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Casandra A Anderson, MD

Surgical Oncology · Fresno

NPI 1083773170

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
Since medical school
26 years
University of Minnesota Medical School, 2000

Offices

1 location · California Cancer Associates for Research and Excellence Inc · 64 clinicians in this group

Looking this up.

Hospitals listed: Clovis Community Medical Center · Saint Agnes 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. Anderson’s office at (559) 326-1222 to ask if they take your plan before you enroll.

California Medical Board record

Licence A95564 · Current

Licensed to practise in California · since 2020 · expires 2028-08-31 · University of Minnesota Medical School.

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

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.

  • Clovis Community Medical CenterClovis, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 80% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.7 (12.1 to 17.7) · 421 cases, Jan 2024 – Dec 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.692, Oct 2024 – Sep 2025
  • Saint Agnes Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Trinity Health, which runs 105 hospitals in 16 statesPatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.274, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.312, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.141, Oct 2024 – Sep 2025
See every measure and the patient survey for Clovis Community Medical Center

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 0 better, 6 the same, 1 worse of 7 measures. Readmissions: 1 better, 9 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Clovis Community Medical Center
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.7 (12.1 to 17.7) · 421 casesWorseJan 2024 – Dec 2024
Clostridium Difficile (C.Diff)Infections0.692BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.97 (0.04 to 1.89) · 1,840 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.16 (0.86 to 1.45)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths217.06 (167.45 to 266.67) · 84 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 69 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths9.1 · 165 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.4 · 161 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths14 · 507 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.6 · 798 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 336 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 3,771 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.39) · 8,649 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.08 to 0.46) · 9,146 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.46 (1.47 to 5.45) · 1,654 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.19 (0.61 to 3.78) · 387 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.18 (0.7 to 3.66) · 1,578 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths13.47 (7.08 to 19.87) · 374 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.99 (1.37 to 8.61) · 379 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.58 (0.13 to 3.04) · 405 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.8 (0.23 to 1.38) · 8,198 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.2 · 90 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.651No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.922No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.449No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.509No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.3 · 210 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23 · 702 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-1.5 · 152 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits58.4 · 556 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18 · 769 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.8 · 802 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.5 (4 to 7.4) · 421 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.2 · 91 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 93 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 200 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.8 to 15.6) · 2,398 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1.1) · 720 casesNo differentJan 2024 – Dec 2024

What patients said (441 patients answered, 26% of those asked)

Patient survey stars by topic at Clovis Community Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Clovis Community Medical Center
Room was "always" clean80%
Nurses "always" communicated well75%
Doctors "always" communicated well75%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand69%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)72%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night52%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Saint Agnes Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 6 the same, 0 worse of 8 measures. Readmissions: 0 better, 6 the same, 3 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 Saint Agnes Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.274BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.312BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.141BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.18 to 1.94) · 2,342 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.27)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths197.82 (152.64 to 243.01) · 103 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.9 · 105 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.3 · 300 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.9 · 295 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.8 · 768 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.8 · 969 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.2 · 304 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 4,305 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.06 to 0.42) · 11,641 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.07 to 0.43) · 12,213 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.76 (2.91 to 6.61) · 2,466 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.09 (0 to 2.49) · 864 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.61 (0.26 to 2.96) · 2,362 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.1 (5.39 to 14.81) · 900 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.4 (1.2 to 7.59) · 882 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.84 (0.41 to 3.27) · 541 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.67 (0.14 to 1.19) · 9,626 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.9 · 58 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.835No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.182No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.004No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 412 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.6 · 1,002 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits28.8 · 296 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits25.5 · 894 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits17.8 · 981 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 1,061 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5 · 56 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits13.4 · 150 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 412 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.6 to 15.9) · 1,324 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 863 casesNo differentJan 2024 – Dec 2024

What patients said (812 patients answered, 32% of those asked)

Patient survey stars by topic at Saint Agnes Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Saint Agnes Medical Center
Room was "always" clean73%
Nurses "always" communicated well73%
Doctors "always" communicated well74%
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 understand70%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$50,218

Medicare paid this office $50,218 for 156 people.

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

Largest Original Medicare bills
Partial removal of breast27$14,554$520
Short return visit (20+ min)83$6,820$66
New patient visit (60+ min)30$5,191$173
Biopsy or removal of deep lymph nodes of underarm23$4,129$180
Long return visit (40+ min)15$2,471$145
See all 15 services
Every Original Medicare service billed
Partial removal of breast27$14,554$520
Short return visit (20+ min)83$6,820$66
New patient visit (60+ min)30$5,191$173
Biopsy or removal of deep lymph nodes of underarm23$4,129$180
Long return visit (40+ min)15$2,471$145
Return visit (30+ min)23$2,245$90
New patient visit (30+ min)20$1,803$90
New patient visit (45+ min)11$1,481$135
Imaging of lymph nodes during surgery12$1,234$103
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's35$456$12
Injection of radioactive material for x-ray identification of lymph node22$270$12
Insertion of needle into vein for collection of blood sample17$216$9
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count19$160$8
X-ray of surgical specimen13$155$12
Blood test, basic group of blood chemicals (calcium, total)14$124$8

Procedures Medicare counted

Procedure volume Medicare published
Mastectomy28More than 85% of doctors who do this
Skin biopsy1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Partial removal of breast21–35434228
Removal of skin and tissue, 20.0 sq cm or less–137––––
Removal of muscle and/or tissue, 20.0 sq cm or less–121––––
Biopsy or removal of deep lymph nodes of underarm13–20272723
Imaging of lymph nodes during surgery13–21282312
Injection of radioactive material for x-ray identification of lymph node––20282622

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

156 Original Medicare patients in 2024. Average age 74 · Also on Medicaid 28% · Health risk score 1.16. At or below the middle of the specialty; the typical surgical oncology clinician is at 1.48.

Conditions among them: High blood pressure 75% · Cancer 75% · Diabetes 35% · Chronic kidney disease 31% · Coronary heart disease 29% · Depression 17% · COPD 12% · Atrial fibrillation 12% · Heart failure 10%.

The office billed $200,009, Medicare allowed $64,552 and paid $50,218; for 436 services of 30 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
2024156436741.16$200,009$50,218
2023159626741.22$246,444$65,129
20221511,032731.25$316,428$83,189
2021124532721.25$266,616$63,299
202089727763.55$227,061$59,843
2019200409721.75$417,109$70,337
2018109211711.46$216,478$36,866
2017110193711.23$176,672$35,061
2016157260701.41$160,932$39,201
2015149275721.46$237,526$56,279
2014143286711.64$252,062$60,528
2013120293711.45$228,923$50,294

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: 14 services

Original Medicare services billed in 2023
Partial removal of breast41$21,488$512
New patient visit (60+ min)38$6,832$180
Short return visit (20+ min)76$6,222$68
Biopsy or removal of deep lymph nodes of underarm27$4,941$183
Long return visit (40+ min)23$4,122$142
Return visit (30+ min)31$3,329$92
New patient visit (45+ min)19$2,455$129
Imaging of lymph nodes during surgery23$2,444$106
New patient visit (30+ min)12$1,011$84
Injection of radioactive material for x-ray identification of lymph node26$336$13
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count35$327$8
Blood test, comprehensive group of blood chemicals25$279$10
Insertion of needle into vein for collection of blood sample19$252$8
Blood test, basic group of blood chemicals (calcium, total)16$141$8

2022: 11 services

Original Medicare services billed in 2022
Partial removal of breast37$22,716$528
New patient visit (60+ min)58$9,960$172
Biopsy or removal of deep lymph nodes of underarm27$5,210$193
Short return visit (20+ min)59$5,007$69
Return visit (30+ min)32$3,997$102
Imaging of lymph nodes during surgery28$3,071$110
Long return visit (40+ min)16$2,870$144
New patient visit (45+ min)18$2,350$131
Injection of radioactive material for x-ray identification of lymph node28$374$13
Blood test, comprehensive group of blood chemicals17$229$10
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count22$222$8

2021: 16 services

Original Medicare services billed in 2021
Partial removal of breast34$18,355$524
New patient visit (60+ min)51$9,302$182
Insertion of central venous tube with port (5 years or older)18$4,794$266
Biopsy or removal of deep lymph nodes of underarm20$4,052$203
New patient visit (45+ min)23$2,955$128
Long return visit (40+ min)14$2,283$152
Imaging of lymph nodes during surgery21$2,258$108
Short return visit (20+ min)26$2,234$77
Return visit (30+ min)16$1,857$103
New patient visit (30+ min)18$1,613$90
New patient visit (15+ min)13$801$62
Fluoroscopic guidance for insertion or removal of central vein access device20$322$15
Injection of radioactive material for x-ray identification of lymph node20$273$14
Ultrasonic guidance for blood vessel access20$229$11
Blood test, comprehensive group of blood chemicals17$180$11
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count17$132$8

2020: 10 services

Original Medicare services billed in 2020
Removal of muscle and/or tissue, 20.0 sq cm or less14$17,217$185
Removal of skin and tissue, 20.0 sq cm or less21$7,675$90
Removal of muscle and/or tissue, 20.0 sq cm or less14$3,426$122
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more25$2,655$55
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes19$2,393$70
Removal of skin and tissue, 20.0 sq cm or less19$2,376$46
Application of chemical to stop tissue regrowth in wound11$1,728$52
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more14$1,326$55
Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes11$792$72
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes14$528$31

2019: 7 services

Original Medicare services billed in 2019
Partial removal of breast16$9,797$467
New patient visit (60+ min)32$4,167$130
Return visit (30+ min)58$3,338$51
Biopsy or removal of deep lymph nodes of underarm13$2,272$175
Long return visit (40+ min)19$1,661$83
Imaging of lymph nodes during surgery13$1,409$108
Short return visit (20+ min)34$1,126$32

2018: 7 services

Original Medicare services billed in 2018
Partial removal of breast15$7,583$506
Return visit (30+ min)36$2,344$49
New patient visit (60+ min)18$2,324$129
Biopsy or removal of deep lymph nodes of underarm13$2,146$165
Imaging of lymph nodes during surgery14$1,432$102
Long return visit (40+ min)13$1,120$86
Short return visit (20+ min)22$824$33

2017: 7 services

Original Medicare services billed in 2017
Partial removal of breast12$5,813$484
Biopsy or removal of deep lymph nodes of underarm13$2,129$164
New patient visit (60+ min)17$2,075$122
Return visit (30+ min)23$1,497$60
Imaging of lymph nodes during surgery12$1,221$102
Short return visit (20+ min)18$1,008$56
Short return visit (20+ min)18$630$35

2016: 6 services

Original Medicare services billed in 2016
Short return visit (20+ min)52$3,036$48
New patient visit (30+ min)26$2,011$77
New patient visit (45+ min)14$1,623$116
Return visit (30+ min)19$1,558$82
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,439$103
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$740$30

2015: 5 services

Original Medicare services billed in 2015
Return visit (30+ min)50$4,478$77
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$1,974$104
New patient visit (45+ min)14$1,649$118
Short return visit (20+ min)24$1,563$54
New patient visit (30+ min)16$1,205$75

2014: 7 services

Original Medicare services billed in 2014
Short return visit (20+ min)40$2,534$51
Return visit (30+ min)20$1,958$82
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes18$1,891$105
New patient visit (45+ min)12$1,482$124
New patient visit (30+ min)17$1,327$78
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,053$55
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes14$661$30

2013: 4 services

Original Medicare services billed in 2013
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes17$1,463$29
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,348$54
Short return visit (20+ min)29$1,175$36
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$831$76

Medicaid work

$207 in 2024

Medicaid paid $207 for 118 billed services this clinician did in 2024, up to 21 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)118$207
Medicaid work by year
2024118121$207
2023128316$543
2022120714$211
202125213$52
201919115$1,123
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Short return visit (20+ min)100$363
New patient visit (45+ min)12$143
Return visit (30+ min)16$38

2022

Largest Medicaid services in 2022
Injection, propofol, 10 mg13$55
Injection, dexamethasone sodium phosphate, 1 mg15$48
Fentanyl citrate injection15$41
Injection, ondansetron hydrochloride, per 1 mg13$32
Short return visit (20+ min)39$26
New patient visit (60+ min)13$7
Antiemetic drug, oral, not otherwise specified12$2

2021

Largest Medicaid services in 2021
Injection, propofol, 10 mg13$28
Injection, dexamethasone sodium phosphate, 1 mg12$24

2019

Largest Medicaid services in 2019
Hospital outpatient clinic visit for assessment and management of a patient19$1,123

Drugs they prescribed that Part D paid

$510

Pharmacies billed $510 in 2024.

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

44 generic and 0 brand-name prescriptions · $510 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.

Year by year

Part D prescribing by year
20244420None0%$510
202345210% (0)None$437
20223421NoneNone$290
20215323None0%$747
20203720None70%$9,528
20194427NoneNone$3,626
2018662320% (13)None$1,837
2017823932% (26)None$3,808
20161065833% (35)None$2,968
20151266153% (67)None$2,442
2014965751% (49)None$8,608
2013883328% (25)None$3,811

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

See the drugs prescribed each year

2021: 1 drug

Part D drugs prescribed in 2021
Amoxicillin-Clavulanate Potass12$182$15

2020: 1 drug

Part D drugs prescribed in 2020
Santyl26$9,423$362

2017: 1 drug

Part D drugs prescribed in 2017
Tramadol11$37$3

2016: 3 drugs

Part D drugs prescribed in 2016
Raloxifene11$1,244$113
Oxycodone-Acetaminophen11$73$7
Tramadol13$30$2

2015: 3 drugs

Part D drugs prescribed in 2015
Oxycodone25$338$14
Oxycodone-Acetaminophen22$197$9
Tramadol15$100$7

2014: 2 drugs

Part D drugs prescribed in 2014
Oxycodone25$345$14
Oxycodone-Acetaminophen11$77$7

2013: 2 drugs

Part D drugs prescribed in 2013
Loperamide14$207$15
Oxycodone-Acetaminophen13$62$5

Money from drug and device companies

$82 in 2025

Industry payments by year
202523None$82
202411None$28
202333None$66
202225None$88
202145None$73
202011None$68

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
SpringWorks TherapeuticsOgsiveo$55
2 payments
  • Meals for Ogsiveo · 2025-06-18 · $35
  • Meals for Ogsiveo · 2025-02-13 · $19
Spectrum PharmaceuticalsRolvedon$28
1 payment
  • Meals for Rolvedon · 2025-02-11 · $28
See all 3 published payments
Every published payment
SpringWorks TherapeuticsMeals · 2025-06-18Ogsiveo$35
SpringWorks TherapeuticsMeals · 2025-02-13Ogsiveo$19
Spectrum PharmaceuticalsMeals · 2025-02-11Rolvedon$28
See earlier years (2024, 2023, 2022, 2021, 2020)

2024: $28

Payments by company in 2024
Daiichi SankyoEnhertu$28
1 payment
  • Meals for Enhertu · 2024-02-05 · $28

2023: $66

Payments by company in 2023
Digestive CarePertzye$25
1 payment
  • Meals for Pertzye · 2023-08-29 · $25
Ipsen BiopharmaceuticalsTazverik$23
1 payment
  • Meals for Tazverik · 2023-08-18 · $23
Gilead SciencesTrodelvy$18
1 payment
  • Meals for Trodelvy · 2023-03-10 · $18

2022: $88

Payments by company in 2022
Gilead SciencesTrodelvy$72
4 payments
  • Meals for Trodelvy · 2022-12-03 · $13
  • Meals for Trodelvy · 2022-10-12 · $23
  • Meals for Trodelvy · 2022-09-13 · $19
  • Meals for Trodelvy · 2022-06-14 · $18
Tactile Systems TechnologyFlexitouch Plus$16
1 payment
  • Meals for Flexitouch Plus · 2022-02-08 · $16

2021: $73

Payments by company in 2021
BeiGene USABrukinsa$29
2 payments
  • Meals for Brukinsa · 2021-09-24 · $16
  • Meals for Brukinsa · 2021-04-21 · $13
Acrotech BiopharmaBeleodaq$16
1 payment
  • Meals for Beleodaq · 2021-06-15 · $16
Deciphera PharmaceuticalsQinlock$14
1 payment
  • Meals for Qinlock · 2021-09-03 · $14
Gilead SciencesTrodelvy$14
1 payment
  • Meals for Trodelvy · 2021-03-30 · $14

2020: $68

Payments by company in 2020
AmgenNone$68
1 payment
  • Education · 2020-09-10 · $68

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
100.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1083773170
Licence
CA A95564, MN 45181California A95564: Current · expires 2028-08-31
Trained
University of Minnesota Medical School, 2000 · 26 years ago
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Surgery (208600000X)
Mailing address
Po Box 25100, Fresno, CA, 93729
NPI first listed
2006-12-06
NPI last updated
2025-10-09
NPI record certified
2025-10-09

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

Extra NPI addresses: 1125 E Spruce Ave Ste 103, Fresno, CA, 93720