Skip to main content
UniHealth

Doctor search

Veronica Nicole Ortiz, MD

Critical Care (Intensivists) · San Jose

NPI 1851592844

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
13
2 carriers
Offices
3

Offices

3 locations · University Healthcare Alliance · County of Santa Clara

Looking this up.

Hospitals listed: Good Samaritan Hospital · Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

13 plans · 2 carriers

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

13 of 13 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

California Medical Board record

Licence A123496 · Current

Licensed to practise in California · since 2012 · expires 2026-11-30 · Ross University School of Medicine.

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

Hospitals they work in

2 hospitals

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

  • Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
  • 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 Good Samaritan Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 1 worse of 8 measures. Readmissions: 0 better, 5 the same, 4 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Good Samaritan Hospital
Clostridium Difficile (C.Diff)Infections0.337BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.75 (0 to 1.67) · 1,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.84 (0.54 to 1.14)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths143.59 (98.7 to 188.49) · 98 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.7 · 45 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.7 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 573 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.6 · 820 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.5 · 482 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 3,711 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.12 (0 to 0.3) · 8,866 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.01 to 0.38) · 9,051 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.65 (0.74 to 4.56) · 1,929 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.8 (0.21 to 3.39) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.33 (0.88 to 3.78) · 1,836 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.73 (0 to 13.46) · 669 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.58 (3.96 to 11.19) · 654 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.59 (0.13 to 3.04) · 496 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.27 (0 to 0.87) · 7,373 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.1 · 152 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.08No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.542No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.484No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.565No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 327 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24.2 · 703 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits61.1 · 289 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits36.3 · 665 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits25.4 · 856 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19 · 978 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.3 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.3 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.2 · 135 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.8 (10.1 to 18.6) · 129 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 531 casesNo differentJan 2024 – Dec 2024

What patients said (704 patients answered, 24% of those asked)

Patient survey stars by topic at Good Samaritan Hospital
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Good Samaritan Hospital
Room was "always" clean66%
Nurses "always" communicated well75%
Doctors "always" communicated well71%
Staff "always" explained54%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night38%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms86%
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

$86,784

Medicare paid this office $86,784 for 379 people.

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

Largest Original Medicare bills
Critical care, first 30-74 minutes91$34,089$185
Short return visit (20+ min)138$15,765$83
Return visit (30+ min)49$9,782$119
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes68$8,556$70
New patient visit (30+ min)63$6,101$97
See all 8 services
Every Original Medicare service billed
Critical care, first 30-74 minutes91$34,089$185
Short return visit (20+ min)138$15,765$83
Return visit (30+ min)49$9,782$119
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes68$8,556$70
New patient visit (30+ min)63$6,101$97
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes29$3,431$111
Test to measure expiratory airflow and volume63$2,209$25
New patient visit (45+ min)13$1,902$146

Who their Medicare patients are

379 Original Medicare patients in 2024. Average age 77 · Under 65 6% · 85 and older 22% · Women 50% · Also on Medicaid 17% · Health risk score 1.91. At or below the middle of the specialty; the typical critical care (intensivists) clinician is at 2.58.

Conditions among them: High blood pressure 75% · Diabetes 45% · Coronary heart disease 40% · Chronic kidney disease 39% · Heart failure 35% · COPD 35% · Atrial fibrillation 34% · Depression 23% · Cancer 17% · Stroke 16% · Dementia 15%.

The office billed $419,270, Medicare allowed $113,941 and paid $86,784; for 842 services of 31 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
2024379842771.91$419,270$86,784
2023344921771.87$556,228$116,298
20223701,040771.76$670,810$140,910
2021325654742.10$413,195$75,864
2020334703742.75$673,594$87,979
2019354867762.77$726,529$110,172
2018305852752.88$554,228$117,644
20173621,193752.67$640,124$160,898
2016234779732.49$396,314$100,670
2015237793732.62$402,642$107,779
2014246716712.91$343,728$98,146
201381241692.80$96,169$30,952

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: 9 services

Original Medicare services billed in 2023
Critical care, first 30-74 minutes138$71,825$190
Short return visit (20+ min)103$11,093$82
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes35$8,751$109
Return visit (30+ min)50$8,050$117
New patient visit (30+ min)42$4,256$101
New patient visit (45+ min)23$3,416$149
Test to measure expiratory airflow and volume65$2,214$26
Initial hospital care with moderate level of medical decision making at least 75 minutes12$1,914$159
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$1,093$73

2022: 8 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes156$94,903$194
Return visit (30+ min)61$12,200$114
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes39$9,740$96
Short return visit (20+ min)87$8,027$76
New patient visit (45+ min)25$3,809$152
New patient visit (30+ min)35$3,461$99
Test to measure expiratory airflow and volume66$2,306$25
Telephone medical discussion with physician, 11-20 minutes21$1,256$60

2021: 11 services

Original Medicare services billed in 2021
Critical care, first 30-74 minutes78$32,595$201
Return visit (30+ min)65$13,576$122
Short return visit (20+ min)69$7,534$88
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes56$5,277$70
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$4,748$106
New patient visit (30+ min)26$2,757$106
New patient visit (45+ min)18$2,748$153
Telephone medical discussion with physician, 11-20 minutes19$1,995$80
Test to measure expiratory airflow and volume28$981$32
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes11$398$27
Test to measure expiratory airflow and volume12$93$8

2020: 11 services

Original Medicare services billed in 2020
Critical care, first 30-74 minutes171$56,135$208
Return visit (30+ min)46$7,208$97
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes62$6,378$75
New patient visit (45+ min)22$3,131$142
Short return visit (20+ min)45$3,103$55
Telephone medical discussion with physician, 11-20 minutes28$2,607$72
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$1,600$94
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$748$42
Administration of influenza virus vaccine13$272$21
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage13$255$20
Test to measure expiratory airflow and volume11$86$8

2019: 11 services

Original Medicare services billed in 2019
Critical care, first 30-74 minutes171$71,178$196
Return visit (30+ min)56$10,177$99
Short return visit (20+ min)69$7,039$66
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes43$5,668$66
New patient visit (45+ min)35$4,802$137
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$4,145$94
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,483$124
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes14$1,270$91
Administration of influenza virus vaccine16$390$21
Test to measure expiratory airflow and volume22$358$16
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage16$354$19

2018: 8 services

Original Medicare services billed in 2018
Critical care, first 30-74 minutes160$77,987$192
Return visit (30+ min)76$12,606$91
New patient visit (45+ min)41$5,831$142
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes35$5,322$92
Short return visit (20+ min)50$4,350$64
Initial hospital care with moderate level of medical decision making at least 75 minutes14$2,496$178
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation14$1,895$135
Test to measure expiratory airflow and volume31$1,164$36

2017: 8 services

Original Medicare services billed in 2017
Critical care, first 30-74 minutes180$108,255$184
Return visit (30+ min)96$17,265$88
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes63$12,447$88
New patient visit (45+ min)63$8,511$135
Initial hospital care with moderate level of medical decision making at least 75 minutes29$4,961$165
Short return visit (20+ min)39$2,652$56
Test to measure expiratory airflow and volume52$1,653$32
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation12$1,479$123

2016: 9 services

Original Medicare services billed in 2016
Critical care, first 30-74 minutes97$58,533$190
Return visit (30+ min)92$16,293$92
New patient visit (45+ min)63$8,471$134
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes21$4,336$90
Initial hospital care with moderate level of medical decision making at least 75 minutes18$3,142$175
Test to measure expiratory airflow and volume52$1,812$35
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation12$1,695$141
Short return visit (20+ min)12$1,009$67
Office for the evaluation and management of established patient that may not require presence of healthcare professional16$288$18

2015: 11 services

Original Medicare services billed in 2015
Critical care, first 30-74 minutes103$58,218$195
New patient visit (45+ min)74$11,805$160
Return visit (30+ min)59$11,690$106
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes53$8,128$86
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes33$3,605$109
Sleep study including heart rate, breathing, airflow, and effort13$2,309$178
Test to measure expiratory airflow and volume52$2,126$39
Irrigation and suction of lung airways to obtain cells using an endoscope21$1,747$83
Emergent insertion of breathing tube into windpipe using an endoscope14$1,267$90
Insertion of non-tunneled central venous tube for infusion (5 years or older)12$1,197$100
Office for the evaluation and management of established patient that may not require presence of healthcare professional17$350$21

2014: 9 services

Original Medicare services billed in 2014
Critical care, first 30-74 minutes136$59,424$177
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes96$12,074$84
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes65$7,308$111
Initial hospital care with moderate level of medical decision making at least 75 minutes29$4,740$163
Irrigation and suction of lung airways to obtain cells using an endoscope36$4,622$122
Emergent insertion of breathing tube into windpipe using an endoscope37$3,380$89
Insertion of non-tunneled central venous tube for infusion (5 years or older)26$2,764$99
Diagnostic exam of lung airway using an endoscope14$1,797$120
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$698$58

2013: 3 services

Original Medicare services billed in 2013
Critical care, first 30-74 minutes49$19,378$173
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes47$5,993$81
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes33$3,538$107

Medicaid work

$2,015 in 2021

Medicaid paid $2,015 for 58 billed services this clinician did in 2021, up to 14 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 2021
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes15$1,263
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES43$752
Medicaid work by year
202158214$2,015
2020372327$23,424
2019142120$8,799
2018180115$9,275
See the largest Medicaid services in earlier years

2020

Largest Medicaid services in 2020
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes308$22,302
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES46$864
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES18$258

2019

Largest Medicaid services in 2019
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes142$8,799

2018

Largest Medicaid services in 2018
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes180$9,275

Drugs they prescribed that Part D paid

$769,534

Pharmacies billed $769,534 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 1,440) in 2024. At or below the middle of the specialty; the typical critical care (intensivists) clinician is at 0%.

556 generic and 884 brand-name prescriptions · $769,534 in drug cost · 38 antibiotic prescriptions to 25 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
Ofev26$341,080$13,118
Trelegy Ellipta251$186,951$745
Anoro Ellipta109$61,631$565
Spiriva Handihaler57$37,015$649
Spiriva Respimat32$18,180$568
See all 22 drugs
Every Part D drug this clinician prescribed
Ofev26$341,080$13,118
Trelegy Ellipta251$186,951$745
Anoro Ellipta109$61,631$565
Spiriva Handihaler57$37,015$649
Spiriva Respimat32$18,180$568
Wixela Inhub116$15,172$131
Breo Ellipta35$15,157$433
Combivent Respimat12$12,228$1,019
Fluticasone Propionate Hfa36$9,596$267
Advair Hfa21$7,707$367
Atrovent Hfa15$7,661$511
Albuterol Sulfate Hfa245$6,555$27
Arnuity Ellipta19$6,506$342
Incruse Ellipta13$6,440$495
Fluticasone-Salmeterol32$4,921$154
Symbicort14$4,409$315
Ventolin Hfa51$2,937$58
Montelukast95$1,096$12
Modafinil12$412$34
Prednisone74$165$2
Azithromycin20$72$4
Zolpidem13$17$1

Year by year

Part D prescribing by year
20241,4402410% (0)61%$769,534
20231,488232None65%$760,379
20221,542221None65%$961,385
20211,3422060% (0)65%$925,598
20201,046148None60%$766,420
20191,049173None58%$673,550
20181,280188None64%$819,274
20171,377205None57%$577,505
20161,0391880% (0)63%$214,017
20153831180% (0)66%$56,209
201327None0% (0)81%$7,193

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
Ofev19$251,839$13,255
Trelegy Ellipta287$220,022$767
Anoro Ellipta105$61,556$586
Spiriva Handihaler94$56,899$605
Spiriva Respimat46$29,955$651
Wixela Inhub71$14,180$200
Advair Diskus32$12,949$405
Incruse Ellipta30$12,612$420
Atrovent Hfa23$11,230$488
Flovent Hfa24$9,450$394
Symbicort21$8,881$423
Stiolto Respimat17$8,706$512
Albuterol Sulfate Hfa235$7,208$31
Breo Ellipta16$6,711$419
Fluticasone-Salmeterol21$6,055$288
Advair Hfa13$5,821$448
Montelukast111$2,375$21
Ventolin Hfa15$1,022$68
Pantoprazole26$555$21
Fluticasone Propionate20$311$16
Prednisone68$229$3
Zolpidem12$141$12
Azithromycin17$119$7

2022: 28 drugs

Part D drugs prescribed in 2022
Ofev27$343,870$12,736
Trelegy Ellipta257$189,884$739
Spiriva Handihaler129$84,968$659
Anoro Ellipta69$38,710$561
Spiriva Respimat39$25,007$641
Breo Ellipta44$21,083$479
Stiolto Respimat30$20,472$682
Advair Diskus39$18,547$476
Symbicort31$17,651$569
Incruse Ellipta27$12,823$475
Atrovent Hfa18$11,573$643
Wixela Inhub64$11,341$177
Advair Hfa23$10,592$461
Flovent Hfa19$8,329$438
Albuterol Sulfate Hfa201$8,272$41
Arnuity Ellipta11$5,925$539
Serevent Diskus11$5,495$500
Daliresp12$5,190$432
Montelukast107$2,608$24
Fluticasone-Salmeterol12$2,225$185
Ventolin Hfa20$1,206$60
Fluticasone Propionate43$678$16
Pantoprazole26$628$24
Azithromycin24$432$18
Prednisone84$342$4
Gabapentin20$151$8
Zolpidem12$101$8
Clonazepam12$98$8

2021: 29 drugs

Part D drugs prescribed in 2021
Ofev40$466,618$11,665
Trelegy Ellipta112$75,953$678
Spiriva99$56,756$573
Breo Ellipta66$26,579$403
Anoro Ellipta43$24,448$569
Symbicort35$21,222$606
Stiolto Respimat37$18,323$495
Spiriva Respimat29$18,295$631
Advair Diskus29$17,043$588
Wixela Inhub29$10,193$351
Incruse Ellipta20$8,637$432
Albuterol Sulfate Hfa190$8,302$44
Flovent Hfa22$7,731$351
Daliresp15$6,677$445
Fluticasone-Salmeterol29$6,133$211
Arnuity Ellipta16$4,703$294
Dulera13$3,558$274
Ventolin Hfa36$2,052$57
Proair Hfa18$1,586$88
Montelukast102$1,515$15
Prednisone96$551$6
Ipratropium14$458$33
Pantoprazole15$440$29
Fluticasone Propionate19$315$17
Azithromycin24$283$12
Clonazepam15$169$11
Omeprazole11$155$14
Gabapentin15$89$6
Zolpidem12$71$6

2020: 27 drugs

Part D drugs prescribed in 2020
Ofev29$315,091$10,865
Esbriet21$194,475$9,261
Spiriva84$53,299$635
Anoro Ellipta61$30,926$507
Trelegy Ellipta29$20,432$705
Stiolto Respimat37$20,008$541
Symbicort32$16,909$528
Spiriva Respimat22$15,133$688
Advair Diskus17$12,643$744
Breo Ellipta18$9,218$512
Incruse Ellipta19$6,937$365
Flovent Hfa19$6,754$355
Arnuity Ellipta19$4,823$254
Wixela Inhub13$4,453$343
Proair Hfa40$4,075$102
Fluticasone-Salmeterol20$3,690$184
Albuterol Sulfate Hfa76$3,665$48
Ventolin Hfa48$2,759$57
Montelukast100$1,748$17
Prednisone104$650$6
Fluticasone Propionate26$499$19
Ipratropium13$274$21
Omeprazole11$233$21
Azithromycin12$166$14
Pantoprazole19$142$7
Zolpidem13$80$6
Gabapentin15$62$4

2019: 25 drugs

Part D drugs prescribed in 2019
Ofev32$334,915$10,466
Esbriet12$91,454$7,621
Spiriva106$65,224$615
Anoro Ellipta45$21,546$479
Spiriva Respimat27$19,486$722
Symbicort38$18,708$492
Advair Diskus26$18,121$697
Trelegy Ellipta29$15,842$546
Stiolto Respimat21$10,195$485
Flovent Hfa19$6,089$320
Proair Hfa79$6,046$77
Incruse Ellipta12$4,805$400
Daliresp12$4,534$378
Ventolin Hfa71$4,113$58
Montelukast96$2,491$26
Theophylline Anhydrous12$1,708$142
Pantoprazole31$821$26
Albuterol Sulfate Hfa15$707$47
Azithromycin24$574$24
Fluticasone Propionate27$544$20
Prednisone117$506$4
Omeprazole14$302$22
Levofloxacin19$262$14
Gabapentin16$124$8
Zolpidem14$82$6

2018: 24 drugs

Part D drugs prescribed in 2018
Ofev36$338,984$9,416
Esbriet23$192,134$8,354
Spiriva236$120,398$510
Advair Diskus59$35,130$595
Anoro Ellipta47$21,382$455
Symbicort30$14,896$497
Stiolto Respimat37$13,907$376
Spiriva Respimat20$11,444$572
Breo Ellipta21$9,723$463
Proair Hfa120$8,730$73
Dulera18$6,687$371
Flovent Hfa23$6,148$267
Ventolin Hfa80$4,687$59
Montelukast143$3,400$24
Arnuity Ellipta11$2,516$229
Theophylline Anhydrous12$1,494$125
Fluticasone Propionate22$705$32
Prednisone115$622$5
Omeprazole16$447$28
Pantoprazole22$440$20
Azithromycin25$320$13
Levofloxacin22$251$11
Clonazepam12$82$7
Zolpidem13$78$6

2017: 26 drugs

Part D drugs prescribed in 2017
Ofev20$173,502$8,675
Esbriet22$166,994$7,591
Spiriva210$93,128$443
Advair Diskus95$39,206$413
Symbicort50$19,247$385
Proair Hfa147$9,231$63
Advair Hfa15$7,712$514
Flovent Hfa28$7,558$270
Spiriva Respimat16$7,369$461
Combivent Respimat20$6,947$347
Stiolto Respimat14$4,817$344
Chantix13$4,735$364
Dulera13$3,869$298
Ventolin Hfa46$2,828$61
Montelukast186$2,409$13
Arnuity Ellipta11$2,377$216
Fluticasone Propionate51$639$13
Prednisone114$602$5
Omeprazole23$562$24
Pantoprazole41$387$9
Zolpidem17$201$12
Doxycycline Hyclate12$177$15
Levofloxacin19$119$6
Azithromycin16$117$7
Isoniazid13$83$6
Clonazepam15$67$4

2016: 19 drugs

Part D drugs prescribed in 2016
Spiriva118$44,904$381
Advair Diskus79$27,489$348
Symbicort59$17,203$292
Flovent Hfa64$16,091$251
Proair Hfa168$9,284$55
Advair Hfa17$5,685$334
Tudorza Pressair18$3,884$216
Combivent Respimat11$3,438$313
Qvar12$2,788$232
Pulmicort Flexhaler16$2,557$160
Montelukast126$1,709$14
Ventolin Hfa22$1,206$55
Fluticasone Propionate43$754$18
Omeprazole23$522$23
Prednisone77$437$6
Pantoprazole31$316$10
Levofloxacin16$193$12
Azithromycin19$145$8
Zolpidem13$49$4

2015: 10 drugs

Part D drugs prescribed in 2015
Spiriva39$14,886$382
Advair Diskus38$11,844$312
Flovent Hfa18$5,131$285
Qvar24$4,543$189
Proair Hfa65$3,358$52
Ventolin Hfa22$1,145$52
Fluticasone Propionate21$334$16
Prednisone33$186$6
Montelukast14$163$12
Zolpidem11$59$5

2013: 1 drug

Part D drugs prescribed in 2013
Advair Diskus12$5,908$492

Money from drug and device companies

$15 in 2025

Industry payments by year
202511None$15
202436None$186
202323None$66
202214None$89
202134None$77
202022None$25
201937None$87

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
Viatris SpecialtyYupelri$15
1 payment
  • Meals for Yupelri · 2025-01-17 · $15
See the published payment
Every published payment
Viatris SpecialtyMeals · 2025-01-17Yupelri$15
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $186

Payments by company in 2024
AstraZeneca Pharmaceuticals LPAirsupra$137
2 payments
  • Meals for Airsupra · 2024-03-26 · $118
  • Meals for Airsupra · 2024-02-27 · $20
Mylan Specialty L.P.Yupelri$32
2 payments
  • Meals for Yupelri · 2024-10-08 · $16
  • Meals for Yupelri · 2024-03-20 · $16
InsmedArikayce$16
1 payment
  • Education for Arikayce · 2024-12-04 · $16

2023: $66

Payments by company in 2023
Mylan Specialty L.P.Yupelri$41
2 payments
  • Meals for Yupelri · 2023-12-02 · $18
  • Meals for Yupelri · 2023-08-31 · $23
GlaxoSmithKlineTrelegy Ellipta$26
1 payment
  • Meals for Trelegy Ellipta · 2023-12-13 · $26

2022: $89

Payments by company in 2022
GlaxoSmithKlineTrelegy Ellipta$89
4 payments
  • Meals for Trelegy Ellipta · 2022-12-19 · $27
  • Meals for Trelegy Ellipta · 2022-12-12 · $18
  • Meals for Trelegy Ellipta · 2022-12-12 · $23
  • Meals for Trelegy Ellipta · 2022-05-04 · $22

2021: $77

Payments by company in 2021
Boehringer Ingelheim PharmaceuticalsOfev$46
2 payments
  • Meals for Ofev · 2021-05-18 · $25
  • Meals for Ofev · 2021-04-22 · $21
Genentech USAEsbriet$19
1 payment
  • Meals for Esbriet · 2021-05-27 · $19
Philips Electronics North America(9369) Reusable Vest$13
1 payment
  • Meals for (9369) Reusable Vest · 2021-04-30 · $13

2020: $25

Payments by company in 2020
Sunovion PharmaceuticalsLonhala Magnair$14
1 payment
  • Meals for Lonhala Magnair · 2020-01-21 · $14
Boehringer Ingelheim PharmaceuticalsStiolto Respimat$11
1 payment
  • Meals for Stiolto Respimat · 2020-10-26 · $11

2019: $87

Payments by company in 2019
Genentech USAEsbriet$41
2 payments
  • Meals for Esbriet · 2019-11-14 · $22
  • Meals for Esbriet · 2019-05-09 · $19
Sunovion PharmaceuticalsLonhala Magnair$27
4 payments
  • Meals for Lonhala Magnair · 2019-12-17 · $5
  • Meals for Lonhala Magnair · 2019-12-02 · $7
  • Meals for Lonhala Magnair · 2019-06-10 · $12
  • Meals for Lonhala Magnair · 2019-03-20 · $3
Mylan Specialty L.P.Yupelri$19
1 payment
  • Meals for Yupelri · 2019-08-23 · $19

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
94.9 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1851592844
Licence
CA A123496California A123496: Current · expires 2026-11-30
Group
University Healthcare Alliance · County of Santa Clara
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RC0200X (207RC0200X); Federal specialty code 207RP1001X (207RP1001X)
Mailing address
2425 Samaritan Dr, San Jose, CA, 95124
NPI first listed
2007-05-29
NPI last updated
2023-09-26
NPI record certified
2023-09-26

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

Extra NPI addresses: 227 N Jackson Ave, San Jose, CA, 95116