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Phillip M Harter, MD

Emergency Medicine · Stanford

NPI 1982730834

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

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. Harter’s office at (650) 723-4000 to ask if they take your plan before you enroll.

California Medical Board record

Licence G52141 · Current

Licensed to practise in California · since 1984 · expires 2027-04-30 · Rosalind Franklin University, the Chicago Medical School.

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

Original Medicare doctor bills

$2,248

Medicare paid this office $2,248 for 19 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making14$1,526$109

Who their Medicare patients are

19 Original Medicare patients in 2024. Average age 75 · Under 65 0% · Health risk score 1.71. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 68%.

The office billed $14,958, Medicare allowed $3,544 and paid $2,248; for 19 services of 4 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
20241919751.71$14,958$2,248
20238491762.12$71,265$12,243
20228087732.32$52,709$10,812
20217493742.43$62,881$11,389
20208594741.94$57,762$11,846
2019160175752.52$109,366$22,117
2018212239752.42$144,980$28,902
2017185211762.26$130,841$25,765
2016255293752.05$192,370$36,738
2015225252742.34$166,502$32,329
2014266288741.79$187,321$38,432
2013270292741.94$162,232$35,101

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: 2 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making43$6,663$155
Emergency department visit with moderate level of medical decision making22$2,321$105

2022: 2 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making29$4,747$164
Emergency department visit with moderate level of medical decision making38$4,359$115

2021: 2 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making33$5,687$172
Emergency department visit with moderate level of medical decision making21$2,711$123

2020: 2 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making44$6,775$154
Emergency department visit with moderate level of medical decision making13$1,425$110

2019: 4 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making88$13,047$147
Emergency department visit with moderate level of medical decision making30$3,175$102
Critical care, first 30-74 minutes14$2,622$187
Hospital observation care on day of discharge11$743$68

2018: 5 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making112$16,140$143
Critical care, first 30-74 minutes21$4,116$196
Emergency department visit with moderate level of medical decision making38$3,760$99
Initial hospital observation care per day, typically 70 minutes11$1,825$166
Hospital observation care on day of discharge19$1,203$63

2017: 4 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making90$13,243$146
Critical care, first 30-74 minutes26$5,068$195
Emergency department visit with moderate level of medical decision making29$2,803$97
Hospital observation care on day of discharge20$1,327$66

2016: 4 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making119$17,373$144
Critical care, first 30-74 minutes44$8,463$192
Emergency department visit with moderate level of medical decision making63$6,188$98
Ultrasound of heart, follow-up15$348$23

2015: 5 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making87$12,997$148
Critical care, first 30-74 minutes52$10,152$195
Emergency department visit with moderate level of medical decision making38$3,484$92
Initial hospital observation care per day, typically 30 minutes17$1,513$89
Hospital observation care on day of discharge20$1,318$66

2014: 7 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making95$14,145$147
Critical care, first 30-74 minutes62$12,257$195
Emergency department visit with moderate level of medical decision making46$4,527$98
Initial hospital observation care per day, typically 70 minutes11$1,809$164
Initial hospital observation care per day, typically 30 minutes15$1,313$88
Hospital observation care on day of discharge18$1,174$65
Emergency department visit with low level of medical decision making14$715$51

2013: 7 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making117$16,379$140
Critical care, first 30-74 minutes31$5,893$190
Emergency department visit with moderate level of medical decision making60$5,701$95
Initial hospital observation care per day, typically 70 minutes12$1,926$161
Initial hospital observation care per day, typically 30 minutes12$1,113$86
Hospital observation care on day of discharge16$961$60
Emergency department visit with low level of medical decision making18$824$46

Medicaid work

$4,352 in 2024

Medicaid paid $4,352 for 29 billed services this clinician did in 2024, up to 16 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
EMERGENCY DEPARTMENT VISIT HIGH MDM29$4,352
Medicaid work by year
202429116$4,352
2023186323$14,432
2022160221$11,504
202189223$5,217
202012112$1,086
201968315$4,562
2018122316$9,368
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM78$7,243
EMERGENCY DEPT VISIT LOW MDM95$5,450
EMERGENCY DEPARTMENT VISIT HIGH MDM13$1,739

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT MOD MDM130$10,726
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM30$778

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM70$4,773
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM19$444

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM12$1,086

2019

Largest Medicaid services in 2019
EMERGENCY DEPT VISIT MOD MDM41$2,864
EMERGENCY DEPARTMENT VISIT HIGH MDM13$984
EMERGENCY DEPT VISIT LOW MDM14$714

2018

Largest Medicaid services in 2018
EMERGENCY DEPARTMENT VISIT HIGH MDM54$5,013
EMERGENCY DEPT VISIT MOD MDM53$3,612
EMERGENCY DEPT VISIT LOW MDM15$743

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1982730834
Licence
CA G52141California G52141: Current · expires 2027-04-30
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X); Federal specialty code 207PE0004X (207PE0004X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2007-02-26
NPI last updated
2024-03-22
NPI record certified
2024-03-22

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