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Hala Ali, MD

Internal Medicine · Burlingame

NPI 1942252788

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
4

Offices

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

Looking this up.

Hospitals listed: Mills-Peninsula Medical Center. 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. Ali’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence C52640 · Current

Licensed to practise in California · since 2006 · expires 2028-03-31 · University of Baghdad College 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.

  • Peninsula Medical CenterBurlingame, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.139, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.242, Oct 2024 – Sep 2025
See every measure and the patient survey for Peninsula Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 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 Peninsula Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.139BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.242BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.21 (0.27 to 2.15) · 1,258 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.81 (0.51 to 1.1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths155.44 (112.67 to 198.21) · 90 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.5 · 32 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 82 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10 · 188 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9 · 473 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.8 · 342 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.4 · 485 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 3,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.4) · 6,904 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,052 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.41 (1.43 to 5.39) · 1,695 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.72 (0.17 to 3.28) · 665 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,545 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.1 (1.3 to 12.9) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.96 (2.63 to 9.29) · 653 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.08) · 418 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.14 (0 to 0.78) · 5,539 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.7 · 192 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.215No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.263No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.74No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.3 · 300 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19 · 702 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits1.2 · 207 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-13.6 · 531 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits24.3 · 343 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 449 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.5 (2.8 to 7) · 85 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.6 (6.7 to 13.7) · 85 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.7 · 189 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11 · 45 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.6 · 117 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.7 to 17.2) · 584 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 764 casesNo differentJan 2024 – Dec 2024

What patients said (523 patients answered, 27% of those asked)

Patient survey stars by topic at Peninsula Medical Center
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Peninsula Medical Center
Room was "always" clean76%
Nurses "always" communicated well81%
Doctors "always" communicated well80%
Staff "always" explained58%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$40,080

Medicare paid this office $40,080 for 137 people.

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

Largest Original Medicare bills
Return visit (30+ min)99$14,979$102
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit64$9,977$156
Long return visit (40+ min)43$8,100$156
Short return visit (20+ min)30$2,620$77

Who their Medicare patients are

137 Original Medicare patients in 2024. Average age 76 · Women 75% · Health risk score 0.87. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 58% · Diabetes 21% · Chronic kidney disease 17% · Coronary heart disease 15% · Cancer 15% · Depression 12% · Heart failure 8%.

The office billed $111,229, Medicare allowed $51,616 and paid $40,080; for 342 services of 15 kinds; $2,552 of it was for drugs given in the office and $37,528 for care.

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
2024137342760.87$111,229$40,080
2023164359770.85$102,596$40,002
2022138320760.86$90,167$35,731
2021121300750.78$86,756$32,493
2020178456750.92$105,228$35,815
2019130417761.05$94,492$30,695
2018202445751.10$101,366$33,473
201781215721.10$49,220$14,843
201684220691.15$53,037$15,436
201563175670.98$40,602$10,940
20142395650.89$18,810$5,672
201330100640.70$20,794$5,880

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
Return visit (30+ min)123$19,803$111
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit62$9,704$157
Long return visit (40+ min)21$3,594$150
Short return visit (20+ min)33$2,325$70
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage13$969$75
Administration of influenza virus vaccine13$483$37

2022: 6 services

Original Medicare services billed in 2022
Return visit (30+ min)106$16,513$109
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit59$9,222$156
Long return visit (40+ min)28$4,558$138
Short return visit (20+ min)28$2,027$70
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage13$913$70
Administration of influenza virus vaccine17$625$37

2021: 6 services

Original Medicare services billed in 2021
Return visit (30+ min)89$14,142$106
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit46$6,699$146
Long return visit (40+ min)32$5,554$142
Short return visit (20+ min)22$2,034$81
Influenza vaccine split virus, preservative free12$779$65
Administration of influenza virus vaccine12$254$21

2020: 8 services

Original Medicare services billed in 2020
Return visit (30+ min)125$16,528$88
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit48$6,739$140
Short return visit (20+ min)44$2,900$56
Long return visit (40+ min)20$2,410$115
Influenza vaccine split virus, preservative free17$1,069$59
Telephone medical discussion with physician, 11-20 minutes12$848$71
Administration of influenza virus vaccine17$375$21
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes13$201$12

2019: 7 services

Original Medicare services billed in 2019
Return visit (30+ min)93$15,461$89
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit22$3,072$140
Short return visit (20+ min)36$2,529$57
New patient visit (45+ min)15$2,136$142
New patient visit (30+ min)11$1,127$102
Influenza vaccine split virus, preservative free14$746$53
Administration of influenza virus vaccine14$287$21

2018: 9 services

Original Medicare services billed in 2018
Return visit (30+ min)143$18,377$90
Pneumococcal vaccine, 13-valent16$3,192$199
Short return visit (20+ min)56$3,166$54
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit15$1,970$131
New patient visit (45+ min)12$1,196$100
Influenza vaccine split virus, preservative free27$1,170$43
Administration of influenza virus vaccine28$719$26
Administration of pneumococcal vaccine24$617$26
Urinalysis, manual test12$41$3

2017: 5 services

Original Medicare services billed in 2017
Return visit (30+ min)50$7,248$86
Short return visit (20+ min)37$2,838$60
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit11$1,524$139
Influenza vaccine split virus, preservative free13$573$44
Administration of influenza virus vaccine15$486$32

2016: 5 services

Original Medicare services billed in 2016
Return visit (30+ min)59$9,834$93
Short return visit (20+ min)34$1,980$49
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit13$1,816$140
Administration of influenza virus vaccine13$393$30
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report12$201$15

2015: 2 services

Original Medicare services billed in 2015
Return visit (30+ min)21$4,265$95
Short return visit (20+ min)44$3,375$55

2014: 1 service

Original Medicare services billed in 2014
Short return visit (20+ min)18$2,940$64

2013: 2 services

Original Medicare services billed in 2013
Short return visit (20+ min)18$2,383$61
Return visit (30+ min)12$1,776$89

Drugs they prescribed that Part D paid

$74,118

Pharmacies billed $74,118 in 2024.

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

1,254 generic and fewer than 11 brand-name prescriptions · $74,118 in drug cost · 23 antibiotic prescriptions to 20 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
Ozempic21$25,464$1,213
Atorvastatin235$2,797$12
Ezetimibe24$1,243$52
Losartan66$1,050$16
Levothyroxine66$906$14
See all 28 drugs
Every Part D drug this clinician prescribed
Ozempic21$25,464$1,213
Atorvastatin235$2,797$12
Ezetimibe24$1,243$52
Losartan66$1,050$16
Levothyroxine66$906$14
Valsartan-Hydrochlorothiazide12$880$73
Amlodipine Besylate86$848$10
Rosuvastatin40$793$20
Bupropion Xl13$773$59
Gabapentin37$713$19
Azelastine11$493$45
Lisinopril67$489$7
Escitalopram30$445$15
Fluticasone Propionate18$360$20
Montelukast27$314$12
Hydrochlorothiazide54$295$5
Metoprolol13$254$20
Bisoprolol12$243$20
Metformin Hcl Er19$213$11
Pantoprazole19$202$11
Simvastatin16$158$10
Metformin16$148$9
Omeprazole14$147$10
Zolpidem13$124$10
Valacyclovir12$75$6
Meloxicam17$49$3
Allopurinol16$32$2
Trazodone11$23$2

Year by year

Part D prescribing by year
20241,368175NoneNone$74,118
20231,347182NoneNone$49,683
20221,433170NoneNone$51,243
20211,600169NoneNone$81,641
20201,4222061% (16)None$84,090
2019911172NoneNone$51,493
20181,1272854% (39)14%$61,568
201743482None18%$20,387
201630964None25%$16,195
2015240528% (18)25%$15,706
201417230None13%$10,037
201313326None20%$5,360

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

See the drugs prescribed each year

2023: 28 drugs

Part D drugs prescribed in 2023
Atorvastatin231$3,331$14
Rosuvastatin40$1,926$48
Ezetimibe19$1,617$85
Losartan71$1,452$20
Gabapentin37$1,221$33
Levothyroxine63$1,190$19
Valsartan-Hydrochlorothiazide12$1,086$91
Bisoprolol15$1,021$68
Amlodipine Besylate83$634$8
Lisinopril69$575$8
Fluticasone Propionate18$540$30
Escitalopram21$496$24
Hydrochlorothiazide62$422$7
Fenofibrate12$361$30
Pantoprazole17$353$21
Simvastatin23$309$13
Trazodone16$304$19
Metoprolol14$286$20
Valacyclovir13$181$14
Metformin14$166$12
Omeprazole12$156$13
Zolpidem17$155$9
Allopurinol15$141$9
Metformin Hcl Er21$113$5
Sertraline12$102$9
Montelukast17$101$6
Meloxicam19$81$4
Nortriptyline13$77$6

2022: 32 drugs

Part D drugs prescribed in 2022
Atorvastatin230$2,754$12
Rosuvastatin38$2,170$57
Gabapentin45$1,600$36
Levothyroxine73$1,525$21
Fenofibrate13$1,423$109
Losartan79$1,345$17
Ezetimibe14$1,223$87
Bupropion Xl11$985$90
Bisoprolol12$695$58
Hydrochlorothiazide83$652$8
Amlodipine Besylate83$622$7
Omeprazole23$578$25
Valsartan-Hydrochlorothiazide11$575$52
Tamsulosin11$502$46
Finasteride14$477$34
Lisinopril61$461$8
Alendronate17$315$19
Nifedipine Er12$306$25
Fluticasone Propionate20$301$15
Pantoprazole23$284$12
Carvedilol15$282$19
Valacyclovir13$278$21
Metformin18$273$15
Simvastatin33$261$8
Escitalopram22$260$12
Allopurinol22$224$10
Zolpidem19$187$10
Trazodone13$184$14
Meloxicam14$90$6
Montelukast11$69$6
Metformin Hcl Er20$68$3
Nortriptyline11$57$5

2021: 36 drugs

Part D drugs prescribed in 2021
Atorvastatin217$3,155$15
Rosuvastatin42$2,717$65
Levothyroxine98$2,282$23
Ezetimibe19$2,147$113
Gabapentin58$1,990$34
Losartan83$1,407$17
Fenofibrate12$1,259$105
Bisoprolol12$1,074$89
Valsartan-Hydrochlorothiazide12$890$74
Diclofenac12$800$67
Valacyclovir19$767$40
Hydrochlorothiazide91$758$8
Amlodipine Besylate88$669$8
Pantoprazole20$578$29
Lisinopril73$573$8
Finasteride20$570$28
Fluticasone Propionate25$524$21
Tamsulosin11$515$47
Duloxetine12$497$41
Simvastatin48$454$9
Carvedilol20$391$20
Omeprazole18$351$20
Pravastatin13$343$26
Metformin23$295$13
Alendronate20$280$14
Triamterene-Hydrochlorothiazid15$276$18
Nifedipine Er12$264$22
Allopurinol20$263$13
Montelukast16$255$16
Fluoxetine16$240$15
Escitalopram23$207$9
Zolpidem25$195$8
Metformin Hcl Er11$143$13
Meloxicam11$129$12
Atenolol12$114$10
Trazodone11$80$7

2020: 33 drugs

Part D drugs prescribed in 2020
Lexapro13$9,217$709
Flovent Hfa13$6,193$476
Atorvastatin171$3,019$18
Levothyroxine65$1,713$26
Rosuvastatin23$1,529$66
Valsartan-Hydrochlorothiazide15$1,275$85
Diclofenac24$1,172$49
Gabapentin46$989$21
Losartan63$967$15
Albuterol Sulfate Hfa12$849$71
Valacyclovir25$757$30
Hydrochlorothiazide67$622$9
Pantoprazole21$542$26
Amlodipine Besylate66$531$8
Lisinopril50$519$10
Omeprazole20$492$25
Pravastatin19$490$26
Fluticasone Propionate20$359$18
Tamsulosin21$325$15
Simvastatin33$314$10
Fluoxetine17$288$17
Allopurinol17$277$16
Carvedilol15$252$17
Metformin Hcl Er12$247$21
Montelukast17$241$14
Metformin20$232$12
Alendronate17$223$13
Zolpidem30$211$7
Triamterene-Hydrochlorothiazid12$186$15
Escitalopram18$184$10
Meloxicam13$78$6
Trazodone11$63$6
Cephalexin11$37$3

2019: 19 drugs

Part D drugs prescribed in 2019
Atorvastatin114$2,241$20
Levothyroxine36$1,059$29
Diclofenac11$870$79
Gabapentin27$802$30
Losartan40$712$18
Valacyclovir17$557$33
Amlodipine Besylate51$543$11
Rosuvastatin12$522$43
Lisinopril44$454$10
Montelukast11$376$34
Metformin24$340$14
Pantoprazole21$305$15
Pravastatin14$291$21
Hydrochlorothiazide31$280$9
Tamsulosin12$265$22
Omeprazole21$265$13
Simvastatin15$210$14
Alendronate14$210$15
Cephalexin11$47$4

2018: 22 drugs

Part D drugs prescribed in 2018
Atorvastatin114$2,750$24
Levothyroxine55$1,301$24
Diclofenac11$963$88
Proair Hfa15$953$64
Gabapentin37$879$24
Metoprolol14$811$58
Amlodipine Besylate81$674$8
Hydrocodone-Acetaminophen28$664$24
Rosuvastatin12$650$54
Simvastatin36$401$11
Lisinopril47$389$8
Montelukast12$372$31
Losartan35$360$10
Metformin38$309$8
Pantoprazole21$293$14
Omeprazole21$258$12
Alendronate14$210$15
Hydrochlorothiazide31$204$7
Allopurinol12$184$15
Losartan-Hydrochlorothiazide13$181$14
Doxycycline Monohydrate12$134$11
Alprazolam14$58$4

2017: 9 drugs

Part D drugs prescribed in 2017
Voltaren11$1,203$109
Atorvastatin40$971$24
Levothyroxine22$693$31
Amlodipine Besylate50$243$5
Gabapentin20$142$7
Lisinopril21$128$6
Losartan20$117$6
Metformin17$104$6
Hydrochlorothiazide14$81$6

2016: 8 drugs

Part D drugs prescribed in 2016
Advair Diskus11$3,134$285
Atorvastatin35$630$18
Ventolin Hfa12$626$52
Levothyroxine19$544$29
Amlodipine Besylate26$270$10
Hydrochlorothiazide15$87$6
Lisinopril11$82$7
Gabapentin12$56$5

2015: 4 drugs

Part D drugs prescribed in 2015
Atorvastatin25$431$17
Levothyroxine11$244$22
Pantoprazole12$123$10
Amlodipine Besylate12$110$9

2014: 3 drugs

Part D drugs prescribed in 2014
Desloratadine11$358$33
Atorvastatin17$318$19
Warfarin17$228$13

2013: 1 drug

Part D drugs prescribed in 2013
Gabapentin16$179$11

Professional record

NPI
1942252788
Licence
CA C52640, MI 4301078540California C52640: Current · expires 2028-03-31
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
MI 4674426, MI 4674435, MI 4674444
Taxonomy
Internal medicine (207R00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2006-05-17
NPI last updated
2024-05-31
NPI record certified
2024-05-31

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