Skip to main content
UniHealth

Doctor search

Prince Shah, MD

Gastroenterology · Gilroy

NPI 1174632251

Medicare standing
1 flag on the record
Listed below.
Plans that list them
24
6 carriers
Office
1

On the public record

  • Owns Morgan Hill Surgery Center, LP: Accreditation Lapsed

Offices

1 location

Looking this up.

Hospitals listed: Hazel Hawkins Memorial Hospital · Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

24 plans · 6 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Shah’s office at (408) 848-8336 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

24 of 24 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
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 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 A64458 · Current

Licensed to practise in California · since 1998 · expires 2028-02-29 · University of Calcutta Medical College.

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

Surgery centers they own

  • Morgan Hill Surgery Center, LPAmbulatory Surgery Center · Morgan Hill, CA4.91% owner · accredited by AAAHC
    Accreditation Lapsed1 inspection · last 2012-08-03
  • Gilroy Endoscopy Center, LPAmbulatory Surgery Center · Gilroy, CAOwner · accredited by JC
    Accreditation Renewed1 inspection, 1 with deficiencies · last 2013-07-08: Requirements Met

Hospitals they work in

2 hospitals

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

  • Hazel Hawkins Memorial HospitalHollister, CACritical Access Hospital · Government - Hospital District or Authority · Has an emergency department
    No overall ratingNo measure marked better or worse than 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 Hazel Hawkins Memorial Hospital

Behind the star rating — Readmissions: 0 better, 2 the same, 0 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Hazel Hawkins Memorial Hospital
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (9.6 to 17.1) · 409 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 43 casesNo differentJan 2024 – Dec 2024
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

$82,678

Medicare paid this office $82,678 for 258 people.

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

Largest Original Medicare bills
Return visit (30+ min)113$18,204$111
Removal of polyps or growths of large bowel using an endoscope with mechanical snare44$8,311$189
Initial hospital care with moderate level of medical decision making at least 75 minutes31$4,488$140
New patient visit (45+ min)34$4,346$128
Short return visit (20+ min)48$4,185$79
See all 12 services
Every Original Medicare service billed
Return visit (30+ min)113$18,204$111
Removal of polyps or growths of large bowel using an endoscope with mechanical snare44$8,311$189
Initial hospital care with moderate level of medical decision making at least 75 minutes31$4,488$140
New patient visit (45+ min)34$4,346$128
Short return visit (20+ min)48$4,185$79
Critical care, first 30-74 minutes22$3,821$166
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope58$3,775$63
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$2,237$70
New patient visit (30+ min)26$2,060$79
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$2,060$114
Biopsy of large bowel using a flexible endoscope50$1,950$38
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 monito15$61$4

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy130More than 86% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux96More than 76% of doctors who do this

Who their Medicare patients are

258 Original Medicare patients in 2024. Average age 74 · Under 65 5% · 85 and older 12% · Women 56% · Also on Medicaid 18% · Health risk score 1.79. Above the middle of the specialty; the typical gastroenterology clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 39% · Coronary heart disease 34% · Chronic kidney disease 26% · Atrial fibrillation 21% · Depression 21% · COPD 20% · Heart failure 19% · Cancer 17% · Dementia 11% · Stroke 10%.

The office billed $602,288, Medicare allowed $112,545 and paid $82,678; for 699 services of 44 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
2024258699741.79$602,288$82,678
2023319983741.55$911,749$127,498
20223771,052731.53$923,705$124,225
20213621,188741.41$1,030,811$140,201
2020244885731.69$778,657$101,169
2019230763731.70$675,651$83,216
2018248845731.52$744,760$89,550
2017275930731.72$812,469$98,945
20163261,046731.47$1,077,973$130,703
20153441,249731.41$1,161,955$158,377
20143431,310721.34$1,318,483$178,855
20133161,183721.39$1,133,502$165,559

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: 16 services

Original Medicare services billed in 2023
Return visit (30+ min)119$19,904$120
Imaging of digestive tract done from the inside of the digestive tract21$18,356$834
Removal of polyps or growths of large bowel using an endoscope with mechanical snare57$9,930$171
Critical care, first 30-74 minutes29$7,838$182
New patient visit (45+ min)53$7,259$137
Short return visit (20+ min)68$5,939$77
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes49$5,672$103
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope81$4,512$53
Removal of large bowel tissue using a flexible endoscope17$4,376$257
Initial hospital care with moderate level of medical decision making at least 75 minutes23$3,518$153
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$3,131$73
Biopsy of large bowel using a flexible endoscope60$2,988$49
Insertion of guide wire with dilation of esophagus using a flexible endoscope18$2,517$126
New patient visit (30+ min)29$2,042$70
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm11$1,254$90
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 monito49$232$5

2022: 20 services

Original Medicare services billed in 2022
Return visit (30+ min)121$15,305$103
New patient visit (45+ min)107$15,283$143
Removal of polyps or growths of large bowel using an endoscope with mechanical snare54$8,624$157
Short return visit (20+ min)82$8,079$82
Removal of large bowel tissue using a flexible endoscope22$5,920$269
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes44$5,473$116
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope76$5,093$64
Initial hospital care with moderate level of medical decision making at least 75 minutes22$4,043$168
Biopsy of large bowel using a flexible endoscope62$3,555$57
Critical care, first 30-74 minutes16$3,276$182
New patient visit (30+ min)35$3,043$87
Insertion of guide wire with dilation of esophagus using a flexible endoscope17$2,433$143
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$2,226$64
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk11$2,089$190
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope11$1,617$135
Diagnostic exam of anus using an endoscope11$1,357$123
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope13$1,288$99
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$551$34
Review by radiologist of image from tube placement into bile and pancreatic duct using an endoscope14$486$27
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 monito62$263$4

2021: 18 services

Original Medicare services billed in 2021
New patient visit (45+ min)132$18,313$139
Return visit (30+ min)123$18,139$108
Imaging of digestive tract done from the inside of the digestive tract14$12,564$897
Removal of large bowel tissue using a flexible endoscope30$8,710$290
Short return visit (20+ min)88$8,024$78
Removal of polyps or growths of large bowel using an endoscope with mechanical snare47$7,551$157
Biopsy of large bowel using a flexible endoscope82$7,212$88
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope103$6,350$60
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes54$6,125$111
Initial hospital care with moderate level of medical decision making at least 75 minutes26$4,768$170
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes37$3,384$62
Insertion of guide wire with dilation of esophagus using a flexible endoscope27$3,049$113
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk11$2,239$204
New patient visit (30+ min)24$1,814$76
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope11$1,638$149
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes26$1,031$31
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 monito77$358$5
Injection beneath lining of large bowel using a flexible endoscope12$330$28

2020: 16 services

Original Medicare services billed in 2020
Return visit (30+ min)127$16,456$87
Imaging of digestive tract done from the inside of the digestive tract12$10,739$895
Removal of large bowel tissue using a flexible endoscope31$9,734$295
New patient visit (45+ min)50$6,806$136
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes52$6,627$116
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$5,047$64
Removal of polyps or growths of large bowel using an endoscope with mechanical snare38$4,487$112
Short return visit (20+ min)53$3,886$62
Tying of multiple internal hemorrhoid groups11$3,569$324
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope66$3,423$50
Biopsy of large bowel using a flexible endoscope47$3,366$69
Critical care, first 30-74 minutes15$2,705$180
Initial hospital care with moderate level of medical decision making at least 75 minutes15$2,516$168
Insertion of guide wire with dilation of esophagus using a flexible endoscope22$2,286$99
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes17$793$34
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 monito21$104$5

2019: 16 services

Original Medicare services billed in 2019
Return visit (30+ min)122$15,453$89
New patient visit (45+ min)44$5,586$127
Removal of polyps or growths of large bowel using an endoscope with mechanical snare31$5,360$167
Critical care, first 30-74 minutes28$5,230$174
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes35$4,273$104
Removal of large bowel tissue using a flexible endoscope12$3,504$292
Biopsy of large bowel using a flexible endoscope47$3,387$69
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope62$3,093$46
Short return visit (20+ min)38$2,862$67
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope12$2,369$158
Tying of multiple internal hemorrhoid groups14$2,232$159
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$2,024$61
Insertion of guide wire with dilation of esophagus using a flexible endoscope19$2,017$92
Diagnostic exam of large bowel using a flexible endoscope11$1,783$162
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope13$1,217$94
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 monito47$198$4

2018: 13 services

Original Medicare services billed in 2018
Return visit (30+ min)112$12,957$83
Critical care, first 30-74 minutes56$11,852$165
Removal of polyps or growths of large bowel using an endoscope with mechanical snare43$8,415$191
New patient visit (45+ min)37$4,372$118
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope62$4,159$64
Insertion of guide wire with dilation of esophagus using a flexible endoscope30$4,139$106
Short return visit (20+ min)59$3,879$58
Biopsy of large bowel using a flexible endoscope54$3,703$67
Tying of multiple internal hemorrhoid groups18$2,848$158
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$2,535$60
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope13$2,091$161
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$2,027$113
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 monito64$306$4

2017: 15 services

Original Medicare services billed in 2017
Critical care, first 30-74 minutes79$21,374$172
Return visit (30+ min)119$12,862$84
Removal of polyps or growths of large bowel using an endoscope with mechanical snare37$7,610$206
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope69$4,532$62
Long return visit (40+ min)33$3,821$109
New patient visit (45+ min)31$3,514$113
Biopsy of large bowel using a flexible endoscope58$3,463$60
Tying of multiple internal hemorrhoid groups23$3,454$150
Short return visit (20+ min)58$3,385$55
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope12$2,398$171
Insertion of guide wire with dilation of esophagus using a flexible endoscope18$2,092$110
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$2,058$59
Diagnostic exam of anus using an endoscope15$1,349$79
New patient visit (30+ min)12$709$59
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 monito71$328$4

2016: 17 services

Original Medicare services billed in 2016
Imaging of digestive tract done from the inside of the digestive tract20$16,934$847
Return visit (30+ min)131$15,374$84
Removal of polyps or growths of large bowel using an endoscope with mechanical snare68$12,219$175
New patient visit (45+ min)96$11,989$125
Critical care, first 30-74 minutes39$8,885$171
New patient visit (60+ min)39$6,488$166
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope109$6,078$55
Biopsy of large bowel using a flexible endoscope91$5,886$63
Short return visit (20+ min)88$5,530$58
Removal of large bowel tissue using a flexible endoscope16$4,852$285
Insertion of guide wire with dilation of esophagus using a flexible endoscope35$4,373$118
Destruction of internal hemorrhoids using heat17$4,226$176
Long return visit (40+ min)30$3,745$117
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk17$3,190$188
Diagnostic exam of large bowel using a flexible endoscope18$2,633$146
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,197$60
New patient visit (30+ min)11$721$66

2015: 17 services

Original Medicare services billed in 2015
Return visit (30+ min)137$19,371$89
Critical care, first 30-74 minutes55$16,031$178
New patient visit (45+ min)111$15,058$136
Removal of polyps or growths of large bowel using an endoscope with mechanical snare53$12,240$231
Biopsy of large bowel using a flexible endoscope88$11,524$128
Long return visit (40+ min)69$11,048$124
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope123$7,644$58
Short return visit (20+ min)108$7,391$60
New patient visit (60+ min)40$6,787$170
Insertion of guide wire with dilation of esophagus using a flexible endoscope35$4,675$117
Destruction of internal hemorrhoids using heat18$4,153$181
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk15$3,278$219
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope15$1,598$107
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$1,476$61
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm14$1,359$97
New patient visit (30+ min)12$947$79
Injection beneath lining of large bowel using a flexible endoscope20$491$25

2014: 20 services

Original Medicare services billed in 2014
Removal of polyps or growths of large bowel using an endoscope with mechanical snare79$19,144$239
Return visit (30+ min)145$18,979$87
Imaging of digestive tract done from the inside of the digestive tract18$15,650$869
Critical care, first 30-74 minutes57$14,743$182
New patient visit (45+ min)93$12,398$133
Removal of external hemorrhoids by rubber banding16$11,134$237
Biopsy of large bowel using a flexible endoscope105$9,731$91
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope135$8,862$62
Short return visit (20+ min)118$8,609$61
New patient visit (60+ min)39$6,692$172
Long return visit (40+ min)42$5,351$122
Destruction of internal hemorrhoids using heat12$3,692$185
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm27$3,227$115
Control of bleeding of upper large bowel using a flexible endoscope12$3,156$263
Insertion of guide wire with dilation of esophagus using a flexible endoscope21$2,790$127
Diagnostic exam of large bowel using a flexible endoscope15$2,590$173
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$2,175$155
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$2,008$61
New patient visit (30+ min)12$1,071$89
Injection beneath lining of large bowel using a flexible endoscope14$372$25

2013: 19 services

Original Medicare services billed in 2013
Return visit (30+ min)125$18,048$89
Imaging of digestive tract done from the inside of the digestive tract19$17,456$919
Removal of polyps or growths of large bowel using an endoscope with mechanical snare65$16,125$241
New patient visit (45+ min)105$14,109$134
Critical care, first 30-74 minutes49$13,359$178
Removal of external hemorrhoids by rubber banding19$11,908$243
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope110$8,701$72
Short return visit (20+ min)114$8,629$60
Biopsy of large bowel using a flexible endoscope85$8,310$97
Destruction of internal hemorrhoids using heat12$4,674$195
New patient visit (60+ min)28$4,597$164
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope15$3,465$231
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm24$3,304$114
Diagnostic exam of large bowel using a flexible endoscope16$3,012$177
Long return visit (40+ min)21$2,923$117
Insertion of guide wire with dilation of esophagus using a flexible endoscope16$2,208$123
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes23$1,770$59
New patient visit (30+ min)13$957$74
Injection beneath lining of large bowel using a flexible endoscope17$558$29

Medicaid work

$615 in 2023

Medicaid paid $615 for 13 billed services this clinician did in 2023, up to 13 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 2023
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES13$615
Medicaid work by year
202313113$615
201816113$917
See the largest Medicaid services in earlier years

2018

Largest Medicaid services in 2018
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes16$917

Drugs they prescribed that Part D paid

$300,034

Pharmacies billed $300,034 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 627) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.

519 generic and 108 brand-name prescriptions · $300,034 in drug cost · 22 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
Rinvoq11$105,415$9,583
Linzess23$18,331$797
Vemlidy11$15,275$1,389
Trulance13$7,716$594
Ursodiol37$4,469$121
See all 17 drugs
Every Part D drug this clinician prescribed
Rinvoq11$105,415$9,583
Linzess23$18,331$797
Vemlidy11$15,275$1,389
Trulance13$7,716$594
Ursodiol37$4,469$121
Mesalamine Er23$4,189$182
Omeprazole175$2,737$16
Sutab11$1,781$162
Sod Sulf-Potass Sulf-Mag Sulf23$1,528$66
Pantoprazole49$894$18
Mercaptopurine13$842$65
Spironolactone13$250$19
Lactulose12$230$19
Famotidine16$204$13
Furosemide25$138$6
Propranolol12$73$6
Metoclopramide24$70$3

Year by year

Part D prescribing by year
20246271700% (0)17%$300,034
20237722400% (0)None$593,821
2022769229NoneNone$304,214
20218322590% (0)None$216,760
20206371790% (0)33%$235,009
20196271690% (0)35%$153,830
20187391730% (0)None$381,196
2017866184None26%$221,752
20161,134266NoneNone$360,231
20151,046234NoneNone$424,367
2014964215NoneNone$154,029
2013742168NoneNone$114,467

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

See the drugs prescribed each year

2023: 18 drugs

Part D drugs prescribed in 2023
Creon21$64,379$3,066
Xifaxan16$60,129$3,758
Linzess20$21,126$1,056
Sutab49$8,285$169
Mesalamine Er15$8,158$544
Trulance12$8,015$668
Entecavir18$5,088$283
Ursodiol28$4,098$146
Omeprazole212$4,078$19
Apriso11$2,932$267
Pantoprazole45$1,699$38
Sod Sulf-Potass Sulf-Mag Sulf18$1,114$62
Spironolactone25$799$32
Gavilyte-G33$540$16
Mercaptopurine11$424$39
Famotidine17$313$18
Metoclopramide31$265$9
Furosemide22$215$10

2022: 23 drugs

Part D drugs prescribed in 2022
Xifaxan19$56,451$2,971
Creon12$41,382$3,448
Linzess26$21,789$838
Entecavir12$12,000$1,000
Trulance13$7,032$541
Sutab30$4,759$159
Suprep39$4,640$119
Omeprazole221$4,185$19
Ursodiol12$3,436$286
Colestipol30$3,358$112
Apriso12$2,915$243
Pantoprazole50$967$19
Spironolactone34$899$26
Mercaptopurine12$548$46
Enulose12$359$30
Famotidine18$288$16
Dicyclomine17$274$16
Peg-3350 and Electrolytes16$265$17
Gavilyte-G22$216$10
Furosemide25$202$8
Propranolol13$178$14
Metoclopramide27$121$4
Folic Acid12$43$4

2021: 19 drugs

Part D drugs prescribed in 2021
Xifaxan22$63,638$2,893
Creon21$53,034$2,525
Linzess30$18,678$623
Suprep109$11,968$110
Mesalamine Er11$11,010$1,001
Lubiprostone14$4,821$344
Omeprazole239$3,580$15
Apriso12$2,919$243
Colestipol22$1,874$85
Pantoprazole60$1,112$19
Sulfasalazine15$1,094$73
Ondansetron Odt21$831$40
Spironolactone22$604$27
Entecavir12$578$48
Mercaptopurine12$563$47
Propranolol23$355$15
Metoclopramide23$197$9
Famotidine12$188$16
Furosemide20$100$5

2020: 17 drugs

Part D drugs prescribed in 2020
Xifaxan26$68,014$2,616
Linzess33$23,502$712
Suprep70$7,284$104
Budesonide Ec11$6,603$600
Ursodiol20$5,654$283
Amitiza14$5,488$392
Apriso12$2,943$245
Omeprazole176$2,849$16
Colestipol13$1,421$109
Pantoprazole68$935$14
Entecavir11$865$79
Mercaptopurine12$600$50
Spironolactone14$442$32
Propranolol16$426$27
Metoclopramide19$172$9
Peg 3350-Electrolyte11$155$14
Furosemide21$123$6

2019: 14 drugs

Part D drugs prescribed in 2019
Xifaxan30$73,097$2,437
Apriso23$16,041$697
Linzess20$13,396$670
Suprep86$8,412$98
Budesonide Ec16$8,162$510
Amitiza19$6,992$368
Omeprazole183$3,789$21
Ursodiol11$3,325$302
Pantoprazole61$1,121$18
Entecavir13$1,006$77
Mercaptopurine14$775$55
Polyethylene Glycol 335014$415$30
Spironolactone20$316$16
Propranolol14$205$15

2018: 17 drugs

Part D drugs prescribed in 2018
Xifaxan38$87,589$2,305
Apriso11$10,584$962
Linzess22$8,813$401
Budesonide Ec21$7,416$353
Suprep69$6,403$93
Ursodiol18$6,206$345
Amitiza15$5,991$399
Omeprazole247$3,916$16
Mesalamine11$3,270$297
Entecavir11$2,185$199
Colestipol17$1,710$101
Mercaptopurine19$1,200$63
Polyethylene Glycol 335042$936$22
Pantoprazole41$755$18
Spironolactone22$484$22
Prednisone13$380$29
Propranolol24$235$10

2017: 19 drugs

Part D drugs prescribed in 2017
Xifaxan25$50,332$2,013
Apriso25$15,156$606
Linzess24$11,669$486
Budesonide Ec12$7,733$644
Suprep71$6,337$89
Amitiza15$5,606$374
Ursodiol13$3,960$305
Omeprazole341$3,777$11
Mercaptopurine24$2,062$86
Sulfasalazine19$1,720$91
Polyethylene Glycol 335039$704$18
Pantoprazole40$574$14
Propranolol41$508$12
Hyoscyamine Sulfate15$486$32
Prednisone17$437$26
Lactulose14$228$16
Spironolactone20$174$9
Metoclopramide12$57$5
Furosemide11$13$1

2016: 19 drugs

Part D drugs prescribed in 2016
Xifaxan15$27,165$1,811
Linzess36$13,631$379
Suprep147$12,353$84
Budesonide Ec15$12,111$807
Apriso19$11,072$583
Ursodiol22$8,553$389
Lialda13$6,748$519
Amitiza17$5,976$352
Dexilant16$5,634$352
Omeprazole465$4,845$10
Polyethylene Glycol 335052$1,304$25
Constulose15$1,175$78
Sulfasalazine15$1,053$70
Mercaptopurine17$768$45
Propranolol26$479$18
Pantoprazole31$369$12
Lactulose24$270$11
Metoclopramide24$123$5
Prednisone17$91$5

2015: 22 drugs

Part D drugs prescribed in 2015
Xifaxan31$50,027$1,614
Apriso19$12,065$635
Linzess35$10,111$289
Suprep111$8,993$81
Amitiza24$8,197$342
Nexium14$5,398$386
Lialda12$5,380$448
Omeprazole348$4,074$12
Carafate11$3,202$291
Dexilant11$3,182$289
Mercaptopurine14$1,225$87
Constulose15$961$64
Polyethylene Glycol 335056$937$17
Lactulose28$732$26
Spironolactone20$596$30
Pantoprazole42$546$13
Propranolol25$378$15
Lansoprazole11$362$33
Calcitriol13$305$23
Furosemide19$142$7
Levothyroxine12$131$11
Metoclopramide21$108$5

2014: 21 drugs

Part D drugs prescribed in 2014
Xifaxan48$66,751$1,391
Amitiza43$12,497$291
Nexium16$8,502$531
Suprep95$7,668$81
Lialda14$6,649$475
Dexilant16$4,062$254
Linzess14$3,591$257
Omeprazole278$3,039$11
Carafate13$1,819$140
Calcitriol38$1,210$32
Clarithromycin14$1,051$75
Polyethylene Glycol 335037$973$26
Rabeprazole12$787$66
Mercaptopurine15$784$52
Lactulose27$609$23
Pantoprazole56$582$10
Spironolactone24$449$19
Furosemide19$193$10
Metoclopramide24$145$6
Propranolol14$127$9
Amoxicillin12$106$9

2013: 14 drugs

Part D drugs prescribed in 2013
Xifaxan45$58,981$1,311
Nexium20$7,298$365
Suprep88$6,357$72
Amitiza18$4,737$263
Dexilant18$3,434$191
Omeprazole160$2,273$14
Calcitriol52$1,644$32
Polyethylene Glycol 335040$1,048$26
Spironolactone29$780$27
Pantoprazole33$586$18
Lactulose31$463$15
Propranolol32$289$9
Furosemide23$146$6
Metoclopramide15$100$7

Money from drug and device companies

$5,069 in 2025

Industry payments by year
2025915None$5,069
2024511$1,030$1,264
2023512$515$790
2022420$6,438$7,042
202011None$16
2019715$35$284

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

A payment is not proof that care is biased.

Payments by company
Intuitive SurgicalDa Vinci Surgical System$4,782
2 payments
  • Education for Da Vinci Surgical System · 2025-09-19 · $4,750
  • Meals for Da Vinci Surgical System · 2025-09-10 · $32
AbbvieCreon$66
3 payments
  • Meals for Creon · 2025-10-08 · $15
  • Meals for Creon · 2025-05-16 · $35
  • Meals for Linzess · 2025-04-23 · $16
PfizerVelsipity$62
3 payments
  • Meals for Velsipity · 2025-12-06 · $23
  • Meals for Velsipity · 2025-10-24 · $24
  • Meals for Xeljanz · 2025-03-03 · $15
Takeda Pharmaceuticals U.S.A.Entyvio$51
1 payment
  • Meals for Entyvio · 2025-05-05 · $51
Lilly USAOmvoh$32
1 payment
  • Meals for Omvoh · 2025-02-03 · $32
Salix Pharmaceuticals a division of Bausch Health USXifaxan$24
1 payment
  • Meals for Xifaxan · 2025-09-22 · $24
See all 15 published payments
Every published payment
PfizerMeals · 2025-12-06Velsipity$23
Azurity PharmaceuticalsMeals · 2025-11-11Sutab$18
Phathom PharmaceuticalsMeals · 2025-10-31Voquezna$17
Phathom PharmaceuticalsMeals · 2025-10-30Voquezna$3
PfizerMeals · 2025-10-24Velsipity$24
AbbvieMeals · 2025-10-08Creon$15
ConmedMeals · 2025-10-04Conmed Biliary$14
Salix Pharmaceuticals a division of Bausch Health USMeals · 2025-09-22Xifaxan$24
Intuitive SurgicalEducation · 2025-09-19Da Vinci Surgical System$4,750
Intuitive SurgicalMeals · 2025-09-10Da Vinci Surgical System$32
AbbvieMeals · 2025-05-16Creon$35
Takeda Pharmaceuticals U.S.A.Meals · 2025-05-05Entyvio$51
AbbvieMeals · 2025-04-23Linzess$16
PfizerMeals · 2025-03-03Xeljanz$15
Lilly USAMeals · 2025-02-03Omvoh$32
See earlier years (2024, 2023, 2022, 2020, 2019)

2024: $1,264

Payments by company in 2024
MedtronicPillcam$1,030
1 payment
  • Consulting for Pillcam · 2024-10-16 · $1,030
PfizerXeljanz$134
6 payments
  • Meals for Xeljanz · 2024-11-26 · $38
  • Meals for Xeljanz · 2024-11-08 · $31
  • Meals for Xeljanz · 2024-10-15 · $7
  • Meals for Xeljanz · 2024-08-28 · $15
  • Education for Velsipity · 2024-07-17 · $30
  • Meals for Xeljanz · 2024-06-04 · $13
AbbvieLinzess$53
2 payments
  • Meals for Linzess · 2024-07-12 · $21
  • Meals for Linzess · 2024-04-24 · $32
Lilly USAOmvoh$31
1 payment
  • Meals for Omvoh · 2024-11-12 · $31
Phathom PharmaceuticalsVoquezna$15
1 payment
  • Meals for Voquezna · 2024-05-07 · $15

2023: $790

Payments by company in 2023
MedtronicPillcam$515
1 payment
  • Consulting for Pillcam · 2023-11-02 · $515
AbbVieLinzess$231
8 payments
  • Meals for Mavyret · 2023-11-14 · $19
  • Meals for Mavyret · 2023-10-31 · $20
  • Meals for Linzess · 2023-10-22 · $99
  • Meals for Rinvoq · 2023-08-21 · $19
  • Meals for Mavyret · 2023-05-24 · $14
  • Meals for Mavyret · 2023-04-11 · $19
  • Meals for Linzess · 2023-03-29 · $24
  • Meals for Mavyret · 2023-02-28 · $17
Boston ScientificCre Pro$15
1 payment
  • Meals for Cre Pro · 2023-02-22 · $15
Merck Sharp & DohmeDificid$15
1 payment
  • Meals for Dificid · 2023-01-20 · $15
ArdelyxIbsrela$14
1 payment
  • Meals for Ibsrela · 2023-02-01 · $14

2022: $7,042

Payments by company in 2022
MedtronicPillcam$6,908
16 payments
  • Consulting · 2022-09-30 · $3,605
  • Travel for Pillcam · 2022-09-20 · $110
  • Meals for Pillcam · 2022-09-20 · $36
  • Meals for Pillcam · 2022-09-20 · $20
  • Meals for Pillcam · 2022-09-20 · $24
  • Meals for Pillcam · 2022-09-20 · $45
  • Meals for Pillcam · 2022-09-20 · $38
  • Meals for Pillcam · 2022-09-20 · $20
  • Meals for Pillcam · 2022-09-20 · $61
  • Meals for Pillcam · 2022-09-13 · $30
  • Meals for Pillcam · 2022-09-13 · $87
  • Consulting · 2022-09-02 · $515
  • Consulting · 2022-07-20 · $1,030
  • Consulting · 2022-04-28 · $515
  • Consulting · 2022-03-30 · $258
  • Consulting · 2022-03-30 · $515
Boston ScientificExalt Model D$77
1 payment
  • Meals for Exalt Model D · 2022-09-21 · $77
AbbvieMavyret$37
2 payments
  • Meals for Mavyret · 2022-04-13 · $19
  • Meals for Viberzi · 2022-02-09 · $18
VivusPancreaze$20
1 payment
  • Meals for Pancreaze · 2022-02-25 · $20

2020: $16

Payments by company in 2020
AbbVieMavyret$16
1 payment
  • Meals for Mavyret · 2020-09-25 · $16

2019: $284

Payments by company in 2019
AbbVieMavyret$81
4 payments
  • Meals for Creon · 2019-10-25 · $23
  • Meals for Mavyret · 2019-07-31 · $21
  • Meals for Mavyret · 2019-05-01 · $20
  • Meals for Mavyret · 2019-02-26 · $17
Takeda Pharmaceuticals U.S.A.Entyvio$58
5 payments
  • Meals for Entyvio · 2019-12-13 · $2
  • Meals for Entyvio · 2019-12-13 · $13
  • Meals for Entyvio · 2019-08-16 · $12
  • Meals for Entyvio · 2019-06-28 · $19
  • Meals for Entyvio · 2019-05-13 · $13
Braintree LaboratoriesSuprep Bowel Prep$53
1 payment
  • Gift for Suprep Bowel Prep · 2019-09-13 · $53
Intercept PharmaceuticalsOcaliva$35
2 payments
  • Consulting for Ocaliva · 2019-04-30 · $13
  • Consulting for Ocaliva · 2019-04-05 · $22
PfizerInflectra$23
1 payment
  • Meals for Inflectra · 2019-08-07 · $23
Merck Sharp & DohmeDificid$19
1 payment
  • Meals for Dificid · 2019-12-20 · $19
Ferring PharmaceuticalsClenpiq$14
1 payment
  • Meals for Clenpiq · 2019-05-15 · $14

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
1174632251
Licence
CA A64458California A64458: Current · expires 2028-02-29
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Medicaid ID
CA 00A644581
Taxonomy
Federal specialty code 207RG0100X (207RG0100X)
Mailing address
9460 N Name Uno, Ste. 130, Gilroy, CA, 95020
NPI first listed
2006-08-30
NPI last updated
2016-10-24

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