Monica N Sweet, PA
Physician Assistant · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 2
- 1 carrier
- Offices
- 2
- Since medical school
- 32 years
- Graduated 1994
Offices
2 locations · County of Santa Clara · 1,000 clinicians in this group
Plans that list them
2 plans · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Monica N Sweet’s office at (888) 334-1000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
Original Medicare doctor bills
$1,884
Medicare paid this office $1,884 for 21 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 17 | $1,256 | $57 |
Who their Medicare patients are
21 Original Medicare patients in 2024. Average age 74 · Health risk score 1.57. Above the middle of the specialty; the typical physician assistant clinician is at 1.31.
Conditions among them: High blood pressure 75% · Diabetes 52%.
The office billed $11,284, Medicare allowed $2,441 and paid $1,884; for 31 services of 5 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
| 2024 | 21 | 31 | 74 | 1.57 | $11,284 | $1,884 |
| 2023 | 11 | 11 | 79 | 1.50 | $3,810 | $665 |
| 2018 | 35 | 76 | 79 | 1.93 | $24,546 | $4,698 |
| 2017 | 24 | 33 | 72 | 0.97 | $7,073 | $941 |
| 2016 | 25 | 45 | 72 | 1.00 | $7,611 | $2,014 |
| 2015 | 35 | 56 | 73 | 1.02 | $162,933 | $21,322 |
| 2014 | 46 | 64 | 76 | 0.97 | $179,960 | $7,010 |
| 2013 | 70 | 530 | 70 | 0.98 | $115,997 | $11,972 |
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
2018: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 26 | $3,712 | $63 |
| Hospital discharge day management, 30 minutes or less | 11 | $708 | $64 |
2017: 1 service
| Short return visit (20+ min) | 16 | $384 | $24 |
2016: 1 service
| Short return visit (20+ min) | 11 | $525 | $48 |
2014: 1 service
| Replacement of knee joint, both sides of knee | 11 | $2,697 | $245 |
2013: 2 services
| Short return visit (20+ min) | 14 | $761 | $54 |
| Emergency department visit with low level of medical decision making | 17 | $742 | $44 |
Drugs they prescribed that Part D paid
$152
Pharmacies billed $152 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
19 generic and fewer than 11 brand-name prescriptions · $152 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.
Year by year
| 2024 | 21 | 13 | None | None | $152 |
| 2023 | 66 | 40 | 32% (21) | None | $488 |
| 2022 | 62 | 37 | 36% (22) | 0% | $601 |
| 2021 | 39 | 24 | None | None | $965 |
| 2020 | 54 | 38 | 50% (27) | 0% | $786 |
| 2019 | 60 | 42 | 40% (24) | None | $641 |
| 2018 | 65 | 33 | None | None | $1,873 |
| 2017 | 214 | 87 | None | 18% | $12,153 |
| 2016 | 113 | 64 | None | None | $4,729 |
| 2015 | 74 | 43 | 66% (49) | None | $2,690 |
| 2014 | 110 | 54 | 62% (68) | None | $6,952 |
| 2013 | 67 | 42 | 45% (30) | None | $2,248 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 2 drugs
| Hydrocodone-Acetaminophen | 18 | $93 | $5 |
| Levetiracetam | 12 | $60 | $5 |
2022: 2 drugs
| Hydrocodone-Acetaminophen | 19 | $125 | $7 |
| Levetiracetam | 12 | $57 | $5 |
2021: 1 drug
| Levetiracetam | 11 | $74 | $7 |
2020: 1 drug
| Hydrocodone-Acetaminophen | 24 | $149 | $6 |
2019: 2 drugs
| Hydrocodone-Acetaminophen | 21 | $95 | $5 |
| Levetiracetam | 13 | $69 | $5 |
2017: 3 drugs
| Sertraline | 13 | $109 | $8 |
| Amlodipine Besylate | 11 | $63 | $6 |
| Losartan | 12 | $62 | $5 |
2015: 2 drugs
| Hydrocodone-Acetaminophen | 18 | $538 | $30 |
| Oxycodone-Acetaminophen | 21 | $497 | $24 |
2014: 3 drugs
| Enoxaparin | 12 | $1,939 | $162 |
| Oxycodone-Acetaminophen | 30 | $975 | $32 |
| Hydrocodone-Acetaminophen | 23 | $513 | $22 |
2013: 2 drugs
| Oxycodone-Acetaminophen | 12 | $229 | $19 |
| Hydrocodone-Acetaminophen | 16 | $118 | $7 |
Money from drug and device companies
$135 in 2021
A payment is not proof that care is biased.
| Forte Bio-Pharma | Prolate | $135 | 1 payment
|
See the published payment
| Forte Bio-Pharma | Meals · 2021-03-17 | Prolate | $135 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 87.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1881615334
- Licence
- CA PA13358
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Physician assistant (363A00000X)
- Mailing address
- 39300 Civic Center Dr Ste 370, Fremont, CA, 94538
- NPI first listed
- 2006-07-21
- NPI last updated
- 2024-09-19
- NPI record certified
- 2024-09-19
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 2000 Mowry Ave, Fremont, CA, 94538