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Anousheh Afjei, MD

Hospitalist · Mountain View

NPI 1992365431

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

Offices

2 locations · Quantum Bay Area Hospitalist Medical Group Inc · Sutter Bay Medical Foundation

Looking this up.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Afjei’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
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026

Original Medicare doctor bills

$32,051

Medicare paid this office $32,051 for 257 people.

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

Largest Original Medicare bills
Short return visit (20+ min)187$16,355$87
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes58$10,502$103
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's165$2,465$15
Hospital discharge day management, more than 30 minutes13$1,346$104

Who their Medicare patients are

257 Original Medicare patients in 2024. Average age 74 · Under 65 6% · 85 and older 13% · Women 61% · Also on Medicaid 14% · Health risk score 1.36. At or below the middle of the specialty; the typical hospitalist clinician is at 2.49.

Conditions among them: High blood pressure 64% · Diabetes 26% · Chronic kidney disease 26% · Coronary heart disease 23% · Atrial fibrillation 21% · Depression 21% · Heart failure 18% · Cancer 14% · COPD 14% · Dementia 11% · Stroke 7%.

The office billed $108,652, Medicare allowed $40,690 and paid $32,051; for 484 services of 12 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
2024257484741.36$108,652$32,051
202375168743.31$103,196$17,699

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: 4 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes28$8,016$105
Initial hospital care with moderate level of medical decision making at least 75 minutes28$4,457$154
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$2,175$70
Hospital discharge day management, more than 30 minutes17$1,749$103

Medicaid work

$3,863 in 2024

Medicaid paid $3,863 for 71 billed services this clinician did in 2024, up to 23 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
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES71$3,863
Medicaid work by year
202471123$3,863

Drugs they prescribed that Part D paid

$23,522

Pharmacies billed $23,522 in 2024.

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

233 generic and 81 brand-name prescriptions · $23,522 in drug cost · 45 antibiotic prescriptions to 37 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
Paxlovid53$5,717$108
Fluticasone Propionate18$251$13
Amoxicillin-Clavulanate Potass14$99$7

Year by year

Part D prescribing by year
2024314178None26%$23,522
20236117NoneNone$3,209
201915None0% (0)None$1,920

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

Money from drug and device companies

$299 in 2025

Industry payments by year
202534None$299
202413None$83
202011None$79

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Revance TherapeuticsDaxxify$161
2 payments
  • Meals · 2025-12-01 · $14
  • Meals for Daxxify · 2025-03-27 · $147
AbbvieNone$104
1 payment
  • Meals · 2025-03-19 · $104
Merz North AmericaXeomin$34
1 payment
  • Meals for Xeomin · 2025-09-24 · $34
See all 4 published payments
Every published payment
Revance TherapeuticsMeals · 2025-12-01None$14
Merz North AmericaMeals · 2025-09-24Xeomin$34
Revance TherapeuticsMeals · 2025-03-27Daxxify$147
AbbvieMeals · 2025-03-19None$104
See earlier years (2024, 2020)

2024: $83

Payments by company in 2024
AbbvieBotox$83
3 payments
  • Meals for Botox · 2024-05-09 · $33
  • Meals for Botox · 2024-05-09 · $29
  • Meals for Botox · 2024-05-09 · $21

2020: $79

Payments by company in 2020
Novo NordiskSaxenda$79
1 payment
  • Meals for Saxenda · 2020-02-20 · $79

Professional record

NPI
1992365431
Group
Quantum Bay Area Hospitalist Medical Group Inc · Sutter Bay Medical Foundation
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2019-06-17
NPI last updated
2024-07-03
NPI record certified
2024-07-03

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

Extra NPI addresses: 2000 Eoff St, Wheeling, WV, 26003