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Alvaro Davila, MD

Gastroenterology · San Jose

NPI 1144299926

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
23
5 carriers
Office
1

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

23 plans · 5 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Davila’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

23 of 23 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence G75546 · Current

Licensed to practise in California · since 1992 · expires 2028-10-31 · University of Pennsylvania School of Medicine.

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

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.

  • 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 it
    Overall 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 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.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$28,326

Medicare paid this office $28,326 for 131 people.

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

Largest Original Medicare bills
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes40$4,572$114
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope19$4,187$209
Return visit (30+ min)23$1,857$77
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope17$1,672$98
Biopsy of large bowel using a flexible endoscope20$1,597$80
See all 9 services
Every Original Medicare service billed
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes40$4,572$114
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope19$4,187$209
Return visit (30+ min)23$1,857$77
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope17$1,672$98
Biopsy of large bowel using a flexible endoscope20$1,597$80
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope13$1,392$107
Short return visit (20+ min)14$835$56
Review by radiologist of image from tube placement into bile duct using an endoscope20$482$21
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito43$207$5

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy61More than 68% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux60More than 67% of doctors who do this

Who their Medicare patients are

131 Original Medicare patients in 2024. Average age 72 · Under 65 16% · 85 and older 14% · Women 53% · Also on Medicaid 76% · Health risk score 2.25. Above the middle of the specialty; the typical gastroenterology clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 50% · Chronic kidney disease 36% · Heart failure 28% · Coronary heart disease 27% · Atrial fibrillation 25% · Depression 24% · Dementia 18% · Cancer 16% · COPD 14% · Stroke 12%.

The office billed $426,012, Medicare allowed $37,879 and paid $28,326; for 295 services of 32 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
2024131295722.25$426,012$28,326
2023154365702.20$431,310$32,045
2022123275692.14$276,330$22,533
2021142321692.35$239,419$22,379
2020160363702.14$352,104$28,297
2019199447702.04$440,995$39,798
2018151368691.69$271,871$32,041
2014143258691.31$184,125$24,978
2013170387691.54$290,960$40,339

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: 10 services

Original Medicare services billed in 2023
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes35$4,487$125
Return visit (30+ min)43$4,289$79
Biopsy of large bowel using a flexible endoscope23$2,803$122
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope12$2,799$233
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope26$2,614$101
Removal of polyps or growths of large bowel using an endoscope with mechanical snare12$2,341$195
Short return visit (20+ min)23$1,379$49
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope12$1,132$94
Review by radiologist of image from tube placement into bile duct using an endoscope17$388$22
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito73$360$5

2022: 9 services

Original Medicare services billed in 2022
Return visit (30+ min)30$3,305$94
Removal of polyps or growths of large bowel using an endoscope with mechanical snare14$3,108$222
Biopsy of large bowel using a flexible endoscope24$2,635$110
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$2,203$130
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope16$1,724$101
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope18$1,640$91
Short return visit (20+ min)15$1,081$60
Telephone medical discussion with physician, 5-10 minutes20$432$21
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito61$307$5

2021: 6 services

Original Medicare services billed in 2021
Telephone medical discussion with physician, 5-10 minutes72$3,453$33
Return visit (30+ min)27$2,673$95
Biopsy of large bowel using a flexible endoscope19$2,540$134
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes18$2,536$141
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope17$1,434$84
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito46$229$5

2020: 10 services

Original Medicare services billed in 2020
Removal of polyps or growths of large bowel using an endoscope with mechanical snare14$2,776$198
Telephone medical discussion with physician, 21-30 minutes29$2,460$72
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,434$122
Telephone medical discussion with physician, 11-20 minutes39$2,350$45
Biopsy of large bowel using a flexible endoscope26$2,034$78
Return visit (30+ min)25$1,674$49
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope17$1,521$89
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$1,202$80
Telephone medical discussion with physician, 5-10 minutes26$576$22
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito53$266$5

2019: 9 services

Original Medicare services billed in 2019
Removal of polyps or growths of large bowel using an endoscope with mechanical snare29$5,797$193
Return visit (30+ min)62$5,244$66
Biopsy of large bowel using a flexible endoscope49$4,398$90
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope40$3,840$96
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes25$2,767$111
New patient visit (45+ min)18$1,659$92
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope13$1,212$93
Short return visit (20+ min)23$979$35
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito78$401$5

2018: 10 services

Original Medicare services billed in 2018
Removal of polyps or growths of large bowel using an endoscope with mechanical snare18$4,210$234
Return visit (30+ min)33$3,744$69
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope33$2,918$88
Biopsy of large bowel using a flexible endoscope28$2,759$99
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$1,830$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,711$107
Diagnostic exam of large bowel using a flexible endoscope12$1,627$136
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope13$1,370$105
Short return visit (20+ min)24$1,290$44
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito70$341$5

2014: 6 services

Original Medicare services billed in 2014
Return visit (30+ min)69$5,069$52
Biopsy of large bowel using a flexible endoscope16$3,184$199
Removal of polyps or growths of large bowel using an endoscope with mechanical snare12$3,166$264
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$2,678$122
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope20$1,926$96
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,153$64

2013: 6 services

Original Medicare services billed in 2013
Return visit (30+ min)92$9,958$59
Biopsy of large bowel using a flexible endoscope25$4,624$185
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope31$3,867$121
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$3,420$118
Removal of polyps or growths of large bowel using an endoscope with mechanical snare11$3,235$270
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$1,745$116

Medicaid work

$12,840 in 2024

Medicaid paid $12,840 for 1,700 billed services this clinician did in 2024, up to 44 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
Service244$4,547
Return visit (30+ min)183$2,182
COLONOSCOPY AND BIOPSY61$1,228
Diagnostic upper gastrointestinal endoscopy25$1,040
COLONOSCOPY W/LESION REMOVAL52$1,003
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES43$958
TISSUE EXAM BY PATHOLOGIST263$879
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older214$315
Upper gastrointestinal endoscopy with biopsy40$281
Short return visit (20+ min)22$251
Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)50$92
5% dextrose/normal saline (500 ml = 1 unit)128$64
Medicaid work by year
20241,7001844$12,840
20231,3481133$7,103
2022460841$4,998
2021354726$5,798
2020217528$2,460
20194371132$7,440
20181,0281237$11,215
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Upper gastrointestinal endoscopy with biopsy91$2,621
TISSUE EXAM BY PATHOLOGIST315$1,651
Return visit (30+ min)193$972
COLONOSCOPY AND BIOPSY27$469
Service173$433
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older289$349
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES19$257
Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)74$173
Short return visit (20+ min)31$99
5% dextrose/normal saline (500 ml = 1 unit)120$79
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)16$0

2022

Largest Medicaid services in 2022
COLONOSCOPY AND BIOPSY40$1,647
TISSUE EXAM BY PATHOLOGIST39$849
Return visit (30+ min)61$690
Upper gastrointestinal endoscopy with biopsy18$545
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES14$498
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older254$497
Short return visit (20+ min)20$260
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)14$12

2021

Largest Medicaid services in 2021
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique27$1,385
Return visit (30+ min)109$1,193
COLONOSCOPY AND BIOPSY25$954
TISSUE EXAM BY PATHOLOGIST35$952
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES18$764
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older107$435
Short return visit (20+ min)33$114

2020

Largest Medicaid services in 2020
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older110$1,149
TISSUE EXAM BY PATHOLOGIST28$831
Return visit (30+ min)52$302
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)12$120
IP/OBS CONSLTJ NEW/EST SF 3515$58

2019

Largest Medicaid services in 2019
COLONOSCOPY AND BIOPSY34$2,216
Diagnostic upper gastrointestinal endoscopy14$1,441
Upper gastrointestinal endoscopy with biopsy25$1,016
Return visit (30+ min)140$749
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older111$730
1ST HOSP IP/OBS HIGH 7513$584
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)33$252
IP/OBS CONSLTJ NEW/EST SF 3514$225
New patient visit (45+ min)16$142
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)21$50
Short return visit16$35

2018

Largest Medicaid services in 2018
TISSUE EXAM BY PATHOLOGIST205$4,185
Service207$3,308
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older221$1,055
COLONOSCOPY AND BIOPSY27$849
Upper gastrointestinal endoscopy with biopsy28$471
Return visit (30+ min)142$425
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES16$345
Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)51$301
OFF/OP CNSLTJ NEW/EST MOD 4012$141
Short return visit (20+ min)15$53
5% dextrose/normal saline (500 ml = 1 unit)51$49
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)53$33

Drugs they prescribed that Part D paid

$220,473

Pharmacies billed $220,473 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 466) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.

376 generic and fewer than 11 brand-name prescriptions · $220,473 in drug cost · 19 antibiotic prescriptions.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Ocaliva12$113,612$9,468
Xifaxan15$44,153$2,944
Vemlidy24$33,997$1,417
Trulance11$5,786$526
Lamivudine Hbv12$2,122$177
See all 16 drugs
Every Part D drug this clinician prescribed
Ocaliva12$113,612$9,468
Xifaxan15$44,153$2,944
Vemlidy24$33,997$1,417
Trulance11$5,786$526
Lamivudine Hbv12$2,122$177
Esomeprazole Magnesium25$2,055$82
Ursodiol22$1,317$60
Entecavir19$947$50
Pantoprazole66$735$11
Lactulose15$646$43
Omeprazole52$646$12
Loperamide24$484$20
Lansoprazole24$318$13
Spironolactone22$159$7
Carvedilol16$76$5
Amitriptyline20$64$3

Year by year

Part D prescribing by year
2024466660% (0)None$220,473
2023514780% (0)19%$213,755
2022479820% (0)None$206,387
20216331212% (14)25%$212,171
2020582112None28%$178,722
20196481192% (12)31%$183,626
20186561272% (13)32%$215,485
20175961113% (17)39%$255,671
20166331012% (15)41%$357,162
20156381065% (31)38%$266,565
2014564875% (28)37%$122,125
2013499936% (30)35%$76,620

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 20 drugs

Part D drugs prescribed in 2023
Ocaliva12$105,581$8,798
Xifaxan12$36,441$3,037
Vemlidy24$35,622$1,484
Linzess14$7,986$570
Ursodiol28$3,258$116
Esomeprazole Magnesium27$2,624$97
Loperamide37$1,861$50
Entecavir20$1,554$78
Pantoprazole70$1,229$18
Hyoscyamine Sulfate11$1,160$105
Omeprazole57$1,005$18
Lamivudine Hbv12$853$71
Lactulose18$739$41
Dicyclomine12$489$41
Peg-3350 and Electrolytes20$478$24
Lansoprazole15$394$26
Spironolactone17$229$13
Gavilyte-G11$222$20
Amitriptyline23$137$6
Furosemide11$72$7

2022: 18 drugs

Part D drugs prescribed in 2022
Ocaliva12$97,306$8,109
Xifaxan13$37,558$2,889
Vemlidy23$32,237$1,402
Linzess25$10,261$410
Ursodiol26$5,085$196
Entecavir23$2,587$112
Loperamide41$2,419$59
Lansoprazole16$1,860$116
Esomeprazole Magnesium14$1,455$104
Lamivudine Hbv13$1,374$106
Omeprazole35$820$23
Pantoprazole55$791$14
Lactulose15$516$34
Peg-3350 and Electrolytes25$394$16
Dicyclomine12$293$24
Spironolactone15$180$12
Amitriptyline21$135$6
Clonazepam11$56$5

2021: 26 drugs

Part D drugs prescribed in 2021
Ocaliva12$91,885$7,657
Xifaxan18$48,196$2,678
Entecavir35$14,614$418
Linzess29$13,594$469
Creon20$9,133$457
Colesevelam11$3,044$277
Sucralfate14$2,901$207
Tenofovir Disoproxil13$2,133$164
Suprep18$1,840$102
Esomeprazole Magnesium12$1,561$130
Lamivudine Hbv12$1,444$120
Loperamide35$1,406$40
Ursodiol18$1,364$76
Omeprazole57$767$13
Lactulose14$710$51
Lansoprazole20$669$33
Pantoprazole56$631$11
Dicyclomine17$596$35
Spironolactone32$508$16
Famotidine18$340$19
Peg-3350 and Electrolytes22$305$14
Acetaminophen-Codeine12$214$18
Propranolol18$204$11
Golytely15$193$13
Furosemide11$66$6
Clonazepam11$58$5

2020: 19 drugs

Part D drugs prescribed in 2020
Xifaxan27$61,943$2,294
Linzess38$17,585$463
Creon25$10,150$406
Ursodiol18$2,770$154
Tenofovir Disoproxil21$2,549$121
Esomeprazole Magnesium15$1,935$129
Lamivudine Hbv12$1,444$120
Dicyclomine26$916$35
Lactulose16$811$51
Entecavir17$624$37
Famotidine20$561$28
Pantoprazole61$507$8
Peg-3350 and Electrolytes29$385$13
Spironolactone32$385$12
Loperamide15$367$24
Omeprazole40$335$8
Gavilyte-G13$195$15
Lorazepam12$177$15
Propranolol14$161$12

2019: 22 drugs

Part D drugs prescribed in 2019
Humira13$61,256$4,712
Xifaxan27$61,071$2,262
Creon40$17,330$433
Linzess26$11,340$436
Ursodiol22$6,629$301
Tenofovir Disoproxil30$3,690$123
Meperidine12$1,965$164
Lamivudine Hbv13$1,623$125
Esomeprazole Magnesium36$1,608$45
Entecavir15$734$49
Dicyclomine34$714$21
Calcitriol12$691$58
Peg-3350 and Electrolytes51$683$13
Pantoprazole57$457$8
Omeprazole59$333$6
Proctozone-Hc12$288$24
Hydrocortisone12$278$23
Famotidine11$248$23
Propranolol16$245$15
Spironolactone16$168$11
Gavilyte-G11$165$15
Lorazepam12$163$14

2018: 21 drugs

Part D drugs prescribed in 2018
Humira12$71,858$5,988
Xifaxan20$39,652$1,983
Linzess34$16,635$489
Creon31$15,579$503
Ursodiol13$12,321$948
Viread15$10,269$685
Tenofovir Disoproxil21$5,209$248
Lamivudine Hbv12$3,879$323
Mercaptopurine11$3,498$318
Entecavir22$3,265$148
Meperidine13$3,098$238
Esomeprazole Magnesium23$2,410$105
Peg-3350 and Electrolytes46$597$13
Pantoprazole60$590$10
Omeprazole67$572$9
Calcitriol11$468$43
Gavilyte-G17$253$15
Dicyclomine26$224$9
Ranitidine17$164$10
Zolpidem13$94$7
Lorazepam16$70$4

2017: 21 drugs

Part D drugs prescribed in 2017
Humira19$115,468$6,077
Viread30$29,994$1,000
Xifaxan14$25,151$1,797
Creon31$14,673$473
Linzess23$10,349$450
Nexium13$9,682$745
Lialda11$8,396$763
Amitiza13$5,664$436
Lamivudine Hbv12$4,127$344
Entecavir13$3,666$282
Meperidine14$3,325$237
Esomeprazole Magnesium21$2,336$111
Pantoprazole76$826$11
Peg-3350 and Electrolytes36$464$13
Omeprazole39$401$10
Dicyclomine35$240$7
Promethazine11$215$20
Gavilyte-G11$171$16
Ranitidine14$142$10
Zolpidem13$84$6
Lorazepam14$59$4

2016: 25 drugs

Part D drugs prescribed in 2016
Humira30$198,249$6,608
Viread31$31,283$1,009
Xifaxan16$27,164$1,698
Ursodiol12$14,007$1,167
Creon32$11,558$361
Linzess25$10,018$401
Entecavir13$9,678$744
Nexium12$8,581$715
Lialda11$7,941$722
Lamivudine Hbv12$4,245$354
Meperidine13$3,172$244
Mercaptopurine23$1,039$45
Esomeprazole Magnesium11$904$82
Pantoprazole49$457$9
Omeprazole56$401$7
Sulfasalazine20$307$15
Spironolactone14$203$15
Gavilyte-G13$196$15
Ranitidine19$169$9
Gabapentin21$137$7
Dicyclomine16$108$7
Sertraline13$62$5
Lorazepam14$56$4
Furosemide15$25$2
Zolpidem13$17$1

2015: 20 drugs

Part D drugs prescribed in 2015
Viread32$27,672$865
Xifaxan16$22,682$1,418
Entecavir17$16,541$973
Nexium17$11,216$660
Ursodiol11$9,681$880
Creon29$7,596$262
Lialda11$7,421$675
Linzess21$5,243$250
Lamivudine Hbv14$4,952$354
Esomeprazole Magnesium12$4,735$395
Meperidine13$2,060$158
Mercaptopurine12$935$78
Omeprazole79$633$8
Pantoprazole28$286$10
Peg 3350-Electrolyte25$251$10
Propranolol14$216$15
Dicyclomine33$193$6
Ranitidine16$113$7
Clonazepam18$85$5
Lorazepam11$49$4

2014: 15 drugs

Part D drugs prescribed in 2014
Viread27$23,257$861
Nexium36$21,397$594
Xifaxan12$16,363$1,364
Baraclude12$13,965$1,164
Creon22$5,983$272
Epivir Hbv12$4,487$374
Omeprazole70$1,013$14
Meperidine13$963$74
Pantoprazole32$340$11
Peg 3350-Electrolyte23$249$11
Ranitidine16$127$8
Dicyclomine16$121$8
Clonazepam15$113$8
Propranolol20$82$4
Furosemide19$71$4

2013: 13 drugs

Part D drugs prescribed in 2013
Baraclude21$20,859$993
Nexium39$14,536$373
Creon20$7,734$387
Omeprazole98$1,848$19
Pantoprazole25$694$28
Meperitab12$562$47
Peg-3350 and Electrolytes12$197$16
Peg 3350-Electrolyte14$178$13
Clonazepam15$95$6
Zolpidem14$91$6
Furosemide14$79$6
Propranolol13$62$5
Ciprofloxacin12$51$4

Money from drug and device companies

$31 in 2023

A payment is not proof that care is biased.

Payments by company
Erbe USAErbe Vio3$31
1 payment
  • Meals for Erbe Vio3 · 2023-06-29 · $31
See the published payment
Every published payment
Erbe USAMeals · 2023-06-29Erbe Vio3$31

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1144299926
Licence
CA G75546California G75546: Current · expires 2028-10-31
Trained
Perelman School of Med at the University of Pennsylvania, 1991
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00G755460
Taxonomy
Federal specialty code 207RE0101X (207RE0101X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-03-15
NPI last updated
2007-09-11

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