Ricardo Avena, MD

3 locations · Randi A Galli MD Inc · 4 clinicians in this group

Hospitals listed: Kaweah Health Medical Center · Saint Agnes Medical Center. That is not proof they admit you there this week.

Licence A87681 · Current

Licensed to practise in California · since 2004 · expires 2027-08-31 · National Autonomous University of Mexico Faculty of Medicine.

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

Surgery centers they own

• Regional Hand Center of Central CaliforniaAmbulatory Surgery Center · Fresno, CAOwner since 2013 until 2014 · accredited by AAAASF
  Initial Accreditation4 inspections, 3 with deficiencies · last 2024-10-17: Requirements Met

2 hospitals

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

• Kaweah Health Medical CenterVisalia, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of Kaweah Delta Health Care DistrictPatients rate it 3 of 5 · 67% would definitely recommend it
  Overall rating: 3 of 5 starsWorse than the national rate — Death rate among surgical inpatients with serious treatable complications: 239.86 (194.11 to 285.6) · 104 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.393, 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

$117,253

Medicare paid this office $117,253 for 238 people.

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

Procedures Medicare counted

Procedures year by year

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

238 Original Medicare patients in 2024. Average age 73 · Under 65 12% · 85 and older 9% · Women 63% · Also on Medicaid 20% · Health risk score 1.12. Above the middle of the specialty; the typical hand surgery clinician is at 1.08.

Conditions among them: High blood pressure 75% · Diabetes 36% · Coronary heart disease 34% · Chronic kidney disease 22% · Depression 21% · Cancer 14% · Atrial fibrillation 13% · Heart failure 12% · COPD 11% · Stroke 5%.

The office billed $384,813, Medicare allowed $150,418 and paid $117,253; for 1,004 services of 85 kinds; $345 of it was for drugs given in the office and $116,909 for care.

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 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.

$136

Pharmacies billed $136 in 2024.

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

12 generic and 0 brand-name prescriptions · $136 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 prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

$141 in 2025

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Research money

Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.

NPI

1114903648

Licence

CA A87681California A87681: Current · expires 2027-08-31

Group

Randi A Galli MD Inc

Video visits

Lists video visits

Gender

Male