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Kimberly Tran, NP

Family · San Jose

NPI 1992574156

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 Kimberly Tran’s office at (408) 613-0833 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$72,196

Medicare paid this office $72,196 for 161 people.

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

Largest Original Medicare bills
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more73$16,856$59
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more98$14,275$59
Removal of skin and tissue, 20.0 sq cm or less29$7,366$102
Removal of muscle and/or tissue, 20.0 sq cm or less16$6,941$193
Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes56$3,485$62
See all 8 services
Every Original Medicare service billed
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more73$16,856$59
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more98$14,275$59
Removal of skin and tissue, 20.0 sq cm or less29$7,366$102
Removal of muscle and/or tissue, 20.0 sq cm or less16$6,941$193
Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes56$3,485$62
Removal of skin and tissue, 20.0 sq cm or less24$2,253$46
Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes34$2,124$62
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes12$382$32

Who their Medicare patients are

161 Original Medicare patients in 2024. Average age 78 · Under 65 8% · 85 and older 32% · Women 52% · Also on Medicaid 67% · Health risk score 3.40. Sicker patients than 9 in 10 peers; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 62% · Chronic kidney disease 52% · Dementia 51% · Coronary heart disease 45% · Depression 45% · Atrial fibrillation 39% · Heart failure 38% · COPD 29% · Stroke 21% · Cancer 13%.

The office billed $224,799, Medicare allowed $90,616 and paid $72,196; for 1,117 services of 15 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.

Medicaid work

$161 in 2024

Medicaid paid $161 for 78 billed services this clinician did in 2024, up to 17 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 NURSING FACILITY CARE LOW MDM 20 MINUTES78$161
Medicaid work by year
202478117$161

Professional record

NPI
1992574156
Licence
CA NP95028050
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
3332 Americus Dr, San Jose, CA, 95148
NPI first listed
2023-12-28
NPI last updated
2024-01-11
NPI record certified
2024-01-11

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