Skip to main content
UniHealth

Doctor search

Lisa Nicole Segnitz, MD

Hospice/Palliative Care · Los Altos

NPI 1912907080

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 · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: 051526 · Dominican Hospital. That is not proof they admit you there this week.

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. Segnitz’s office at (650) 254-5200 to ask if they take your plan before you enroll.

California Medical Board record

Licence A82396 · Current

Licensed to practise in California · since 2003 · expires 2027-01-31 · University of California San Francisco School of Medicine.

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

Hospitals they work in

1 hospital

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

  • Dominican HospitalSanta Cruz, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 4 of 5 · 68% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Postoperative sepsis rate: 11.66 (8.02 to 15.3) · 412 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.168, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.169, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.489, Oct 2024 – Sep 2025
See every measure and the patient survey for Dominican Hospital

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 1 better, 8 the same, 2 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 Dominican Hospital
Postoperative sepsis rateComplications and deaths11.66 (8.02 to 15.3) · 412 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.168BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.169BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.489BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.01 (0.06 to 1.95) · 1,248 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.14 (0.85 to 1.43)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths134.37 (94.33 to 174.41) · 132 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 54 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.2 · 137 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12 · 228 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.5 · 534 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.8 · 491 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 278 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 2,973 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.14 (0 to 0.34) · 7,510 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,695 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.42 (1.44 to 5.4) · 1,594 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.26 (0 to 2.76) · 436 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.85 (0.4 to 3.29) · 1,474 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.73 (3 to 14.46) · 437 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.58 (0.13 to 3.03) · 343 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.57 (0 to 1.17) · 6,336 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0.615No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.937No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16 · 212 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 505 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits45 · 237 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-13.5 · 594 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.9 · 510 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.9 · 473 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.4 to 7.8) · 126 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13 (9.4 to 17.7) · 126 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits12.7 · 43 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 143 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.1 (9.4 to 15.4) · 1,585 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 390 casesNo differentJan 2024 – Dec 2024

What patients said (774 patients answered, 23% of those asked)

Patient survey stars by topic at Dominican Hospital
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital4
Share of patients giving the best answer at Dominican Hospital
Room was "always" clean73%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand77%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night32%
"YES", patients would definitely recommend the hospital68%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$48,222

Medicare paid this office $48,222 for 123 people.

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

Largest Original Medicare bills
Long return visit (40+ min)50$15,421$141
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes51$12,695$149
Advance care planning, first 30 minutes49$4,613$66
Residence visit for new patient with high level of medical decision making, per day at least 75 minutes25$4,158$166
New patient visit (60+ min)17$2,980$175
See all 6 services
Every Original Medicare service billed
Long return visit (40+ min)50$15,421$141
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes51$12,695$149
Advance care planning, first 30 minutes49$4,613$66
Residence visit for new patient with high level of medical decision making, per day at least 75 minutes25$4,158$166
New patient visit (60+ min)17$2,980$175
Initial hospital care with moderate level of medical decision making at least 75 minutes21$2,950$140

Who their Medicare patients are

123 Original Medicare patients in 2024. Average age 78 · Under 65 12% · 85 and older 33% · Women 66% · Also on Medicaid 35% · Health risk score 2.81. At or below the middle of the specialty; the typical hospice and palliative care clinician is at 2.98.

Conditions among them: High blood pressure 75% · Depression 44% · Chronic kidney disease 36% · Cancer 32% · Dementia 31% · Heart failure 29% · Atrial fibrillation 29% · Diabetes 28% · Coronary heart disease 28% · COPD 23% · Stroke 10%.

The office billed $197,874, Medicare allowed $62,777 and paid $48,222; for 398 services of 22 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
2024123398782.81$197,874$48,222
2023103404792.90$176,912$45,847
2022113389792.30$162,881$45,211
2021112384792.40$151,889$44,725
2020115346792.30$129,083$38,947
2019116302812.28$134,695$35,526
2018101329792.29$136,997$36,979
2017104334782.25$127,495$33,900
2016149442802.15$163,894$42,803
2015129373802.30$140,108$40,707
201475190812.33$77,558$20,205
201342129832.41$54,102$14,274

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: 6 services

Original Medicare services billed in 2023
Long return visit (40+ min)44$17,235$149
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes40$8,701$140
Advance care planning, first 30 minutes65$6,622$69
New patient visit (60+ min)20$3,839$192
Residence visit for new patient with high level of medical decision making, per day at least 75 minutes18$2,948$164
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or14$579$28

2022: 8 services

Original Medicare services billed in 2022
Long return visit (40+ min)48$14,154$147
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes34$9,457$143
Advance care planning, first 30 minutes44$3,992$73
New patient visit (60+ min)14$2,697$193
Telephone medical discussion with physician, 21-30 minutes19$2,334$101
Residence visit for new patient with high level of medical decision making, per day at least 75 minutes12$1,810$151
Telephone medical discussion with physician, 11-20 minutes13$1,202$71
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or13$518$26

2021: 11 services

Original Medicare services billed in 2021
Long return visit (40+ min)38$10,396$149
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes43$9,706$147
Advance care planning, first 30 minutes50$3,940$73
Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes21$3,124$108
Telephone medical discussion with physician, 21-30 minutes22$2,785$96
Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes17$2,497$147
Residence visit for new patient with high level of medical decision making, per day at least 75 minutes13$2,464$190
New patient visit (60+ min)12$2,118$176
Return visit (30+ min)13$1,617$116
Telephone medical discussion with physician, 11-20 minutes17$1,284$71
Telephone medical discussion with physician, 5-10 minutes12$535$41

2020: 9 services

Original Medicare services billed in 2020
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes44$9,527$144
Long return visit (40+ min)37$5,799$126
Telephone medical discussion with physician, 21-30 minutes29$4,397$98
Advance care planning, first 30 minutes37$3,306$75
New patient visit (60+ min)14$2,534$181
Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes17$2,371$113
Residence visit for new patient with high level of medical decision making, per day at least 75 minutes12$2,206$184
Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes11$1,498$136
Telephone medical discussion with physician, 11-20 minutes16$1,401$67

2019: 7 services

Original Medicare services billed in 2019
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes37$7,836$142
Long return visit (40+ min)29$6,271$121
Advance care planning, first 30 minutes60$4,858$71
Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes23$3,419$149
New patient visit (60+ min)18$3,181$177
Residence visit for new patient with high level of medical decision making, per day at least 75 minutes15$2,682$179
Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes15$1,473$87

2018: 7 services

Original Medicare services billed in 2018
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes35$7,998$143
Long return visit (40+ min)29$7,522$119
Advance care planning, first 30 minutes45$3,864$70
New patient visit (60+ min)18$3,110$173
Return visit (30+ min)16$2,185$91
Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes13$1,863$143
Extended patient service without direct patient contact, first hour14$1,476$82

2017: 9 services

Original Medicare services billed in 2017
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes28$5,298$136
Long return visit (40+ min)31$5,234$119
Advance care planning, first 30 minutes55$4,458$67
Return visit (30+ min)20$3,251$88
New patient visit (60+ min)15$2,548$170
Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes19$2,202$82
Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes14$2,092$149
Extended office or other outpatient service, first hour11$1,487$106
Extended patient service without direct patient contact, first hour12$1,461$91

2016: 10 services

Original Medicare services billed in 2016
Advance care planning, first 30 minutes84$6,737$67
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes28$5,299$132
Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes35$4,855$139
Long return visit (40+ min)23$3,801$109
Return visit (30+ min)26$3,707$88
New patient visit (60+ min)21$3,538$168
Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes28$3,398$94
Residence visit for new patient with high level of medical decision making, per day at least 75 minutes12$1,935$161
Extended office or other outpatient service, first hour13$1,058$81
Short return visit (20+ min)12$841$56

2015: 9 services

Original Medicare services billed in 2015
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes38$7,742$146
Extended office or other outpatient service, first hour72$6,738$83
Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes24$3,690$154
Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes20$2,916$104
Long return visit (40+ min)16$2,527$110
Initial hospital care with moderate level of medical decision making at least 75 minutes13$2,224$171
Residence visit for new patient with high level of medical decision making, per day at least 75 minutes11$2,045$186
Extended inpatient or observation hospital service, first hour18$1,865$78
Return visit (30+ min)13$1,473$92

2014: 4 services

Original Medicare services billed in 2014
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes23$4,304$134
Extended office or other outpatient service, first hour28$2,630$80
Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes16$1,650$92
Extended inpatient or observation hospital service, first hour15$1,114$74

2013: 2 services

Original Medicare services billed in 2013
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes17$3,872$138
Extended office or other outpatient service, first hour24$2,351$78

Medicaid work

$989 in 2023

Medicaid paid $989 for 14 billed services this clinician did in 2023, up to 13 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 2023
Return visit (30+ min)14$989
Medicaid work by year
202314113$989

Drugs they prescribed that Part D paid

$10,571

Pharmacies billed $10,571 in 2024.

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

Opioids were 24% of their Part D prescriptions (70 of 289) in 2024. At or below the middle of the specialty; the typical hospice and palliative care clinician is at 43%. Long-acting opioids: 41% of their opioid prescriptions.

280 generic and fewer than 11 brand-name prescriptions · $10,571 in drug cost · 31 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
Morphine Sulfate Er14$304$22
Escitalopram22$233$11
Hydrocodone-Acetaminophen14$231$17
Methadone15$220$15
Quetiapine24$139$6
See all 8 drugs
Every Part D drug this clinician prescribed
Morphine Sulfate Er14$304$22
Escitalopram22$233$11
Hydrocodone-Acetaminophen14$231$17
Methadone15$220$15
Quetiapine24$139$6
Trazodone14$88$6
Gabapentin13$22$2
Omeprazole13$17$1

Year by year

Part D prescribing by year
20242897824% (70)None$10,571
20232526733% (83)None$9,158
20223236521% (68)None$9,687
20213547222% (76)7%$14,783
20204047328% (113)15%$21,733
20193376326% (88)14%$18,639
20182395542% (101)5%$6,907
20172235229% (64)12%$7,456
20163967327% (107)18%$17,796
20151774521% (37)22%$10,887
20141603024% (39)18%$7,321
2013742924% (18)None$2,427

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
Mirtazapine18$532$30
Hydrocodone-Acetaminophen15$452$30
Methadone19$315$17
Morphine Sulfate Er14$299$21

2022: 7 drugs

Part D drugs prescribed in 2022
Mirtazapine30$1,249$42
Gabapentin22$667$30
Tramadol16$546$34
Hydrocodone-Acetaminophen16$384$24
Clonazepam11$346$31
Omeprazole17$308$18
Methadone18$303$17

2021: 10 drugs

Part D drugs prescribed in 2021
Gabapentin44$803$18
Mirtazapine16$644$40
Morphine Sulfate Er20$423$21
Hydrocodone-Acetaminophen15$368$25
Omeprazole20$249$12
Methadone14$233$17
Escitalopram12$123$10
Bupropion Xl14$115$8
Trazodone14$97$7
Lorazepam13$71$5

2020: 14 drugs

Part D drugs prescribed in 2020
Linzess12$5,614$468
Oxycontin11$4,345$395
Morphine Sulfate Er28$636$23
Gabapentin22$463$21
Oxycodone13$447$34
Hydrocodone-Acetaminophen26$416$16
Erythromycin11$323$29
Quetiapine15$321$21
Lorazepam14$268$19
Mirtazapine13$254$20
Bupropion Xl11$250$23
Omeprazole19$242$13
Paroxetine11$119$11
Lactulose11$78$7

2019: 9 drugs

Part D drugs prescribed in 2019
Oxycodone16$874$55
Mirtazapine12$490$41
Hydrocodone-Acetaminophen24$450$19
Morphine Sulfate Er13$420$32
Quetiapine11$236$21
Cephalexin20$202$10
Eszopiclone13$85$7
Nortriptyline12$74$6
Metoclopramide12$40$3

2018: 5 drugs

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen41$815$20
Gabapentin12$314$26
Lactulose17$227$13
Methadone14$171$12
Fluoxetine12$136$11

2017: 4 drugs

Part D drugs prescribed in 2017
Morphine Sulfate Er19$794$42
Lactulose28$291$10
Hydrocodone-Acetaminophen13$194$15
Gabapentin11$145$13

2016: 11 drugs

Part D drugs prescribed in 2016
Oxycontin14$3,627$259
Morphine Sulfate Er23$1,109$48
Hydrocodone-Acetaminophen15$1,015$68
Mirtazapine24$584$24
Methylphenidate15$449$30
Hydromorphone11$232$21
Lactulose17$195$11
Lorazepam16$157$10
Methadone13$156$12
Citalopram Hbr33$152$5
Trazodone13$116$9

2015: 2 drugs

Part D drugs prescribed in 2015
Gabapentin23$285$12
Trazodone20$91$5

2014: 5 drugs

Part D drugs prescribed in 2014
Morphine Sulfate Er12$1,249$104
Morphine Sulfate16$311$19
Lactulose18$209$12
Gabapentin17$193$11
Potassium Chloride13$137$11

Money from drug and device companies

$82 in 2024

A payment is not proof that care is biased.

Payments by company
AstraZeneca Pharmaceuticals LPNone$51
1 payment
  • Meals · 2024-06-25 · $51
EisaiLenvima$32
1 payment
  • Meals for Lenvima · 2024-11-07 · $32
See all 2 published payments
Every published payment
EisaiMeals · 2024-11-07Lenvima$32
AstraZeneca Pharmaceuticals LPMeals · 2024-06-25None$51

Professional record

NPI
1912907080
Licence
CA 00A823960, CA A82396California A82396: Current · expires 2027-01-31
Trained
University of California, San Francisco School of Medicine, 2000
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
CA 00A823960
Taxonomy
Federal specialty code 207QH0002X (207QH0002X); Family medicine (207Q00000X)
Mailing address
2350 W El Camino Real, 2nd Floor, Mountain View, CA, 94040
NPI first listed
2005-07-29
NPI last updated
2015-05-13

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