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Dana James, PA

Physician Assistant · Freedom

NPI 1972964278

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.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dana James’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence G56614 · Cancelled

Licence status: Cancelled · since 1985 · University of Southern California Keck School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

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

Original Medicare doctor bills

$27,728

Medicare paid this office $27,728 for 320 people.

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

Largest Original Medicare bills
Return visit (30+ min)80$6,910$85
Short return visit (20+ min)119$6,707$55
New patient visit (30+ min)58$3,142$54
Long return visit (40+ min)20$2,566$128
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus11$1,538$140
See all 10 services
Every Original Medicare service billed
Return visit (30+ min)80$6,910$85
Short return visit (20+ min)119$6,707$55
New patient visit (30+ min)58$3,142$54
Long return visit (40+ min)20$2,566$128
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus11$1,538$140
New patient visit (60+ min)11$1,351$123
New patient visit (45+ min)12$1,319$110
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen17$855$50
Automated urinalysis test54$119$2
Blood glucose (sugar) test performed by hand-held instrument12$39$3

Who their Medicare patients are

320 Original Medicare patients in 2024. Average age 75 · Under 65 6% · 85 and older 11% · Women 61% · Also on Medicaid 15% · Health risk score 1.08. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 59% · Diabetes 21% · Depression 20% · Atrial fibrillation 18% · Chronic kidney disease 16% · Coronary heart disease 15% · Heart failure 13% · Cancer 11% · COPD 9% · Stroke 7% · Dementia 6%.

The office billed $135,790, Medicare allowed $39,414 and paid $27,728; for 516 services of 48 kinds; $74 of it was for drugs given in the office and $27,654 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
2024320516751.08$135,790$27,728
2023289452750.94$112,822$24,748
2022410639740.99$143,644$34,387
2021292425751.05$106,240$23,969
2020484667741.04$142,874$30,147
2019104158711.20$32,098$7,474
20175961742.27$14,690$1,280

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
Short return visit (20+ min)131$7,108$54
Return visit (30+ min)58$4,807$83
Long return visit (40+ min)24$3,210$134
New patient visit (30+ min)44$2,845$65
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen12$603$50
Automated urinalysis test36$79$2

2022: 8 services

Original Medicare services billed in 2022
Short return visit (20+ min)189$12,607$64
Return visit (30+ min)74$6,159$82
New patient visit (30+ min)61$4,481$73
Long return visit (40+ min)22$2,899$132
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen47$2,377$51
Short return visit15$523$35
Automated urinalysis test66$150$2
Blood glucose (sugar) test performed by hand-held instrument11$36$3

2021: 6 services

Original Medicare services billed in 2021
Return visit (30+ min)154$12,655$81
Short return visit (20+ min)66$3,776$57
Long return visit (40+ min)18$2,073$115
New patient visit (30+ min)19$1,289$68
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen16$821$51
Automated urinalysis test50$115$2

2020: 6 services

Original Medicare services billed in 2020
Short return visit (20+ min)288$14,124$48
Return visit (30+ min)157$11,812$73
Short return visit11$383$35
Diphtheria and tetanus vaccine (7 years or older)12$232$19
Automated urinalysis test71$170$2
Blood glucose (sugar) test performed by hand-held instrument12$39$3

2019: 3 services

Original Medicare services billed in 2019
Short return visit (20+ min)62$3,370$54
Return visit (30+ min)39$3,011$77
Automated urinalysis test15$37$2

2017: 1 service

Original Medicare services billed in 2017
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only43$267$6

Medicaid work

$40,457 in 2019

Medicaid paid $40,457 for 959 billed services this clinician did in 2019, up to 171 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 2019
EMERGENCY DEPT VISIT MOD MDM507$28,491
Return visit (30+ min)173$6,184
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM231$4,514
Short return visit (20+ min)35$788
New patient visit (30+ min)13$481
Medicaid work by year
20199595171$40,457
20182,0856108$76,918
See the largest Medicaid services in earlier years

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT MOD MDM694$40,055
Return visit (30+ min)428$14,709
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM547$10,464
Short return visit (20+ min)277$6,094
New patient visit (30+ min)114$4,144
New patient visit (45+ min)25$1,453

Drugs they prescribed that Part D paid

$4,569

Pharmacies billed $4,569 in 2024.

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

221 generic and 20 brand-name prescriptions · $4,569 in drug cost · 128 antibiotic prescriptions to 120 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
Cefdinir26$505$19
Amoxicillin-Clavulanate Potass35$224$6
Ofloxacin13$154$12
Doxycycline Hyclate22$140$6
Cephalexin11$69$6
See all 7 drugs
Every Part D drug this clinician prescribed
Cefdinir26$505$19
Amoxicillin-Clavulanate Potass35$224$6
Ofloxacin13$154$12
Doxycycline Hyclate22$140$6
Cephalexin11$69$6
Prednisone16$53$3
Sulfamethoxazole-Trimethoprim11$36$3

Year by year

Part D prescribing by year
2024241199None8%$4,569
2023241172NoneNone$6,020
20222552016% (14)5%$4,709
20211391228% (11)None$2,045
20202611947% (18)None$6,123
20196051NoneNone$1,248
20173123NoneNone$1,080
20162518NoneNone$778

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

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Cefdinir19$390$21
Amoxicillin-Clavulanate Potass36$320$9
Doxycycline Hyclate13$183$14
Mupirocin13$149$11
Azithromycin16$112$7
Sulfamethoxazole-Trimethoprim12$80$7
Prednisone17$46$3

2022: 7 drugs

Part D drugs prescribed in 2022
Ofloxacin11$431$39
Amoxicillin-Clavulanate Potass31$404$13
Cephalexin38$339$9
Doxycycline Hyclate19$252$13
Paxlovid (Eua)11$119$11
Prednisone16$84$5
Sulfamethoxazole-Trimethoprim12$53$4

2021: 4 drugs

Part D drugs prescribed in 2021
Doxycycline Hyclate13$240$18
Cephalexin28$155$6
Amoxicillin-Clavulanate Potass11$139$13
Sulfamethoxazole-Trimethoprim12$57$5

2020: 6 drugs

Part D drugs prescribed in 2020
Amoxicillin-Clavulanate Potass25$289$12
Cephalexin36$239$7
Doxycycline Hyclate21$228$11
Ciprofloxacin11$98$9
Sulfamethoxazole-Trimethoprim16$64$4
Hydrocodone-Acetaminophen17$56$3

Professional record

NPI
1972964278
Licence
CA 56614California G56614: Cancelled
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Physician assistant, medical (363AM0700X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2016-03-14
NPI last updated
2019-10-07

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

Extra NPI addresses: 2025 Soquel Ave, Santa Cruz, CA, 95062