Skip to main content
UniHealth

Doctor search

Brandon P Chalfin, MD

Emergency Medicine · Fresno

NPI 1124318316

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

Looking this up.

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 it
    Overall 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.

Every scored measure at Community Regional Medical Center
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths211.21 (174.88 to 247.54) · 239 casesWorseJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.705BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.13 (0.29 to 1.96) · 2,304 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.09 (0.87 to 1.3)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.2 · 187 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 116 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.7 · 187 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.6 · 445 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.2 · 399 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 582 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 3,744 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.5) · 11,052 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,566 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.33 (1.64 to 5.01) · 3,139 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.08 (0 to 2.3) · 1,423 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.7 (0.52 to 2.88) · 3,084 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.85 (8.11 to 15.6) · 1,481 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.4 (3.81 to 8.98) · 1,404 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.35 (0.95 to 3.76) · 760 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.64 (0.16 to 1.11) · 10,254 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.817No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.031No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.837No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.81No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.853No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 258 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 689 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits37.4 · 202 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits35.2 · 543 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits39.2 · 434 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19.3 · 552 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (3.6 to 7.9) · 169 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.4 (8.3 to 15.4) · 169 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits12.4 · 189 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.6 · 248 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.9 (9.5 to 14.9) · 2,590 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 310 casesNo differentJan 2024 – Dec 2024

What patients said (421 patients answered, 26% of those asked)

Patient survey stars by topic at Community Regional Medical Center
Cleanliness4
Nurse communication2
Doctor communication3
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital3
Share of patients giving the best answer at Community Regional Medical Center
Room was "always" clean74%
Nurses "always" communicated well74%
Doctors "always" communicated well77%
Staff "always" explained55%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications69%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms88%

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.

Largest Original Medicare bills
Emergency department visit with high level of medical decision making136$17,525$129
Initial hospital care with moderate level of medical decision making at least 75 minutes56$7,386$130
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,533$102
Emergency department visit with moderate level of medical decision making13$742$57

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
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

Original Medicare by year
2024235254723.01$117,452$29,604
2023255277722.76$124,320$34,617
2022272292712.57$122,334$34,858
2021295330712.62$127,481$39,726
2020295335702.99$135,209$39,762
2019393432702.94$177,572$46,849
2018137156672.84$77,715$17,522
2017276299732.64$171,588$48,103
2016617703742.55$413,025$89,892
2015168190741.98$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

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making151$21,517$138
Initial hospital care with moderate level of medical decision making at least 75 minutes50$7,072$141
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,117$106
Emergency department visit with moderate level of medical decision making14$1,178$84

2022: 6 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making125$18,465$147
Emergency department visit with moderate level of medical decision making58$5,671$98
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes39$3,983$102
Initial hospital care with moderate level of medical decision making at least 75 minutes19$3,008$158
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes12$962$80
Emergency department visit with low level of medical decision making11$516$47

2021: 5 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making102$17,698$174
Emergency department visit with moderate level of medical decision making80$8,658$107
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes62$7,072$109
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes18$1,481$82
Emergency department visit with low level of medical decision making20$1,124$56

2020: 5 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making137$19,960$146
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes82$9,338$113
Emergency department visit with moderate level of medical decision making45$4,232$94
Emergent insertion of breathing tube into windpipe using an endoscope12$1,416$118
Emergency department visit with low level of medical decision making18$943$52

2019: 6 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making190$25,711$134
Emergency department visit with moderate level of medical decision making90$7,982$86
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes47$5,181$110
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes28$2,350$84
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes15$1,218$81
Emergency department visit with low level of medical decision making18$839$47

2018: 2 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making97$13,273$134
Emergency department visit with moderate level of medical decision making28$2,429$87

2017: 4 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making217$39,091$178
Emergency department visit with moderate level of medical decision making33$3,051$92
Critical care, first 30-74 minutes11$2,721$247
Emergency department visit with low level of medical decision making16$681$43

2016: 4 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making529$77,257$137
Critical care, first 30-74 minutes25$4,503$180
Emergency department visit with moderate level of medical decision making40$3,766$94
Emergency department visit with low level of medical decision making24$1,192$50

2015: 2 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making130$19,303$140
Emergency department visit with moderate level of medical decision making22$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.

Largest Medicaid services in 2024
Service106$27,556
EMERGENCY DEPARTMENT VISIT HIGH MDM486$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 report17$2,401
EMERGENCY DEPT VISIT MOD MDM173$2,269
Service12$453
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count72$358
Medicaid work by year
2024940758$46,983
20231,160668$34,474
20221,373962$36,862
20218991133$27,100
20201,059934$31,644
2019738641$15,186
2018450470$8,543
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Unlisted special service, procedure or report84$15,557
EMERGENCY DEPARTMENT VISIT HIGH MDM567$11,292
EMERGENCY DEPT VISIT MOD MDM375$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
Service26$902
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count53$176

2022

Largest Medicaid services in 2022
Unlisted special service, procedure or report144$12,966
Unclassified drugs70$9,236
EMERGENCY DEPARTMENT VISIT HIGH MDM460$6,372
EMERGENCY DEPT VISIT MOD MDM372$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 MDM100$388
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count92$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 microscopy12$279
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report12$75

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM254$7,147
Unlisted special service, procedure or report105$6,927
EMERGENCY DEPT VISIT MOD MDM266$5,673
Unclassified drugs33$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
Service13$505
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count86$187
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc12$154
EMERGENCY DEPT VISIT LOW MDM13$129
Troponin, quantitative14$42
Radiologic examination, chest; single view13$29

2020

Largest Medicaid services in 2020
Unclassified drugs66$8,733
EMERGENCY DEPARTMENT VISIT HIGH MDM248$6,269
EMERGENCY DEPT VISIT MOD MDM247$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
Service51$3,249
EMERGENCY DEPT VISIT LOW MDM101$1,061
Unlisted special service, procedure or report55$989
Service17$626
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count136$262

2019

Largest Medicaid services in 2019
EMERGENCY DEPARTMENT VISIT HIGH MDM310$7,570
EMERGENCY DEPT VISIT MOD MDM282$4,905
EMERGENCY DEPT VISIT LOW MDM90$1,185
Service30$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 count13$62

2018

Largest Medicaid services in 2018
EMERGENCY DEPARTMENT VISIT HIGH MDM252$5,372
EMERGENCY DEPT VISIT MOD MDM111$2,020
EMERGENCY DEPT VISIT LOW MDM75$680
Service12$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

Part D prescribing by year
202414NoneNone0%$209
202215NoneNoneNone$823
202013NoneNoneNone$191
2018261142% (11)0%$683
20172613None0%$277
2016372841% (15)None$809
2015625036% (22)None$994
20142725NoneNone$739
2013362842% (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

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen14$72$5

2015: 2 drugs

Part D drugs prescribed in 2015
Cephalexin15$105$7
Hydrocodone-Acetaminophen13$76$6

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen14$73$5

Money from drug and device companies

$128 in 2022

A payment is not proof that care is biased.

Payments by company
AbiomedImpella$128
1 payment
  • Meals for Impella · 2022-02-24 · $128
See the published payment
Every published payment
AbiomedMeals · 2022-02-24Impella$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.