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Nathan J Randall, NP

Nurse Practitioner · Campbell

NPI 1942720222

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Offices
2

Offices

2 locations · Carbon Health Medical Group of California PC · 335 clinicians in this group

Looking this up.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Nathan J Randall’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$17,470

Medicare paid this office $17,470 for 206 people.

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

Largest Original Medicare bills
Short return visit (20+ min)98$5,443$49
New patient visit (30+ min)70$4,276$61
Return visit (30+ min)19$1,703$90
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen31$1,559$50
New patient visit (45+ min)12$1,122$94
See all 9 services
Every Original Medicare service billed
Short return visit (20+ min)98$5,443$49
New patient visit (30+ min)70$4,276$61
Return visit (30+ min)19$1,703$90
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen31$1,559$50
New patient visit (45+ min)12$1,122$94
Detection test by immunoassay with direct visual observation for influenza virus16$519$16
Short return visit11$413$38
X-ray of chest, 2 views16$259$16
Automated urinalysis test21$48$2

Who their Medicare patients are

206 Original Medicare patients in 2024. Average age 73 · Under 65 7% · 85 and older 8% · Women 61% · Also on Medicaid 11% · Health risk score 1.10. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 67% · Depression 22% · Coronary heart disease 20% · Diabetes 17% · Chronic kidney disease 17% · Cancer 17% · Atrial fibrillation 17% · Heart failure 13% · COPD 11% · Stroke 8% · Dementia 5%.

The office billed $96,847, Medicare allowed $26,632 and paid $17,470; for 416 services of 43 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
2024206416731.10$96,847$17,470
2023223480721.08$94,566$22,769
2022253556740.98$105,449$26,322
20216881,118750.86$308,938$66,524
2020408648750.87$187,692$42,500
2019133173681.21$46,852$8,082
2018115186671.09$51,670$9,723
20173641630.94$12,680$2,654

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: 9 services

Original Medicare services billed in 2023
New patient visit (30+ min)106$7,657$72
Short return visit (20+ min)88$5,631$61
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen36$1,810$50
New patient visit (45+ min)18$1,659$92
Return visit (30+ min)18$1,625$90
Detection test by immunoassay with direct visual observation for influenza virus21$681$16
X-ray of chest, 2 views20$441$22
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)14$227$16
Automated urinalysis test31$74$2

2022: 9 services

Original Medicare services billed in 2022
New patient visit (30+ min)120$9,326$78
Short return visit (20+ min)78$5,192$63
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen65$3,383$50
New patient visit (45+ min)26$2,445$94
Return visit (30+ min)28$1,870$62
Detection test by immunoassay with direct visual observation for influenza virus34$1,140$16
X-ray of chest, 2 views19$394$21
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)16$277$16
Automated urinalysis test37$86$2

2021: 15 services

Original Medicare services billed in 2021
New patient visit (45+ min)233$23,454$101
New patient visit (30+ min)219$15,183$69
Return visit (30+ min)138$12,855$87
Short return visit (20+ min)126$7,873$60
X-ray of knee, 4 or more views20$642$32
Detection test by immunoassay with direct visual observation for influenza virus38$629$17
X-ray of foot, minimum of 3 views21$477$23
X-ray of chest, 2 views23$466$20
Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)17$421$25
X-ray of ankle, minimum of 3 views13$341$26
X-ray of ribs on side of body, minimum of 3 views11$326$30
X-ray of shoulder, minimum of 2 views13$318$23
X-ray of abdomen, 1 view12$253$21
Administration of vaccine17$193$11
Removal of impacted ear wax by washing17$129$8

2020: 7 services

Original Medicare services billed in 2020
New patient visit (45+ min)189$20,766$110
New patient visit (30+ min)146$10,626$73
Return visit (30+ min)51$4,508$79
Short return visit (20+ min)49$2,525$51
Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)11$243$22
X-ray of foot, minimum of 3 views12$225$19
Administration of vaccine11$96$9

2019: 2 services

Original Medicare services billed in 2019
Short return visit (20+ min)82$3,650$39
Return visit (30+ min)50$3,593$67

2018: 2 services

Original Medicare services billed in 2018
Return visit (30+ min)67$5,074$60
Short return visit (20+ min)57$3,672$44

2017: 2 services

Original Medicare services billed in 2017
Return visit (30+ min)19$1,368$68
Short return visit (20+ min)14$653$47

Medicaid work

$13,770 in 2024

Medicaid paid $13,770 for 363 billed services this clinician did in 2024, up to 64 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
Short return visit (20+ min)212$6,792
New patient visit (30+ min)68$4,587
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique40$2,052
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A43$339
Medicaid work by year
2024363464$13,770
2023806553$32,368
2022862440$36,811
2019439245$183,013
2018420238$227,360
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
New patient visit (30+ min)230$15,282
Short return visit (20+ min)388$12,799
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique65$3,255
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza70$624
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A53$408

2022

Largest Medicaid services in 2022
New patient visit (30+ min)234$16,238
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique192$9,853
Short return visit (20+ min)243$8,957
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza193$1,763

2019

Largest Medicaid services in 2019
Short return visit (20+ min)331$122,978
Return visit (30+ min)108$60,034

2018

Largest Medicaid services in 2018
Return visit (30+ min)239$126,774
Short return visit (20+ min)181$100,586

Drugs they prescribed that Part D paid

$810

Pharmacies billed $810 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 112) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.

105 generic and fewer than 11 brand-name prescriptions · $810 in drug cost · 56 antibiotic prescriptions to 47 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
Fluticasone Propionate25$230$9
Amoxicillin-Clavulanate Potass17$95$5
Azithromycin14$64$5
Cephalexin11$34$3

Year by year

Part D prescribing by year
2024112910% (0)None$810
2023145125NoneNone$2,213
2022155118NoneNone$2,037
20213202700% (0)None$4,705
2020239181NoneNone$3,922
201933879NoneNone$21,670
201817542NoneNone$12,549
201716None0% (0)None$757

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

See the drugs prescribed each year

2023: 5 drugs

Part D drugs prescribed in 2023
Fluticasone Propionate23$263$11
Amoxicillin-Clavulanate Potass14$124$9
Cephalexin23$110$5
Triamcinolone Acetonide11$80$7
Azithromycin12$42$4

2022: 4 drugs

Part D drugs prescribed in 2022
Doxycycline Hyclate25$324$13
Fluticasone Propionate21$249$12
Cephalexin21$107$5
Amoxicillin-Clavulanate Potass11$76$7

2021: 7 drugs

Part D drugs prescribed in 2021
Cefpodoxime Proxetil16$853$53
Doxycycline Hyclate53$608$11
Mupirocin41$320$8
Cephalexin60$261$4
Triamcinolone Acetonide26$159$6
Amoxicillin-Clavulanate Potass15$142$9
Prednisone13$38$3

2020: 5 drugs

Part D drugs prescribed in 2020
Cephalexin72$334$5
Doxycycline Hyclate13$193$15
Clindamycin18$149$8
Triamcinolone Acetonide14$76$5
Allopurinol13$53$4

2019: 10 drugs

Part D drugs prescribed in 2019
Spiriva17$7,093$417
Proair Hfa14$807$58
Fluticasone Propionate14$298$21
Montelukast14$283$20
Lisinopril25$222$9
Oxybutynin Chloride12$181$15
Metoprolol23$95$4
Allopurinol30$69$2
Atorvastatin14$60$4
Tamsulosin12$38$3

2018: 2 drugs

Part D drugs prescribed in 2018
Atorvastatin17$123$7
Metoprolol21$105$5

Professional record

NPI
1942720222
Licence
CA NP95011888
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
1361 Cypress Point Ln Apt 203, Ventura, CA, 93003
NPI first listed
2017-06-27
NPI last updated
2022-07-22
NPI record certified
2022-07-22

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