Michael Anthony Avallone, MD

1 location · Urology Associates of the Central Coast · 13 clinicians in this group

Hospitals listed: Adventist Health Twin Cities · French Hospital Medical Center · Lompoc Valley Medical Center · Marian Regional Medical Center. That is not proof they admit you there this week.

1 licence

• Colorado DR.58294Physician · since 2017 · expires 2019-04-30Specialty on the licence: Urology
  ExpiredNo board action on this licenceCheck it with the stateWhat they told the state about themselves

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

4 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• Adventist Health Twin CitiesTempleton, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 3 of 5 · 60% would definitely recommend it
  Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.41, Oct 2024 – Sep 2025
• French Hospital Medical CenterSan Luis Obispo, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 3 of 5 · 78% would definitely recommend it
  Overall rating: 5 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.23, Oct 2024 – Sep 2025
• Lompoc Valley Medical CenterLompoc, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency departmentPatients rate it 2 of 5 · 45% would definitely recommend it
  Overall rating: 1 of 5 starsNo measure marked better or worse than the national rate
• Marian Regional Medical CenterSanta Maria, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 3 of 5 · 68% would definitely recommend it
  Overall rating: 3 of 5 starsBetter than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 0.67 (0.37 to 0.96), Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.081, Oct 2024 – Sep 2025

$667,251

Medicare paid this office $667,251 for 1,560 people.

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

Procedures Medicare counted

Procedures year by year

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

1,560 Original Medicare patients in 2024. Average age 75 · Under 65 7% · 85 and older 15% · Women 31% · Also on Medicaid 31% · Health risk score 1.40. Above the middle of the specialty; the typical urology clinician is at 1.36.

Conditions among them: High blood pressure 75% · Diabetes 35% · Chronic kidney disease 29% · Cancer 25% · Coronary heart disease 24% · Depression 21% · Atrial fibrillation 19% · Heart failure 15% · COPD 13% · Stroke 9% · Dementia 8%.

The office billed $1,712,479, Medicare allowed $890,773 and paid $667,251; for 23,610 services of 108 kinds; $234,423 of it was for drugs given in the office and $432,829 for care.

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 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.

$79,164 in 2024

Medicaid paid $79,164 for 1,905 billed services this clinician did in 2024, up to 105 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.

$1,733,371

Pharmacies billed $1,733,371 in 2024.

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

Opioids were 3% of their Part D prescriptions (67 of 2,693) in 2024. Above the middle of the specialty; the typical urology clinician is at 2%.

2,278 generic and fewer than 11 brand-name prescriptions · $1,733,371 in drug cost · 273 antibiotic prescriptions to 160 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.

Year by year

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

$1,506 in 2025

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

A payment is not proof that care is biased.

Medicare did not publish checkup rates for this clinician.

NPI

1013273036

Licence

CO DR.0058294Colorado DR.58294: Expired

Trained

University of Miami, Lm Miller School of Medicine, 2012 · 14 years ago

Group

Urology Associates of the Central Coast

Video visits

Lists video visits

Gender

Male