Kellie Ralph , PA
Physician Assistant โข Aptos, CA
26 Rancho Del Mar
Aptos, CA 950033973
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 20, 2018; this date does not establish years in practice.
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Published CMS data list 572 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99310 โ Subsequent nursing facility care with high level of medical decision making, per day: 331 service units.
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 148 service units.
- 99316 โ Nursing facility discharge management: 66 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 429 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 49 prescription fills, including refills.
- Tramadol Hcl โ 36 prescription fills, including refills.
- Gabapentin โ 35 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 17 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 109 in 2020 to 572 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
26 Rancho Del Mar
Aptos, CA 950033973
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
115 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $68,053 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $51,773 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
429 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$25,841 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Kellie Ralph has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Kellie Ralph as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Aptos and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Too few clinicians listed under Physician Assistant in Aptos have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $18,173. Middle half: $6,666 to $41,587.
Too few clinicians listed under Physician Assistant in Aptos have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $13,209. Middle half: $4,792 to $30,879.
Too few clinicians listed under Physician Assistant in Aptos have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: 229. Middle half: 72 to 718.
Too few clinicians listed under Physician Assistant in Aptos have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: $3,945. Middle half: $709 to $60,209.
Too few clinicians listed under Physician Assistant in Aptos have Medicare Part D data for 2024 to compare.
6 active clinicians are listed under Physician Assistant with a practice address in Aptos, CA (14,458 in California).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 425% from 109 in 2020 to 572 in 2024.
- 2020: 109
- 2021: 413
- 2022: 253
- 2023: 643
- 2024: 572
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Medicare-allowed amount
Medicare-allowed amount increased 667% from $8,874 in 2020 to $68,053 in 2024.
- 2020: $8,874
- 2021: $24,075
- 2022: $17,847
- 2023: $80,489
- 2024: $68,053
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Paid by Medicare
Paid by Medicare increased 958% from $4,893 in 2020 to $51,773 in 2024.
- 2020: $4,893
- 2021: $19,526
- 2022: $13,096
- 2023: $65,054
- 2024: $51,773
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 19 in 2020 to 429 in 2024.
- 2020: 19
- 2021: 21
- 2022: 33
- 2023: 188
- 2024: 429
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30-day fills
30-day fills went from 19 in 2020 to 429 in 2024.
- 2020: 19
- 2021: 21
- 2022: 33
- 2023: 188
- 2024: 429
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Part D drug cost
Part D drug cost went from $37 in 2020 to $25,841 in 2024.
- 2020: $37
- 2021: $276
- 2022: $475
- 2023: $13,103
- 2024: $25,841
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2019โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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331 | 101 | $464.00 | $134.95 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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148 | 38 | $318.99 | $95.25 |
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99316
Nursing facility discharge management, more than 30 minutes
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66 | 62 | $374.00 | $113.75 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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27 | 16 | $242.00 | $65.94 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 49 | 477 | $779.35 | 11 |
| Tramadol Hcl | Tramadol Hcl | 36 | 301 | $334.36 | โ |
| Gabapentin | Gabapentin | 35 | 465 | $534.06 | โ |
| Lorazepam | Lorazepam | 35 | 451 | $475.72 | โ |
| Lisinopril | Lisinopril | 29 | 471 | $291.28 | โ |
| Eliquis | Apixaban | 28 | 352 | $7,417.40 | โ |
| Myrbetriq | Mirabegron | 27 | 394 | $6,567.09 | โ |
| Furosemide | Furosemide | 24 | 521 | $227.60 | โ |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 24 | 362 | $369.15 | โ |
| Buprenorphine Hcl | Buprenorphine Hcl | 22 | 185 | $1,443.72 | โ |
| Quetiapine Fumarate | Quetiapine Fumarate | 21 | 310 | $319.03 | โ |
| Oxycodone Hcl | Oxycodone Hcl | 20 | 148 | $343.02 | โ |
| Tamsulosin Hcl | Tamsulosin Hcl | 19 | 183 | $301.00 | โ |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 17 | 269 | $649.67 | โ |
| Buprenorphine | Buprenorphine | 16 | 427 | $5,413.63 | โ |
| Citalopram Hbr | Citalopram Hydrobromide | 15 | 270 | $166.43 | โ |
| Pregabalin | Pregabalin | 12 | 149 | $208.76 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-10-26NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
NUCC Taxonomy Code: 363AS0400X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20181115000955
CA
7012261787
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Nurse Practitioner
Nurse Practitioner
Family Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 26 RANCHO DEL MAR, APTOS, CA 950033973 (Tel: 8316490770)
Registered at 325 DISTEL CIR, LOS ALTOS, CA 940221408 (Tel: 8316490770)
Registered at 501 LIGHTHOUSE AVE, MONTEREY, CA 939401439 (Tel: 8316490770)
Registered at 501 LIGHTHOUSE AVE, MONTEREY, CA 939401439 (Tel: 8316490770)
Physician Assistant (license number reported to NPPES: CA 55807)
NPI status registered as active in NPPES database
Registered at 2460 SAMARITAN DR, SAN JOSE, CA 951243907 (Tel: 4083582030)
Registered at 4961 MANSBURY CT, FREMONT, CA 945383277
Recorded as KELLIE RALPH, PA
Physician Assistant (license number reported to NPPES: CA 55807)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Aptos
Mailing Address
325 Distel Cir
Los Altos, CA 940221408
Phone: 8316490770