Ning Fu, MD
Nephrology · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 36
- 10 carriers
- Office
- 1
Offices
1 location · Valley Medical Consultants Inc · 5 clinicians in this group
Looking this up.
Hospitals listed: 052514 · 052600 · 552559 · 552652 · 552714 · El Camino Health · Good Samaritan Hospital · Santa Clara Valley Medical Center. That is not proof they admit you there this week.
Plans that list them
36 plans · 10 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Fu’s office at (408) 223-7474 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
36 of 36 plans
| Advantage Care (HMO) | Align Senior Care | Listed | Oct 1, 2026 |
| Premier Care (HMO I-SNP) | Align Senior Care | Listed | Oct 1, 2026 |
| Senior Care (HMO I-SNP) | Align Senior Care | Listed | Oct 1, 2026 |
| Alignment Health Advantage PPO (PPO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
| Astiva Health C-SNP WOW - NorCal (HMO C-SNP) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Premier Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Savings Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Blue Shield Inspire (HMO) | Blue Shield of California | Listed | Aug 26, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence C141457 · Current
Licensed to practise in California · since 2016 · expires 2027-09-30 · Peking University Health Science Center.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Hospitals they work in
3 hospitals
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- El Camino HealthMountain View, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of El Camino Health, which runs 2 hospitalsPatients rate it 4 of 5 · 80% would definitely recommend itOverall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.291, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
- Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend itOverall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
- Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend itOverall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for El Camino Health
Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 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.
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.291 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.393 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.96 (0.12 to 1.79) · 2,340 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.02 (0.76 to 1.28) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 167.38 (125.03 to 209.73) · 96 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.6 · 68 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 7.1 · 185 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.8 · 200 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.9 · 814 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 13 · 842 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 9.6 · 361 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 2.6 · 4,633 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.16 (0 to 0.34) · 11,474 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.27 (0.1 to 0.45) · 11,626 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.14 (1.39 to 4.9) · 2,814 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 2 (0.61 to 3.39) · 1,327 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.8 to 3.43) · 2,641 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 9.39 (4.18 to 14.6) · 1,287 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.57 (3.47 to 9.68) · 1,308 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 2.14 (0.71 to 3.57) · 827 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.6 (0.05 to 1.15) · 9,460 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.5 · 122 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.993 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 0.706 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 1.376 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15.5 · 218 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 19.5 · 962 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 3.8 · 200 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -17 · 922 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 18.6 · 860 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 18.7 · 827 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 6.1 (4.5 to 8.2) · 313 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 13.4 (10.6 to 16.5) · 313 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 6.1 · 144 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 10.3 · 80 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.7 · 237 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.8 (10 to 16.1) · 1,639 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.8 to 1.1) · 1,619 cases | No different | Jan 2024 – Dec 2024 |
What patients said (1,535 patients answered, 22% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 3 |
| Overall hospital rating | 4 |
| Quietness | 2 |
| Recommend hospital | 5 |
| Room was "always" clean | 75% |
| Nurses "always" communicated well | 79% |
| Doctors "always" communicated well | 81% |
| Staff "always" explained | 61% |
| Yes, staff "did" give patients this information | 86% |
| Yes, staff "did" give patients information about help after discharge | 86% |
| Doctors "always" explained things so they could understand | 76% |
| Doctors "always" listened carefully | 80% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 76% |
| Staff "always" explained new medications | 76% |
| Nurses "always" explained things so they could understand | 75% |
| Nurses "always" listened carefully | 76% |
| Nurses "always" treated them with courtesy and respect | 87% |
| "Always" quiet at night | 47% |
| "YES", patients would definitely recommend the hospital | 80% |
| Staff "always" explained possible side effects | 46% |
| Yes, staff "did" give patients information about possible symptoms | 86% |
See every measure and the patient survey for Good Samaritan Hospital
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 1 worse of 8 measures. Readmissions: 0 better, 5 the same, 4 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Clostridium Difficile (C.Diff)Infections | 0.337 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.75 (0 to 1.67) · 1,340 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.84 (0.54 to 1.14) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 143.59 (98.7 to 188.49) · 98 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 1.7 · 45 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 7.1 · 100 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 12.7 · 270 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11.3 · 573 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 15.6 · 820 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 8.5 · 482 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.3 · 3,711 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.12 (0 to 0.3) · 8,866 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.2 (0.01 to 0.38) · 9,051 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 2.65 (0.74 to 4.56) · 1,929 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.8 (0.21 to 3.39) · 670 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.33 (0.88 to 3.78) · 1,836 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 6.73 (0 to 13.46) · 669 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.58 (3.96 to 11.19) · 654 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.59 (0.13 to 3.04) · 496 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.27 (0 to 0.87) · 7,373 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.1 · 152 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 1.08 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.542 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.484 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 1.565 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15.8 · 327 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 24.2 · 703 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 61.1 · 289 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 36.3 · 665 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 25.4 · 856 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 19 · 978 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 6.3 · 144 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 12.3 · 46 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 21.2 · 135 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.8 (10.1 to 18.6) · 129 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1.2 (0.9 to 1.5) · 531 cases | No different | Jan 2024 – Dec 2024 |
What patients said (704 patients answered, 24% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 2 |
| Quietness | 1 |
| Recommend hospital | 3 |
| Room was "always" clean | 66% |
| Nurses "always" communicated well | 75% |
| Doctors "always" communicated well | 71% |
| Staff "always" explained | 54% |
| Yes, staff "did" give patients this information | 83% |
| Yes, staff "did" give patients information about help after discharge | 81% |
| Doctors "always" explained things so they could understand | 66% |
| Doctors "always" listened carefully | 69% |
| Doctors "always" treated them with courtesy and respect | 78% |
| Patients who gave a rating of "9" or "10" (high) | 63% |
| Staff "always" explained new medications | 68% |
| Nurses "always" explained things so they could understand | 69% |
| Nurses "always" listened carefully | 73% |
| Nurses "always" treated them with courtesy and respect | 82% |
| "Always" quiet at night | 38% |
| "YES", patients would definitely recommend the hospital | 67% |
| Staff "always" explained possible side effects | 40% |
| Yes, staff "did" give patients information about possible symptoms | 86% |
See every measure and the patient survey for Santa Clara Valley Medical Center
Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 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.
| SSI - Colon SurgeryInfections | 2.572 | Worse | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.563 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.256 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.369 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.25 (0.3 to 2.2) · 1,535 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.07 (0.76 to 1.38) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 214.59 (167.38 to 261.8) · 108 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.8 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6 · 141 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.2 · 124 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.3 · 501 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.9 · 653 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 348 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3 · 4,502 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.24 (0.04 to 0.43) · 9,014 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.34 (0.15 to 0.52) · 9,216 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.54 (2.51 to 6.58) · 1,421 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.54 (0 to 3.2) · 288 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.66 to 3.56) · 1,446 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.61 (4.09 to 19.14) · 294 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.29 (3.39 to 11.2) · 299 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.9 (0.45 to 3.36) · 333 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 0.78) · 7,538 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 5.4 · 94 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.735 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 2.573 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.6 · 185 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.1 · 951 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 56.3 · 128 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 6.4 · 644 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 1.3 · 699 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.3 · 921 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.7 (3.9 to 8.1) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 12.6 (9.4 to 16.5) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 94 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.4 · 54 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.3 · 242 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.2 (9.9 to 17.4) · 702 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 195 cases | No different | Jan 2024 – Dec 2024 |
What patients said (4,032 patients answered, 29% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 70% |
| Nurses "always" communicated well | 73% |
| Doctors "always" communicated well | 76% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 82% |
| Yes, staff "did" give patients information about help after discharge | 82% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 82% |
| Patients who gave a rating of "9" or "10" (high) | 67% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 83% |
Original Medicare doctor bills
$242,520
Medicare paid this office $242,520 for 534 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 363 | $107,176 | $70 |
| Dialysis services, 4 or more physician visits per month (20 years or older) | 25 | $31,461 | $321 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 242 | $30,776 | $116 |
| Dialysis services, 2-3 physician visits per month (20 years or older) | 21 | $30,593 | $268 |
| Short return visit (20+ min) | 105 | $13,194 | $62 |
See all 10 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 363 | $107,176 | $70 |
| Dialysis services, 4 or more physician visits per month (20 years or older) | 25 | $31,461 | $321 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 242 | $30,776 | $116 |
| Dialysis services, 2-3 physician visits per month (20 years or older) | 21 | $30,593 | $268 |
| Short return visit (20+ min) | 105 | $13,194 | $62 |
| Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 27 | $7,004 | $200 |
| New patient visit (45+ min) | 22 | $3,000 | $136 |
| Review by radiologist of arm or leg artery image | 29 | $2,434 | $70 |
| New patient visit (30+ min) | 26 | $2,066 | $79 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 42 | $661 | $10 |
Who their Medicare patients are
534 Original Medicare patients in 2024. Average age 75 · Under 65 17% · 85 and older 24% · Women 46% · Also on Medicaid 70% · Health risk score 5.11. Above the middle of the specialty; the typical nephrology clinician is at 4.01.
Conditions among them: High blood pressure 75% · Chronic kidney disease 75% · Diabetes 74% · Heart failure 58% · Coronary heart disease 51% · Atrial fibrillation 40% · Dementia 29% · Depression 26% · COPD 25% · Stroke 21% · Cancer 16%.
The office billed $858,766, Medicare allowed $310,598 and paid $242,520; for 2,489 services of 25 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
| 2024 | 534 | 2,489 | 75 | 5.11 | $858,766 | $242,520 |
| 2023 | 551 | 2,453 | 75 | 5.31 | $851,419 | $257,328 |
| 2022 | 607 | 2,879 | 74 | 5.17 | $901,750 | $289,033 |
| 2021 | 549 | 2,562 | 73 | 5.12 | $643,572 | $252,598 |
| 2020 | 598 | 2,775 | 74 | 5.46 | $666,997 | $266,771 |
| 2019 | 582 | 2,614 | 72 | 6.07 | $536,836 | $254,302 |
| 2018 | 559 | 2,453 | 72 | 5.97 | $515,408 | $234,073 |
| 2017 | 401 | 1,886 | 71 | 5.67 | $327,231 | $202,595 |
| 2016 | 358 | 1,131 | 69 | 5.71 | $324,628 | $71,980 |
| 2015 | 187 | 455 | 68 | 4.43 | $158,902 | $27,060 |
| 2013 | 286 | 755 | 75 | 2.25 | $90,216 | $52,305 |
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: 11 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 384 | $113,526 | $73 |
| Dialysis services, 4 or more physician visits per month (20 years or older) | 23 | $46,969 | $331 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 240 | $32,466 | $119 |
| Dialysis services, 2-3 physician visits per month (20 years or older) | 22 | $24,833 | $276 |
| Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 37 | $8,422 | $205 |
| Short return visit (20+ min) | 63 | $6,071 | $49 |
| Removal of tunneled central venous tube | 28 | $3,448 | $123 |
| Review by radiologist of arm or leg artery image | 36 | $2,822 | $72 |
| Insertion of tube into chest or arm artery, each first order branch | 12 | $1,213 | $101 |
| New patient visit (30+ min) | 16 | $1,134 | $71 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 21 | $231 | $11 |
2022: 12 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 454 | $128,888 | $65 |
| Dialysis services, 4 or more physician visits per month (20 years or older) | 24 | $55,671 | $337 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 303 | $44,039 | $124 |
| Dialysis services, 2-3 physician visits per month (20 years or older) | 24 | $17,587 | $279 |
| Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist | 18 | $8,998 | $450 |
| Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 32 | $7,509 | $209 |
| Short return visit (20+ min) | 44 | $4,540 | $50 |
| Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist | 13 | $3,602 | $277 |
| Review by radiologist of arm or leg artery image | 37 | $3,406 | $74 |
| Removal of tunneled central venous tube | 15 | $1,925 | $128 |
| New patient visit (30+ min) | 14 | $1,188 | $85 |
| Ultrasonic guidance for blood vessel access | 20 | $250 | $12 |
2021: 13 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 378 | $111,306 | $66 |
| Dialysis services, 4 or more physician visits per month (20 years or older) | 17 | $46,636 | $336 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 259 | $37,719 | $123 |
| Short return visit (20+ min) | 46 | $9,019 | $74 |
| Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 25 | $5,728 | $205 |
| Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist | 20 | $5,537 | $277 |
| Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist | 11 | $5,420 | $452 |
| Dialysis services, 2-3 physician visits per month (20 years or older) | 13 | $5,019 | $279 |
| Review by radiologist of arm or leg artery image | 47 | $4,305 | $74 |
| Replacement of tunneled central venous tube | 11 | $2,291 | $164 |
| Insertion of tube into chest or arm artery, each first order branch | 11 | $1,326 | $110 |
| Ultrasonic guidance for blood vessel access | 18 | $288 | $13 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 13 | $251 | $17 |
2020: 16 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 394 | $126,614 | $69 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 245 | $38,608 | $130 |
| Dialysis services, 4 or more physician visits per month (20 years or older) | 15 | $33,643 | $271 |
| Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 49 | $11,830 | $208 |
| Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist | 14 | $7,063 | $471 |
| Short return visit (20+ min) | 46 | $6,917 | $60 |
| Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist | 22 | $6,746 | $281 |
| Review by radiologist of arm or leg artery image | 64 | $5,711 | $77 |
| Insertion of tunneled central venous tube for infusion (5 years or older) | 13 | $3,208 | $247 |
| Insertion of tube into chest or arm artery, each first order branch | 26 | $2,727 | $97 |
| Balloon dilation of dialysis segment with review by radiologist | 19 | $2,663 | $133 |
| Replacement of tunneled central venous tube | 13 | $2,213 | $158 |
| Removal of tunneled central venous tube | 16 | $2,079 | $130 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 14 | $1,086 | $78 |
| Ultrasonic guidance for blood vessel access | 38 | $533 | $13 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 20 | $344 | $17 |
2019: 19 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 350 | $95,884 | $65 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 223 | $32,073 | $122 |
| Dialysis services, 4 or more physician visits per month (20 years or older) | 12 | $24,861 | $259 |
| Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist | 32 | $16,254 | $451 |
| Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 67 | $15,388 | $190 |
| Review by radiologist of arm or leg artery image | 84 | $8,695 | $74 |
| Insertion of tube into chest or arm artery, each first order branch | 65 | $7,693 | $95 |
| Short return visit (20+ min) | 60 | $7,563 | $57 |
| Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist | 24 | $7,374 | $273 |
| Occlusion of vein with review by radiologist | 15 | $6,927 | $385 |
| Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 15 | $6,267 | $392 |
| Removal of tunneled central venous tube | 37 | $4,699 | $124 |
| Insertion of tunneled central venous tube for infusion (5 years or older) | 12 | $2,728 | $227 |
| Balloon dilation of dialysis segment with review by radiologist | 16 | $2,314 | $129 |
| Replacement of tunneled central venous tube | 13 | $2,112 | $141 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 23 | $1,722 | $75 |
| Ultrasonic guidance for blood vessel access | 40 | $552 | $13 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 12 | $199 | $17 |
| Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) | 18 | $192 | $11 |
2018: 20 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 298 | $79,902 | $65 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 183 | $27,831 | $120 |
| Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 100 | $24,538 | $195 |
| Short return visit (20+ min) | 75 | $13,114 | $63 |
| Occlusion of vein with review by radiologist | 23 | $9,652 | $386 |
| Review by radiologist of arm or leg artery image | 91 | $9,539 | $75 |
| Insertion of tube into chest or arm artery, each first order branch | 69 | $9,195 | $101 |
| Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist | 27 | $8,206 | $274 |
| Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 18 | $7,821 | $391 |
| Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist | 13 | $6,325 | $452 |
| Removal of tunneled central venous tube | 42 | $5,665 | $123 |
| Insertion of tunneled central venous tube for infusion (5 years or older) | 14 | $3,454 | $230 |
| New patient visit (45+ min) | 21 | $3,017 | $144 |
| Replacement of tunneled central venous tube | 19 | $3,010 | $143 |
| Balloon dilation of dialysis segment with review by radiologist | 17 | $2,964 | $129 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 30 | $2,665 | $89 |
| Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 21 | $2,524 | $115 |
| Ultrasonic guidance for blood vessel access | 48 | $667 | $13 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 22 | $380 | $17 |
| Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) | 32 | $340 | $11 |
2017: 16 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 229 | $92,804 | $85 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 141 | $28,286 | $160 |
| Short return visit (20+ min) | 68 | $15,141 | $84 |
| Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 45 | $11,450 | $212 |
| Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 14 | $7,771 | $486 |
| Insertion of tunneled central venous tube for infusion (5 years or older) | 21 | $6,168 | $294 |
| Insertion of tube into chest or arm artery, each first order branch | 24 | $5,797 | $200 |
| New patient visit (45+ min) | 25 | $4,564 | $183 |
| Review by radiologist of arm or leg artery image | 54 | $4,158 | $64 |
| Removal of tunneled central venous tube | 21 | $3,284 | $149 |
| Replacement of tunneled central venous tube | 12 | $2,520 | $194 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 16 | $2,358 | $139 |
| Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 11 | $1,325 | $120 |
| Ultrasonic guidance for blood vessel access | 42 | $755 | $17 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 21 | $487 | $22 |
| Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) | 12 | $167 | $14 |
2016: 21 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 109 | $19,070 | $61 |
| Hemodialysis procedure with physician evaluation | 81 | $8,188 | $55 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 40 | $5,210 | $118 |
| Short return visit (20+ min) | 35 | $3,008 | $60 |
| Balloon dilation of narrowed or blocked vein, accessed through the skin | 16 | $2,903 | $181 |
| Insertion of needle and/or catheter for dialysis | 21 | $2,553 | $91 |
| Return visit (30+ min) | 35 | $2,234 | $56 |
| Removal of tunneled central venous tube | 17 | $1,864 | $98 |
| Return visit (30+ min) | 21 | $1,664 | $67 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 13 | $1,241 | $95 |
| Parathormone (parathyroid hormone) level | 18 | $1,102 | $55 |
| Review by radiologist of arm or leg artery image | 11 | $639 | $49 |
| Short return visit (20+ min) | 12 | $475 | $40 |
| Radiological supervision and interpretation of balloon dilation of narrowed vein | 16 | $442 | $23 |
| Blood test, basic group of blood chemicals (calcium, total) | 19 | $359 | $11 |
| Creatinine level to test for kidney function or muscle injury | 16 | $159 | $7 |
| Total protein level, urine | 16 | $113 | $5 |
| Manual urinalysis test with examination using microscope, automated | 15 | $93 | $4 |
| Dialysis services, per day, less than full month service (20 years or older) | 12 | $90 | $6 |
| Insertion of needle into vein for collection of blood sample | 20 | $85 | $3 |
| Phosphate level | 12 | $39 | $3 |
2015: 12 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 51 | $4,787 | $56 |
| Hemodialysis procedure with physician evaluation | 46 | $3,699 | $56 |
| Return visit (30+ min) | 31 | $2,349 | $60 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 16 | $1,843 | $80 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 12 | $1,223 | $94 |
| Removal of tunneled central venous tube | 11 | $1,178 | $107 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 11 | $853 | $78 |
| New patient visit (30+ min) | 11 | $642 | $58 |
| Short return visit (20+ min) | 12 | $468 | $39 |
| Creatinine level to test for kidney function or muscle injury | 12 | $83 | $7 |
| Insertion of needle into vein for collection of blood sample | 17 | $79 | $3 |
| Total protein level, urine | 12 | $59 | $5 |
2013: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 177 | $23,853 | $56 |
| Hospital discharge day management, more than 30 minutes | 132 | $11,867 | $85 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 87 | $9,613 | $108 |
| Initial hospital observation care per day, typically 50 minutes | 15 | $1,570 | $105 |
| Hospital observation care on day of discharge | 26 | $1,457 | $56 |
| Follow-up observation care per day, typically 25 minutes | 17 | $1,372 | $53 |
Medicaid work
$9,908 in 2024
Medicaid paid $9,908 for 1,341 billed services this clinician did in 2024, up to 47 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.
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 977 | $4,995 |
| End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month | 59 | $1,958 |
| Short return visit (20+ min) | 144 | $1,347 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 148 | $1,294 |
| End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month | 13 | $314 |
| 2024 | 1,341 | 5 | 47 | $9,908 |
| 2023 | 2,056 | 5 | 64 | $13,869 |
| 2022 | 2,153 | 5 | 56 | $17,569 |
| 2021 | 1,713 | 2 | 54 | $10,958 |
| 2020 | 1,557 | 3 | 53 | $8,901 |
| 2019 | 463 | 2 | 21 | $4,363 |
| 2018 | 48 | 1 | 13 | $163 |
See the largest Medicaid services in earlier years
2023
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 1,549 | $7,664 |
| End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month | 96 | $2,199 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 246 | $2,194 |
| End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month | 72 | $1,099 |
| Short return visit (20+ min) | 93 | $712 |
2022
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 1,714 | $11,973 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 315 | $4,114 |
| End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month | 82 | $794 |
| End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month | 28 | $639 |
| Short return visit (20+ min) | 14 | $49 |
2021
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 1,444 | $8,223 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 269 | $2,735 |
2020
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 1,340 | $6,659 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 189 | $2,162 |
| Short return visit (20+ min) | 28 | $79 |
2019
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 437 | $3,902 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 26 | $462 |
2018
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 48 | $163 |
Drugs they prescribed that Part D paid
$77,063
Pharmacies billed $77,063 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 471) in 2024. At or below the middle of the specialty; the typical nephrology clinician is at 0%.
367 generic and 104 brand-name prescriptions · $77,063 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.
| Veltassa | 14 | $18,780 | $1,341 |
| Prosol | 68 | $10,710 | $157 |
| Sevelamer Carbonate | 13 | $4,371 | $336 |
| Bumetanide | 80 | $2,431 | $30 |
| Calcium Acetate | 13 | $840 | $65 |
See all 13 drugs
| Veltassa | 14 | $18,780 | $1,341 |
| Prosol | 68 | $10,710 | $157 |
| Sevelamer Carbonate | 13 | $4,371 | $336 |
| Bumetanide | 80 | $2,431 | $30 |
| Calcium Acetate | 13 | $840 | $65 |
| Calcitriol | 48 | $728 | $15 |
| Losartan | 28 | $346 | $12 |
| Amlodipine Besylate | 46 | $239 | $5 |
| Clonidine | 34 | $225 | $7 |
| Potassium Chloride | 11 | $169 | $15 |
| Vitamin D2 | 24 | $133 | $6 |
| Carvedilol | 13 | $99 | $8 |
| Atorvastatin | 12 | $68 | $6 |
Year by year
| 2024 | 471 | 91 | 0% (0) | 22% | $77,063 |
| 2023 | 289 | 58 | 0% (0) | 28% | $79,530 |
| 2022 | 287 | 55 | 0% (0) | None | $74,294 |
| 2021 | 271 | 46 | 0% (0) | None | $74,733 |
| 2020 | 270 | 42 | 0% (0) | 27% | $72,735 |
| 2019 | 233 | 53 | 0% (0) | 16% | $27,216 |
| 2018 | 394 | 70 | 0% (0) | None | $79,204 |
| 2017 | 332 | 85 | 0% (0) | None | $35,310 |
| 2016 | 336 | 66 | None | None | $18,563 |
| 2015 | 99 | 31 | None | None | $4,122 |
| 2014 | 11 | None | 0% (0) | 0% | $138 |
| 2013 | 16 | None | None | None | $378 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 9 drugs
| Velphoro | 12 | $23,959 | $1,997 |
| Sevelamer Carbonate | 16 | $7,698 | $481 |
| Prosol | 48 | $7,485 | $156 |
| Bumetanide | 29 | $3,829 | $132 |
| Losartan | 25 | $431 | $17 |
| Calcitriol | 19 | $422 | $22 |
| Potassium Chloride | 17 | $368 | $22 |
| Atorvastatin | 12 | $274 | $23 |
| Amlodipine Besylate | 17 | $235 | $14 |
2022: 9 drugs
| Renvela | 13 | $22,556 | $1,735 |
| Prosol | 48 | $5,549 | $116 |
| Bumetanide | 30 | $3,271 | $109 |
| Calcium Acetate | 11 | $1,553 | $141 |
| Atorvastatin | 13 | $288 | $22 |
| Clonidine | 15 | $241 | $16 |
| Amlodipine Besylate | 11 | $114 | $10 |
| Losartan | 12 | $88 | $7 |
| Vitamin D2 | 13 | $32 | $2 |
2021: 7 drugs
| Veltassa | 16 | $25,186 | $1,574 |
| Prosol | 50 | $4,770 | $95 |
| Sevelamer Carbonate | 12 | $4,397 | $366 |
| Bumetanide | 13 | $1,648 | $127 |
| Calcitriol | 12 | $716 | $60 |
| Potassium Chloride | 12 | $196 | $16 |
| Clonidine | 25 | $128 | $5 |
2020: 9 drugs
| Veltassa | 13 | $14,090 | $1,084 |
| Sevelamer Carbonate | 16 | $8,366 | $523 |
| Clinisol | 30 | $4,646 | $155 |
| Calcium Acetate | 20 | $3,265 | $163 |
| Aranesp | 13 | $2,572 | $198 |
| Prosol | 17 | $2,134 | $126 |
| Chlorthalidone | 13 | $868 | $67 |
| Amlodipine Besylate | 21 | $109 | $5 |
| Clonidine | 11 | $93 | $8 |
2019: 6 drugs
| Sevelamer Carbonate | 17 | $8,767 | $516 |
| Aranesp | 12 | $2,345 | $195 |
| Calcitriol | 26 | $854 | $33 |
| Hydralazine | 17 | $304 | $18 |
| Amlodipine Besylate | 20 | $224 | $11 |
| Furosemide | 19 | $136 | $7 |
2018: 10 drugs
| Sevelamer Carbonate | 12 | $17,891 | $1,491 |
| Prosol | 41 | $5,531 | $135 |
| Aranesp | 12 | $2,333 | $194 |
| Chlorthalidone | 18 | $1,041 | $58 |
| Calcitriol | 29 | $596 | $21 |
| Hydralazine | 24 | $479 | $20 |
| Amlodipine Besylate | 42 | $272 | $6 |
| Clonidine | 26 | $203 | $8 |
| Losartan | 19 | $152 | $8 |
| Furosemide | 12 | $61 | $5 |
2017: 8 drugs
| Calcitriol | 61 | $1,088 | $18 |
| Chlorthalidone | 16 | $723 | $45 |
| Hydralazine | 18 | $355 | $20 |
| Amlodipine Besylate | 30 | $262 | $9 |
| Atorvastatin | 12 | $241 | $20 |
| Losartan | 26 | $185 | $7 |
| Furosemide | 23 | $95 | $4 |
| Carvedilol | 11 | $54 | $5 |
2016: 9 drugs
| Renvela | 11 | $10,038 | $913 |
| Calcitriol | 118 | $2,497 | $21 |
| Dilt-Xr | 12 | $295 | $25 |
| Furosemide | 28 | $229 | $8 |
| Amlodipine Besylate | 19 | $207 | $11 |
| Losartan | 15 | $137 | $9 |
| Lisinopril | 26 | $121 | $5 |
| Clonidine | 15 | $110 | $7 |
| Hydrochlorothiazide | 14 | $53 | $4 |
2015: 2 drugs
| Calcitriol | 22 | $525 | $24 |
| Lisinopril | 15 | $111 | $7 |
Money from drug and device companies
$289 in 2025
| 2025 | 1 | 2 | None | $289 |
| 2024 | 1 | 1 | None | $15 |
| 2023 | 1 | 1 | None | $26 |
| 2021 | 2 | 3 | None | $73 |
| 2020 | 1 | 1 | None | $19 |
| 2019 | 4 | 6 | None | $226 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Penumbra | Indigo System | $289 | 2 payments
|
See all 2 published payments
| Penumbra | Meals · 2025-12-18 | Indigo System | $152 |
| Penumbra | Meals · 2025-11-14 | Penumbra System | $138 |
See earlier years (2024, 2023, 2021, 2020, 2019)
2024: $15
| Fresenius USA Marketing | Velphoro | $15 | 1 payment
|
2023: $26
| Horizon Therapeutics plc | None | $26 | 1 payment
|
2021: $73
| Bard Peripheral Vascular | Covera | $51 | 2 payments
|
| Boston Scientific | General Bph | $22 | 1 payment
|
2020: $19
| Bard Peripheral Vascular | Covera | $19 | 1 payment
|
2019: $226
| Bard Peripheral Vascular | None | $135 | 1 payment
|
| Relypsa | Veltassa | $52 | 3 payments
|
| Otsuka America Pharmaceutical | Jynarque | $24 | 1 payment
|
| Amgen | Aranesp | $15 | 1 payment
|
Professional record
- NPI
- 1124224571
- Licence
- CA C141457, WI 60300California C141457: Current · expires 2027-09-30
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207RN0300X (207RN0300X)
- Mailing address
- 7974 Uw Health Ct, Middleton, WI, 53562
- NPI first listed
- 2007-06-22
- NPI last updated
- 2020-04-07
- NPI record certified
- 2020-04-07
This is when the NPI record was last certified, not a medical board exam.