Hospitals listed: 059544 · 553169. That is not proof they admit you there this week.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Amireh’s office at (559) 261-0100 to ask if they take your plan before you enroll.
California Medical Board record
Licence A71934 · Current
Licensed to practise in California · since 2000 · expires 2028-06-30 · University of Cairo Faculty of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Surgery centers they own
Summit SurgicalAmbulatory Surgery Center · Fresno, CA2.7% owner since 2006 · accredited by AAAHC
Accreditation Renewed1 inspection, 1 with deficiencies · last 2017-05-08: Requirements Met
Original Medicare doctor bills
$347,095
Medicare paid this office $347,095 for 978 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Return visit (30+ min)
497
$69,821
$95
New patient visit (45+ min)
422
$50,537
$120
Short return visit (20+ min)
518
$49,587
$68
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
219
$29,059
$102
Insertion of spinal neurostimulator electrode array through skin
31
$21,763
$234
See all 37 services
Every Original Medicare service billed
Return visit (30+ min)
497
$69,821
$95
New patient visit (45+ min)
422
$50,537
$120
Short return visit (20+ min)
518
$49,587
$68
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
219
$29,059
$102
Insertion of spinal neurostimulator electrode array through skin
31
$21,763
$234
Injection of lower or sacral spine facet joint using imaging guidance, single level
152
$17,704
$99
Mri scan of lower spinal canal without contrast
84
$12,096
$72
X-ray of lower and sacral spine, minimum of 4 views
265
$11,378
$41
Injection of lower or sacral spine facet joint using imaging guidance, second level
142
$9,356
$55
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
96
$8,320
$80
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
35
$7,408
$151
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
127
$7,405
$39
Injection of upper or middle spine facet joint using imaging guidance, single level
44
$5,594
$106
Injection of trigger points, 1-2 muscles
68
$3,040
$40
Injection of upper or middle spine facet joint using imaging guidance, second level
43
$3,032
$58
Injection of substance into middle or upper spine canal using imaging guidance
33
$2,953
$78
Insertion or replacement of spinal neurostimulator generator or receiver
19
$2,456
$129
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
33
$2,083
$44
Mri scan of upper spinal canal without contrast
14
$2,033
$73
X-ray of lower and sacral spine, 2-3 views
63
$1,979
$31
X-ray of upper spine, 4-5 views
41
$1,653
$40
X-ray of middle spine, 2 views
50
$1,349
$25
Ultrasonic guidance for needle placement
26
$1,244
$46
X-ray of upper spine, 2-3 views
29
$936
$32
Injection of substance into lower spine canal using imaging guidance
12
$920
$71
Aspiration and/or injection of fluid from large joint
29
$762
$21
Aspiration and/or injection of fluid from large joint
12
$738
$53
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
47
$472
$9
X-ray of both hips, 2 views
14
$470
$34
Fluoroscopic guidance for needle placement
21
$408
$18
Injection of trigger points, 1-2 muscles
18
$378
$17
Injection of drug or substance under skin or into muscle
21
$263
$11
Imaging guidance for procedure, 60 minutes or less
21
$225
$11
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
85
$201
—None
Injection, ketorolac tromethamine, per 15 mg
22
$43
—None
Injection, ropivacaine hydrochloride, 1 mg
13
$11
—None
Injection, bupivicaine, not otherwise specified, 0.5 mg
45
$9
—None
Procedures year by year
Procedures billed to Original Medicare by year
Procedure
2019
2020
2021
2022
2023
2024
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
423
346
307
321
297
285
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
158
128
159
150
206
191
Injection of lower or sacral spine facet joint using imaging guidance, single level
116
124
150
137
123
179
Injection of lower or sacral spine facet joint using imaging guidance, second level
112
121
138
112
112
169
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
120
82
64
81
82
104
Injection of trigger points, 1-2 muscles
29
48
58
84
66
98
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
978 Original Medicare patients in 2024. Average age 75 · Under 65 6% · 85 and older 11% · Women 62% · Also on Medicaid 16% · Health risk score 1.19. At or below the middle of the specialty; the typical pain management clinician is at 1.38.
The office billed $2,920,967, Medicare allowed $456,136 and paid $347,095; for 9,464 services of 77 kinds; $2,235 of it was for drugs given in the office and $344,860 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 by year
2024
978
9,464
75
1.19
$2,920,967
$347,095
2023
757
4,005
75
1.22
$2,564,511
$306,585
2022
665
4,060
74
1.24
$1,559,161
$279,317
2021
642
3,566
74
1.29
$1,326,823
$272,176
2020
703
3,840
74
1.37
$1,334,184
$287,374
2019
843
4,820
74
1.37
$1,578,944
$339,295
2018
870
4,985
73
1.35
$1,605,699
$335,101
2017
736
5,019
73
1.32
$1,626,207
$326,001
2016
854
5,430
73
1.20
$1,603,688
$356,642
2015
810
5,339
72
1.25
$1,572,598
$337,456
2014
876
5,546
72
1.24
$1,680,044
$378,954
2013
868
5,800
71
1.26
$1,725,721
$385,239
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
2023: 27 services
Original Medicare services billed in 2023
New patient visit (45+ min)
446
$55,721
$125
Return visit (30+ min)
363
$51,295
$99
Short return visit (20+ min)
414
$44,331
$70
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
237
$30,654
$103
Insertion of spinal neurostimulator electrode array through skin
25
$18,337
$251
Injection of lower or sacral spine facet joint using imaging guidance, single level
113
$12,730
$103
Mri scan of lower spinal canal without contrast
65
$10,764
$83
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
137
$8,322
$40
Long return visit (40+ min)
60
$8,159
$136
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
72
$7,311
$89
Injection of lower or sacral spine facet joint using imaging guidance, second level
104
$6,663
$59
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
30
$6,172
$171
Placement of stabilizing device to lower spine level
16
$5,581
$349
Injection of upper or middle spine facet joint using imaging guidance, single level
42
$5,163
$108
Injection of trigger points, 1-2 muscles
58
$2,793
$42
Injection of substance into middle or upper spine canal using imaging guidance
28
$2,714
$85
Injection of upper or middle spine facet joint using imaging guidance, second level
40
$2,665
$59
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
215
$2,438
$10
Insertion or replacement of spinal neurostimulator generator or receiver
15
$2,161
$144
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
26
$1,610
$50
Injection of substance into lower spine canal using imaging guidance
11
$1,257
$79
Aspiration and/or injection of fluid from large joint
27
$757
$24
Fluoroscopic guidance for needle placement
19
$432
$22
Imaging guidance for procedure, 60 minutes or less
23
$342
$12
Injection of drug or substance under skin or into muscle
12
$140
$12
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
64
$120
—None
Injection, ketorolac tromethamine, per 15 mg
11
$18
—None
2022: 20 services
Original Medicare services billed in 2022
Return visit (30+ min)
348
$51,019
$98
Short return visit (20+ min)
444
$50,868
$73
New patient visit (45+ min)
351
$45,291
$129
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
240
$34,430
$107
Insertion of spinal neurostimulator electrode array through skin
27
$23,311
$256
Injection of lower or sacral spine facet joint using imaging guidance, single level
123
$14,019
$102
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
40
$7,184
$156
Injection of lower or sacral spine facet joint using imaging guidance, second level
104
$6,577
$59
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
114
$6,540
$44
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
76
$6,530
$81
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
383
$5,555
$10
Injection of upper or middle spine facet joint using imaging guidance, single level
33
$4,268
$112
Injection of trigger points, 1-2 muscles
69
$3,601
$43
Injection of substance into middle or upper spine canal using imaging guidance
27
$2,524
$87
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
31
$2,218
$62
Injection of upper or middle spine facet joint using imaging guidance, second level
27
$2,020
$63
Aspiration and/or injection of fluid from large joint
27
$1,848
$56
Insertion or replacement of spinal neurostimulator generator or receiver
11
$1,607
$146
Aspiration and/or injection of fluid from large joint
12
$517
$37
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
96
$108
—None
2021: 22 services
Original Medicare services billed in 2021
Short return visit (20+ min)
390
$48,295
$74
Return visit (30+ min)
329
$47,365
$102
New patient visit (45+ min)
318
$42,591
$134
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
215
$32,942
$107
Injection of lower or sacral spine facet joint using imaging guidance, single level
131
$16,401
$109
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
39
$10,896
$191
Insertion of spinal neurostimulator electrode array through skin
16
$9,742
$271
Injection of lower or sacral spine facet joint using imaging guidance, second level
119
$8,651
$63
Placement of stabilizing device to lower spine level
20
$7,047
$352
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
112
$6,871
$43
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
56
$5,656
$88
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
335
$5,433
$10
Injection of upper or middle spine facet joint using imaging guidance, single level
20
$3,010
$120
Injection of substance into middle or upper spine canal using imaging guidance
26
$2,893
$85
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
38
$2,856
$51
Injection of trigger points, 1-2 muscles
53
$2,413
$42
Telephone medical discussion with physician, 5-10 minutes
33
$1,772
$42
Injection of upper or middle spine facet joint using imaging guidance, second level
19
$1,550
$67
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level
20
$1,310
$65
Aspiration and/or injection of fluid from large joint
21
$999
$45
Aspiration and/or injection of fluid from large joint
12
$472
$39
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
86
$86
—None
2020: 23 services
Original Medicare services billed in 2020
Return visit (30+ min)
352
$44,705
$87
Short return visit (20+ min)
460
$44,680
$62
New patient visit (45+ min)
336
$43,710
$130
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
254
$39,647
$115
Injection of lower or sacral spine facet joint using imaging guidance, single level
108
$13,315
$107
Placement of stabilizing device to lower spine level
24
$8,951
$373
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
78
$7,710
$94
Injection of lower or sacral spine facet joint using imaging guidance, second level
105
$7,533
$62
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level
90
$6,662
$64
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
96
$5,694
$44
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
374
$5,405
$10
Injection of upper or middle spine facet joint using imaging guidance, single level
32
$4,984
$119
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
21
$4,635
$193
Injection of substance into middle or upper spine canal using imaging guidance
36
$3,533
$88
Injection of upper or middle spine facet joint using imaging guidance, second level
28
$2,489
$67
Injection of trigger points, 1-2 muscles
42
$2,236
$47
Injection of upper or middle spine facet joint using imaging guidance, third and any additional level
23
$1,823
$68
Injection of substance into lower spine canal using imaging guidance
17
$1,685
$84
Aspiration and/or injection of fluid from large joint
23
$1,376
$53
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
20
$1,191
$52
Telephone medical discussion with physician, 5-10 minutes
25
$1,033
$38
Aspiration and/or injection of fluid from large joint
11
$391
$36
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
76
$102
—None
2019: 24 services
Original Medicare services billed in 2019
New patient visit (45+ min)
450
$57,622
$128
Short return visit (20+ min)
538
$51,728
$60
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
316
$47,218
$112
Return visit (30+ min)
392
$46,837
$85
Injection of lower or sacral spine facet joint using imaging guidance, single level
101
$12,657
$109
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
107
$10,971
$91
Insertion of spinal neurostimulator electrode array through skin
13
$8,598
$296
Injection of lower or sacral spine facet joint using imaging guidance, second level
98
$7,085
$63
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
118
$6,840
$43
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
466
$6,831
$10
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level
75
$5,425
$65
Placement of stabilizing device to lower spine level
13
$4,990
$384
Injection of substance into middle or upper spine canal using imaging guidance
46
$4,829
$89
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg
41
$4,375
—None
Injection of upper or middle spine facet joint using imaging guidance, single level
29
$4,022
$115
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
14
$3,282
$193
Injection of upper or middle spine facet joint using imaging guidance, second level
27
$2,193
$66
Injection of upper or middle spine facet joint using imaging guidance, third and any additional level
23
$1,701
$68
Injection of substance into lower spine canal using imaging guidance
18
$1,569
$78
Injection of trigger points, 1-2 muscles
24
$1,331
$46
Aspiration and/or injection of fluid from large joint
20
$1,160
$53
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
13
$845
$53
Aspiration and/or injection of fluid from large joint
14
$567
$38
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
61
$88
—None
2018: 22 services
Original Medicare services billed in 2018
New patient visit (45+ min)
484
$61,380
$127
Short return visit (20+ min)
583
$53,495
$57
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
322
$47,896
$110
Return visit (30+ min)
395
$47,270
$82
Placement of stabilizing device to lower spine level
38
$16,659
$427
Injection of lower or sacral spine facet joint using imaging guidance, single level
134
$16,225
$105
Injection of lower or sacral spine facet joint using imaging guidance, second level
126
$8,739
$61
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level
106
$7,705
$63
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
79
$7,581
$85
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
526
$7,578
$10
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
126
$7,137
$42
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
32
$6,709
$181
Injection of upper or middle spine facet joint using imaging guidance, single level
42
$5,354
$119
Injection of substance into middle or upper spine canal using imaging guidance
38
$3,601
$86
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg
11
$2,877
—None
Injection of substance into lower spine canal using imaging guidance
28
$2,725
$78
Injection of upper or middle spine facet joint using imaging guidance, second level
37
$2,658
$66
Injection of upper or middle spine facet joint using imaging guidance, third and any additional level
29
$2,043
$68
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
30
$1,780
$51
Aspiration and/or injection of fluid from large joint
19
$935
$49
Injection of trigger points, 1-2 muscles
17
$820
$43
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
41
$64
—None
2017: 23 services
Original Medicare services billed in 2017
Short return visit (20+ min)
525
$54,062
$59
New patient visit (45+ min)
365
$48,153
$132
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
268
$46,194
$110
Return visit (30+ min)
364
$45,064
$84
Injection of lower or sacral spine facet joint using imaging guidance, single level
179
$23,350
$107
Injection of lower or sacral spine facet joint using imaging guidance, second level
170
$12,688
$62
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
44
$10,849
$190
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level
145
$10,820
$63
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
510
$8,513
$10
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
86
$8,486
$87
Insertion of spinal neurostimulator electrode array through skin
21
$7,962
$318
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
113
$7,034
$43
Injection of substance into middle or upper spine canal using imaging guidance
44
$5,404
$90
Injection of upper or middle spine facet joint using imaging guidance, single level
32
$4,690
$120
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
42
$2,789
$51
Injection of upper or middle spine facet joint using imaging guidance, second level
28
$2,248
$68
Injection of upper or middle spine facet joint using imaging guidance, third and any additional level
26
$1,976
$68
Injection of substance into lower spine canal using imaging guidance
21
$1,975
$82
Injection of trigger points, 1-2 muscles
20
$960
$46
Aspiration and/or injection of fluid from large joint
14
$642
$46
Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming
17
$575
$34
Aspiration and/or injection of fluid from large joint
13
$488
$38
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
38
$57
—None
2016: 21 services
Original Medicare services billed in 2016
New patient visit (45+ min)
491
$62,083
$126
Short return visit (20+ min)
591
$57,348
$57
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
268
$44,587
$108
Return visit (30+ min)
368
$39,232
$81
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes
574
$30,628
$32
Injection of lower or sacral spine facet joint using imaging guidance, single level
207
$25,466
$105
Injection of lower or sacral spine facet joint using imaging guidance, second level
192
$13,701
$61
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
132
$13,033
$85
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level
149
$11,001
$62
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
38
$10,238
$190
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
115
$8,041
$43
Injections of substances into upper or middle spine
46
$6,014
$88
Injection of upper or middle spine facet joint using imaging guidance, single level
43
$5,988
$120
Injection of upper or middle spine facet joint using imaging guidance, second level
42
$3,153
$67
Injection of upper or middle spine facet joint using imaging guidance, third and any additional level
36
$2,845
$69
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
37
$2,655
$50
Injections of substances into lower or sacral spine
28
$2,433
$72
Injection of trigger points, 1-2 muscles
19
$899
$45
Fluoroscopic guidance for spine or back muscle injection
22
$560
$24
Aspiration and/or injection of fluid from large joint
11
$404
$37
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
22
$35
—None
2015: 21 services
Original Medicare services billed in 2015
Short return visit (20+ min)
584
$55,470
$56
New patient visit (45+ min)
420
$52,099
$124
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
281
$49,113
$107
Return visit (30+ min)
363
$39,255
$81
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes
579
$31,235
$31
Injection of lower or sacral spine facet joint using imaging guidance, single level
187
$21,516
$103
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
136
$13,144
$83
Injection of lower or sacral spine facet joint using imaging guidance, second level
181
$12,007
$59
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
44
$11,130
$189
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level
136
$8,914
$60
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
115
$8,051
$43
Injections of substances into upper or middle spine
53
$6,324
$88
Injection of upper or middle spine facet joint using imaging guidance, single level
30
$4,289
$119
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
44
$3,113
$50
Injections of substances into lower or sacral spine
31
$2,785
$73
Injection of upper or middle spine facet joint using imaging guidance, second level
25
$1,894
$68
Injection of upper or middle spine facet joint using imaging guidance, third and any additional level
19
$1,543
$70
Fluoroscopic guidance for spine or back muscle injection
41
$1,247
$24
Injection of trigger points, 1-2 muscles
13
$586
$45
Aspiration and/or injection of fluid from large joint
12
$533
$36
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
27
$43
—None
2014: 22 services
Original Medicare services billed in 2014
New patient visit (45+ min)
516
$67,273
$130
Short return visit (20+ min)
562
$56,115
$58
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
291
$51,635
$109
Return visit (30+ min)
353
$41,895
$82
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes
603
$33,479
$32
Injection of lower or sacral spine facet joint using imaging guidance, single level
175
$21,339
$104
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
141
$14,570
$88
Injection of lower or sacral spine facet joint using imaging guidance, second level
159
$11,274
$61
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
43
$11,216
$193
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
124
$8,479
$44
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level
109
$7,974
$62
Insertion of spinal neurostimulator electrode array through skin
11
$6,492
$342
Injections of substances into upper or middle spine
67
$5,878
$59
Injection of bone cement into body of lower spine bone, accessed through the skin
11
$5,112
$426
Fluoroscopic guidance for spine or back muscle injection
115
$4,020
$25
Injection of upper or middle spine facet joint using imaging guidance, single level
30
$3,712
$116
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
43
$3,341
$52
Injections of substances into lower or sacral spine
36
$2,875
$58
Injection of upper or middle spine facet joint using imaging guidance, second level
25
$1,757
$65
Injection of upper or middle spine facet joint using imaging guidance, third and any additional level
18
$1,270
$64
Aspiration and/or injection of fluid from large joint
14
$857
$54
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
30
$114
—None
2013: 21 services
Original Medicare services billed in 2013
New patient visit (45+ min)
489
$62,764
$128
Short return visit (20+ min)
573
$56,819
$57
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
305
$49,831
$106
Return visit (30+ min)
336
$39,750
$82
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes
583
$32,048
$32
Injection of lower or sacral spine facet joint using imaging guidance, single level
188
$21,306
$96
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin
25
$18,109
$724
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
53
$12,242
$175
Injection of lower or sacral spine facet joint using imaging guidance, second level
159
$10,905
$58
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level
136
$9,615
$59
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
143
$9,165
$42
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
93
$8,237
$79
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
53
$8,020
$47
Injections of substances into upper or middle spine
62
$8,000
$85
Injections of substances into lower or sacral spine
82
$6,877
$67
Fluoroscopic guidance for spine or back muscle injection
146
$4,766
$24
Injection of upper or middle spine facet joint using imaging guidance, single level
27
$3,462
$102
Injection of upper or middle spine facet joint using imaging guidance, second level
20
$1,456
$58
Injection of upper or middle spine facet joint using imaging guidance, third and any additional level
13
$911
$61
Injection of trigger points, 1-2 muscles
18
$857
$45
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
36
$109
—None
Medicaid work
$55 in 2024
Medicaid paid $55 for 25 billed services this clinician did in 2024, up to 13 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
Return visit (30+ min)
12
$53
Radiologic examination, spine, lumbosacral; minimum of 4 views
13
$2
Medicaid work by year
2024
25
2
13
$55
2023
26
2
14
$24
2022
96
3
16
$250
2018
32
2
19
$64
See the largest Medicaid services in earlier years
2023
Largest Medicaid services in 2023
Short return visit (20+ min)
14
$24
Return visit (30+ min)
12
$0
2022
Largest Medicaid services in 2022
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older
29
$120
New patient visit (45+ min)
40
$69
Short return visit (20+ min)
27
$62
2018
Largest Medicaid services in 2018
Short return visit (20+ min)
20
$64
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure)
12
$0
Drugs they prescribed that Part D paid
$651
Pharmacies billed $651 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 48% of their Part D prescriptions (46 of 96) in 2024. Above the middle of the specialty; the typical pain management clinician is at 44%.
95 generic and fewer than 11 brand-name prescriptions · $651 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
Gabapentin
33
$277
$8
Hydrocodone-Acetaminophen
33
$208
$5
Year by year
Part D prescribing by year
2024
96
83
48% (46)
—None
$651
2023
87
60
45% (39)
0%
$712
2022
73
45
29% (21)
0%
$551
2021
93
58
18% (17)
0%
$731
2020
117
71
27% (31)
—None
$849
2019
148
81
22% (33)
0%
$1,377
2018
156
79
27% (42)
—None
$1,783
2017
136
75
30% (41)
0%
$1,380
2016
93
51
31% (29)
—None
$1,611
2015
129
61
40% (52)
—None
$2,934
2014
139
70
22% (31)
17%
$8,268
2013
186
74
47% (88)
18%
$9,087
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 3 drugs
Part D drugs prescribed in 2023
Gabapentin
25
$340
$14
Hydrocodone-Acetaminophen
29
$213
$7
Cephalexin
13
$76
$6
2022: 3 drugs
Part D drugs prescribed in 2022
Gabapentin
18
$242
$13
Cephalexin
32
$148
$5
Hydrocodone-Acetaminophen
19
$132
$7
2021: 3 drugs
Part D drugs prescribed in 2021
Gabapentin
32
$331
$10
Cephalexin
30
$123
$4
Hydrocodone-Acetaminophen
14
$94
$7
2020: 3 drugs
Part D drugs prescribed in 2020
Gabapentin
41
$356
$9
Hydrocodone-Acetaminophen
31
$201
$6
Cephalexin
35
$139
$4
2019: 3 drugs
Part D drugs prescribed in 2019
Gabapentin
69
$812
$12
Cephalexin
30
$132
$4
Hydrocodone-Acetaminophen
21
$127
$6
2018: 3 drugs
Part D drugs prescribed in 2018
Gabapentin
62
$1,035
$17
Hydrocodone-Acetaminophen
38
$282
$7
Cephalexin
42
$233
$6
2017: 3 drugs
Part D drugs prescribed in 2017
Gabapentin
62
$749
$12
Hydrocodone-Acetaminophen
27
$240
$9
Cephalexin
24
$95
$4
2016: 2 drugs
Part D drugs prescribed in 2016
Gabapentin
47
$700
$15
Hydrocodone-Acetaminophen
24
$456
$19
2015: 3 drugs
Part D drugs prescribed in 2015
Gabapentin
57
$555
$10
Hydrocodone-Acetaminophen
29
$397
$14
Tramadol
16
$81
$5
2014: 5 drugs
Part D drugs prescribed in 2014
Lidoderm
11
$2,931
$266
Lidocaine
13
$2,815
$217
Gabapentin
48
$455
$9
Hydrocodone-Acetaminophen
14
$285
$20
Tramadol
11
$57
$5
2013: 5 drugs
Part D drugs prescribed in 2013
Celebrex
18
$3,086
$171
Oxycodone
23
$1,126
$49
Hydrocodone-Acetaminophen
42
$410
$10
Gabapentin
28
$391
$14
Tramadol
11
$108
$10
Money from drug and device companies
$1,760 in 2025
Industry payments by year
2025
8
78
—None
$1,760
2024
11
76
—None
$2,284
2023
6
56
—None
$1,614
2022
4
25
—None
$682
2021
4
12
—None
$211
2020
3
7
—None
$174
2019
3
28
—None
$875
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
Education for Senza Spinal Cord Stimulation System · 2020-06-30 · $42
2019: $875
Payments by company in 2019
Stimwave Technologies
—None
$787
26 payments
Meals · 2019-10-11 · $14
Meals · 2019-09-30 · $38
Meals · 2019-09-09 · $11
Meals · 2019-09-09 · $56
Meals · 2019-09-04 · $11
Meals · 2019-09-04 · $14
Meals · 2019-09-04 · $43
Meals · 2019-09-03 · $23
Meals · 2019-08-21 · $44
Meals · 2019-06-19 · $13
Meals · 2019-06-18 · $15
Meals · 2019-06-18 · $15
Meals · 2019-06-18 · $15
Meals · 2019-06-18 · $15
Meals · 2019-06-18 · $15
Meals · 2019-06-18 · $267
Meals · 2019-06-05 · $14
Meals · 2019-06-05 · $19
Meals · 2019-05-13 · $19
Meals · 2019-04-24 · $15
Meals · 2019-04-19 · $26
Meals · 2019-03-27 · $11
Meals · 2019-03-25 · $18
Meals · 2019-03-15 · $19
Meals · 2019-03-08 · $18
Meals · 2019-03-08 · $22
Abbott Laboratories
Proclaim Family of Scs Ipgs
$77
1 payment
Meals for Proclaim Family of Scs Ipgs · 2019-10-26 · $77
Medtronic USA
Intellis
$11
1 payment
Meals for Intellis · 2019-09-04 · $11
Research money
Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.
Research payments by company and study
BOSTON SCIENTIFIC CORPORATION · The Press Registry · 2020
Their institution
$6,300
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
Medicare’s overall office score
85.8 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
NPI
1023040748
Licence
CA A71934California A71934: Current · expires 2028-06-30