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Donald P Carter, MD

Otolaryngology · Merced

NPI 1083634364

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
1 carrier
Offices
2
Since medical school
35 years
University of Kansas School of Med (Kc/Wich/Sal), 1991

Offices

2 locations · Dignity Health Medical Foundation · 1,211 clinicians in this group

Looking this up.

Hospitals listed: Mercy Medical Center. That is not proof they admit you there this week.

Plans that list them

9 plans · 1 carrier

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

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence G70792 · Current

Licensed to practise in California · since 1991 · expires 2028-08-31 · Washington University School of Medicine.

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

Surgery centers they own

  • UAS Management, Inc.Ambulatory Surgery Center · Merced, CA10% owner since 2002 · accredited by AAAHC
    Accreditation Renewed2 inspections · last 2016-05-03

Hospitals they work in

1 hospital

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

  • Mercy Medical CenterMerced, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 3 of 5 · 59% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.168, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.364, Oct 2024 – Sep 2025
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: 3 better, 3 the same, 0 worse of 6 measures. Readmissions: 0 better, 7 the same, 2 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 Mercy Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.168BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.364BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.1 (0.11 to 2.09) · 798 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.74 (0.37 to 1.11)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.7 · 165 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.7 · 69 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 449 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.5 · 544 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11 · 206 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 1,843 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.37) · 5,594 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.23 (0.03 to 0.43) · 5,647 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.53 (0.28 to 4.78) · 763 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.64 (0 to 3.35) · 161 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.96 (0.37 to 3.55) · 791 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.67 (0 to 16.88) · 163 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.84 (0.67 to 9.02) · 115 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.92 (0.46 to 3.38) · 273 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.16 (0 to 0.85) · 4,979 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.764No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14 · 31 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.5 · 477 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits62.8 · 511 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits43.6 · 554 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.8 · 462 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.8 to 8.2) · 152 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.7 (8 to 14.1) · 152 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.9 · 196 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.9 (10.2 to 19) · 70 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.4) · 413 casesNo differentJan 2024 – Dec 2024

What patients said (394 patients answered, 11% of those asked)

Patient survey stars by topic at Mercy Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information3
Overall hospital rating3
Quietness3
Recommend hospital2
Share of patients giving the best answer at Mercy Medical Center
Room was "always" clean73%
Nurses "always" communicated well78%
Doctors "always" communicated well75%
Staff "always" explained61%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand73%
Doctors "always" listened carefully72%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)64%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night49%
"YES", patients would definitely recommend the hospital59%
Staff "always" explained possible side effects49%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$235,634

Medicare paid this office $235,634 for 1,031 people.

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

Largest Original Medicare bills
Return visit (30+ min)840$137,788$91
Exam of ear using a microscope581$22,787$22
New patient visit (45+ min)145$16,462$114
Short return visit (20+ min)90$6,946$73
Diagnostic exam of voice box using a flexible endoscope62$6,739$99
See all 14 services
Every Original Medicare service billed
Return visit (30+ min)840$137,788$91
Exam of ear using a microscope581$22,787$22
New patient visit (45+ min)145$16,462$114
Short return visit (20+ min)90$6,946$73
Diagnostic exam of voice box using a flexible endoscope62$6,739$99
Comprehensive hearing and speech recognition test253$6,553$25
Test to assess middle ear function408$5,397$12
New patient visit (30+ min)53$4,096$77
Needle biopsy of thyroid through skin32$3,042$80
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$2,360$98
Ultrasonic guidance for needle placement37$1,708$46
Long return visit (40+ min)17$1,654$97
Emergency department visit with low level of medical decision making23$1,471$53
Repositioning exercises of head for treatment of dizziness, each day20$756$32

Procedures Medicare counted

Procedure volume Medicare published
Removal of skin lesions1-10None
Skin biopsy1-10None
Upper gastrointestinal (GI) endoscopy for acid reflux1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Diagnostic exam of voice box using a flexible endoscope10599111807768
Needle biopsy of thyroid through skin604934414638
Punch biopsy, first skin growth1212––––

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

Who their Medicare patients are

1,031 Original Medicare patients in 2024. Average age 77 · Under 65 5% · 85 and older 20% · Women 58% · Also on Medicaid 18% · Health risk score 1.19. At or below the middle of the specialty; the typical otolaryngology clinician is at 1.19.

Conditions among them: High blood pressure 75% · Diabetes 36% · Coronary heart disease 30% · Chronic kidney disease 23% · Atrial fibrillation 21% · COPD 19% · Heart failure 18% · Depression 13% · Cancer 11% · Stroke 9% · Dementia 7%.

The office billed $494,983, Medicare allowed $332,779 and paid $235,634; for 3,937 services of 60 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
20241,0313,937771.19$494,983$235,634
20231,1574,403761.14$569,920$269,946
20221,1744,750761.10$585,057$294,745
20211,1804,710761.18$556,605$299,519
20201,1024,474761.28$537,847$257,809
20191,1234,317761.39$510,297$235,694
20181,2274,703751.27$558,955$264,321
20171,5005,808751.34$627,973$303,184
20161,5596,176751.35$665,362$312,896
20151,5926,522751.31$744,426$347,169
20141,5997,009751.33$823,427$390,670
20131,4585,823751.30$701,619$338,040

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
Return visit (30+ min)831$134,295$94
Exam of ear using a microscope632$23,076$23
New patient visit (45+ min)124$15,299$123
Comprehensive hearing and speech recognition test490$14,321$27
New patient visit (30+ min)148$11,106$75
Short return visit (20+ min)108$9,194$65
Diagnostic exam of voice box using a flexible endoscope70$7,398$96
Test to assess middle ear function498$6,850$12
Needle biopsy of thyroid through skin36$3,736$81
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes33$3,593$103
Long return visit (40+ min)19$2,629$138
Ultrasonic guidance for needle placement43$2,026$46
Ultrasound scan of head and neck soft tissue17$1,876$94
Emergency department visit with low level of medical decision making28$1,830$55
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,752$63
Exam of ear using a microscope17$136$8

2022: 17 services

Original Medicare services billed in 2022
Return visit (30+ min)785$140,612$91
Exam of ear using a microscope656$26,912$22
New patient visit (30+ min)317$24,640$78
Short return visit (20+ min)129$14,716$65
Comprehensive hearing and speech recognition test411$11,870$26
Diagnostic exam of voice box using a flexible endoscope68$7,537$94
Test to assess middle ear function425$5,894$12
Long return visit (40+ min)19$3,832$128
Needle biopsy of thyroid through skin36$3,111$76
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$3,036$108
New patient visit (45+ min)23$2,693$117
Emergency department visit with low level of medical decision making27$1,783$58
Ultrasonic guidance for needle placement39$1,634$42
Ultrasound scan of head and neck soft tissue17$1,626$74
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,087$57
Repositioning exercises of head for treatment of dizziness, each day21$755$31
Exam of ear using a microscope18$136$8

2021: 17 services

Original Medicare services billed in 2021
Return visit (30+ min)741$139,322$95
New patient visit (30+ min)352$26,758$76
Exam of ear using a microscope636$25,843$23
Short return visit (20+ min)158$17,039$66
Comprehensive hearing and speech recognition test449$13,848$29
Diagnostic exam of voice box using a flexible endoscope98$10,621$96
Long return visit (40+ min)43$9,345$133
Test to assess middle ear function461$6,436$13
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes29$3,423$110
Needle biopsy of thyroid through skin30$2,915$86
New patient visit (45+ min)21$2,794$133
Emergency department visit with low level of medical decision making27$1,750$58
Ultrasonic guidance for needle placement32$1,466$44
Ultrasound scan of head and neck soft tissue11$1,087$99
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,052$58
Repositioning exercises of head for treatment of dizziness, each day18$698$37
Exam of ear using a microscope19$140$7

2020: 16 services

Original Medicare services billed in 2020
Return visit (30+ min)647$96,294$81
New patient visit (30+ min)353$26,502$75
Exam of ear using a microscope573$23,518$23
Short return visit (20+ min)190$16,353$57
Comprehensive hearing and speech recognition test467$14,143$28
Long return visit (40+ min)50$10,821$112
Diagnostic exam of voice box using a flexible endoscope88$9,043$91
Test to assess middle ear function473$6,293$12
Needle biopsy of thyroid through skin40$3,855$79
New patient visit (45+ min)29$3,560$123
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,482$108
Ultrasonic guidance for needle placement41$1,735$41
Emergency department visit with low level of medical decision making21$1,213$51
Punch biopsy, first skin growth11$1,175$98
Repositioning exercises of head for treatment of dizziness, each day12$523$37
Exam of ear using a microscope22$174$8

2019: 16 services

Original Medicare services billed in 2019
Return visit (30+ min)674$94,816$78
New patient visit (30+ min)301$22,686$75
Exam of ear using a microscope577$21,598$22
Short return visit (20+ min)194$14,479$50
Comprehensive hearing and speech recognition test460$13,024$27
Diagnostic exam of voice box using a flexible endoscope87$8,212$78
Test to assess middle ear function461$5,569$11
Long return visit (40+ min)38$5,142$112
Needle biopsy of thyroid through skin47$4,492$75
New patient visit (45+ min)31$3,297$106
Ultrasonic guidance for needle placement52$2,094$40
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,008$106
Punch biopsy, first skin growth12$1,112$93
Emergency department visit with low level of medical decision making13$616$47
Repositioning exercises of head for treatment of dizziness, each day13$562$33
Exam of ear using a microscope14$97$7

2018: 17 services

Original Medicare services billed in 2018
Return visit (30+ min)621$89,055$80
Short return visit (20+ min)350$27,304$53
New patient visit (30+ min)325$24,735$76
Exam of ear using a microscope540$22,834$23
Comprehensive hearing and speech recognition test504$15,044$28
Long return visit (40+ min)83$11,125$114
Diagnostic exam of voice box using a flexible endoscope83$8,291$88
Test to assess middle ear function509$5,922$11
New patient visit (45+ min)49$5,885$120
Needle biopsy of thyroid through skin39$3,314$77
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,810$108
Ultrasonic guidance for needle placement45$1,947$42
Biopsy of single growth of skin and/or tissue17$1,151$68
Ultrasound scan of head and neck soft tissue11$1,070$97
Emergency department visit with low level of medical decision making20$1,014$48
Repositioning exercises of head for treatment of dizziness, each day17$615$32
Exam of ear using a microscope13$106$8

2017: 21 services

Original Medicare services billed in 2017
Short return visit (20+ min)1,072$110,878$54
New patient visit (30+ min)478$37,049$78
Exam of ear using a microscope698$27,360$23
Comprehensive hearing and speech recognition test557$17,026$29
Return visit (30+ min)153$13,355$82
Diagnostic exam of voice box using a flexible endoscope104$10,312$89
Test to assess middle ear function575$7,005$11
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less12$6,679$557
Removal of thyroid lobe on side of neck11$5,606$510
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes43$4,870$111
Needle biopsy of thyroid through skin50$4,844$78
Diagnostic exam of nasal passages using an endoscope24$4,103$147
Complex control of nose bleed11$2,752$183
Ultrasonic guidance for needle placement50$2,276$45
Biopsy of single growth of skin and/or tissue23$1,984$86
Ultrasound scan of head and neck soft tissue22$1,910$87
New patient visit (45+ min)14$1,626$116
New patient visit (15+ min)20$1,112$56
Short return visit28$1,046$35
Emergency department visit with low level of medical decision making11$544$49
Exam of ear using a microscope30$249$8

2016: 21 services

Original Medicare services billed in 2016
Short return visit (20+ min)1,097$118,595$53
New patient visit (30+ min)508$36,763$72
Exam of ear using a microscope688$24,909$23
Comprehensive hearing and speech recognition test663$19,501$27
Diagnostic exam of voice box using a flexible endoscope113$11,742$89
Return visit (30+ min)96$8,832$83
Test to assess middle ear function680$8,436$11
Removal of thyroid lobe on side of neck12$6,684$557
Needle biopsy of thyroid through skin43$4,006$79
Complex control of nose bleed14$3,543$177
Simple removal of skin debris and drainage of mastoid cavity18$2,544$82
Diagnostic exam of nasal passages using an endoscope16$2,316$129
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes30$2,291$76
New patient visit (45+ min)19$2,212$116
Ultrasound scan of head and neck soft tissue19$1,763$93
Ultrasonic guidance for needle placement37$1,654$45
Biopsy of single growth of skin and/or tissue22$1,641$75
New patient visit (15+ min)35$1,596$46
Repositioning exercises of head for treatment of dizziness, each day17$729$29
Short return visit16$492$31
Exam of ear using a microscope18$138$8

2015: 22 services

Original Medicare services billed in 2015
Short return visit (20+ min)1,167$121,917$52
New patient visit (30+ min)461$34,771$75
Exam of ear using a microscope720$26,195$23
Comprehensive hearing and speech recognition test619$18,605$28
Diagnostic exam of voice box using a flexible endoscope109$11,571$90
Return visit (30+ min)110$10,344$81
Test to assess middle ear function639$8,317$11
Ultrasound scan of head and neck soft tissue70$7,438$94
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less12$6,692$515
Needle biopsy of thyroid through skin57$6,075$88
Simple removal of skin debris and drainage of mastoid cavity24$4,072$102
New patient visit (15+ min)74$3,927$53
Ultrasonic guidance for needle placement57$2,997$48
Biopsy of single growth of skin and/or tissue37$2,729$70
Complex control of nose bleed14$2,706$169
Diagnostic exam of nasal passages using an endoscope13$2,202$130
New patient visit (45+ min)16$1,895$118
Short return visit54$1,886$34
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes19$1,481$78
Emergency department visit with low level of medical decision making19$833$42
Repositioning exercises of head for treatment of dizziness, each day15$725$33
Exam of ear using a microscope27$246$8

2014: 26 services

Original Medicare services billed in 2014
Short return visit (20+ min)1,147$132,062$54
New patient visit (30+ min)606$46,449$77
Exam of ear using a microscope744$30,693$24
Comprehensive hearing and speech recognition test655$20,047$29
Return visit (30+ min)159$14,826$80
Diagnostic exam of voice box using a flexible endoscope129$14,083$93
Removal or exploration of parathyroid glands13$11,981$666
Test to assess middle ear function661$8,465$12
Ultrasound scan of head and neck soft tissue78$7,964$97
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less13$7,343$490
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less11$6,621$552
Needle biopsy of thyroid through skin61$6,335$87
Simple removal of skin debris and drainage of mastoid cavity27$4,880$98
Ultrasonic guidance for needle placement63$3,946$61
Diagnostic exam of nasal passages using an endoscope14$3,213$124
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia11$2,379$183
Biopsy of single growth of skin and/or tissue28$2,250$66
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes28$2,247$80
New patient visit (45+ min)13$1,746$134
New patient visit (15+ min)30$1,677$56
Complex control of nose bleed12$1,552$119
Evaluation and testing for balance with recording16$1,327$83
Short return visit22$832$35
Assessment and recording of balance system during irrigation of both ears18$811$12
Repositioning exercises of head for treatment of dizziness, each day16$782$33
Exam of ear using a microscope38$327$8

2013: 23 services

Original Medicare services billed in 2013
Short return visit (20+ min)1,024$113,398$53
New patient visit (30+ min)517$39,640$77
Exam of ear using a microscope513$19,931$24
Diagnostic exam of voice box using a flexible endoscope138$15,768$93
Comprehensive hearing and speech recognition test493$15,010$28
Return visit (30+ min)101$10,001$83
Ultrasound scan of head and neck soft tissue72$7,297$99
Test to assess middle ear function510$6,355$11
Removal of thyroid lobe on side of neck11$5,952$541
Simple removal of skin debris and drainage of mastoid cavity30$5,612$95
Diagnostic exam of nasal passages using an endoscope26$3,950$123
Short return visit98$3,624$33
New patient visit (45+ min)28$3,547$127
Needle biopsy or removal of surface lymph nodes31$3,503$97
Biopsy of single growth of skin and/or tissue42$2,846$62
New patient visit (15+ min)45$2,499$56
Needle biopsy of thyroid through skin22$2,337$78
Evaluation and testing for balance with recording22$1,824$83
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes24$1,820$76
Assessment and recording of balance system during irrigation of both ears23$1,066$13
Repositioning exercises of head for treatment of dizziness, each day18$669$33
Diagnostic exam of esophagus using a flexible endoscope through mouth12$515$43
Exam of ear using a microscope21$165$7

Medicaid work

$49,719 in 2024

Medicaid paid $49,719 for 235 billed services this clinician did in 2024, up to 19 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
Clinic visit/encounter, all-inclusive162$27,169
Hearing aid, not otherwise classified14$18,500
Return visit (30+ min)47$4,050
Short return visit (20+ min)12$0
Medicaid work by year
2024235419$49,719
2023395837$53,254
2022729746$110,916
2021924646$72,336
2020500653$42,733
2019740741$106,178
2018618644$89,393
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive209$33,646
Hearing aid, not otherwise classified12$15,864
Return visit (30+ min)49$1,578
Comprehensive audiometry threshold evaluation and speech recognition27$973
Ear mold/insert, not disposable, any type15$745
TYMPANOMETRY28$448
New patient visit (30+ min)17$0
Short return visit (20+ min)38$0

2022

Largest Medicaid services in 2022
Hearing aid, not otherwise classified39$56,468
Clinic visit/encounter, all-inclusive327$51,361
Comprehensive audiometry threshold evaluation and speech recognition51$1,717
TYMPANOMETRY51$744
Ear mold/insert, not disposable, any type13$626
New patient visit (30+ min)102$0
Short return visit (20+ min)146$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive463$70,473
Comprehensive audiometry threshold evaluation and speech recognition27$960
Ear mold/insert, not disposable, any type12$506
TYMPANOMETRY27$396
New patient visit (30+ min)152$0
Short return visit (20+ min)243$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive278$41,670
Comprehensive audiometry threshold evaluation and speech recognition16$532
Binocular microscopy16$332
TYMPANOMETRY16$199
New patient visit (30+ min)119$0
Short return visit (20+ min)55$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive368$54,972
Hearing aid, not otherwise classified26$35,665
Short return visit (20+ min)210$10,504
New patient visit (30+ min)72$2,782
Ear mold/insert, not disposable, any type24$1,281
Comprehensive audiometry threshold evaluation and speech recognition14$561
TYMPANOMETRY26$412

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive362$52,661
Hearing aid, not otherwise classified12$17,614
Short return visit (20+ min)159$12,167
New patient visit (30+ min)55$6,141
Comprehensive audiometry threshold evaluation and speech recognition15$583
TYMPANOMETRY15$228

Drugs they prescribed that Part D paid

$24,514

Pharmacies billed $24,514 in 2024.

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

Opioids were 2% of their Part D prescriptions (19 of 1,148) in 2024. At or below the middle of the specialty; the typical otolaryngology clinician is at 4%.

937 generic and 211 brand-name prescriptions · $24,514 in drug cost · 38 antibiotic prescriptions to 37 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
Azelastine147$6,109$42
Levothyroxine494$5,505$11
Synthroid65$4,197$65
Fluticasone Propionate127$2,611$21
Ciprofloxacin-Dexamethasone18$1,956$109
See all 14 drugs
Every Part D drug this clinician prescribed
Azelastine147$6,109$42
Levothyroxine494$5,505$11
Synthroid65$4,197$65
Fluticasone Propionate127$2,611$21
Ciprofloxacin-Dexamethasone18$1,956$109
Famotidine90$1,322$15
Liothyronine35$1,321$38
Omeprazole14$158$11
Clotrimazole-Betamethasone12$118$10
Triamcinolone Acetonide30$99$3
Cephalexin20$94$5
Azithromycin11$87$8
Ondansetron Odt16$77$5
Hydrocodone-Acetaminophen17$65$4

Year by year

Part D prescribing by year
20241,1483262% (19)18%$24,514
20231,1493453% (35)18%$28,614
20221,2493714% (46)24%$30,238
20211,1783573% (30)28%$34,887
20201,2503322% (26)38%$35,210
20191,2153022% (19)31%$28,068
20181,3833243% (36)29%$28,081
20171,3923043% (39)31%$27,919
20161,7263492% (41)27%$37,397
20151,7453482% (42)25%$35,967
20141,7413964% (69)25%$42,210
20131,3323194% (59)24%$39,092

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

See the drugs prescribed each year

2023: 12 drugs

Part D drugs prescribed in 2023
Levothyroxine473$8,509$18
Synthroid38$3,833$101
Azelastine115$3,824$33
Fluticasone Propionate152$3,012$20
Ciprofloxacin-Dexamethasone16$2,670$167
Famotidine128$2,519$20
Liothyronine23$1,026$45
Cephalexin38$301$8
Omeprazole14$197$14
Hydrocodone-Acetaminophen35$157$4
Ondansetron Odt21$98$5
Triamcinolone Acetonide19$50$3

2022: 16 drugs

Part D drugs prescribed in 2022
Levothyroxine470$9,077$19
Synthroid55$4,377$80
Azelastine93$3,710$40
Ciprofloxacin-Dexamethasone19$3,015$159
Fluticasone Propionate173$2,646$15
Famotidine119$2,003$17
Liothyronine24$1,253$52
Ofloxacin15$644$43
Clotrimazole12$545$45
Cephalexin57$394$7
Hydrocodone-Acetaminophen46$318$7
Omeprazole18$258$14
Euthyrox21$251$12
Ondansetron Odt24$154$6
Azithromycin14$87$6
Triamcinolone Acetonide17$50$3

2021: 15 drugs

Part D drugs prescribed in 2021
Levothyroxine434$9,660$22
Synthroid65$4,663$72
Famotidine138$3,563$26
Ciprofloxacin-Dexamethasone19$3,461$182
Azelastine78$3,303$42
Fluticasone Propionate128$2,363$18
Liothyronine28$1,898$68
Ofloxacin25$960$38
Omeprazole17$431$25
Nystatin13$299$23
Cephalexin43$244$6
Hydrocodone-Acetaminophen30$216$7
Euthyrox26$139$5
Triamterene-Hydrochlorothiazid12$71$6
Triamcinolone Acetonide24$53$2

2020: 14 drugs

Part D drugs prescribed in 2020
Levothyroxine564$11,647$21
Synthroid68$4,470$66
Ciprodex15$3,792$253
Famotidine129$2,285$18
Fluticasone Propionate132$2,239$17
Ofloxacin42$1,935$46
Azelastine36$1,393$39
Liothyronine29$1,011$35
Omeprazole52$871$17
Nystatin12$183$15
Hydrocodone-Acetaminophen26$162$6
Cephalexin27$125$5
Triamterene-Hydrochlorothiazid12$89$7
Triamcinolone Acetonide15$41$3

2019: 11 drugs

Part D drugs prescribed in 2019
Levothyroxine559$11,434$20
Synthroid60$3,257$54
Fluticasone Propionate139$2,185$16
Azelastine34$1,964$58
Liothyronine37$1,386$37
Famotidine122$1,300$11
Omeprazole77$1,008$13
Ofloxacin23$851$37
Cephalexin27$153$6
Triamcinolone Acetonide18$97$5
Hydrocodone-Acetaminophen19$77$4

2018: 12 drugs

Part D drugs prescribed in 2018
Levothyroxine660$10,939$17
Synthroid59$2,795$47
Fluticasone Propionate150$2,073$14
Azelastine42$1,926$46
Ofloxacin17$1,586$93
Liothyronine40$1,400$35
Omeprazole88$1,063$12
Famotidine103$755$7
Cephalexin38$275$7
Hydrocodone-Acetaminophen31$212$7
Azithromycin14$89$6
Triamcinolone Acetonide13$45$3

2017: 13 drugs

Part D drugs prescribed in 2017
Levothyroxine682$10,591$16
Fluticasone Propionate171$2,286$13
Liothyronine58$1,746$30
Synthroid37$1,542$42
Azelastine30$1,541$51
Omeprazole97$1,004$10
Famotidine72$540$7
Montelukast17$313$18
Hydrocodone-Acetaminophen32$217$7
Lansoprazole11$196$18
Triamcinolone Acetonide14$175$12
Cephalexin37$161$4
Azithromycin13$74$6

2016: 18 drugs

Part D drugs prescribed in 2016
Levothyroxine859$12,952$15
Dexilant12$2,855$238
Azelastine62$2,816$45
Fluticasone Propionate165$2,296$14
Liothyronine72$1,461$20
Synthroid39$1,283$33
Omeprazole108$1,258$12
Famotidine90$928$10
Tobramycin-Dexamethasone11$899$82
Hydrocodone-Acetaminophen35$714$20
Nystatin26$598$23
Montelukast11$420$38
Calcitriol19$346$18
Cephalexin41$197$5
Methimazole18$194$11
Ciprofloxacin15$134$9
Triamcinolone Acetonide15$128$9
Azithromycin11$62$6

2015: 18 drugs

Part D drugs prescribed in 2015
Levothyroxine791$11,087$14
Dexilant13$4,191$322
Fluticasone Propionate172$2,251$13
Ciprodex13$2,219$171
Omeprazole186$2,079$11
Liothyronine88$1,580$18
Tobramycin-Dexamethasone15$1,334$89
Azelastine23$1,122$49
Calcitriol38$1,032$27
Synthroid26$931$36
Famotidine109$823$8
Nystatin28$662$24
Hydrocodone-Acetaminophen33$307$9
Methimazole17$225$13
Cephalexin46$201$4
Ciprofloxacin11$81$7
Azithromycin12$71$6
Amoxicillin12$62$5

2014: 18 drugs

Part D drugs prescribed in 2014
Levothyroxine676$8,127$12
Ciprodex48$7,543$157
Nexium22$5,926$269
Fluticasone Propionate235$3,687$16
Omeprazole144$2,135$15
Liothyronine65$1,263$19
Azelastine18$1,178$65
Synthroid38$1,164$31
Famotidine138$1,120$8
Hydrocodone-Acetaminophen65$825$13
Calcitriol21$517$25
Nystatin18$472$26
Methimazole19$382$20
Triamcinolone Acetonide24$284$12
Clotrimazole14$216$15
Cephalexin48$211$4
Azithromycin14$136$10
Ciprofloxacin14$72$5

2013: 16 drugs

Part D drugs prescribed in 2013
Nexium16$5,092$318
Fluticasone Propionate186$4,309$23
Ciprodex27$3,971$147
Levothyroxine409$3,647$9
Nasonex23$3,266$142
Omeprazole139$3,086$22
Calcitriol28$1,967$70
Synthroid65$1,351$21
Liothyronine30$1,098$37
Famotidine89$1,008$11
Triamcinolone Acetonide23$667$29
Nystatin14$483$34
Hydrocodone-Acetaminophen52$386$7
Methimazole18$313$17
Cephalexin49$288$6
Ciprofloxacin16$100$6

Money from drug and device companies

$92 in 2025

Industry payments by year
202534None$92
202426None$96
202334None$71
202222None$46
202113None$68
202012None$39
201933None$10,338

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
GlaxoSmithKlineNucala$45
2 payments
  • Meals for Nucala · 2025-08-07 · $23
  • Meals for Nucala · 2025-03-27 · $22
GenzymeDupixent$30
1 payment
  • Meals for Dupixent · 2025-03-20 · $30
Merck Sharp & DohmeBridion$17
1 payment
  • Meals for Bridion · 2025-03-05 · $17
See all 4 published payments
Every published payment
GlaxoSmithKlineMeals · 2025-08-07Nucala$23
GlaxoSmithKlineMeals · 2025-03-27Nucala$22
GenzymeMeals · 2025-03-20Dupixent$30
Merck Sharp & DohmeMeals · 2025-03-05Bridion$17
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $96

Payments by company in 2024
GlaxoSmithKlineNucala$81
5 payments
  • Meals for Nucala · 2024-12-11 · $14
  • Meals for Nucala · 2024-10-02 · $13
  • Meals for Nucala · 2024-08-08 · $22
  • Meals for Nucala · 2024-06-06 · $17
  • Meals for Nucala · 2024-03-14 · $15
Aerin MedicalVivaer Stylus$14
1 payment
  • Meals for Vivaer Stylus · 2024-01-16 · $14

2023: $71

Payments by company in 2023
Optinose USXhance$29
2 payments
  • Meals for Xhance · 2023-06-21 · $16
  • Meals for Xhance · 2023-02-14 · $13
Merck Sharp & DohmeNone$23
1 payment
  • Meals · 2023-10-03 · $23
Aerin MedicalVivaer Stylus$19
1 payment
  • Meals for Vivaer Stylus · 2023-02-22 · $19

2022: $46

Payments by company in 2022
AcclarentTrudi Nav Cable$28
1 payment
  • Meals for Trudi Nav Cable · 2022-11-08 · $28
GlaxoSmithKlineNucala$18
1 payment
  • Meals for Nucala · 2022-08-10 · $18

2021: $68

Payments by company in 2021
Optinose USXhance$68
3 payments
  • Meals for Xhance · 2021-09-20 · $26
  • Meals for Xhance · 2021-05-25 · $19
  • Meals for Xhance · 2021-03-23 · $23

2020: $39

Payments by company in 2020
OptiNose USXhance$39
2 payments
  • Meals for Xhance · 2020-12-03 · $21
  • Meals for Xhance · 2020-08-11 · $18

2019: $10,338

Payments by company in 2019
Olympus AmericaCelon System$10,303
1 payment
  • Gift for Celon System · 2019-04-30 · $10,303
OptiNose USXhance$22
1 payment
  • Meals for Xhance · 2019-10-17 · $22
Covidien LPTruclear$14
1 payment
  • Meals for Truclear · 2019-09-03 · $14

Checkups this office reported

10 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

Medicare’s overall office score
87.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Checkup rates this office reported to Medicare
Appropriate Treatment for Upper Respiratory Infection (URI)As Medicare defines this measure100%20
Asked about smokingPatients asked about tobacco, with help to quit if they smoke71%That's more than half.72
Breast cancer screeningEligible women who got a mammogram0%That's few of the people this applied to.555
Cervical cancer screeningEligible women who got a Pap or HPV test0%That's few of the people this applied to.454
Checked for fall riskOlder patients screened for fall risk76%That's most of the people this applied to.1,209
Closing the Referral Loop: Receipt of Specialist ReportAs Medicare defines this measure0%1,305
Colon cancer screeningEligible adults who got a colon cancer test1%That's few of the people this applied to.1,174
Medications listed in the chartVisits where the current medication list was documented100%That's most of the people this applied to.5,316
See the other 2 measures
More measures this office reported to Medicare
Screening for High Blood Pressure and Follow-Up DocumentedAs Medicare defines this measure18%2,545
Weight checked, with a follow-up planPatients whose BMI was recorded and followed up if needed24%That's few of the people this applied to.2,189

What the office says it does

Boxes the office ticked on its Medicare worksheet for 2023. Nobody checks these.

  • Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record

Professional record

NPI
1083634364
Licence
CA G70792California G70792: Current · expires 2028-08-31
Trained
University of Kansas School of Med (Kc/Wich/Sal), 1991 · 35 years ago
Gender
Male
More record details
Sole proprietor
Yes
Medicaid ID
CA 00G707920
Taxonomy
Federal specialty code 207YX0007X (207YX0007X)
Mailing address
3351 M St Ste 205, Merced, CA, 95348
NPI first listed
2006-07-20
NPI last updated
2025-10-23
NPI record certified
2025-10-23

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

Extra NPI addresses: 315 Mercy Ave Ste 400, Merced, CA, 95340