Brandon P Chalfin, MD
Emergency Medicine · Fresno
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
- Since medical school
- 15 years
- University of California, San Diego School of Medicine, 2011
Offices
1 location · Central California Faculty Medical Group Inc · 256 clinicians in this group
Hospitals listed: Community Regional 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. Chalfin’s office at (559) 459-6000 to ask if they take your plan before you enroll.
California Medical Board record
Licence A122744 · Current
Licensed to practise in California · since 2012 · expires 2028-05-31 · University of California, San Diego 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 Emergency Medicine - Emergency Medicine
- American Board of Emergency Medicine - Hospice and Palliative Medicine
Hospitals they work in
1 hospital
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Community Regional Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend itOverall rating: 1 of 5 starsWorse than the national rate — Death rate among surgical inpatients with serious treatable complications: 211.21 (174.88 to 247.54) · 239 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.705, Oct 2024 – Sep 2025
See every measure and the patient survey for Community Regional Medical Center
Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 0 better, 7 the same, 0 worse of 7 measures. Readmissions: 0 better, 7 the same, 3 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 211.21 (174.88 to 247.54) · 239 cases | Worse | Jul 2022 – Jun 2024 |
| Clostridium Difficile (C.Diff)Infections | 0.705 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.13 (0.29 to 1.96) · 2,304 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.09 (0.87 to 1.3) | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 3.2 · 187 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 8.6 · 116 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.7 · 187 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 10.6 · 445 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 15.2 · 399 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 582 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.2 · 3,744 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.31 (0.12 to 0.5) · 11,052 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.27 (0.1 to 0.45) · 11,566 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.33 (1.64 to 5.01) · 3,139 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.08 (0 to 2.3) · 1,423 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 1.7 (0.52 to 2.88) · 3,084 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.85 (8.11 to 15.6) · 1,481 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.4 (3.81 to 8.98) · 1,404 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 2.35 (0.95 to 3.76) · 760 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.64 (0.16 to 1.11) · 10,254 cases | No different | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.817 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 1.031 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.837 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 0.81 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.853 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15.8 · 258 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22 · 689 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 37.4 · 202 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 35.2 · 543 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 39.2 · 434 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 19.3 · 552 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.4 (3.6 to 7.9) · 169 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 11.4 (8.3 to 15.4) · 169 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission for CABGUnplanned return visits | 12.4 · 189 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 21.6 · 248 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 11.9 (9.5 to 14.9) · 2,590 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.2) · 310 cases | No different | Jan 2024 – Dec 2024 |
What patients said (421 patients answered, 26% of those asked)
| Cleanliness | 4 |
| Nurse communication | 2 |
| Doctor communication | 3 |
| Communication about medicines | 2 |
| Discharge information | 4 |
| Overall hospital rating | 3 |
| Quietness | 1 |
| Recommend hospital | 3 |
| Room was "always" clean | 74% |
| Nurses "always" communicated well | 74% |
| Doctors "always" communicated well | 77% |
| Staff "always" explained | 55% |
| Yes, staff "did" give patients this information | 87% |
| Yes, staff "did" give patients information about help after discharge | 85% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 76% |
| Doctors "always" treated them with courtesy and respect | 83% |
| Patients who gave a rating of "9" or "10" (high) | 66% |
| Staff "always" explained new medications | 69% |
| Nurses "always" explained things so they could understand | 70% |
| Nurses "always" listened carefully | 70% |
| Nurses "always" treated them with courtesy and respect | 82% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 41% |
| Yes, staff "did" give patients information about possible symptoms | 88% |
Original Medicare doctor bills
$29,604
Medicare paid this office $29,604 for 235 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with high level of medical decision making | 136 | $17,525 | $129 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 56 | $7,386 | $130 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 15 | $1,533 | $102 |
| Emergency department visit with moderate level of medical decision making | 13 | $742 | $57 |
Procedures year by year
| Procedure | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|
| Emergent insertion of breathing tube into windpipe using an endoscope | – | 12 | – | – | – | – |
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
235 Original Medicare patients in 2024. Average age 72 · Under 65 17% · 85 and older 17% · Women 45% · Also on Medicaid 77% · Health risk score 3.01. Sicker patients than 9 in 10 peers; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 75% · Diabetes 56% · Heart failure 46% · Chronic kidney disease 46% · Coronary heart disease 41% · Depression 35% · COPD 31% · Dementia 30% · Stroke 27% · Atrial fibrillation 26% · Cancer 19%.
The office billed $117,452, Medicare allowed $39,348 and paid $29,604; for 254 services of 17 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 | 235 | 254 | 72 | 3.01 | $117,452 | $29,604 |
| 2023 | 255 | 277 | 72 | 2.76 | $124,320 | $34,617 |
| 2022 | 272 | 292 | 71 | 2.57 | $122,334 | $34,858 |
| 2021 | 295 | 330 | 71 | 2.62 | $127,481 | $39,726 |
| 2020 | 295 | 335 | 70 | 2.99 | $135,209 | $39,762 |
| 2019 | 393 | 432 | 70 | 2.94 | $177,572 | $46,849 |
| 2018 | 137 | 156 | 67 | 2.84 | $77,715 | $17,522 |
| 2017 | 276 | 299 | 73 | 2.64 | $171,588 | $48,103 |
| 2016 | 617 | 703 | 74 | 2.55 | $413,025 | $89,892 |
| 2015 | 168 | 190 | 74 | 1.98 | $111,219 | $24,776 |
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: 4 services
| Emergency department visit with high level of medical decision making | 151 | $21,517 | $138 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 50 | $7,072 | $141 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 20 | $2,117 | $106 |
| Emergency department visit with moderate level of medical decision making | 14 | $1,178 | $84 |
2022: 6 services
| Emergency department visit with high level of medical decision making | 125 | $18,465 | $147 |
| Emergency department visit with moderate level of medical decision making | 58 | $5,671 | $98 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 39 | $3,983 | $102 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 19 | $3,008 | $158 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 12 | $962 | $80 |
| Emergency department visit with low level of medical decision making | 11 | $516 | $47 |
2021: 5 services
| Emergency department visit with high level of medical decision making | 102 | $17,698 | $174 |
| Emergency department visit with moderate level of medical decision making | 80 | $8,658 | $107 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 62 | $7,072 | $109 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 18 | $1,481 | $82 |
| Emergency department visit with low level of medical decision making | 20 | $1,124 | $56 |
2020: 5 services
| Emergency department visit with high level of medical decision making | 137 | $19,960 | $146 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 82 | $9,338 | $113 |
| Emergency department visit with moderate level of medical decision making | 45 | $4,232 | $94 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 12 | $1,416 | $118 |
| Emergency department visit with low level of medical decision making | 18 | $943 | $52 |
2019: 6 services
| Emergency department visit with high level of medical decision making | 190 | $25,711 | $134 |
| Emergency department visit with moderate level of medical decision making | 90 | $7,982 | $86 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 47 | $5,181 | $110 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 28 | $2,350 | $84 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 15 | $1,218 | $81 |
| Emergency department visit with low level of medical decision making | 18 | $839 | $47 |
2018: 2 services
| Emergency department visit with high level of medical decision making | 97 | $13,273 | $134 |
| Emergency department visit with moderate level of medical decision making | 28 | $2,429 | $87 |
2017: 4 services
| Emergency department visit with high level of medical decision making | 217 | $39,091 | $178 |
| Emergency department visit with moderate level of medical decision making | 33 | $3,051 | $92 |
| Critical care, first 30-74 minutes | 11 | $2,721 | $247 |
| Emergency department visit with low level of medical decision making | 16 | $681 | $43 |
2016: 4 services
| Emergency department visit with high level of medical decision making | 529 | $77,257 | $137 |
| Critical care, first 30-74 minutes | 25 | $4,503 | $180 |
| Emergency department visit with moderate level of medical decision making | 40 | $3,766 | $94 |
| Emergency department visit with low level of medical decision making | 24 | $1,192 | $50 |
2015: 2 services
| Emergency department visit with high level of medical decision making | 130 | $19,303 | $140 |
| Emergency department visit with moderate level of medical decision making | 22 | $2,083 | $95 |
Medicaid work
$46,983 in 2024
Medicaid paid $46,983 for 940 billed services this clinician did in 2024, up to 58 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.
| Service | 106 | $27,556 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 486 | $11,492 |
| Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520) | 74 | $2,454 |
| Unlisted special service, procedure or report | 17 | $2,401 |
| EMERGENCY DEPT VISIT MOD MDM | 173 | $2,269 |
| Service | 12 | $453 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 72 | $358 |
| 2024 | 940 | 7 | 58 | $46,983 |
| 2023 | 1,160 | 6 | 68 | $34,474 |
| 2022 | 1,373 | 9 | 62 | $36,862 |
| 2021 | 899 | 11 | 33 | $27,100 |
| 2020 | 1,059 | 9 | 34 | $31,644 |
| 2019 | 738 | 6 | 41 | $15,186 |
| 2018 | 450 | 4 | 70 | $8,543 |
See the largest Medicaid services in earlier years
2023
| Unlisted special service, procedure or report | 84 | $15,557 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 567 | $11,292 |
| EMERGENCY DEPT VISIT MOD MDM | 375 | $4,364 |
| Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520) | 55 | $2,182 |
| Service | 26 | $902 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 53 | $176 |
2022
| Unlisted special service, procedure or report | 144 | $12,966 |
| Unclassified drugs | 70 | $9,236 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 460 | $6,372 |
| EMERGENCY DEPT VISIT MOD MDM | 372 | $3,899 |
| Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520) | 111 | $3,330 |
| EMERGENCY DEPT VISIT LOW MDM | 100 | $388 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 92 | $317 |
| Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy | 12 | $279 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 12 | $75 |
2021
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 254 | $7,147 |
| Unlisted special service, procedure or report | 105 | $6,927 |
| EMERGENCY DEPT VISIT MOD MDM | 266 | $5,673 |
| Unclassified drugs | 33 | $3,597 |
| Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520) | 90 | $2,709 |
| Service | 13 | $505 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 86 | $187 |
| 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 12 | $154 |
| EMERGENCY DEPT VISIT LOW MDM | 13 | $129 |
| Troponin, quantitative | 14 | $42 |
| Radiologic examination, chest; single view | 13 | $29 |
2020
| Unclassified drugs | 66 | $8,733 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 248 | $6,269 |
| EMERGENCY DEPT VISIT MOD MDM | 247 | $5,324 |
| Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520) | 138 | $5,130 |
| Service | 51 | $3,249 |
| EMERGENCY DEPT VISIT LOW MDM | 101 | $1,061 |
| Unlisted special service, procedure or report | 55 | $989 |
| Service | 17 | $626 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 136 | $262 |
2019
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 310 | $7,570 |
| EMERGENCY DEPT VISIT MOD MDM | 282 | $4,905 |
| EMERGENCY DEPT VISIT LOW MDM | 90 | $1,185 |
| Service | 30 | $1,180 |
| Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520) | 13 | $284 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 13 | $62 |
2018
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 252 | $5,372 |
| EMERGENCY DEPT VISIT MOD MDM | 111 | $2,020 |
| EMERGENCY DEPT VISIT LOW MDM | 75 | $680 |
| Service | 12 | $471 |
Drugs they prescribed that Part D paid
$209
Pharmacies billed $209 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
14 generic and 0 brand-name prescriptions · $209 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
| 2024 | 14 | None | None | 0% | $209 |
| 2022 | 15 | None | None | None | $823 |
| 2020 | 13 | None | None | None | $191 |
| 2018 | 26 | 11 | 42% (11) | 0% | $683 |
| 2017 | 26 | 13 | None | 0% | $277 |
| 2016 | 37 | 28 | 41% (15) | None | $809 |
| 2015 | 62 | 50 | 36% (22) | None | $994 |
| 2014 | 27 | 25 | None | None | $739 |
| 2013 | 36 | 28 | 42% (15) | None | $531 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2016: 1 drug
| Hydrocodone-Acetaminophen | 14 | $72 | $5 |
2015: 2 drugs
| Cephalexin | 15 | $105 | $7 |
| Hydrocodone-Acetaminophen | 13 | $76 | $6 |
2013: 1 drug
| Hydrocodone-Acetaminophen | 14 | $73 | $5 |
Money from drug and device companies
$128 in 2022
A payment is not proof that care is biased.
| Abiomed | Impella | $128 | 1 payment
|
See the published payment
| Abiomed | Meals · 2022-02-24 | Impella | $128 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 85.0 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1124318316
- Licence
- CA A122744California A122744: Current · expires 2028-05-31
- Trained
- University of California, San Diego School of Medicine, 2011 · 15 years ago
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207P00000X (207P00000X); Federal specialty code 207QH0002X (207QH0002X)
- Mailing address
- 2625 E Divisadero St, Fresno, CA, 93721
- NPI first listed
- 2011-04-09
- NPI last updated
- 2021-01-27
- NPI record certified
- 2021-01-27
This is when the NPI record was last certified, not a medical board exam.