Doctor profile · Federal record
Dr. PATRICIA GANDASETIAWAN, PA-C
Physician Assistant · BREA, CA
- NPI 1609361252
- 8 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
955 W IMPERIAL HWY STE 110
BREA, CA 928213814
(714) 449-6900
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Profile last updated
- October 7, 2022
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- California #55684
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1609361252. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
335
Distinct HCPCS
5
Medicare allowed
$25,489
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 251 | 216 | $85 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 29 | 26 | $120 | |
36415 |
Insertion of needle into vein for collection of blood sample | 20 | 19 | $8 | |
81002 |
Urinalysis, manual test | 20 | 19 | $3 | |
71046 |
X-ray of chest, 2 views | 15 | 15 | $28 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 79. This provider delivers 4.2× the peer median.Open Payments
Industry payments received
All-time total
$51
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 2 | $50.86 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
485
Patients
442
Total drug cost
$5,503
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Azithromycin | Generic | 79 | 79 | $337 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 50 | 41 | $1,874 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 42 | 40 | $556 |
| Methylprednisolone | Generic | 40 | 40 | $302 |
| Doxycycline Hyclate | Generic | 34 | 32 | $349 |
| Mupirocin | Generic | 34 | 31 | $284 |
| Paxlovid (Eua) (Nirmatrelvir/Ritonavir) | Brand | 34 | 34 | $357 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 27 | 27 | $219 |
| Triamcinolone Acetonide | Generic | 26 | 23 | $169 |
| Ibuprofen | Generic | 25 | 24 | $96 |