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Melinda L Aquino, MD

Vascular Surgery · San Francisco

NPI 1033190970

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
2 carriers
Offices
3
Since medical school
28 years
Indiana University School of Medicine, 1998

Offices

3 locations · West Coast Kidney · San Mateo Dialysis Associates

Looking this up.

Hospitals listed: Ahmc Seton Medical Center · UCSF Health Stanyan Hospital. That is not proof they admit you there this week.

Plans that list them

4 plans · 2 carriers

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

4 of 4 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)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

California Medical Board record

Licence A94731 · Current

Licensed to practise in California · since 2006 · expires 2027-12-31 · Indiana University School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Surgery - Surgery
  • American Board of Surgery - Vascular Surgery

Hospitals they work in

2 hospitals

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

  • Ahmc Seton Medical CenterDaly City, CAAcute Care Hospital · Proprietary · Has an emergency departmentPatients rate it 3 of 5 · 59% would definitely recommend it
    Overall rating: 1 of 5 starsNo measure marked better or worse than the national rate
  • UCSF Health St. Mary'S HospitalSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 2 of 5 · 60% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0, Oct 2024 – Sep 2025
See every measure and the patient survey for Ahmc Seton Medical Center

Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 1 better, 2 the same, 0 worse of 3 measures. Readmissions: 0 better, 5 the same, 2 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Ahmc Seton Medical Center
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.98 (0 to 2.04) · 229 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.91 (0.49 to 1.34)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.9 · 34 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.4 · 60 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths12.5 · 103 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths18.9 · 159 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths13.9 · 36 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.4 · 739 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.41) · 1,636 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.3 (0.09 to 0.51) · 1,681 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.47 (1.02 to 5.93) · 355 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.64 (0 to 3.36) · 44 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.77 (1.1 to 4.43) · 361 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.62 (0 to 18.38) · 43 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.98 (1.71 to 10.25) · 43 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.72 (0.21 to 3.24) · 73 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.3 (0 to 1.23) · 1,387 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 30 casesNoneApr 2023 – Mar 2025
Clostridium Difficile (C.Diff)Infections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.9 · 77 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 190 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits22.4 · 53 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits26.4 · 110 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits63.8 · 154 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.9 · 258 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.4 · 53 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.6 to 17.6) · 48 casesNo differentJan 2022 – Dec 2024

What patients said (257 patients answered, 20% of those asked)

Patient survey stars by topic at Ahmc Seton Medical Center
Cleanliness2
Nurse communication3
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Ahmc Seton Medical Center
Room was "always" clean59%
Nurses "always" communicated well77%
Doctors "always" communicated well80%
Staff "always" explained56%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand78%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)59%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night44%
"YES", patients would definitely recommend the hospital59%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for UCSF Health St. Mary'S Hospital

Behind the star rating — Deaths: 2 better, 5 the same, 0 worse of 7 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 9 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at UCSF Health St. Mary'S Hospital
Clostridium Difficile (C.Diff)Infections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.95 (0 to 1.99) · 413 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.96 (0.58 to 1.34)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths146.74 (92.54 to 200.93) · 30 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.4 · 35 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 51 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.6 · 220 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths9.3 · 165 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.4 · 102 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 1,363 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.02 to 0.46) · 2,530 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.32 (0.12 to 0.53) · 2,519 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.02 (0.73 to 5.31) · 590 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.63 (0 to 3.35) · 238 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.07 (0.43 to 3.7) · 554 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths12.7 (4.19 to 21.21) · 259 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.67 (1.51 to 9.83) · 203 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.7 (0.19 to 3.2) · 168 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.21 (0 to 0.99) · 2,258 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.2 · 158 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 61 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.1 · 291 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-3.4 · 251 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits5.5 · 189 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.1 · 213 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.7 to 8.5) · 30 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12 (8.3 to 17.1) · 30 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.5 · 176 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 61 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.1 (9.6 to 17.8) · 192 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.5) · 113 casesNo differentJan 2024 – Dec 2024

What patients said (587 patients answered, 20% of those asked)

Patient survey stars by topic at UCSF Health St. Mary'S Hospital
Cleanliness3
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information4
Overall hospital rating2
Quietness1
Recommend hospital2
Share of patients giving the best answer at UCSF Health St. Mary'S Hospital
Room was "always" clean66%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained60%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)58%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect78%
"Always" quiet at night41%
"YES", patients would definitely recommend the hospital60%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$196,404

Medicare paid this office $196,404 for 250 people.

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

Largest Original Medicare bills
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance23$30,126$1,076
Short return visit (20+ min)159$26,820$83
Ultrasound study of arm or leg veins with compression and maneuvers85$17,817$188
New patient visit (30+ min)99$9,746$98
Injection of chemical agent into multiple incompetent veins of leg21$9,727$263
See all 13 services
Every Original Medicare service billed
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance23$30,126$1,076
Short return visit (20+ min)159$26,820$83
Ultrasound study of arm or leg veins with compression and maneuvers85$17,817$188
New patient visit (30+ min)99$9,746$98
Injection of chemical agent into multiple incompetent veins of leg21$9,727$263
Ultrasound of leg arteries or artery grafts22$6,251$250
Ultrasound study of one arm or leg veins with compression and maneuvers39$5,848$124
Ultrasound of hemodialysis access24$4,765$132
Ultrasound of both sides of head and neck blood flow25$4,232$169
Return visit (30+ min)30$4,163$113
Initial hospital care with moderate level of medical decision making at least 75 minutes24$3,526$141
New patient visit (45+ min)15$1,720$115
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes22$260$10

Procedures Medicare counted

Procedure volume Medicare published
Leg revascularization (restoring blood flow)36More than 87% of doctors who do this
Removal of tissue1-10None
Varicose vein removal74More than 80% of doctors who do this

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Injection of chemical agent into multiple incompetent veins of leg501725382437
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance30–34422428
Relocation of arm vein with connection to arm artery for hemodialysis1826141215–
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist–1218–––
Balloon dilation of artery of leg–1414–––
Creation of artery-vein connection using vein graft for hemodialysis–14––––

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

250 Original Medicare patients in 2024. Average age 75 · Under 65 9% · 85 and older 19% · Women 60% · Also on Medicaid 48% · Health risk score 2.92. Above the middle of the specialty; the typical vascular surgery clinician is at 2.33.

Conditions among them: High blood pressure 75% · Diabetes 47% · Chronic kidney disease 44% · Coronary heart disease 34% · Heart failure 29% · Atrial fibrillation 23% · Stroke 21% · COPD 18% · Depression 18% · Dementia 14% · Cancer 10%.

The office billed $817,842, Medicare allowed $254,671 and paid $196,404; for 999 services of 82 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
2024250999752.92$817,842$196,404
20232421,029753.17$839,990$183,002
20222481,130743.24$986,745$220,383
20212271,236743.43$929,947$239,293
20202351,195744.07$946,148$260,698
2019203909742.90$837,004$193,238
20182081,274752.60$643,836$187,050
2017197851742.91$503,182$165,337
2016190802732.90$549,726$157,122
2015283681772.35$394,455$106,008
2014364740782.32$341,947$101,594
2013338754782.37$364,642$110,878

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: 16 services

Original Medicare services billed in 2023
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance16$26,771$1,115
Short return visit (20+ min)136$19,925$79
Ultrasound study of arm or leg veins with compression and maneuvers73$14,719$189
Ultrasound of hemodialysis access45$10,533$125
Relocation of arm vein with connection to arm artery for hemodialysis15$8,162$544
Return visit (30+ min)59$7,746$105
New patient visit (45+ min)57$7,732$136
Ultrasound study of one arm or leg veins with compression and maneuvers36$6,436$124
Injection of chemical agent into multiple incompetent veins of leg18$6,130$255
Ultrasound of leg arteries or artery grafts20$5,046$240
Ultrasound of both sides of head and neck blood flow22$4,114$187
New patient visit (30+ min)39$4,094$105
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,306$144
Ultrasound study of arm and leg arteries13$1,805$82
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes26$349$11
Ultrasonic guidance for blood vessel access15$228$12

2022: 14 services

Original Medicare services billed in 2022
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance30$49,568$1,180
Ultrasound study of arm or leg veins with compression and maneuvers98$21,072$195
Return visit (30+ min)111$17,598$112
New patient visit (45+ min)111$15,654$141
Short return visit (20+ min)124$15,536$81
Injection of chemical agent into multiple incompetent veins of leg20$9,812$258
Ultrasound study of one arm or leg veins with compression and maneuvers50$9,319$128
Ultrasound of leg arteries or artery grafts33$8,247$243
Relocation of arm vein with connection to arm artery for hemodialysis11$6,385$532
Ultrasound of hemodialysis access28$5,391$128
Initial hospital care with moderate level of medical decision making at least 75 minutes15$3,559$178
Ultrasound of both sides of head and neck blood flow16$3,224$190
Ultrasonic guidance for blood vessel access17$280$12
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes17$196$11

2021: 18 services

Original Medicare services billed in 2021
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance25$45,160$1,328
Short return visit (20+ min)129$24,413$81
Ultrasound study of arm or leg veins with compression and maneuvers78$17,985$200
Ultrasound of leg arteries or artery grafts41$12,868$263
Return visit (30+ min)77$12,391$120
Ultrasound of hemodialysis access43$11,594$123
Relocation of arm vein with connection to arm artery for hemodialysis12$7,794$557
Ultrasound study of one arm or leg veins with compression and maneuvers42$7,194$128
New patient visit (45+ min)46$6,469$141
Injection of chemical agent into multiple incompetent veins of leg16$6,236$249
Ultrasound of both sides of head and neck blood flow29$6,160$192
New patient visit (30+ min)60$5,731$96
Initial hospital care with moderate level of medical decision making at least 75 minutes23$4,359$156
Balloon dilation of artery of leg12$3,747$268
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist13$2,718$151
Ultrasound study of arm and leg arteries12$981$82
Ultrasonic guidance for blood vessel access28$431$12
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes28$369$11

2020: 18 services

Original Medicare services billed in 2020
Short return visit (20+ min)139$19,714$68
Ultrasound of hemodialysis access52$17,953$137
Relocation of arm vein with connection to arm artery for hemodialysis25$14,594$561
Ultrasound of leg arteries or artery grafts51$14,114$266
Ultrasound study of arm or leg veins with compression and maneuvers53$10,494$194
Creation of artery-vein connection using vein graft for hemodialysis12$9,145$653
New patient visit (45+ min)64$8,921$139
Initial hospital care with moderate level of medical decision making at least 75 minutes43$7,832$170
Ultrasound of both sides of head and neck blood flow29$5,303$183
Return visit (30+ min)41$4,893$98
Injection of chemical agent into multiple incompetent veins of leg11$4,357$256
Balloon dilation of artery of leg13$4,205$300
Ultrasound study of one arm or leg veins with compression and maneuvers29$3,967$124
New patient visit (30+ min)37$3,711$100
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$2,166$94
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist11$2,141$178
Ultrasonic guidance for blood vessel access22$337$13
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes24$320$11

2019: 16 services

Original Medicare services billed in 2019
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance23$45,375$1,513
Short return visit (20+ min)127$15,596$68
Ultrasound study of arm or leg veins with compression and maneuvers68$14,475$193
Injection of chemical agent into multiple incompetent veins of leg27$12,957$259
New patient visit (45+ min)82$11,576$141
Relocation of arm vein with connection to arm artery for hemodialysis17$10,215$567
Ultrasound of hemodialysis access24$6,160$137
Ultrasound of leg arteries or artery grafts20$6,110$266
Initial hospital care with moderate level of medical decision making at least 75 minutes25$4,981$172
Ultrasound study of one arm or leg veins with compression and maneuvers34$4,667$117
Ultrasound of both sides of head and neck blood flow15$2,853$190
New patient visit (30+ min)28$2,681$96
Return visit (30+ min)18$2,456$102
Ultrasound study of arm and leg arteries13$1,749$87
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes20$295$11
Ultrasonic guidance for blood vessel access14$218$13

2018: 14 services

Original Medicare services billed in 2018
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance15$31,293$1,490
Short return visit (20+ min)109$13,171$63
Ultrasound study of arm or leg veins with compression and maneuvers51$10,617$193
New patient visit (45+ min)63$8,835$140
Initial hospital care with moderate level of medical decision making at least 75 minutes41$7,338$167
Injection of chemical agent into multiple incompetent veins of leg13$5,863$255
Ultrasound study of one arm or leg veins with compression and maneuvers33$5,302$118
Ultrasound of hemodialysis access20$5,228$134
Removal of skin and tissue, 20.0 sq cm or less17$4,759$53
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes22$3,775$90
Return visit (30+ min)26$2,995$97
New patient visit (30+ min)21$1,784$85
Ultrasonic guidance for blood vessel access29$456$12
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes19$265$11

2017: 15 services

Original Medicare services billed in 2017
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance19$35,874$1,708
Initial hospital care with moderate level of medical decision making at least 75 minutes57$10,583$176
Short return visit (20+ min)83$10,528$65
Relocation of arm vein with connection to arm artery for hemodialysis15$9,783$575
Ultrasound study of arm or leg veins with compression and maneuvers42$8,545$194
Ultrasound of hemodialysis access26$7,822$137
Injection of chemical agent into multiple incompetent veins of leg21$7,806$230
New patient visit (45+ min)41$5,989$146
Ultrasound study of one arm or leg veins with compression and maneuvers34$5,232$125
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes25$4,670$90
New patient visit (30+ min)35$3,125$89
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist11$2,018$183
Return visit (30+ min)14$1,514$101
Ultrasonic guidance for blood vessel access27$395$13
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes11$119$11

2016: 12 services

Original Medicare services billed in 2016
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance21$39,294$1,708
Short return visit (20+ min)95$12,770$65
Ultrasound study of arm or leg veins with compression and maneuvers53$11,536$189
Initial hospital care with moderate level of medical decision making at least 75 minutes39$8,593$172
New patient visit (45+ min)48$7,031$146
Ultrasound study of one arm or leg veins with compression and maneuvers36$5,483$125
New patient visit (30+ min)54$5,270$98
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes25$5,184$91
Injection of chemical agent into multiple incompetent veins of leg15$4,595$230
Ultrasound of hemodialysis access16$4,061$116
Return visit (30+ min)19$2,085$99
Ultrasonic guidance for blood vessel access17$326$13

2015: 9 services

Original Medicare services billed in 2015
Short return visit (20+ min)67$8,292$64
Ultrasound study of arm or leg veins with compression and maneuvers37$7,845$196
Initial hospital care with moderate level of medical decision making at least 75 minutes39$6,960$174
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$5,183$91
Injection of chemical agent into multiple incompetent veins of leg11$3,858$214
New patient visit (30+ min)34$3,286$97
New patient visit (45+ min)20$2,871$144
Complete ultrasound study of arm and leg arteries150$2,679$18
Ultrasound study of one arm or leg veins with compression and maneuvers18$2,562$122

2014: 12 services

Original Medicare services billed in 2014
Relocation of arm vein with connection to arm artery for hemodialysis13$8,537$610
Short return visit (20+ min)67$8,166$64
Initial hospital care with moderate level of medical decision making at least 75 minutes40$7,499$174
Complete ultrasound study of arm and leg arteries236$4,291$18
Ultrasound study of arm or leg veins with compression and maneuvers20$3,908$186
New patient visit (45+ min)24$3,547$148
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$2,873$90
Ultrasound of hemodialysis access11$2,625$154
New patient visit (30+ min)29$2,524$87
Ultrasound study of arm and leg arteries21$2,271$87
Ultrasound study of one arm or leg veins with compression and maneuvers14$1,764$118
Ultrasound study of veins of both arms or legs including assessment of functional maneuvers17$1,705$100

2013: 10 services

Original Medicare services billed in 2013
Short return visit (20+ min)74$10,955$64
Initial hospital care with moderate level of medical decision making at least 75 minutes34$6,088$165
Ultrasound study of arm or leg veins with compression and maneuvers21$4,047$193
New patient visit (30+ min)40$3,535$88
New patient visit (45+ min)23$3,385$147
Complete ultrasound study of arm and leg arteries198$2,940$15
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$2,440$90
Ultrasound study of one arm or leg veins with compression and maneuvers19$2,360$118
Ultrasound study of veins of both arms or legs including assessment of functional maneuvers18$2,102$111
Ultrasound study of arm and leg arteries15$1,612$90

Medicaid work

$18,964 in 2024

Medicaid paid $18,964 for 378 billed services this clinician did in 2024, up to 42 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
Short return visit (20+ min)331$13,913
EXTREMITY STUDY32$4,206
New patient visit (30+ min)15$845
Medicaid work by year
2024378342$18,964
2023284231$9,429
2022259324$4,949
2021306326$4,877
2020365336$11,035
2019270428$4,717
2018215124$3,410
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Short return visit (20+ min)266$7,438
Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)18$1,991

2022

Largest Medicaid services in 2022
Short return visit (20+ min)160$2,248
Return visit (30+ min)69$1,360
New patient visit (45+ min)30$1,342

2021

Largest Medicaid services in 2021
Short return visit (20+ min)233$3,354
Return visit (30+ min)61$1,207
Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)12$315

2020

Largest Medicaid services in 2020
Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)102$5,478
Short return visit (20+ min)250$4,468
LOWER EXTREMITY STUDY13$1,089

2019

Largest Medicaid services in 2019
Short return visit (20+ min)230$3,272
EXTREMITY STUDY14$543
Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)14$537
New patient visit (45+ min)12$365

2018

Largest Medicaid services in 2018
Short return visit (20+ min)215$3,410

Drugs they prescribed that Part D paid

$38,775

Pharmacies billed $38,775 in 2024.

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

Opioids were 12% of their Part D prescriptions (15 of 130) in 2024. Above the middle of the specialty; the typical vascular surgery clinician is at 11%. Surgeons prescribe little besides pain medicine after an operation, so their opioid share runs high.

89 generic and 41 brand-name prescriptions · $38,775 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
Xarelto16$18,899$1,181
Eliquis22$18,260$830
Clopidogrel29$564$19
Atorvastatin13$97$7
Hydrocodone-Acetaminophen14$73$5

Year by year

Part D prescribing by year
20241304812% (15)32%$38,775
20231656415% (25)None$32,861
20221586315% (23)20%$25,242
20211515315% (23)None$7,038
20201616323% (37)7%$7,303
20199845NoneNone$5,018
20181144811% (12)27%$33,619
2017883717% (15)None$2,366
2016693436% (25)None$2,426
2015603427% (16)25%$4,431
2014653132% (21)34%$5,058
2013432530% (13)None$1,278

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

See the drugs prescribed each year

2023: 5 drugs

Part D drugs prescribed in 2023
Xarelto14$17,617$1,258
Eliquis19$12,114$638
Fluocinolone Acetonide15$1,032$69
Clopidogrel42$786$19
Hydrocodone-Acetaminophen24$120$5

2022: 4 drugs

Part D drugs prescribed in 2022
Xarelto24$17,784$741
Fluocinonide23$1,606$70
Clopidogrel38$1,059$28
Hydrocodone-Acetaminophen22$95$4

2021: 3 drugs

Part D drugs prescribed in 2021
Clopidogrel48$678$14
Gabapentin34$620$18
Hydrocodone-Acetaminophen23$190$8

2020: 3 drugs

Part D drugs prescribed in 2020
Clopidogrel35$761$22
Hydrocodone-Acetaminophen34$262$8
Gabapentin35$209$6

2019: 3 drugs

Part D drugs prescribed in 2019
Fluocinonide13$563$43
Clopidogrel35$519$15
Gabapentin19$131$7

2018: 5 drugs

Part D drugs prescribed in 2018
Santyl15$24,201$1,613
Eliquis12$5,911$493
Fluocinonide16$688$43
Clopidogrel15$186$12
Gabapentin20$120$6

2017: 3 drugs

Part D drugs prescribed in 2017
Clopidogrel20$773$39
Gabapentin14$103$7
Hydrocodone-Acetaminophen12$74$6

2016: 2 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen23$192$8
Gabapentin17$117$7

2015: 2 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen16$173$11
Gabapentin12$52$4

2014: 2 drugs

Part D drugs prescribed in 2014
Lyrica11$2,243$204
Hydrocodone-Acetaminophen19$157$8

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen11$50$5

Money from drug and device companies

$264 in 2025

Industry payments by year
202547None$264
202469None$236
2023415None$332
202223None$71
2021644None$866
2020610None$4,622
2019622None$6,391

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
Boston ScientificJetstream Sc$149
3 payments
  • Meals for Imager II · 2025-04-03 · $42
  • Meals for Opticross 35 · 2025-03-26 · $51
  • Meals for Jetstream Sc · 2025-02-06 · $57
MedtronicClosurefast$61
2 payments
  • Meals for Hawkone · 2025-06-09 · $22
  • Meals for Closurefast · 2025-03-25 · $40
Laminate Medical TechnologiesVasq$33
1 payment
  • Meals for Vasq · 2025-06-26 · $33
Tactile Systems TechnologyFlexitouch Plus$21
1 payment
  • Meals for Flexitouch Plus · 2025-01-29 · $21
See all 7 published payments
Every published payment
Laminate Medical TechnologiesMeals · 2025-06-26Vasq$33
MedtronicMeals · 2025-06-09Hawkone$22
Boston ScientificMeals · 2025-04-03Imager II$42
Boston ScientificMeals · 2025-03-26Opticross 35$51
MedtronicMeals · 2025-03-25Closurefast$40
Boston ScientificMeals · 2025-02-06Jetstream Sc$57
Tactile Systems TechnologyMeals · 2025-01-29Flexitouch Plus$21
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $236

Payments by company in 2024
Inari MedicalFlowtriever Catheter, S$79
3 payments
  • Meals for Flowtriever Catheter, S · 2024-07-11 · $27
  • Meals for Flowtriever Catheter, S · 2024-05-20 · $24
  • Meals for Flowtriever Catheter, S · 2024-02-01 · $28
Boston ScientificRanger$54
2 payments
  • Meals for Ranger · 2024-11-14 · $29
  • Meals · 2024-05-30 · $25
MedtronicClosurefast$46
1 payment
  • Meals for Closurefast · 2024-04-16 · $46
Tactile Systems TechnologyFlexitouch Plus$21
1 payment
  • Meals for Flexitouch Plus · 2024-02-05 · $21
Janssen PharmaceuticalsXarelto$20
1 payment
  • Meals for Xarelto · 2024-07-12 · $20
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$16
1 payment
  • Meals for Lifevest · 2024-04-03 · $16

2023: $332

Payments by company in 2023
MedtronicIn.Pact Admiral$158
8 payments
  • Meals for In.Pact Admiral · 2023-09-28 · $2
  • Meals for In.Pact Admiral · 2023-09-28 · $20
  • Meals for In.Pact Admiral · 2023-09-14 · $14
  • Meals for In.Pact Admiral · 2023-09-01 · $26
  • Meals for Abre · 2023-05-24 · $40
  • Meals for Hawkone · 2023-02-17 · $20
  • Meals for Hawkone · 2023-02-16 · $10
  • Meals for Hawkone · 2023-02-03 · $27
Boston ScientificComet$74
3 payments
  • Meals for Ranger · 2023-08-24 · $27
  • Meals for Comet · 2023-06-14 · $28
  • Meals for Opticross · 2023-05-12 · $19
Janssen PharmaceuticalsXarelto$54
3 payments
  • Meals for Xarelto · 2023-10-02 · $19
  • Meals for Xarelto · 2023-08-21 · $18
  • Meals for Xarelto · 2023-03-22 · $17
AngioDynamicsBioflo$46
1 payment
  • Meals for Bioflo · 2023-09-13 · $46

2022: $71

Payments by company in 2022
Boston ScientificOpticross$43
2 payments
  • Meals for Opticross · 2022-11-18 · $24
  • Meals for Eluvia · 2022-02-04 · $19
Janssen PharmaceuticalsXarelto$28
1 payment
  • Meals for Xarelto · 2022-01-04 · $28

2021: $866

Payments by company in 2021
Boston ScientificVarithena$492
29 payments
  • Meals for General Pain Management · 2021-12-10 · $22
  • Meals for Varithena · 2021-09-07 · $80
  • Meals for General Ultrasound · 2021-09-01 · $12
  • Meals for Opticross · 2021-08-26 · $30
  • Meals for Opticross · 2021-08-21 · $4
  • Meals for Synergy · 2021-08-20 · $28
  • Meals for Opticross · 2021-08-13 · $28
  • Meals for General Stents · 2021-08-12 · $24
  • Meals for General Stents · 2021-08-11 · $12
  • Meals for Synergy · 2021-08-06 · $10
  • Meals for Rotapro · 2021-07-27 · $8
  • Meals for Opticross · 2021-06-11 · $11
  • Meals for Rotablator · 2021-06-04 · $16
  • Meals for Eluvia · 2021-05-06 · $21
  • Meals for Synergy · 2021-04-26 · $7
  • Meals for Rotablator · 2021-04-21 · $12
  • Meals for Synergy · 2021-04-21 · $4
  • Meals for Ekosonic · 2021-04-01 · $2
  • Meals for Ekosonic · 2021-04-01 · $17
  • Meals for General Therapies · 2021-03-30 · $6
  • Meals for Synergy · 2021-03-23 · $9
  • Meals for Rotablator · 2021-03-05 · $13
  • Meals for Rotablator · 2021-03-03 · $5
  • Meals for Rotablator · 2021-03-01 · $11
  • Meals for Rotablator · 2021-02-26 · $19
  • Meals for Ekosonic · 2021-02-25 · $29
  • Meals for Ekosonic · 2021-02-25 · $29
  • Meals for General Atherectomy · 2021-02-24 · $4
  • Meals for General Therapies · 2021-01-21 · $15
MedtronicIn.Pact Admiral$181
7 payments
  • Meals for Hawkone · 2021-12-30 · $24
  • Meals for In.Pact Admiral · 2021-12-16 · $32
  • Meals for In.Pact Admiral · 2021-11-02 · $67
  • Meals for In.Pact Admiral · 2021-05-27 · $12
  • Meals for In.Pact Admiral · 2021-04-29 · $20
  • Meals for In.Pact Admiral · 2021-04-15 · $12
  • Meals for In.Pact Admiral · 2021-02-04 · $13
Janssen PharmaceuticalsXarelto$110
4 payments
  • Meals for Xarelto · 2021-11-09 · $27
  • Meals for Xarelto · 2021-09-21 · $30
  • Meals for Xarelto · 2021-08-10 · $27
  • Meals for Xarelto · 2021-06-15 · $25
E.R. Squibb & Sons L.L.C.Eliquis$39
2 payments
  • Meals for Eliquis · 2021-08-27 · $17
  • Meals for Eliquis · 2021-06-11 · $22
MedelaMedela Npwt Pump$22
1 payment
  • Meals for Medela Npwt Pump · 2021-11-03 · $22
Abbott LaboratoriesFemostop Femoral Cad$22
1 payment
  • Meals for Femostop Femoral Cad · 2021-05-24 · $22

2020: $4,622

Payments by company in 2020
AngioDynamicsEvlt$4,253
1 payment
  • Education for Evlt · 2020-11-20 · $4,253
Medtronic VascularIn.Pact Admiral$256
5 payments
  • Meals for In.Pact Admiral · 2020-11-05 · $23
  • Meals for In.Pact Admiral · 2020-10-09 · $19
  • Meals for Hawkone · 2020-10-05 · $91
  • Meals for Hawkone · 2020-02-25 · $10
  • Meals for In.Pact Admiral · 2020-02-25 · $113
Smith+NephewStravix$50
1 payment
  • Meals for Stravix · 2020-12-10 · $50
Terumo MedicalTr Band$25
1 payment
  • Meals for Tr Band · 2020-02-06 · $25
Boston ScientificGeneral - Therapies$21
1 payment
  • Meals for General - Therapies · 2020-10-15 · $21
PfizerEliquis$17
1 payment
  • Meals for Eliquis · 2020-01-22 · $17

2019: $6,391

Payments by company in 2019
AngioDynamicsEvlt$4,800
1 payment
  • Education for Evlt · 2019-12-31 · $4,800
Medtronic VascularHawkone$1,235
14 payments
  • Meals for Hawkone · 2019-12-07 · $10
  • Meals for Venaseal · 2019-12-06 · $11
  • Travel for Hawkone · 2019-12-06 · $13
  • Travel for Hawkone · 2019-12-06 · $333
  • Meals for Hawkone · 2019-12-06 · $176
  • Meals for Hawkone · 2019-12-06 · $68
  • Meals for Hawkone · 2019-12-06 · $70
  • Meals for Hawkone · 2019-12-06 · $28
  • Meals for Hawkone · 2019-12-06 · $29
  • Travel for Hawkone · 2019-12-06 · $438
  • Meals for Hawkone · 2019-06-06 · $1
  • Meals for Venaseal · 2019-06-04 · $26
  • Meals for Venaseal · 2019-04-04 · $19
  • Meals for Venaseal · 2019-01-30 · $15
Boston ScientificGeneral Vascular Intervention$206
3 payments
  • Meals for General Therapies · 2019-12-16 · $7
  • Meals for General Therapies · 2019-12-16 · $66
  • Meals for General Vascular Intervention · 2019-10-10 · $132
Janssen PharmaceuticalsXarelto$115
2 payments
  • Meals for Xarelto · 2019-07-25 · $100
  • Meals for Xarelto · 2019-01-30 · $15
Tactile Systems TechnologyFlexitouch$17
1 payment
  • Meals for Flexitouch · 2019-11-18 · $17
Smith+NephewSantyl$17
1 payment
  • Meals for Santyl · 2019-01-29 · $17

Professional record

NPI
1033190970
Licence
CA A94731California A94731: Current · expires 2027-12-31
Trained
Indiana University School of Medicine, 1998 · 28 years ago
Group
West Coast Kidney · San Mateo Dialysis Associates
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 2086S0129X (2086S0129X)
Mailing address
Po Box 590455, San Francisco, CA, 94159
NPI first listed
2005-11-08
NPI last updated
2019-12-17
NPI record certified
2019-12-17

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

Extra NPI addresses: 1850 Sullivan Ave, Daly City, CA, 94015