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Arthur T Chen, MD

Family Practice · Federal Way

NPI 1104927730

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
7

Offices

7 locations · Franciscan Medical Group · County of Santa Clara

Looking this up.

Hospitals listed: St Anne Hospital · St Michael 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. Chen’s office to ask if they take your plan before you enroll.

State licence records

1 licence

  • Washington MD.MD.60241438Physician And Surgeon License · since 2011 · expires 2028-11-14
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

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.

  • Highline Medical CenterBurien, WAAcute 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 · 60% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.263, Oct 2024 – Sep 2025
  • St Michael Medical CenterSilverdale, WAAcute Care Hospital · Voluntary non-profit - Private · No emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 3 of 5 · 66% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.093, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.269, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.413, Oct 2024 – Sep 2025
See every measure and the patient survey for Highline Medical Center

Behind the star rating — Deaths: 1 better, 5 the same, 0 worse of 6 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 1 better, 7 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 Highline Medical Center
Clostridium Difficile (C.Diff)Infections0.263BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0 to 2.06) · 302 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.9 (0.47 to 1.34)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.6 · 57 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 36 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 191 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.8 · 173 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.8 · 112 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 1,505 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.42) · 2,114 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.04 to 0.47) · 2,081 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.47 (1.99 to 6.95) · 249 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.65 (0 to 3.37) · 53 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.25 (0.54 to 3.95) · 227 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.05 (0 to 17.48) · 52 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.05 (0.79 to 9.31) · 39 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.74 (0.22 to 3.26) · 67 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.34 (0 to 1.33) · 1,752 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.7 · 28 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.787No 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 visits14.2 · 56 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.6 · 387 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-17.7 · 210 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-8.2 · 173 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.7 · 333 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.6 (2.9 to 7.1) · 53 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.2 (7 to 14.5) · 53 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.8 · 36 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.8 · 152 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.9 to 17.3) · 753 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 124 casesNo differentJan 2024 – Dec 2024

What patients said (581 patients answered, 16% of those asked)

Patient survey stars by topic at Highline Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Highline Medical Center
Room was "always" clean68%
Nurses "always" communicated well75%
Doctors "always" communicated well75%
Staff "always" explained57%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge82%
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)61%
Staff "always" explained new medications70%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night49%
"YES", patients would definitely recommend the hospital60%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms87%
See every measure and the patient survey for St Michael Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 2 better, 9 the same, 0 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 St Michael Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.093BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.269BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.413BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.78 (0.86 to 2.69) · 1,802 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.89 (0.64 to 1.14)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.65 (121.82 to 213.47) · 120 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.4 · 235 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths10.6 · 128 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.2 · 507 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.2 · 771 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.9 · 715 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.1 · 412 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.8 · 4,690 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.06 to 0.42) · 8,649 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.01 to 0.39) · 9,144 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.6 (0.79 to 4.4) · 2,612 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.24 (0 to 2.56) · 1,077 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.98 (1.64 to 4.32) · 2,284 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.5 (5.2 to 13.8) · 1,071 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.36 (2.49 to 8.23) · 1,091 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.5 (0.09 to 2.91) · 480 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.36 (0 to 0.91) · 7,543 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.9 · 125 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.566No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.607No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.4 · 529 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits17.3 · 947 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-0.9 · 529 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-20.5 · 822 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-11.6 · 707 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits13.9 · 861 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.3 (3.2 to 5.8) · 490 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.8 (7.9 to 12.1) · 490 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.5 · 143 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 208 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits23.1 · 198 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.6 to 17.4) · 341 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.9 to 1.2) · 1,423 casesNo differentJan 2024 – Dec 2024

What patients said (728 patients answered, 22% of those asked)

Patient survey stars by topic at St Michael Medical Center
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at St Michael Medical Center
Room was "always" clean71%
Nurses "always" communicated well78%
Doctors "always" communicated well78%
Staff "always" explained60%
Yes, staff "did" give patients this information89%
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 respect86%
Patients who gave a rating of "9" or "10" (high)68%
Staff "always" explained new medications73%
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 hospital66%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms92%

Original Medicare doctor bills

$24,067

Medicare paid this office $24,067 for 188 people.

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

Largest Original Medicare bills
Initial hospital care with moderate level of medical decision making at least 75 minutes77$10,154$132
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes42$4,049$94
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes33$3,908$95
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes36$3,648$63
Hospital discharge day management, 30 minutes or less19$1,199$63
See all 6 services
Every Original Medicare service billed
Initial hospital care with moderate level of medical decision making at least 75 minutes77$10,154$132
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes42$4,049$94
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes33$3,908$95
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes36$3,648$63
Hospital discharge day management, 30 minutes or less19$1,199$63
Hospital discharge day management, more than 30 minutes12$1,088$91

Who their Medicare patients are

188 Original Medicare patients in 2024. Average age 78 · Under 65 7% · 85 and older 30% · Women 50% · Also on Medicaid 28% · Health risk score 2.21. Sicker patients than 9 in 10 peers; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 75% · Heart failure 52% · Chronic kidney disease 45% · Atrial fibrillation 43% · Coronary heart disease 41% · Diabetes 39% · COPD 34% · Depression 32% · Dementia 28% · Stroke 20% · Cancer 19%.

The office billed $93,411, Medicare allowed $32,021 and paid $24,067; for 251 services of 7 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
2024188251782.21$93,411$24,067
2023329593771.97$184,877$48,852
2022225746752.00$187,986$51,769
2021191684752.57$161,734$48,627
2020247903752.46$200,439$61,473
20193651,209762.25$279,647$83,234
20184431,461752.44$419,564$111,498
20174991,200752.27$361,528$96,100
20165471,154742.01$610,276$95,159
2015402821731.95$418,781$68,444
2014322654751.77$92,122$56,080
20134671,038732.23$134,344$92,756

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: 7 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes129$15,237$64
Initial hospital care with moderate level of medical decision making at least 75 minutes64$8,978$140
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes81$8,544$104
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes49$7,070$94
Hospital discharge day management, 30 minutes or less71$4,785$66
Hospital discharge day management, more than 30 minutes30$2,743$91
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes19$1,119$41

2022: 7 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes108$17,217$84
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes112$14,368$59
Hospital discharge day management, more than 30 minutes99$8,974$88
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes30$3,193$33
Initial hospital care with moderate level of medical decision making at least 75 minutes14$2,386$170
Hospital discharge day management, 30 minutes or less18$1,019$57
Hospital observation care on day of discharge16$974$61

2021: 6 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes103$18,119$86
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes90$12,574$59
Hospital discharge day management, more than 30 minutes87$8,368$92
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes37$2,586$32
Extended patient service without direct patient contact, first hour25$2,487$96
Hospital observation care on day of discharge16$997$62

2020: 7 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes102$17,812$87
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes127$17,609$61
Hospital discharge day management, more than 30 minutes118$10,919$90
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes38$4,956$34
Extended patient service without direct patient contact, first hour23$2,211$96
Hospital observation care on day of discharge34$1,993$59
Follow-up observation care per day, typically 25 minutes24$1,987$55

2019: 9 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes150$25,903$88
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes160$17,133$61
Hospital discharge day management, more than 30 minutes132$12,451$91
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes38$5,754$33
Extended patient service without direct patient contact, first hour61$5,593$90
Follow-up observation care per day, typically 25 minutes38$4,377$60
Hospital observation care on day of discharge49$3,110$62
Hospital discharge day management, 30 minutes or less30$1,821$61
Follow-up observation care per day, typically 35 minutes17$1,691$89

2018: 11 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes206$36,719$87
Extended patient service without direct patient contact, first hour193$18,651$92
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes166$16,923$60
Hospital discharge day management, more than 30 minutes174$16,094$89
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes26$5,011$33
Hospital observation care on day of discharge55$3,368$60
Follow-up observation care per day, typically 25 minutes33$2,891$60
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,624$164
Follow-up observation care per day, typically 35 minutes24$2,453$85
Initial hospital observation care per day, typically 70 minutes11$1,659$151
Hospital discharge day management, 30 minutes or less26$1,559$60

2017: 11 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes212$36,739$85
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes173$18,544$58
Hospital discharge day management, more than 30 minutes155$14,028$89
Initial hospital care with moderate level of medical decision making at least 75 minutes56$8,322$149
Initial hospital observation care per day, typically 70 minutes36$5,384$146
Hospital observation care on day of discharge44$2,380$54
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes23$1,828$79
Hospital discharge day management, 30 minutes or less31$1,749$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,557$111
Initial hospital observation care per day, typically 30 minutes12$941$78
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes16$719$31

2016: 9 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes170$26,096$82
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes176$15,962$55
Hospital discharge day management, more than 30 minutes183$15,438$82
Initial hospital care with moderate level of medical decision making at least 75 minutes97$14,742$149
Initial hospital observation care per day, typically 70 minutes76$9,909$125
Hospital observation care on day of discharge63$3,574$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes28$2,950$102
Hospital discharge day management, 30 minutes or less36$2,074$58
Initial hospital observation care per day, typically 50 minutes13$1,342$103

2015: 9 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes102$13,973$80
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes145$12,138$55
Hospital discharge day management, more than 30 minutes125$11,218$82
Initial hospital care with moderate level of medical decision making at least 75 minutes75$11,215$146
Initial hospital observation care per day, typically 70 minutes69$9,284$129
Hospital observation care on day of discharge49$2,772$57
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$2,696$100
Initial hospital observation care per day, typically 50 minutes20$1,890$94
Hospital discharge day management, 30 minutes or less22$1,305$57

2014: 9 services

Original Medicare services billed in 2014
Initial hospital care with moderate level of medical decision making at least 75 minutes85$12,474$137
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes77$11,286$79
Initial hospital observation care per day, typically 70 minutes54$7,640$132
Hospital discharge day management, more than 30 minutes82$7,533$83
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes96$7,373$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes23$2,571$107
Hospital observation care on day of discharge39$2,247$56
Initial hospital observation care per day, typically 50 minutes16$1,690$106
Hospital discharge day management, 30 minutes or less28$1,641$57

2013: 6 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes186$30,277$78
Initial hospital care with moderate level of medical decision making at least 75 minutes160$23,667$140
Hospital discharge day management, more than 30 minutes181$15,884$81
Initial hospital observation care per day, typically 70 minutes95$11,902$120
Hospital observation care on day of discharge82$4,580$56
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes59$4,082$51

Medicaid work

$6,666 in 2024

Medicaid paid $6,666 for 81 billed services this clinician did in 2024, up to 22 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
1ST HOSP IP/OBS HIGH 7547$4,583
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES34$2,083
Medicaid work by year
202481222$6,666
2023106319$4,207
2022313325$13,137
2021379320$13,942
2020333322$11,044
2019296316$11,969
2018439424$16,160
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES33$1,835
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES58$1,648
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter15$725

2022

Largest Medicaid services in 2022
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter112$5,343
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES90$4,417
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES111$3,377

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES206$7,959
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES115$3,314
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter58$2,669

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES203$5,705
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES73$2,787
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter57$2,552

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES152$7,105
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES93$2,859
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter51$2,005

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES218$8,753
PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR134$4,655
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter32$1,386
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES55$1,367

Drugs they prescribed that Part D paid

$2,990

Pharmacies billed $2,990 in 2024.

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

39 generic and fewer than 11 brand-name prescriptions · $2,990 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Gabapentin13$339$26

Year by year

Part D prescribing by year
20244423NoneNone$2,990
2023179797% (13)None$19,465
20223641538% (30)None$22,887
20212891184% (11)10%$15,001
20204361507% (30)None$29,648
20193071369% (29)12%$12,968
201836116010% (35)10%$11,694
201723610412% (28)None$7,370
201629814614% (43)None$6,305
2015207996% (13)15%$3,557
201410559None13%$2,336
20132321029% (21)None$8,993

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

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Gabapentin16$478$30
Levetiracetam12$378$31
Prednisone12$47$4

2022: 8 drugs

Part D drugs prescribed in 2022
Xarelto22$11,767$535
Levetiracetam15$483$32
Gabapentin16$375$23
Prednisone33$179$5
Atorvastatin14$177$13
Amoxicillin-Clavulanate Potass13$169$13
Oxycodone17$166$10
Metoprolol16$82$5

2021: 4 drugs

Part D drugs prescribed in 2021
Xarelto13$5,447$419
Amoxicillin-Clavulanate Potass23$185$8
Prednisone30$138$5
Metoprolol12$53$4

2020: 11 drugs

Part D drugs prescribed in 2020
Xarelto22$11,903$541
Pantoprazole20$354$18
Atorvastatin19$222$12
Amoxicillin-Clavulanate Potass15$160$11
Prednisone20$105$5
Oxycodone12$74$6
Azithromycin11$73$7
Furosemide21$68$3
Carvedilol12$47$4
Metoprolol12$44$4
Lisinopril12$37$3

2019: 5 drugs

Part D drugs prescribed in 2019
Oxycodone14$344$25
Amoxicillin-Clavulanate Potass17$268$16
Prednisone20$87$4
Atorvastatin11$86$8
Furosemide15$44$3

2018: 9 drugs

Part D drugs prescribed in 2018
Levofloxacin14$230$16
Atorvastatin11$219$20
Gabapentin14$177$13
Cephalexin21$175$8
Amoxicillin-Clavulanate Potass13$119$9
Prednisone21$114$5
Hydrocodone-Acetaminophen11$66$6
Sertraline11$64$6
Furosemide12$39$3

2016: 6 drugs

Part D drugs prescribed in 2016
Amoxicillin-Clavulanate Potass14$214$15
Levofloxacin26$153$6
Ciprofloxacin17$112$7
Hydrocodone-Acetaminophen12$97$8
Prednisone27$70$3
Lorazepam11$45$4

2015: 6 drugs

Part D drugs prescribed in 2015
Levofloxacin16$86$5
Ciprofloxacin14$69$5
Prednisone20$62$3
Azithromycin11$61$6
Metoprolol13$48$4
Furosemide14$47$3

2014: 3 drugs

Part D drugs prescribed in 2014
Levofloxacin12$103$9
Ciprofloxacin13$62$5
Prednisone15$48$3

2013: 4 drugs

Part D drugs prescribed in 2013
Levofloxacin12$110$9
Prednisone19$65$3
Hydrocodone-Acetaminophen11$63$6
Lisinopril13$61$5

Money from drug and device companies

$181 in 2025

Industry payments by year
202522None$181
202311None$66
202211None$122
202023None$181

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
Edwards LifesciencesSapien 3 Ultra Resilia$128
1 payment
  • Meals for Sapien 3 Ultra Resilia · 2025-05-16 · $128
PfizerEliquis$53
1 payment
  • Meals for Eliquis · 2025-07-17 · $53
See all 2 published payments
Every published payment
PfizerMeals · 2025-07-17Eliquis$53
Edwards LifesciencesMeals · 2025-05-16Sapien 3 Ultra Resilia$128
See earlier years (2023, 2022, 2020)

2023: $66

Payments by company in 2023
Inari MedicalCt Thrombectomy System Kit$66
1 payment
  • Meals for Ct Thrombectomy System Kit · 2023-08-02 · $66

2022: $122

Payments by company in 2022
ViiV HealthcareDovato$122
1 payment
  • Meals for Dovato · 2022-10-27 · $122

2020: $181

Payments by company in 2020
Boston ScientificWatchman$112
2 payments
  • Meals for Watchman · 2020-03-10 · $76
  • Meals for Watchman · 2020-02-14 · $36
PfizerEliquis$69
1 payment
  • Meals for Eliquis · 2020-01-16 · $69

Professional record

NPI
1104927730
Licence
WA 60241438Washington MD.MD.60241438: Active
Group
Franciscan Medical Group · County of Santa Clara
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
5806 119th Ave Se, A-198, Bellevue, WA, 98006
NPI first listed
2006-09-26
NPI last updated
2016-11-16

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