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Patrick V Avila, MD

Gastroenterology · San Francisco

NPI 1114365699

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
12
2 carriers
Offices
6
Since medical school
13 years
Stanford University School of Medicine, 2013

Offices

6 locations · University of California Sfgh Medical Group · UCSF Medical Group Business Services · University of California San Francisco · Regents of the University of California

Looking this up.

Hospitals listed: UCSF Medical Center · Zuckerberg San Francisco General Hosp & Trauma Ctr. That is not proof they admit you there this week.

Plans that list them

12 plans · 2 carriers

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

12 of 12 plans

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 Harmony (HMO)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
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

California Medical Board record

Licence A143067 · Current

Licensed to practise in California · since 2016 · expires 2028-04-30 · Stanford University School of Medicine.

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

School, training and certification

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

Specialty certification

  • American Board of Internal Medicine - Gastroenterology
  • American Board of Internal Medicine - Internal Medicine

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.

  • UCSF Medical CenterSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of UCSF Helen Diller Family Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 81% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 4.9 (3.79 to 6.02) · 7,590 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 12.8 (11.3 to 14.4) · 2,019 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 139.4 (110.22 to 168.58) · 452 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.622, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.626, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.491, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.7 to 1) · 2,336 cases, Jan 2024 – Dec 2024
  • Zuckerberg San Francisco General Hosp & Trauma CtrSan Francisco, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of San Francisco Health Network, which runs 2 hospitalsPatients rate it 3 of 5 · 72% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.449, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.37, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.538, Oct 2024 – Sep 2025
See every measure and the patient survey for UCSF Medical Center

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 3 better, 5 the same, 3 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 UCSF Medical Center
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.9 (3.79 to 6.02) · 7,590 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.8 (11.3 to 14.4) · 2,019 casesWorseJan 2024 – Dec 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths139.4 (110.22 to 168.58) · 452 casesBetterJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.622BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.626BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.491BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.7 to 1) · 2,336 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.24 (0.58 to 1.9) · 4,689 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.89 to 1.2)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.9 · 89 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.5 · 85 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.1 · 132 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.6 · 454 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 618 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 380 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.7 · 5,000 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.22 (0.06 to 0.38) · 15,965 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.05 to 0.35) · 17,859 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.85 (0 to 1.83) · 4,184 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2 (1.1 to 2.9) · 6,516 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.35 (4.49 to 10.21) · 3,989 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5 (3.22 to 6.77) · 4,087 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.95 (0.74 to 3.15) · 2,034 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.95 (0.63 to 1.28) · 15,431 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 399 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.899No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.689No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.224No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16 · 156 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20 · 564 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits60.3 · 160 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-9.7 · 550 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits44.1 · 660 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 667 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (4.8 to 6.7) · 2,019 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6 · 421 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.5 · 53 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 107 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.9 (11.3 to 17.1) · 3,247 casesNo differentJan 2022 – Dec 2024

What patients said (3,181 patients answered, 25% of those asked)

Patient survey stars by topic at UCSF Medical Center
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at UCSF Medical Center
Room was "always" clean71%
Nurses "always" communicated well80%
Doctors "always" communicated well80%
Staff "always" explained61%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital81%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms90%
See every measure and the patient survey for Zuckerberg San Francisco General Hosp & Trauma Ctr

Behind the star rating — Deaths: 1 better, 6 the same, 0 worse of 7 measures. Safety: 1 better, 5 the same, 1 worse of 7 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 Zuckerberg San Francisco General Hosp & Trauma Ctr
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.449BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.37BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.538BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.9 (0 to 1.91) · 667 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.12 (0.76 to 1.49)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths195.34 (147.34 to 243.34) · 76 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.2 · 114 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.2 · 48 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths7.5 · 201 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.5 · 214 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.3 · 261 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.5 · 1,351 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.29 (0.07 to 0.5) · 4,709 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.39 (0.19 to 0.59) · 4,644 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.34 (2.11 to 6.56) · 795 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.59 (0 to 3.28) · 234 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.85 (1.33 to 4.38) · 861 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.95 (0.25 to 17.64) · 261 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6 (2.01 to 9.98) · 242 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.66 (0.17 to 3.14) · 167 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.79 (0.08 to 1.49) · 4,129 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.4 · 35 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.709No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.769No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.7 · 41 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 227 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits28.6 · 257 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits75.1 · 239 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.2 · 232 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.8 (4.7 to 9.6) · 175 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.3 (8.3 to 15.1) · 175 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 37 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 132 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.6 (10.4 to 17.9) · 966 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.8 to 1.7) · 88 casesNo differentJan 2024 – Dec 2024

What patients said (1,644 patients answered, 16% of those asked)

Patient survey stars by topic at Zuckerberg San Francisco General Hosp & Trauma Ctr
Cleanliness4
Nurse communication2
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Zuckerberg San Francisco General Hosp & Trauma Ctr
Room was "always" clean69%
Nurses "always" communicated well73%
Doctors "always" communicated well75%
Staff "always" explained56%
Yes, staff "did" give patients this information84%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)72%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night55%
"YES", patients would definitely recommend the hospital72%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms84%

Original Medicare doctor bills

$85,943

Medicare paid this office $85,943 for 250 people.

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

Largest Original Medicare bills
Insertion of stent into pancreatic or bile duct using a flexible endoscope22$10,030$324
Replacement of stent in pancreatic or bile duct using a flexible endoscope15$9,801$327
Removal of polyps or growths of large bowel using an endoscope with mechanical snare39$8,408$210
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope39$5,154$90
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope64$4,802$75
See all 15 services
Every Original Medicare service billed
Insertion of stent into pancreatic or bile duct using a flexible endoscope22$10,030$324
Replacement of stent in pancreatic or bile duct using a flexible endoscope15$9,801$327
Removal of polyps or growths of large bowel using an endoscope with mechanical snare39$8,408$210
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope39$5,154$90
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope64$4,802$75
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope28$4,690$167
Removal of stent from pancreatic or bile duct using a flexible endoscope17$4,633$232
Balloon dilation of pancreatic or bile duct or sphincter using a flexible endoscope15$3,951$172
Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope13$2,554$196
Biopsy of large bowel using a flexible endoscope22$1,694$74
Initial hospital care with moderate level of medical decision making at least 75 minutes11$1,691$154
Diagnostic exam of large bowel using a flexible endoscope15$1,681$105
Long return visit (40+ min)14$1,610$115
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope17$1,490$88
Review by radiologist of image from tube placement into bile duct using an endoscope39$1,217$21

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy68More than 70% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux328More than 96% of doctors who do this

Procedures year by year

Procedures billed to Original Medicare by year
Procedure20202021202220232024
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope1943496764
Removal of polyps or growths of large bowel using an endoscope with mechanical snare1630303840
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope–17186057
Biopsy of large bowel using a flexible endoscope1621232723
Insertion of stent into pancreatic or bile duct using a flexible endoscope––164231
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope––243328

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

Who their Medicare patients are

250 Original Medicare patients in 2024. Average age 71 · Under 65 16% · 85 and older 8% · Women 41% · Also on Medicaid 60% · Health risk score 2.51. Sicker patients than 9 in 10 peers; the typical gastroenterology clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 38% · Depression 34% · Chronic kidney disease 33% · Coronary heart disease 29% · COPD 24% · Atrial fibrillation 20% · Heart failure 19% · Cancer 18% · Stroke 14% · Dementia 11%.

The office billed $972,346, Medicare allowed $108,104 and paid $85,943; for 612 services of 62 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
2024250612712.51$972,346$85,943
2023296714722.50$1,104,711$106,061
2022255497702.03$577,794$65,843
2021195449692.52$423,312$59,742
202090189682.16$155,361$23,898

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: 19 services

Original Medicare services billed in 2023
Replacement of stent in pancreatic or bile duct using a flexible endoscope20$14,250$339
Insertion of stent into pancreatic or bile duct using a flexible endoscope32$14,125$336
Removal of polyps or growths of large bowel using an endoscope with mechanical snare38$6,587$173
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope46$5,943$99
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope32$5,454$165
Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope26$5,113$197
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope64$4,822$72
Initial hospital care with moderate level of medical decision making at least 75 minutes25$4,234$157
Removal of stent from pancreatic or bile duct using a flexible endoscope14$3,254$232
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes21$3,012$108
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes34$2,998$71
Long return visit (40+ min)19$2,731$130
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,872$117
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth11$1,762$160
Diagnostic exam of large bowel using a flexible endoscope11$1,744$145
New patient visit (60+ min)11$1,739$158
Biopsy of large bowel using a flexible endoscope27$1,631$60
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$1,394$93
Review by radiologist of image from tube placement into bile duct using an endoscope32$842$21

2022: 14 services

Original Medicare services billed in 2022
Removal of polyps or growths of large bowel using an endoscope with mechanical snare30$6,314$210
Insertion of stent into pancreatic or bile duct using a flexible endoscope11$5,133$321
Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope24$5,061$211
Initial hospital care with moderate level of medical decision making at least 75 minutes24$4,540$175
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope23$4,034$168
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$3,805$91
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope16$3,243$180
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope49$2,997$61
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$2,776$63
Long return visit (40+ min)15$2,479$130
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes18$2,260$119
Diagnostic exam of large bowel using a flexible endoscope13$1,599$123
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$1,539$103
Biopsy of large bowel using a flexible endoscope23$1,091$47

2021: 11 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes49$9,559$94
Removal of polyps or growths of large bowel using an endoscope with mechanical snare30$6,520$217
Initial hospital care with moderate level of medical decision making at least 75 minutes34$6,175$182
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope39$3,474$81
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope15$2,826$166
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope24$2,493$104
Diagnostic exam of large bowel using a flexible endoscope15$1,751$117
Biopsy of large bowel using a flexible endoscope21$1,495$71
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$1,304$62
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$996$91
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito18$91$5

2020: 6 services

Original Medicare services billed in 2020
Removal of polyps or growths of large bowel using an endoscope with mechanical snare16$3,763$235
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,938$184
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,802$95
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope19$1,641$86
Biopsy of large bowel using a flexible endoscope16$1,244$78
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito20$103$5

Medicaid work

$1,358 in 2024

Medicaid paid $1,358 for 14 billed services this clinician did in 2024, up to 14 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
Upper gastrointestinal endoscopy with biopsy14$1,358
Medicaid work by year
202414114$1,358
202370314$1,599
202263413$2,100
2021362925$10,286
2020387919$2,584
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES18$718
Injection, propofol, 10 mg40$473
Service12$408

2022

Largest Medicaid services in 2022
TISSUE EXAM BY PATHOLOGIST12$1,438
Upper gastrointestinal endoscopy with biopsy13$411
Service12$156
Injection, propofol, 10 mg26$95

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES96$3,739
Upper gastrointestinal endoscopy with biopsy50$3,178
Injection, propofol, 10 mg109$1,195
TISSUE EXAM BY PATHOLOGIST32$1,123
COLONOSCOPY AND BIOPSY12$651
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES14$380
Injection, midazolam hydrochloride, per 1 mg18$14
Fentanyl citrate injection14$5
Unclassified drugs17$0

2020

Largest Medicaid services in 2020
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES12$772
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES37$714
Upper gastrointestinal endoscopy with biopsy28$701
TISSUE EXAM BY PATHOLOGIST46$346
Fentanyl citrate injection61$26
Injection, midazolam hydrochloride, per 1 mg111$19
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)30$3
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older46$3
Short return visit (20+ min)16$0

Drugs they prescribed that Part D paid

$7,884

Pharmacies billed $7,884 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 59) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.

49 generic and fewer than 11 brand-name prescriptions · $7,884 in drug cost · 24 antibiotic prescriptions to 17 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
Pantoprazole13$377$29
Ciprofloxacin14$61$4

Year by year

Part D prescribing by year
202459350% (0)None$7,884
2023101590% (0)None$13,969
202261410% (0)None$2,956
202161400% (0)None$3,918
202068510% (0)None$5,682
201911110% (0)None$2,528
20172711NoneNone$2,441
201652734None12%$30,466
2015797655% (38)22%$59,411
2014549585% (29)None$42,118
201316228NoneNone$8,733

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
Pantoprazole24$634$26
Ciprofloxacin18$117$7
Levofloxacin11$44$4

2022: 2 drugs

Part D drugs prescribed in 2022
Pantoprazole24$390$16
Levofloxacin16$65$4

2021: 1 drug

Part D drugs prescribed in 2021
Pantoprazole31$665$21

2020: 1 drug

Part D drugs prescribed in 2020
Levofloxacin25$116$5

2016: 20 drugs

Part D drugs prescribed in 2016
Lantus Solostar17$6,508$383
Metoprolol27$631$23
Levothyroxine17$403$24
Valsartan14$395$28
Omeprazole28$284$10
Gabapentin11$189$17
Fluticasone Propionate18$166$9
Clopidogrel13$108$8
Losartan11$107$10
Lisinopril21$104$5
Amlodipine Besylate28$90$3
Furosemide20$87$4
Bupropion Hcl Sr11$86$8
Metformin Hcl Er11$80$7
Simvastatin25$80$3
Metformin17$47$3
Atenolol16$39$2
Glipizide11$30$3
Hydrochlorothiazide14$29$2
Lithium Carbonate11$15$1

2015: 25 drugs

Part D drugs prescribed in 2015
Lantus29$11,330$391
Levemir Flextouch13$5,144$396
Humulin N12$3,965$330
Crestor11$2,312$210
Proair Hfa21$1,072$51
Metoprolol28$1,011$36
Atorvastatin24$564$23
Gabapentin26$442$17
Omeprazole35$312$9
Fluticasone Propionate24$290$12
Levothyroxine14$267$19
Furosemide19$263$14
Tramadol26$193$7
Prednisone15$190$13
Isosorbide Mononitrate Er15$187$12
Lisinopril35$171$5
Simvastatin19$152$8
Trazodone21$152$7
Metformin17$135$8
Losartan12$134$11
Metformin Hcl Er12$122$10
Bupropion Hcl Sr16$119$7
Clopidogrel16$108$7
Amlodipine Besylate22$88$4
Hydrochlorothiazide19$73$4

2014: 19 drugs

Part D drugs prescribed in 2014
Lantus16$8,553$535
Lantus Solostar12$4,134$345
Humulin N11$1,104$100
Atorvastatin32$801$25
Metoprolol16$789$49
Gabapentin13$346$27
Tramadol24$255$11
Fluticasone Propionate17$251$15
Omeprazole16$222$14
Furosemide28$216$8
Clopidogrel16$209$13
Trazodone14$165$12
Lisinopril23$162$7
Losartan17$159$9
Simvastatin11$111$10
Metformin13$99$8
Carvedilol12$87$7
Hydrochlorothiazide18$84$5
Amlodipine Besylate12$60$5

Money from drug and device companies

$407 in 2025

Industry payments by year
202513None$407
202411None$98
2023212None$1,442
202111None$16
201926None$720

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
Fujifilm Healthcare AmericasFujifilm$407
3 payments
  • Meals for Fujifilm · 2025-12-01 · $125
  • Meals for Fujifilm · 2025-02-03 · $220
  • Meals for Fujifilm · 2025-01-14 · $61
See all 3 published payments
Every published payment
Fujifilm Healthcare AmericasMeals · 2025-12-01Fujifilm$125
Fujifilm Healthcare AmericasMeals · 2025-02-03Fujifilm$220
Fujifilm Healthcare AmericasMeals · 2025-01-14Fujifilm$61
See earlier years (2024, 2023, 2021, 2019)

2024: $98

Payments by company in 2024
Olympus AmericaSingle Use Biliary Balloon Dilator$98
1 payment
  • Meals for Single Use Biliary Balloon Dilator · 2024-07-18 · $98

2023: $1,442

Payments by company in 2023
Boston ScientificOrise$1,400
11 payments
  • Meals for Orise · 2023-09-10 · $22
  • Travel · 2023-09-09 · $77
  • Travel · 2023-09-09 · $144
  • Meals · 2023-09-09 · $18
  • Travel · 2023-09-08 · $173
  • Travel · 2023-09-08 · $262
  • Meals · 2023-06-07 · $5
  • Meals for Orise · 2023-06-04 · $24
  • Travel · 2023-06-03 · $275
  • Travel · 2023-06-02 · $155
  • Travel · 2023-06-02 · $244
Omega Medical ImagingNone$42
1 payment
  • Meals · 2023-08-10 · $42

2021: $16

Payments by company in 2021
Boston ScientificResolution Clip$16
1 payment
  • Meals for Resolution Clip · 2021-07-12 · $16

2019: $720

Payments by company in 2019
Boston ScientificWallflex$701
5 payments
  • Travel for Axios · 2019-11-07 · $60
  • Meals for Axios · 2019-11-07 · $131
  • Meals for Axios · 2019-04-24 · $130
  • Meals for Axios · 2019-04-23 · $4
  • Travel for Wallflex · 2019-03-13 · $377
Intuitive SurgicalDa Vinci Surgical System$19
1 payment
  • Travel for Da Vinci Surgical System · 2019-08-20 · $19

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
91.9 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1114365699
Licence
CA A143067, MA 255682California A143067: Current · expires 2028-04-30
Trained
Stanford University School of Medicine, 2013 · 13 years ago
Group
University of California Sfgh Medical Group · UCSF Medical Group Business Services · University of California San Francisco · Regents of the University of California
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RG0100X (207RG0100X); Internal medicine (207R00000X)
Mailing address
1001 Potrero Avenue, Bldg. 5, 3d, San Francisco, CA, 94110
NPI first listed
2013-06-06
NPI last updated
2026-06-16
NPI record certified
2026-06-16

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