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Raul J Poulsen, MD

Psychiatry · San Jose

NPI 1962834812

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
1 carrier
Office
1

Offices

1 location · Momentum for Health · 41 clinicians in this group

Looking this up.

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Poulsen’s office at (408) 938-6750 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
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence A173593 · Current

Licensed to practise in California · since 2021 · expires 2027-07-31 · University of Puerto Rico School of Medicine.

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

State licence records

1 licence

  • Florida ME132590Medical Doctor · since 2017 · expires 2027-01-31
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Education

  • University of Puerto Rico/School of Medi2008–2013

Original Medicare doctor bills

$4,526

Medicare paid this office $4,526 for 17 people.

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

Who their Medicare patients are

17 Original Medicare patients in 2024. Average age 53 · Also on Medicaid 100% · Health risk score 2.14. Sicker patients than 9 in 10 peers; the typical psychiatry clinician is at 1.35.

The office billed $29,914, Medicare allowed $6,909 and paid $4,526; for 45 services of 6 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
20241745532.14$29,914$4,526
20232048562.74$11,380$4,298
20221860571.29$13,373$6,456

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
Return visit (30+ min)13$1,843$74

2022: 1 service

Original Medicare services billed in 2022
Return visit (30+ min)11$2,432$101

Medicaid work

$96,608 in 2021

Medicaid paid $96,608 for 1,582 billed services this clinician did in 2021, up to 55 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 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES387$25,702
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES528$23,249
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES217$17,308
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter283$14,577
1ST HOSP IP/OBS HIGH 7570$8,108
EMERGENCY DEPT VISIT MOD MDM50$4,895
Clinic visit/encounter, all-inclusive35$1,680
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter12$1,089
Medicaid work by year
20211,582855$96,608
20202,456749$128,240
20191,805851$123,009
201881233$8,101
See the largest Medicaid services in earlier years

2020

Largest Medicaid services in 2020
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter529$37,909
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES587$26,079
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES682$24,351
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES252$12,941
EMERGENCY DEPT VISIT MOD MDM172$12,866
1ST HOSP IP/OBS HIGH 75173$12,655
Clinic visit/encounter, all-inclusive61$1,440

2019

Largest Medicaid services in 2019
EMERGENCY DEPT VISIT MOD MDM402$30,248
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter342$27,766
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES456$20,760
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES279$16,369
1ST HOSP IP/OBS HIGH 75130$15,256
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES169$9,244
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter15$2,576
OBSERVATION CARE DISCHARGE12$791

2018

Largest Medicaid services in 2018
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter44$4,549
1ST HOSP IP/OBS HIGH 7537$3,552

Drugs they prescribed that Part D paid

$132,701

Pharmacies billed $132,701 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 882) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.

827 generic and 55 brand-name prescriptions · $132,701 in drug cost · 62 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
Abilify Maintena19$52,035$2,739
Vraylar11$9,365$851
Quetiapine72$1,882$26
Clozapine34$1,735$51
Divalproex12$1,502$125
See all 29 drugs
Every Part D drug this clinician prescribed
Abilify Maintena19$52,035$2,739
Vraylar11$9,365$851
Quetiapine72$1,882$26
Clozapine34$1,735$51
Divalproex12$1,502$125
Olanzapine71$1,281$18
Bupropion Xl35$794$23
Propranolol57$776$14
Haloperidol Decanoate19$585$31
Hydroxyzine44$479$11
Haloperidol13$444$34
Sertraline45$404$9
Lamotrigine Er11$334$30
Escitalopram32$303$9
Lurasidone22$293$13
Fluoxetine25$288$12
Lithium Carbonate22$267$12
Lamotrigine38$250$7
Prazosin15$248$17
Desvenlafaxine Succinate Er12$204$17
Imipramine12$197$16
Gabapentin21$195$9
Clonazepam33$191$6
Topiramate16$165$10
Trazodone38$152$4
Benztropine Mesylate17$141$8
Risperidone28$91$3
Bupropion Hcl Sr14$77$6
Lorazepam12$12$1

Year by year

Part D prescribing by year
2024882400% (0)6%$132,701
2023875420% (0)6%$174,307
2022625340% (0)None$104,501
202158130% (0)None$12,217
201913None0% (0)None$2,432
201753None0% (0)None$1,761
201618None0% (0)None$644

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

See the drugs prescribed each year

2023: 26 drugs

Part D drugs prescribed in 2023
Abilify Maintena12$36,634$3,053
Rexulti12$27,084$2,257
Clozapine36$3,614$100
Aripiprazole28$3,579$128
Quetiapine59$1,677$28
Olanzapine76$1,118$15
Risperidone51$823$16
Sertraline46$789$17
Divalproex12$767$64
Propranolol56$748$13
Haloperidol Decanoate17$692$41
Hydroxyzine33$586$18
Trazodone37$397$11
Lamotrigine39$358$9
Fluoxetine23$357$16
Clonazepam29$351$12
Bupropion Xl29$343$12
Escitalopram25$324$13
Lithium Carbonate19$267$14
Gabapentin25$253$10
Prazosin17$252$15
Hydroxyzine Pamoate11$251$23
Imipramine11$227$21
Bupropion Hcl Sr16$209$13
Topiramate33$188$6
Benztropine Mesylate11$94$9

2022: 23 drugs

Part D drugs prescribed in 2022
Abilify Maintena13$33,245$2,557
Invega Sustenna11$24,471$2,225
Clozapine16$2,727$170
Quetiapine48$2,175$45
Olanzapine61$1,060$17
Haloperidol Decanoate17$1,022$60
Mirtazapine11$825$75
Sertraline35$616$18
Hydroxyzine46$610$13
Aripiprazole14$451$32
Propranolol28$436$16
Risperidone51$408$8
Prazosin12$338$28
Haloperidol11$296$27
Gabapentin28$282$10
Bupropion Xl23$270$12
Lithium Carbonate24$268$11
Escitalopram24$198$8
Clonazepam20$156$8
Trazodone13$156$12
Topiramate13$115$9
Fluoxetine16$104$7
Benztropine Mesylate14$88$6

2017: 1 drug

Part D drugs prescribed in 2017
Fluoxetine13$694$53

Money from drug and device companies

$14 in 2022

A payment is not proof that care is biased.

Payments by company
AbbvieVraylar$14
1 payment
  • Meals for Vraylar · 2022-11-17 · $14
See the published payment
Every published payment
AbbvieMeals · 2022-11-17Vraylar$14

Professional record

NPI
1962834812
Licence
CA A173593, FL ME132590California A173593: Current · expires 2027-07-31Florida ME132590: Active
Trained
University of Puerto Rico School of Medicine, 2013
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Psychiatry (2084P0800X); Federal specialty code 2084P0804X (2084P0804X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2013-08-02
NPI last updated
2024-04-29
NPI record certified
2024-04-29

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

Extra NPI addresses: 1695 Nw 9th Ave Ofc 1401, Miami, FL, 33136