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Jacob P Benford, MD

Emergency Medicine · Roseburg

NPI 1063467595

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Cep America LLC · 995 clinicians in this group

Looking this up.

Hospitals listed: Asante Three Rivers Medical Center · Mercy Medical Center · Providence Medford Medical Center. 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. Benford’s office at (541) 673-0611 to ask if they take your plan before you enroll.

California Medical Board record

Licence A60475 · Current

Licensed to practise in California · since 1996 · expires 2027-11-30 · University of California, Los Angeles School of Medicine.

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

Hospitals they work in

3 hospitals

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

  • Asante Three Rivers Medical CenterGrants Pass, ORAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of Asante Health System, which runs 3 hospitalsPatients rate it 4 of 5 · 70% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.061, Oct 2024 – Sep 2025
  • Mercy Medical CenterRoseburg, ORAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 3 of 5 · 56% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.232, Oct 2024 – Sep 2025
  • Providence Medford Medical CenterMedford, ORAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Providence, which runs 54 hospitals in 7 statesPatients rate it 3 of 5 · 77% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 1.2 (1 to 1.5) · 910 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Asante Three Rivers Medical Center

Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 1 better, 4 the same, 1 worse of 6 measures. Readmissions: 3 better, 5 the same, 0 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Asante Three Rivers Medical Center
Clostridium Difficile (C.Diff)Infections0.061BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.92 (0 to 1.94) · 375 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.81 (0.4 to 1.22)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.2 · 74 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 68 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.5 · 193 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.5 · 205 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.8 · 176 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 1,976 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.02 to 0.47) · 2,951 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.04 to 0.46) · 2,879 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.77 (0.42 to 5.12) · 489 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.62 (0 to 3.33) · 114 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.43 (0.77 to 4.08) · 467 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.89 (0 to 17.23) · 110 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.8 (0.64 to 8.96) · 84 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.64 (0.16 to 3.12) · 181 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.3 (0 to 1.22) · 2,444 casesNo differentJul 2022 – Jun 2024
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
SSI - Colon SurgeryInfections0.515No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.2 · 52 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits18.7 · 385 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-0.6 · 213 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits8 · 201 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.6 · 357 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6 (4.2 to 8.3) · 232 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.9 (7.4 to 13) · 232 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.1 · 191 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.1 (9.3 to 15.7) · 1,664 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 390 casesNo differentJan 2024 – Dec 2024

What patients said (1,758 patients answered, 39% of those asked)

Patient survey stars by topic at Asante Three Rivers Medical Center
Cleanliness4
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Asante Three Rivers Medical Center
Room was "always" clean81%
Nurses "always" communicated well79%
Doctors "always" communicated well78%
Staff "always" explained60%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand73%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)69%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects45%
Yes, staff "did" give patients information about possible symptoms90%
See every measure and the patient survey for Mercy Medical Center

Behind the star rating — Deaths: 0 better, 5 the same, 1 worse of 6 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 4 better, 3 the same, 0 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 Mercy Medical Center
Clostridium Difficile (C.Diff)Infections0.232BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.99 (0 to 2.05) · 350 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.9 (0.47 to 1.32)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths11.8 · 84 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.6 · 147 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths13.8 · 258 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.2 · 224 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.4 · 191 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.3 · 1,684 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.4) · 2,762 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.04 to 0.46) · 2,684 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.88 (0.48 to 5.28) · 450 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.66 (0 to 3.38) · 54 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.18 (0.5 to 3.86) · 423 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.97 (1.35 to 20.59) · 56 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.04 (0.78 to 9.3) · 45 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.7 (0.2 to 3.21) · 104 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.31 (0 to 1.26) · 2,236 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.498No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.3 · 184 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.4 · 359 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-17.8 · 126 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-13 · 271 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-35.1 · 217 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.2 · 353 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 140 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.5 (8.9 to 15) · 1,646 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.6 to 1.2) · 368 casesNo differentJan 2024 – Dec 2024

What patients said (622 patients answered, 19% of those asked)

Patient survey stars by topic at Mercy Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness3
Recommend hospital3
Share of patients giving the best answer at Mercy Medical Center
Room was "always" clean67%
Nurses "always" communicated well78%
Doctors "always" communicated well77%
Staff "always" explained58%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night49%
"YES", patients would definitely recommend the hospital56%
Staff "always" explained possible side effects45%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Providence Medford Medical Center

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 0 better, 7 the same, 0 worse of 7 measures. Readmissions: 1 better, 8 the same, 1 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Providence Medford Medical Center
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (1 to 1.5) · 910 casesWorseJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.91 (0 to 1.93) · 691 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.81 (0.44 to 1.17)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths168.69 (107.09 to 230.29) · 33 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths10.4 · 69 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.8 · 75 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths14.8 · 187 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths18.7 · 204 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11 · 126 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 1,841 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.29 (0.07 to 0.51) · 3,078 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.03 to 0.44) · 2,988 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.02 (0.87 to 5.18) · 916 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.52 (0 to 3.17) · 487 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.09 (0.56 to 3.63) · 875 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.42 (0 to 13.77) · 511 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.96 (2.23 to 9.68) · 479 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.67 (0.18 to 3.16) · 239 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.25 (0 to 1.11) · 2,389 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.3 · 70 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.934No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.511No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.398No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.1 · 73 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 285 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits51.7 · 50 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits15.7 · 200 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-9.3 · 194 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.7 · 274 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.3 (3.3 to 8.6) · 39 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (6.5 to 15.6) · 39 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.5 · 79 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.9 · 124 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.4 (10.2 to 17.4) · 1,052 casesNo differentJan 2022 – Dec 2024

What patients said (632 patients answered, 25% of those asked)

Patient survey stars by topic at Providence Medford Medical Center
Cleanliness4
Nurse communication4
Doctor communication3
Communication about medicines2
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Providence Medford Medical Center
Room was "always" clean72%
Nurses "always" communicated well79%
Doctors "always" communicated well78%
Staff "always" explained58%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand73%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)74%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night48%
"YES", patients would definitely recommend the hospital77%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$62,742

Medicare paid this office $62,742 for 481 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making336$44,874$127
Emergency department visit with moderate level of medical decision making96$8,277$83
Critical care, first 30-74 minutes46$7,456$162
Electrocardiogram (ecg) 1 to 3 leads with review by physician only32$151$5
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only25$146$6

Who their Medicare patients are

481 Original Medicare patients in 2024. Average age 76 · Under 65 10% · 85 and older 23% · Women 56% · Also on Medicaid 27% · Health risk score 1.79. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Chronic kidney disease 41% · Heart failure 39% · Diabetes 35% · COPD 35% · Atrial fibrillation 34% · Coronary heart disease 33% · Depression 32% · Dementia 22% · Cancer 17% · Stroke 15%.

The office billed $609,896, Medicare allowed $82,744 and paid $62,742; for 591 services of 26 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
2024481591761.79$609,896$62,742
2023532668741.77$639,561$70,600
2022529660741.73$586,836$72,816
2021476635741.92$507,701$65,657
2020453601731.91$445,412$58,683
20195931,301742.59$611,540$93,946
20185001,216742.85$398,111$89,046
20175851,442752.90$424,003$132,090
20165301,280732.34$353,342$79,366
20156281,527742.55$417,159$97,546
20147191,648732.21$466,758$109,597
20138451,764732.38$512,350$124,036

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: 6 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making309$42,450$131
Emergency department visit with moderate level of medical decision making157$13,975$87
Critical care, first 30-74 minutes63$10,102$160
Emergency department visit with low level of medical decision making11$498$45
Electrocardiogram (ecg) 1 to 3 leads with review by physician only38$201$5
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only22$140$6

2022: 5 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making274$40,295$141
Emergency department visit with moderate level of medical decision making150$13,862$92
Critical care, first 30-74 minutes61$11,307$182
Emergency department visit with low level of medical decision making61$3,361$53
Electrocardiogram (ecg) 1 to 3 leads with review by physician only55$291$5

2021: 5 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making279$41,185$141
Emergency department visit with moderate level of medical decision making121$11,435$93
Critical care, first 30-74 minutes48$8,284$173
Emergency department visit with low level of medical decision making44$2,070$46
Electrocardiogram (ecg) 1 to 3 leads with review by physician only89$489$5

2020: 5 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making263$36,438$133
Emergency department visit with moderate level of medical decision making109$10,117$91
Critical care, first 30-74 minutes37$6,447$174
Emergency department visit with low level of medical decision making56$2,627$46
Electrocardiogram (ecg) 1 to 3 leads with review by physician only81$468$5

2019: 9 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making391$58,206$145
Critical care, first 30-74 minutes80$15,730$194
Emergency department visit with moderate level of medical decision making83$8,569$96
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only296$2,467$8
Emergency department visit with low level of medical decision making39$2,003$51
X-ray of chest, 1 view179$1,531$8
Electrocardiogram (ecg) 1 to 3 leads with review by physician only20$114$6
X-ray of shoulder, minimum of 2 views12$106$9
X-ray of pelvis, 1-2 views12$97$8

2018: 6 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making329$55,447$164
Critical care, first 30-74 minutes56$12,395$221
Emergency department visit with moderate level of medical decision making82$8,563$102
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only334$3,062$9
X-ray of chest, 1 view198$1,887$9
Emergency department visit with low level of medical decision making31$1,866$60

2017: 8 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making405$87,166$206
Emergency department visit with moderate level of medical decision making99$14,391$144
Critical care, first 30-74 minutes34$9,408$277
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only358$4,293$11
Emergency department visit with low level of medical decision making48$3,627$74
X-ray of chest, 1 view, front275$3,444$12
Emergent insertion of breathing tube into windpipe using an endoscope11$1,863$169
Insertion of non-tunneled central venous tube for infusion (5 years or older)11$1,789$149

2016: 9 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making358$52,760$144
Emergency department visit with moderate level of medical decision making96$9,277$96
Critical care, first 30-74 minutes25$4,892$196
Emergency department visit with low level of medical decision making51$2,735$53
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only315$2,482$8
X-ray of chest, 1 view, front251$2,148$8
Insertion of non-tunneled central venous tube for infusion (5 years or older)12$1,275$106
X-ray of lower and sacral spine, 2-3 views11$113$10
X-ray of hip, 2-3 views11$113$10

2015: 9 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making438$66,644$146
Emergency department visit with moderate level of medical decision making113$11,171$99
Critical care, first 30-74 minutes32$6,267$196
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only375$3,223$8
Emergency department visit with low level of medical decision making51$2,630$52
X-ray of chest, 1 view, front282$2,449$8
X-ray of pelvis, 1-2 views15$121$8
X-ray of knee, 1-2 views14$119$8
X-ray of abdomen, single view11$91$8

2014: 8 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making454$66,647$142
Emergency department visit with moderate level of medical decision making132$12,739$95
Critical care, first 30-74 minutes59$11,743$193
Emergency department visit with low level of medical decision making76$3,943$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only400$3,292$8
X-ray of chest, 1 view, front252$2,112$8
Insertion of non-tunneled central venous tube for infusion (5 years or older)17$1,806$106
Emergent insertion of breathing tube into windpipe using an endoscope18$1,713$95

2013: 8 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making551$80,650$141
Emergency department visit with moderate level of medical decision making165$16,067$96
Critical care, first 30-74 minutes52$9,910$191
Emergency department visit with low level of medical decision making93$4,672$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only492$3,862$7
Emergent insertion of breathing tube into windpipe using an endoscope17$1,589$93
X-ray of chest, 1 view, front160$1,263$8
Insertion of non-tunneled central venous tube for infusion (5 years or older)12$1,249$104

Medicaid work

$219,608 in 2024

Medicaid paid $219,608 for 2,992 billed services this clinician did in 2024, up to 59 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
EMERGENCY DEPARTMENT VISIT HIGH MDM508$99,710
EMERGENCY DEPT VISIT MOD MDM552$73,423
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug186$23,517
EMERGENCY DEPT VISIT LOW MDM83$13,954
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL14$2,809
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected38$2,598
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)49$2,215
Radiologic examination, chest; single view12$673
Radiologic examination, chest; 2 views13$642
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report277$54
COMPREHENSIVE METABOLIC PANEL450$8
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count461$6
Medicaid work by year
20242,9922059$219,608
20234,8772074$276,366
20225,3842059$270,416
20213,5951644$176,033
20204,2882064$131,988
20194,1852594$145,597
20182,7359119$89,145
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM1,017$97,864
EMERGENCY DEPARTMENT VISIT HIGH MDM632$91,131
EMERGENCY DEPT VISIT LOW MDM283$47,562
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug269$31,097
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)104$4,122
Radiologic examination, chest; single view66$3,048
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected22$906
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)14$460
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes14$156
COMPREHENSIVE METABOLIC PANEL587$8
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count597$6
ASSAY OF LIPASE188$5

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT MOD MDM791$89,640
EMERGENCY DEPARTMENT VISIT HIGH MDM628$86,221
EMERGENCY DEPT VISIT LOW MDM457$44,772
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug244$28,265
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected156$9,441
Radiologic examination, chest; single view186$8,520
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)83$2,639
Computed tomography, head or brain; without contrast material14$901
COMPREHENSIVE METABOLIC PANEL599$8
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count612$6
COLLECTION VENOUS BLOOD VENIPUNCTURE470$2
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy236$0

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM543$71,162
EMERGENCY DEPARTMENT VISIT HIGH MDM478$52,308
EMERGENCY DEPT VISIT LOW MDM349$27,807
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug201$20,198
Radiologic examination, chest; single view76$2,345
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)77$2,213
COLLECTION VENOUS BLOOD VENIPUNCTURE379$0
COMPREHENSIVE METABOLIC PANEL453$0
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy147$0
ASSAY OF LIPASE64$0
Troponin, quantitative33$0
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count471$0

2020

Largest Medicaid services in 2020
EMERGENCY DEPT VISIT MOD MDM680$50,057
EMERGENCY DEPARTMENT VISIT HIGH MDM370$36,853
EMERGENCY DEPT VISIT LOW MDM596$27,751
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug224$11,612
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)123$2,049
Radiologic examination, chest; 2 views33$1,838
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)31$961
Radiologic examination, chest; single view32$867
COLLECTION VENOUS BLOOD VENIPUNCTURE412$0
COMPREHENSIVE METABOLIC PANEL457$0
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy226$0
URINE PREGNANCY TEST16$0

2019

Largest Medicaid services in 2019
EMERGENCY DEPT VISIT MOD MDM623$38,820
EMERGENCY DEPT VISIT LOW MDM938$38,255
EMERGENCY DEPARTMENT VISIT HIGH MDM544$36,491
Service249$12,492
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug59$5,940
Service123$4,548
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only377$2,454
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)44$1,433
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report140$925
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes13$894
Radiologic examination, chest; 2 views17$626
COLLECTION VENOUS BLOOD VENIPUNCTURE108$590

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT LOW MDM874$30,094
EMERGENCY DEPARTMENT VISIT HIGH MDM518$28,903
EMERGENCY DEPT VISIT MOD MDM451$18,884
Service176$6,480
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only443$3,235
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes12$997
Radiologic examination, chest; single view233$321
Service13$128
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)15$103

Drugs they prescribed that Part D paid

$4,724

Pharmacies billed $4,724 in 2024.

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

Opioids were 11% of their Part D prescriptions (41 of 378) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

366 generic and 12 brand-name prescriptions · $4,724 in drug cost · 123 antibiotic prescriptions to 108 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.

Largest Part D drug costs
Cephalexin53$360$7
Ondansetron Odt34$256$8
Methylprednisolone20$168$8
Nitrofurantoin Mono-Macro11$114$10
Hydrocodone-Acetaminophen29$108$4
See all 10 drugs
Every Part D drug this clinician prescribed
Cephalexin53$360$7
Ondansetron Odt34$256$8
Methylprednisolone20$168$8
Nitrofurantoin Mono-Macro11$114$10
Hydrocodone-Acetaminophen29$108$4
Celecoxib11$99$9
Prednisone26$98$4
Ibuprofen23$74$3
Loperamide12$49$4
Azithromycin11$37$3

Year by year

Part D prescribing by year
202437826011% (41)3%$4,724
202334624212% (41)4%$3,689
202234423812% (40)6%$7,498
202129720812% (35)4%$3,218
202029920612% (36)4%$7,098
201925618026% (67)8%$2,197
201820513119% (39)10%$2,945
201719813322% (43)11%$2,607
201623015331% (72)6%$2,690
201528518237% (104)6%$3,758
201430219733% (98)None$3,445
201329118539% (112)4%$2,956

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

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Ondansetron Odt31$336$11
Cephalexin42$304$7
Methylprednisolone20$218$11
Hydrocodone-Acetaminophen29$104$4
Ibuprofen24$100$4
Amoxicillin13$95$7
Prednisone30$92$3

2022: 9 drugs

Part D drugs prescribed in 2022
Albuterol Sulfate Hfa13$488$38
Cephalexin52$365$7
Doxycycline Hyclate11$250$23
Ondansetron Odt20$224$11
Methylprednisolone13$131$10
Ibuprofen28$100$4
Prednisone28$76$3
Hydrocodone-Acetaminophen24$73$3
Oxycodone14$52$4

2021: 7 drugs

Part D drugs prescribed in 2021
Doxycycline Hyclate16$287$18
Cephalexin43$274$6
Ondansetron Odt14$101$7
Promethazine18$72$4
Prednisone26$71$3
Hydrocodone-Acetaminophen27$66$2
Ibuprofen15$48$3

2020: 9 drugs

Part D drugs prescribed in 2020
Doxycycline Hyclate19$317$17
Cephalexin41$221$5
Hydrocodone-Acetaminophen24$72$3
Ciprofloxacin12$65$5
Ondansetron14$63$4
Promethazine13$60$5
Prednisone15$43$3
Ibuprofen12$38$3
Tramadol12$22$2

2019: 6 drugs

Part D drugs prescribed in 2019
Cephalexin27$186$7
Ondansetron Odt25$162$6
Tramadol40$105$3
Hydrocodone-Acetaminophen27$95$4
Prednisone16$56$4
Ibuprofen16$49$3

2018: 5 drugs

Part D drugs prescribed in 2018
Ondansetron Odt19$128$7
Cephalexin12$87$7
Tramadol26$71$3
Hydrocodone-Acetaminophen12$51$4
Prednisone12$40$3

2017: 5 drugs

Part D drugs prescribed in 2017
Ondansetron Odt19$105$6
Cephalexin14$91$6
Tramadol29$72$2
Prednisone19$67$4
Hydrocodone-Acetaminophen11$36$3

2016: 5 drugs

Part D drugs prescribed in 2016
Ondansetron Odt25$260$10
Hydrocodone-Acetaminophen24$114$5
Tramadol46$110$2
Cephalexin13$91$7
Ibuprofen11$25$2

2015: 6 drugs

Part D drugs prescribed in 2015
Azithromycin13$244$19
Tramadol64$202$3
Hydrocodone-Acetaminophen34$162$5
Cephalexin15$114$8
Levofloxacin12$108$9
Prednisone15$54$4

2014: 5 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen44$237$5
Tramadol43$168$4
Azithromycin13$107$8
Prednisone24$104$4
Cephalexin16$98$6

2013: 6 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen72$384$5
Cephalexin21$199$9
Ondansetron Odt14$148$11
Tramadol36$137$4
Ibuprofen14$59$4
Prednisone18$58$3

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
99.8 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1063467595
Licence
CA A60475, OR MD195812California A60475: Current · expires 2027-11-30
Trained
University of California, Geffen School of Medicine, 1996
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A604750
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
2100 Powell Street, Suite 900, Emeryville, CA, 94608
NPI first listed
2006-05-23
NPI last updated
2019-10-17

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