
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 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
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 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 Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
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

California Medical Board record

Licence G75131 · Delinquent

Licence status: Delinquent · since 1992 · expires 2024-08-31 · Columbia University College of Physicians and Surgeons.

License renewal fee has not been paid. No practice is permitted.

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

Original Medicare doctor bills

$13,900

Medicare paid this office $13,900 for 51 people.

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

Largest Original Medicare bills
Return visit (30+ min)36$4,917$82
Short return visit (20+ min)35$4,527$70
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit16$2,207$138

Procedures Medicare counted

Procedure volume Medicare published
Removal of skin lesions1-10None

Who their Medicare patients are

51 Original Medicare patients in 2024. Average age 73 · Under 65 0% · Women 43% · Health risk score 0.71. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 71% · Diabetes 22%.

The office billed $26,974, Medicare allowed $20,397 and paid $13,900; for 181 services of 12 kinds; $989 of it was for drugs given in the office and $12,910 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
202451181730.71$26,974$13,900
202341151730.69$22,247$10,550
202245142730.65$21,444$10,786
202137130730.85$20,405$11,072
202041171730.90$26,421$11,134
201927123731.00$13,403$8,614
201827100721.47$10,866$5,849
20172799721.07$10,611$6,061
201630117750.98$13,279$7,693

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: 4 services

Original Medicare services billed in 2023
Return visit (30+ min)22$4,675$97
Short return visit (20+ min)25$2,215$53
Administration of influenza virus vaccine12$412$34
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage12$263$22

2022: 5 services

Original Medicare services billed in 2022
Return visit (30+ min)27$4,275$93
Short return visit (20+ min)24$2,726$70
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit16$2,224$139
Administration of influenza virus vaccine11$377$34
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage14$295$21

2021: 3 services

Original Medicare services billed in 2021
Return visit (30+ min)20$4,077$105
Short return visit (20+ min)16$3,134$80
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit17$2,393$141

2020: 3 services

Original Medicare services billed in 2020
Return visit (30+ min)23$4,053$79
Short return visit (20+ min)23$3,123$52
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage13$254$20

2019: 5 services

Original Medicare services billed in 2019
Return visit (30+ min)19$3,275$86
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit15$1,982$132
Short return visit (20+ min)12$1,006$53
Administration of influenza virus vaccine12$267$21
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage13$261$19

2018: 2 services

Original Medicare services billed in 2018
Return visit (30+ min)20$2,151$67
Short return visit (20+ min)13$964$42

2017: 2 services

Original Medicare services billed in 2017
Return visit (30+ min)19$2,986$73
Short return visit (20+ min)12$998$53

2016: 2 services

Original Medicare services billed in 2016
Return visit (30+ min)16$2,930$86
Short return visit (20+ min)16$1,891$63

Medicaid work

$246,583 in 2024

Medicaid paid $246,583 for 7,949 billed services this clinician did in 2024, up to 239 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
Clinic visit/encounter, all-inclusive1,886$244,787
Short return visit (20+ min)1,513$797
Return visit (30+ min)706$599
New patient visit (30+ min)241$353
Short return visit20$36
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A432$10
Pain severity quantified; pain present (COA) (ONC)131$0
Pain severity quantified; no pain present (COA) (ONC)75$0
Medication list documented in medical record (COA)1,527$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)709$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)640$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)24$0
Medicaid work by year
20247,94914239$246,583
20234,83610183$261,093
20223,9167219$163,775
202113113$7,683
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive1,984$256,134
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])94$1,619
Service33$1,420
Short return visit (20+ min)1,798$1,403
New patient visit (30+ min)178$405
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A347$56
Short return visit170$56
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)108$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)90$0
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES34$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive1,569$149,899
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])325$7,800
Short return visit (20+ min)1,198$3,206
Service33$1,420
Short return visit599$1,413
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A173$36
Developmental screening19$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive13$7,683

Drugs they prescribed that Part D paid

$61,147

Pharmacies billed $61,147 in 2024.

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

Opioids were 1% of their Part D prescriptions (13 of 1,552) in 2024. At or below the middle of the specialty; the typical internal medicine clinician is at 1%.

1,403 generic and fewer than 11 brand-name prescriptions · $61,147 in drug cost · 30 antibiotic prescriptions to 26 people · 15 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
Jardiance22$26,209$1,191
Atorvastatin249$1,709$7
Losartan145$1,305$9
Celecoxib25$969$39
Albuterol Sulfate Hfa38$824$22
See all 27 drugs
Every Part D drug this clinician prescribed
Jardiance22$26,209$1,191
Atorvastatin249$1,709$7
Losartan145$1,305$9
Celecoxib25$969$39
Albuterol Sulfate Hfa38$824$22
Alendronate84$663$8
Metformin85$578$7
Levothyroxine54$537$10
Simvastatin46$436$9
Olmesartan Medoxomil17$425$25
Amlodipine Besylate81$263$3
Lisinopril40$255$6
Metoprolol11$213$19
Ipratropium15$208$14
Fluoxetine24$186$8
Terazosin18$174$10
Glyburide21$168$8
Fluticasone Propionate34$156$5
Tamsulosin18$132$7
Rosuvastatin20$131$7
Montelukast21$130$6
Omeprazole28$87$3
Triamcinolone Acetonide17$69$4
Hydrochlorothiazide13$44$3
Tizanidine22$29$1
Sulfamethoxazole-Trimethoprim13$25$2
Mupirocin11$13$1

Year by year

Part D prescribing by year
20241,5521241% (13)None$61,147
20231,2081011% (17)7%$46,963
2022907951% (11)None$31,596
2021737752% (13)7%$27,246
202068566NoneNone$25,121
2019466520% (0)9%$15,103
201845142NoneNone$11,393
201733935None10%$11,182
2016251240% (0)None$13,254
2015213160% (0)None$11,410
2014174160% (0)34%$9,158
201316316None23%$6,481

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

See the drugs prescribed each year

2023: 23 drugs

Part D drugs prescribed in 2023
Jardiance11$17,949$1,632
Atorvastatin189$2,967$16
Losartan127$2,279$18
Metformin73$1,079$15
Alendronate53$979$18
Celecoxib17$920$54
Simvastatin45$650$14
Albuterol Sulfate Hfa30$633$21
Amlodipine Besylate60$601$10
Levothyroxine41$524$13
Lisinopril33$494$15
Tamsulosin15$471$31
Fluticasone Propionate37$426$12
Olmesartan Medoxomil11$375$34
Omeprazole41$321$8
Terazosin13$202$16
Glyburide11$199$18
Triamcinolone Acetonide14$199$14
Hydrochlorothiazide13$145$11
Montelukast12$111$9
Famotidine15$65$4
Tramadol12$32$3
Tizanidine16$22$1

2022: 18 drugs

Part D drugs prescribed in 2022
Jardiance12$13,474$1,123
Atorvastatin142$1,848$13
Losartan108$1,555$14
Albuterol Sulfate Hfa15$879$59
Metformin59$648$11
Amlodipine Besylate67$465$7
Lisinopril38$450$12
Levothyroxine26$390$15
Tamsulosin21$388$18
Alendronate56$377$7
Glyburide13$350$27
Simvastatin30$316$11
Montelukast14$211$15
Terazosin17$192$11
Fluticasone Propionate15$163$11
Omeprazole17$94$6
Trazodone11$25$2
Tramadol11$20$2

2021: 15 drugs

Part D drugs prescribed in 2021
Jardiance17$12,218$719
Atorvastatin94$1,427$15
Losartan77$1,359$18
Metformin54$778$14
Alendronate48$526$11
Tamsulosin25$487$19
Simvastatin37$445$12
Levothyroxine20$419$21
Amlodipine Besylate52$409$8
Celecoxib12$381$32
Lisinopril29$305$11
Glyburide13$299$23
Montelukast11$121$11
Gabapentin11$71$6
Tramadol12$49$4

2020: 13 drugs

Part D drugs prescribed in 2020
Atorvastatin68$1,295$19
Losartan62$820$13
Albuterol Sulfate Hfa14$606$43
Metformin42$486$12
Alendronate44$457$10
Tamsulosin27$420$16
Simvastatin30$319$11
Lisinopril27$286$11
Paroxetine13$269$21
Amlodipine Besylate45$233$5
Omeprazole32$189$6
Glyburide11$175$16
Fluticasone Propionate12$144$12

2019: 8 drugs

Part D drugs prescribed in 2019
Losartan72$1,045$15
Atorvastatin44$646$15
Alendronate39$508$13
Amlodipine Besylate45$460$10
Metformin29$419$14
Tamsulosin12$326$27
Simvastatin24$313$13
Lisinopril19$164$9

2018: 8 drugs

Part D drugs prescribed in 2018
Losartan61$737$12
Atorvastatin32$554$17
Alendronate46$447$10
Metformin27$413$15
Amlodipine Besylate35$262$7
Simvastatin23$214$9
Lisinopril20$170$8
Hydrochlorothiazide16$105$7

2017: 9 drugs

Part D drugs prescribed in 2017
Valsartan13$562$43
Ultra-Fine Short Pen Needle11$531$48
Losartan28$352$13
Amlodipine Besylate34$310$9
Metformin17$307$18
Atorvastatin13$297$23
Alendronate35$283$8
Lisinopril15$192$13
Simvastatin18$155$9

2016: 6 drugs

Part D drugs prescribed in 2016
Alendronate31$234$8
Simvastatin19$163$9
Metformin11$100$9
Losartan13$99$8
Lisinopril11$82$7
Amlodipine Besylate17$58$3

2015: 4 drugs

Part D drugs prescribed in 2015
Alendronate16$110$7
Paroxetine12$86$7
Simvastatin16$77$5
Amlodipine Besylate14$41$3

2014: 2 drugs

Part D drugs prescribed in 2014
Synthroid11$663$60
Alendronate14$223$16

2013: 3 drugs

Part D drugs prescribed in 2013
Omeprazole12$374$31
Levothyroxine16$180$11
Paroxetine12$116$10

Money from drug and device companies

$131 in 2025

Industry payments by year
202511None$131
202422None$180
202311None$15
202111None$25
201922$25$38

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
Shockwave MedicalShockwave Ivl System With the Shockwave C2 Coronary Ivl Catheter$131
1 payment
  • Meals for Shockwave Ivl System With the Shockwave C2 Coronary Ivl Catheter · 2025-02-04 · $131
See the published payment
Every published payment
Shockwave MedicalMeals · 2025-02-04Shockwave Ivl System With the Shockwave C2 Coronary Ivl Catheter$131
See earlier years (2024, 2023, 2021, 2019)

2024: $180

Payments by company in 2024
Abbott LaboratoriesPressurewire$150
1 payment
  • Meals for Pressurewire · 2024-10-10 · $150
Merck Sharp & DohmeGardasil$30
1 payment
  • Meals for Gardasil · 2024-07-23 · $30

2023: $15

Payments by company in 2023
Cranial TechnologiesDoc Band$15
1 payment
  • Meals for Doc Band · 2023-09-19 · $15

2021: $25

Payments by company in 2021
Merck Sharp & DohmeGardasil 9$25
1 payment
  • Meals for Gardasil 9 · 2021-06-10 · $25

2019: $38

Payments by company in 2019
GlaxoSmithKlineRotarix$25
1 payment
  • Consulting for Rotarix · 2019-05-17 · $25
Sanofi PasteurAdacel$13
1 payment
  • Meals for Adacel · 2019-04-15 · $13

Professional record

NPI
1851481758
Licence
CA G75131California G75131: Delinquent · expires 2024-08-31
Trained
Chicago College of Medicine and Surgery, 1994
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Internal medicine (207R00000X); Pediatrics (208000000X)
Mailing address
316 Rosewood Ave, San Jose, CA, 95117
NPI first listed
2006-10-13
NPI last updated
2015-07-16

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