Shwe Pyae, NP
Nurse Practitioner · Hayward
- 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 · Wound MD PC · Quality Care Solution Inc
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Shwe Pyae’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$274,269
Medicare paid this office $274,269 for 519 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 295 | $129,749 | $85 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 302 | $67,975 | $59 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 129 | $22,319 | $118 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 52 | $7,676 | $59 |
| Nursing facility discharge management, more than 30 minutes | 49 | $5,189 | $102 |
See all 8 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 295 | $129,749 | $85 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 302 | $67,975 | $59 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 129 | $22,319 | $118 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 52 | $7,676 | $59 |
| Nursing facility discharge management, more than 30 minutes | 49 | $5,189 | $102 |
| Advance care planning, first 30 minutes | 77 | $5,128 | $64 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes | 106 | $3,348 | $31 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes | 34 | $1,243 | $32 |
Procedures Medicare counted
| Removal of skin lesions | 1-10 | None |
| Removal of tissue | 64 | More than 81% of doctors who do this |
Who their Medicare patients are
519 Original Medicare patients in 2024. Average age 79 · Under 65 6% · 85 and older 32% · Women 52% · Also on Medicaid 67% · Health risk score 2.28. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 75% · Dementia 53% · Diabetes 50% · Depression 50% · Coronary heart disease 38% · Heart failure 36% · Chronic kidney disease 35% · Atrial fibrillation 33% · COPD 24% · Stroke 24% · Cancer 16%.
The office billed $629,702, Medicare allowed $345,524 and paid $274,269; for 3,418 services of 15 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 | 519 | 3,418 | 79 | 2.28 | $629,702 | $274,269 |
| 2020 | 246 | 676 | 77 | 2.75 | $99,291 | $49,157 |
| 2019 | 46 | 56 | 78 | 1.66 | $5,785 | $3,721 |
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
2020: 5 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 159 | $27,238 | $69 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 57 | $6,982 | $103 |
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 40 | $6,758 | $73 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 38 | $3,231 | $52 |
| Nursing facility discharge management, more than 30 minutes | 32 | $2,769 | $84 |
2019: 1 service
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 42 | $3,320 | $68 |
Medicaid work
$3,316 in 2024
Medicaid paid $3,316 for 888 billed services this clinician did in 2024, up to 54 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.
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 338 | $2,758 |
| SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES | 35 | $318 |
| SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 482 | $240 |
| SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES | 33 | $0 |
| 2024 | 888 | 4 | 54 | $3,316 |
| 2020 | 173 | 1 | 26 | $1,735 |
See the largest Medicaid services in earlier years
2020
| SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 173 | $1,735 |
Drugs they prescribed that Part D paid
$52,999
Pharmacies billed $52,999 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 5% of their Part D prescriptions (47 of 906) in 2024. Above the middle of the specialty; the typical nurse practitioner clinician is at 0%.
769 generic and 124 brand-name prescriptions · $52,999 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.
| Jardiance | 16 | $10,680 | $668 |
| Gabapentin | 44 | $731 | $17 |
| Albuterol Sulfate Hfa | 12 | $664 | $55 |
| Metformin | 60 | $614 | $10 |
| Atorvastatin | 42 | $549 | $13 |
See all 26 drugs
| Jardiance | 16 | $10,680 | $668 |
| Gabapentin | 44 | $731 | $17 |
| Albuterol Sulfate Hfa | 12 | $664 | $55 |
| Metformin | 60 | $614 | $10 |
| Atorvastatin | 42 | $549 | $13 |
| Lantus Solostar | 15 | $434 | $29 |
| Pantoprazole | 12 | $359 | $30 |
| Sertraline | 20 | $340 | $17 |
| Amlodipine Besylate | 43 | $312 | $7 |
| Tamsulosin | 28 | $299 | $11 |
| Potassium Chloride | 21 | $249 | $12 |
| Baclofen | 14 | $220 | $16 |
| Furosemide | 25 | $195 | $8 |
| Metoprolol | 11 | $188 | $17 |
| Venlafaxine Hcl Er | 20 | $159 | $8 |
| Warfarin | 12 | $158 | $13 |
| Metoprolol | 21 | $144 | $7 |
| Escitalopram | 21 | $136 | $6 |
| Losartan | 13 | $135 | $10 |
| Oxycodone | 15 | $116 | $8 |
| Tramadol | 15 | $112 | $7 |
| Zolpidem | 13 | $107 | $8 |
| Mirtazapine | 15 | $103 | $7 |
| Lorazepam | 17 | $91 | $5 |
| Famotidine | 15 | $84 | $6 |
| Glipizide Er | 16 | $70 | $4 |
Year by year
| 2024 | 906 | 131 | 5% (47) | 14% | $52,999 |
| 2023 | 379 | 75 | None | 17% | $38,655 |
| 2022 | 282 | 55 | 0% (0) | None | $14,076 |
| 2021 | 322 | 35 | None | 12% | $20,073 |
| 2020 | 634 | 125 | 13% (79) | None | $42,326 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 9 drugs
| Albuterol Sulfate Hfa | 13 | $519 | $40 |
| Potassium Chloride | 20 | $364 | $18 |
| Atorvastatin | 26 | $328 | $13 |
| Metformin | 22 | $297 | $13 |
| Amlodipine Besylate | 20 | $284 | $14 |
| Simvastatin | 16 | $242 | $15 |
| Gabapentin | 28 | $211 | $8 |
| Famotidine | 12 | $161 | $13 |
| Lisinopril | 11 | $118 | $11 |
2022: 7 drugs
| Duloxetine | 11 | $589 | $54 |
| Gabapentin | 19 | $438 | $23 |
| Potassium Chloride | 29 | $330 | $11 |
| Metformin | 14 | $252 | $18 |
| Atorvastatin | 16 | $177 | $11 |
| Amlodipine Besylate | 27 | $177 | $7 |
| Hydrochlorothiazide | 14 | $77 | $6 |
2021: 11 drugs
| Eliquis | 16 | $6,860 | $429 |
| Ranolazine Er | 11 | $1,090 | $99 |
| Gabapentin | 25 | $976 | $39 |
| Atorvastatin | 17 | $760 | $45 |
| Famotidine | 19 | $571 | $30 |
| Amlodipine Besylate | 30 | $419 | $14 |
| Potassium Chloride | 25 | $400 | $16 |
| Latanoprost | 11 | $335 | $30 |
| Metformin | 19 | $293 | $15 |
| Furosemide | 13 | $155 | $12 |
| Trazodone | 12 | $118 | $10 |
2020: 16 drugs
| Vimpat | 16 | $8,406 | $525 |
| Januvia | 18 | $4,006 | $223 |
| Basaglar Kwikpen U-100 | 19 | $1,376 | $72 |
| Gabapentin | 35 | $1,082 | $31 |
| Duloxetine | 12 | $993 | $83 |
| Mirtazapine | 19 | $740 | $39 |
| Hydrocodone-Acetaminophen | 33 | $566 | $17 |
| Metformin | 41 | $368 | $9 |
| Amlodipine Besylate | 16 | $220 | $14 |
| Levothyroxine | 17 | $218 | $13 |
| Diltiazem | 19 | $210 | $11 |
| Lorazepam | 17 | $186 | $11 |
| Potassium Chloride | 11 | $161 | $15 |
| Spironolactone | 11 | $124 | $11 |
| Furosemide | 13 | $81 | $6 |
| Atorvastatin | 11 | $78 | $7 |
Money from drug and device companies
$134 in 2024
| 2024 | 2 | 2 | None | $134 |
| 2023 | 5 | 6 | None | $378 |
| 2022 | 1 | 1 | None | $31 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Mayne Pharma Commercial | Annovera | $122 | 1 payment
|
| Dynavax Technologies | Heplisav-B | $12 | 1 payment
|
See all 2 published payments
| Mayne Pharma Commercial | Meals · 2024-11-12 | Annovera | $122 |
| Dynavax Technologies | Meals · 2024-03-26 | Heplisav-B | $12 |
See earlier years (2023, 2022)
2023: $378
| Mayne Pharma Commercial | Nextstellis | $124 | 1 payment
|
| AstraZeneca Pharmaceuticals LP | Andexxa | $122 | 1 payment
|
| Biogen | None | $94 | 1 payment
|
| Dynavax Technologies | Heplisav-B | $20 | 2 payments
|
| Pfizer | Prevnar 20 | $18 | 1 payment
|
2022: $31
| Dexcom | Dexcom G6 Transmitter | $31 | 1 payment
|
Professional record
- NPI
- 1891344917
- Licence
- CA NP95012290
- Group
- Wound MD PC · Quality Care Solution Inc
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Nurse practitioner (363L00000X); Federal specialty code 363LF0000X (363LF0000X)
- Mailing address
- 300 Pasteur Dr, Stanford, CA, 94305
- NPI first listed
- 2019-09-11
- NPI last updated
- 2026-08-10
- NPI record certified
- 2026-08-10
This is when the NPI record was last certified, not a medical board exam.