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Hemalee K Patel, DO

Internal Medicine · San Francisco

NPI 1992931273

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
19
3 carriers
Office
1
Since medical school
17 years
Graduated 2009

Offices

1 location · One Medical Group Inc · 330 clinicians in this group

Looking this up.

Plans that list them

19 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Patel’s office at (888) 663-6331 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

19 of 19 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
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

Original Medicare doctor bills

$3,456

Medicare paid this office $3,456 for 19 people.

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

Who their Medicare patients are

19 Original Medicare patients in 2024. Average age 71 · Health risk score 0.78. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

The office billed $17,511, Medicare allowed $3,714 and paid $3,456; for 36 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
20241936710.78$17,511$3,456
20231932690.72$14,851$2,548
20221434720.69$17,480$3,039
20201219710.43$6,400$1,264
20191322660.48$10,122$1,822
2018290867782.20$349,801$87,497
2017243695752.55$242,568$62,287
2016130271752.15$95,424$26,115
2015125215731.56$79,367$22,597
2014183372742.13$142,555$40,234
2013137286741.35$116,566$32,741

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

2022: 1 service

Original Medicare services billed in 2022
Short return visit (20+ min)12$1,879$78

2018: 7 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes174$31,738$90
Initial hospital care with moderate level of medical decision making at least 75 minutes96$18,886$170
Hospital discharge day management, more than 30 minutes158$15,929$94
Critical care, first 30-74 minutes20$8,039$183
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and66$3,821$50
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,981$64
Advance care planning, first 30 minutes13$1,526$69

2017: 6 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes98$20,769$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes91$11,933$64
Hospital discharge day management, more than 30 minutes103$10,167$98
Initial hospital care with moderate level of medical decision making at least 75 minutes36$6,116$170
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes15$4,771$84
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,108$105

2016: 4 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes41$9,539$93
Initial hospital care with moderate level of medical decision making at least 75 minutes28$5,595$180
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes23$2,810$122
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more13$1,851$64

2015: 3 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes64$12,003$93
Initial hospital care with moderate level of medical decision making at least 75 minutes45$8,687$181
Short return visit (20+ min)15$592$39

2014: 3 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes95$18,022$92
Initial hospital care with moderate level of medical decision making at least 75 minutes92$16,728$180
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes33$2,434$64

2013: 3 services

Original Medicare services billed in 2013
Initial hospital care with moderate level of medical decision making at least 75 minutes91$16,280$175
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes81$13,636$90
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$1,686$62

Drugs they prescribed that Part D paid

$1,315

Pharmacies billed $1,315 in 2024.

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

89 generic and 0 brand-name prescriptions · $1,315 in drug cost.

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
Rosuvastatin13$240$18

Year by year

Part D prescribing by year
20248920None0%$1,315
20237619NoneNone$1,509
202241None0% (0)None$3,315
202129None0% (0)0%$669
202031110% (0)None$4,202
201925None0% (0)48%$4,958
201816480NoneNone$13,288
2017249112NoneNone$15,535
201646230% (0)None$4,929
20151811NoneNone$466
201415None0% (0)0%$182

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

See the drugs prescribed each year

2018: 4 drugs

Part D drugs prescribed in 2018
Eliquis11$4,712$428
Amoxicillin-Clavulanate Potass14$306$22
Atorvastatin11$92$8
Prednisone11$70$6

2017: 9 drugs

Part D drugs prescribed in 2017
Eliquis21$8,195$390
Atorvastatin14$255$18
Clopidogrel12$112$9
Levofloxacin17$106$6
Ciprofloxacin20$99$5
Furosemide15$58$4
Prednisone12$50$4
Lisinopril11$49$4
Carvedilol11$46$4

Money from drug and device companies

$81 in 2025

Industry payments by year
202512None$81
202413None$151
202314None$332
202238None$559
202122None$58

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
Novo NordiskNone$81
2 payments
  • Meals · 2025-01-08 · $41
  • Meals · 2025-01-08 · $40
See all 2 published payments
Every published payment
Novo NordiskMeals · 2025-01-08None$41
Novo NordiskMeals · 2025-01-08None$40
See earlier years (2024, 2023, 2022, 2021)

2024: $151

Payments by company in 2024
Novo NordiskNone$151
3 payments
  • Meals · 2024-07-18 · $94
  • Meals · 2024-02-27 · $35
  • Meals · 2024-02-26 · $22

2023: $332

Payments by company in 2023
Novo NordiskNone$332
4 payments
  • Meals · 2023-11-29 · $87
  • Meals · 2023-07-19 · $83
  • Meals · 2023-02-09 · $55
  • Meals · 2023-02-09 · $107

2022: $559

Payments by company in 2022
Novo NordiskNone$424
5 payments
  • Meals · 2022-11-14 · $38
  • Meals · 2022-08-03 · $102
  • Meals · 2022-05-25 · $80
  • Meals · 2022-05-25 · $54
  • Meals · 2022-03-09 · $150
Gilead SciencesDescovy$91
2 payments
  • Meals · 2022-09-22 · $56
  • Meals for Descovy · 2022-02-08 · $35
Abbott LaboratoriesFreestyle Libre$45
1 payment
  • Meals for Freestyle Libre · 2022-07-18 · $45

2021: $58

Payments by company in 2021
Novo NordiskNone$38
1 payment
  • Meals · 2021-06-30 · $38
UcbCimzia$20
1 payment
  • Meals for Cimzia · 2021-04-24 · $20

Professional record

NPI
1992931273
Licence
CA 20A11619
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Internal medicine (207R00000X)
Mailing address
130 Sutter St Fl 2, San Francisco, CA, 94104
NPI first listed
2009-06-01
NPI last updated
2025-03-14
NPI record certified
2025-03-14

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

Extra NPI addresses: 300 Pasteur Dr, Stanford, CA, 94305