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Cheryl Lynne Mcbride, DO

Emergency Medicine · San Jose

NPI 1912188632

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

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. Mcbride’s office at (408) 885-5000 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$1,076

Medicare paid this office $1,076 for 14 people.

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

Largest Original Medicare bills
Emergency department visit with moderate level of medical decision making11$1,011$84

Who their Medicare patients are

14 Original Medicare patients in 2024. Average age 66 · 85 and older 0% · Health risk score 1.93. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

The office billed $7,984, Medicare allowed $1,593 and paid $1,076; for 15 services of 3 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
20241415661.93$7,984$1,076
20232121631.36$11,266$1,494
20221919611.82$5,019$778
20212324641.43$5,841$1,059
20201818592.29$4,290$626
20192223602.12$5,796$1,072
20181821542.23$6,219$950
20171414572.96$3,239$576
20161315603.36$3,066$383
20151819552.91$5,163$715
20142020551.93$3,850$491
20131112591.87$2,560$337

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: 1 service

Original Medicare services billed in 2023
Emergency department visit with moderate level of medical decision making19$1,402$74

2022: 1 service

Original Medicare services billed in 2022
Emergency department visit with low level of medical decision making15$709$47

2021: 1 service

Original Medicare services billed in 2021
Emergency department visit with low level of medical decision making19$898$47

2020: 1 service

Original Medicare services billed in 2020
Emergency department visit with low level of medical decision making15$591$39

2019: 1 service

Original Medicare services billed in 2019
Emergency department visit with low level of medical decision making17$799$47

2018: 1 service

Original Medicare services billed in 2018
Emergency department visit with low level of medical decision making13$573$41

2015: 1 service

Original Medicare services billed in 2015
Emergency department visit with low level of medical decision making13$485$37

2014: 1 service

Original Medicare services billed in 2014
Emergency department visit for problem that may not require health care professional11$151$14

Medicaid work

$13,611 in 2024

Medicaid paid $13,611 for 100 billed services this clinician did in 2024, up to 21 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
EMERGENCY DEPT VISIT MOD MDM100$13,611
Medicaid work by year
2024100121$13,611
2023212323$3,305
2022276235$2,843
2021148121$1,791
2020110219$1,158
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM156$2,798
EMERGENCY DEPT VISIT LOW MDM31$312
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM25$195

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT LOW MDM161$2,073
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM115$770

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT LOW MDM148$1,791

2020

Largest Medicaid services in 2020
EMERGENCY DEPT VISIT LOW MDM76$914
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM34$243

Drugs they prescribed that Part D paid

$4,811

Pharmacies billed $4,811 in 2024.

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

Opioids were 26% of their Part D prescriptions (44 of 168) in 2024. A higher opioid share than 9 in 10 peers; the typical emergency medicine clinician is at 12%.

153 generic and 15 brand-name prescriptions · $4,811 in drug cost · 47 antibiotic prescriptions to 42 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
Oxycodone37$213$6
Cefadroxil20$204$10
Ondansetron Odt18$113$6

Year by year

Part D prescribing by year
202416812226% (44)9%$4,811
202318514027% (50)None$3,859
202215411921% (32)None$3,736
202115210922% (34)None$5,805
20201249032% (39)None$2,183
201917211822% (38)12%$4,936
201816112133% (53)11%$2,738
201715410623% (36)13%$4,974
201613910926% (36)None$2,462
20151359825% (34)9%$4,697
2014978336% (35)None$1,352
20131047836% (37)None$1,572

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

See the drugs prescribed each year

2023: 4 drugs

Part D drugs prescribed in 2023
Cefadroxil22$233$11
Hydrocodone-Acetaminophen29$176$6
Ondansetron Odt24$149$6
Oxycodone20$117$6

2022: 3 drugs

Part D drugs prescribed in 2022
Hydrocodone-Acetaminophen22$137$6
Cefadroxil14$126$9
Ondansetron Odt13$86$7

2021: 3 drugs

Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen27$181$7
Cefadroxil14$130$9
Ondansetron Odt16$109$7

2020: 1 drug

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen29$187$6

2019: 1 drug

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen28$163$6

2018: 1 drug

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen40$241$6

2017: 4 drugs

Part D drugs prescribed in 2017
Ventolin Hfa13$524$40
Hydrocodone-Acetaminophen31$258$8
Ondansetron Odt11$150$14
Prednisone12$94$8

2016: 3 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen28$309$11
Ondansetron Odt17$161$9
Cephalexin11$129$12

2015: 2 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen23$324$14
Ondansetron Odt16$156$10

2014: 1 drug

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen28$248$9

2013: 2 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen30$240$8
Ciprofloxacin12$102$8

Money from drug and device companies

$12 in 2021

A payment is not proof that care is biased.

Payments by company
AbbVieCreon$12
1 payment
  • Meals for Creon · 2021-04-15 · $12
See the published payment
Every published payment
AbbVieMeals · 2021-04-15Creon$12

Professional record

NPI
1912188632
Licence
CA 20A8896
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X); Federal specialty code 207PS0010X (207PS0010X)
Mailing address
751 S Bascom Ave, Emergency Dept, San Jose, CA, 95128
NPI first listed
2007-11-21
NPI last updated
2021-12-14

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

This office lists an electronic records connection.