Richard I Ross, MD

Offices

1 location · Emergency Physicians of Orange County · 63 clinicians in this group

Looking this up.

Hospitals listed: Hoag Memorial Hospital Presbyterian. 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. Ross’s office at (949) 764-4624 to ask if they take your plan before you enroll.

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.

Hoag Memorial Hospital PresbyterianNewport Beach, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Hoag Memorial Hospital Presbyterian, which runs 2 hospitalsPatients rate it 4 of 5 · 84% would definitely recommend it
Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.5 (4 to 7.01) · 4,199 cases, Jul 2022 – Jun 2024Worse than the national rate — Postoperative acute kidney injury requiring dialysis rate: 2.98 (1.7 to 4.26) · 1,783 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.347, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.08, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.424, Oct 2024 – Sep 2025

See every measure and the patient survey for Hoag Memorial Hospital Presbyterian

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 4 better, 3 the same, 0 worse of 7 measures. Readmissions: 1 better, 9 the same, 0 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

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Every scored measure at Hoag Memorial Hospital Presbyterian

Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths	5.5 (4 to 7.01) · 4,199 cases	Worse	Jul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths	2.98 (1.7 to 4.26) · 1,783 cases	Worse	Jul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections	0.347	Better	Oct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections	0.08	Better	Oct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections	0.424	Better	Oct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths	1.38 (0.66 to 2.11) · 4,300 cases	No different	Jul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths	0.98 (0.77 to 1.2)	No different	Jul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths	177.94 (136.85 to 219.02) · 205 cases	No different	Jul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths	1.9 · 147 cases	None	Jul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths	6.9 · 181 cases	None	Jul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths	10 · 342 cases	None	Jul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths	11.2 · 935 cases	None	Jul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths	13.6 · 1,342 cases	None	Jul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths	12 · 640 cases	None	Jul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths	2.9 · 8,076 cases	None	Jul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths	0.16 (0 to 0.33) · 16,407 cases	No different	Jul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths	0.24 (0.07 to 0.4) · 17,438 cases	No different	Jul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths	2.53 (1.38 to 3.69) · 3,951 cases	No different	Jul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths	9.19 (5.21 to 13.18) · 1,671 cases	No different	Jul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths	3.57 (0.98 to 6.16) · 1,736 cases	No different	Jul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths	1.32 (0 to 2.65) · 1,305 cases	No different	Jul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths	0.32 (0 to 0.77) · 13,612 cases	No different	Jul 2022 – Jun 2024
MRSA BacteremiaInfections	0.746	No different	Oct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections	0.729	No different	Oct 2024 – Sep 2025
SSI - Colon SurgeryInfections	0.548	No different	Oct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits	12.6 · 439 cases	None	Jul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits	19.9 · 1,296 cases	None	Jul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits	-10.1 · 348 cases	None	Jul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits	-30.2 · 1,019 cases	None	Jul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits	-8.5 · 1,378 cases	None	Jul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits	15.9 · 1,534 cases	None	Jul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits	5.2 (4 to 6.6) · 628 cases	No different	Jan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits	9.9 (8.2 to 12) · 628 cases	No different	Jan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits	8.3 · 177 cases	None	Jul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits	18.4 · 285 cases	None	Jul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits	14.3 (11.1 to 18.3) · 1,096 cases	No different	Jan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits	0.9 (0.7 to 1.1) · 1,170 cases	No different	Jan 2024 – Dec 2024

What patients said (2,329 patients answered, 20% of those asked)

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Patient survey stars by topic at Hoag Memorial Hospital Presbyterian

Cleanliness	4
Nurse communication	4
Doctor communication	4
Communication about medicines	2
Discharge information	4
Overall hospital rating	4
Quietness	3
Recommend hospital	5

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Share of patients giving the best answer at Hoag Memorial Hospital Presbyterian

Room was "always" clean	77%
Nurses "always" communicated well	81%
Doctors "always" communicated well	81%
Staff "always" explained	59%
Yes, staff "did" give patients this information	87%
Yes, staff "did" give patients information about help after discharge	86%
Doctors "always" explained things so they could understand	75%
Doctors "always" listened carefully	80%
Doctors "always" treated them with courtesy and respect	87%
Patients who gave a rating of "9" or "10" (high)	81%
Staff "always" explained new medications	73%
Nurses "always" explained things so they could understand	75%
Nurses "always" listened carefully	78%
Nurses "always" treated them with courtesy and respect	88%
"Always" quiet at night	52%
"YES", patients would definitely recommend the hospital	84%
Staff "always" explained possible side effects	45%
Yes, staff "did" give patients information about possible symptoms	88%

Original Medicare doctor bills

$98,447

Medicare paid this office $98,447 for 593 people.

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

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Largest Original Medicare bills

Emergency department visit with high level of medical decision making	312	$46,620	$147
Critical care, first 30-74 minutes	182	$33,864	$183
Emergency department visit with moderate level of medical decision making	77	$7,941	$102
Initial hospital care with moderate level of medical decision making at least 75 minutes	17	$2,471	$145
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	219	$1,658	$7

See all 6 services

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Every Original Medicare service billed

Emergency department visit with high level of medical decision making	312	$46,620	$147
Critical care, first 30-74 minutes	182	$33,864	$183
Emergency department visit with moderate level of medical decision making	77	$7,941	$102
Initial hospital care with moderate level of medical decision making at least 75 minutes	17	$2,471	$145
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	219	$1,658	$7
Hospital discharge day management, more than 30 minutes	13	$1,309	$101

Who their Medicare patients are

593 Original Medicare patients in 2024. Average age 77 · Under 65 7% · 85 and older 23% · Women 55% · Also on Medicaid 25% · Health risk score 2.05. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Coronary heart disease 39% · Diabetes 37% · Chronic kidney disease 36% · Atrial fibrillation 31% · Depression 31% · Heart failure 28% · Cancer 24% · COPD 24% · Stroke 17% · Dementia 16%.

The office billed $783,138, Medicare allowed $123,178 and paid $98,447; for 907 services of 31 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

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Original Medicare by year

2024	593	907	77	2.05	$783,138	$98,447
2023	708	1,173	77	1.85	$988,251	$119,645
2022	604	999	78	1.91	$834,855	$105,235
2021	732	1,176	76	1.93	$1,006,120	$128,421
2020	527	864	77	2.06	$744,905	$95,386
2019	638	998	77	1.98	$825,960	$98,025
2018	503	790	77	2.22	$494,282	$73,344
2017	89	136	70	2.04	$72,594	$11,150

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: 6 services

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Original Medicare services billed in 2023

Emergency department visit with high level of medical decision making	395	$58,223	$143
Critical care, first 30-74 minutes	172	$31,520	$177
Emergency department visit with moderate level of medical decision making	95	$9,408	$99
Initial hospital care with moderate level of medical decision making at least 75 minutes	55	$7,867	$143
Hospital discharge day management, more than 30 minutes	45	$4,352	$97
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	297	$2,122	$7

2022: 6 services

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Original Medicare services billed in 2022

Emergency department visit with high level of medical decision making	313	$47,328	$149
Critical care, first 30-74 minutes	182	$34,782	$187
Initial hospital observation care per day, typically 70 minutes	48	$7,615	$155
Emergency department visit with moderate level of medical decision making	71	$7,039	$99
Hospital observation care on day of discharge	50	$3,128	$61
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	257	$1,969	$7

2021: 7 services

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Original Medicare services billed in 2021

Emergency department visit with high level of medical decision making	370	$57,116	$151
Critical care, first 30-74 minutes	204	$40,159	$192
Emergency department visit with moderate level of medical decision making	103	$11,011	$106
Initial hospital observation care per day, typically 70 minutes	54	$8,693	$155
Hospital observation care on day of discharge	40	$2,584	$63
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	286	$2,183	$7
Emergency department visit with low level of medical decision making	22	$1,281	$58

2020: 7 services

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Original Medicare services billed in 2020

Emergency department visit with high level of medical decision making	313	$49,802	$153
Critical care, first 30-74 minutes	136	$28,518	$207
Emergency department visit with moderate level of medical decision making	66	$6,560	$98
Initial hospital observation care per day, typically 70 minutes	21	$3,563	$170
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	220	$1,763	$7
Emergency department visit with low level of medical decision making	15	$834	$56
Hospital observation care on day of discharge	11	$697	$63

2019: 6 services

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Original Medicare services billed in 2019

Emergency department visit with high level of medical decision making	340	$49,238	$141
Critical care, first 30-74 minutes	134	$25,774	$187
Emergency department visit with moderate level of medical decision making	128	$12,588	$94
Initial hospital observation care per day, typically 70 minutes	17	$2,678	$158
Emergency department visit with low level of medical decision making	39	$1,986	$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	240	$1,879	$7

2018: 5 services

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Original Medicare services billed in 2018

Emergency department visit with high level of medical decision making	252	$35,694	$138
Critical care, first 30-74 minutes	100	$18,791	$182
Emergency department visit with moderate level of medical decision making	119	$11,067	$92
Emergency department visit with low level of medical decision making	37	$1,869	$49
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	196	$1,539	$7

2017: 3 services

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Original Medicare services billed in 2017

Emergency department visit with high level of medical decision making	36	$4,865	$135
Emergency department visit with moderate level of medical decision making	24	$2,254	$94
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	40	$290	$7

Medicaid work

$73,221 in 2024

Medicaid paid $73,221 for 1,665 billed services this clinician did in 2024, up to 42 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.

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Largest Medicaid services in 2024

EMERGENCY DEPARTMENT VISIT HIGH MDM	329	$29,577
Service	264	$20,438
EMERGENCY DEPT VISIT MOD MDM	236	$12,714
COMPREHENSIVE METABOLIC PANEL	286	$3,253
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes	19	$2,764
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count	270	$2,253
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	91	$1,139
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	39	$1,022
Service	14	$61
COLLECTION VENOUS BLOOD VENIPUNCTURE	117	$0

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Medicaid work by year

2024	1,665	10	42	$73,221
2023	916	11	44	$41,953
2022	496	3	35	$39,245
2021	543	3	30	$40,025
2020	272	3	26	$18,556
2019	426	4	25	$26,682
2018	309	4	21	$19,163

See the largest Medicaid services in earlier years

2023

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Largest Medicaid services in 2023

EMERGENCY DEPARTMENT VISIT HIGH MDM	262	$21,736
EMERGENCY DEPT VISIT MOD MDM	203	$9,648
Service	45	$3,055
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes	14	$1,930
COMPREHENSIVE METABOLIC PANEL	115	$1,273
Unlisted special service, procedure or report	17	$1,180
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	46	$962
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count	113	$926
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	75	$920
Radiologic examination, chest; single view	12	$182
Troponin, quantitative	14	$141

2022

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Largest Medicaid services in 2022

EMERGENCY DEPARTMENT VISIT HIGH MDM	275	$29,623
EMERGENCY DEPT VISIT MOD MDM	116	$8,010
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	105	$1,612

2021

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Largest Medicaid services in 2021

EMERGENCY DEPARTMENT VISIT HIGH MDM	289	$27,146
EMERGENCY DEPT VISIT MOD MDM	166	$11,715
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	88	$1,164

2020

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Largest Medicaid services in 2020

EMERGENCY DEPARTMENT VISIT HIGH MDM	212	$15,128
EMERGENCY DEPT VISIT MOD MDM	47	$3,267
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	13	$161

2019

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Largest Medicaid services in 2019

EMERGENCY DEPARTMENT VISIT HIGH MDM	174	$12,143
EMERGENCY DEPT VISIT MOD MDM	160	$11,237
EMERGENCY DEPT VISIT LOW MDM	62	$2,881
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	30	$421

2018

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Largest Medicaid services in 2018

EMERGENCY DEPARTMENT VISIT HIGH MDM	145	$9,957
EMERGENCY DEPT VISIT MOD MDM	98	$6,657
EMERGENCY DEPT VISIT LOW MDM	54	$2,408
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	12	$140

Drugs they prescribed that Part D paid

$14,963

Pharmacies billed $14,963 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 21% of their Part D prescriptions (79 of 377) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%.

347 generic and 30 brand-name prescriptions · $14,963 in drug cost · 83 antibiotic prescriptions to 76 people.

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.

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Largest Part D drug costs

Cefpodoxime Proxetil	19	$883	$44
Cephalexin	19	$167	$8
Amoxicillin-Clavulanate Potass	22	$131	$6
Ondansetron Odt	18	$129	$7
Oxycodone-Acetaminophen	22	$118	$5

See all 10 drugs

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Every Part D drug this clinician prescribed

Cefpodoxime Proxetil	19	$883	$44
Cephalexin	19	$167	$8
Amoxicillin-Clavulanate Potass	22	$131	$6
Ondansetron Odt	18	$129	$7
Oxycodone-Acetaminophen	22	$118	$5
Hydrocodone-Acetaminophen	18	$103	$6
Methylprednisolone	13	$69	$5
Meclizine	18	$61	$3
Tramadol	35	$58	$2
Prednisone	19	$42	$2

Year by year

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Part D prescribing by year

2024	377	277	21% (79)	8%	$14,963
2023	432	300	18% (77)	6%	$10,607
2022	360	247	21% (77)	None	$12,307
2021	392	284	25% (96)	5%	$8,678
2020	219	154	18% (40)	8%	$4,317
2019	345	237	19% (66)	10%	$6,260
2018	216	155	15% (33)	9%	$3,658
2017	92	68	None	12%	$2,197
2016	32	25	None	None	$824
2015	46	34	0% (0)	None	$785
2014	17	13	None	None	$210

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

See the drugs prescribed each year

2023: 11 drugs

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Part D drugs prescribed in 2023

Cephalexin	31	$361	$12
Ondansetron Odt	28	$176	$6
Methylprednisolone	16	$147	$9
Oxycodone-Acetaminophen	17	$111	$7
Amoxicillin-Clavulanate Potass	14	$102	$7
Ondansetron	17	$96	$6
Prednisone	17	$62	$4
Hydrocodone-Acetaminophen	21	$60	$3
Tramadol	28	$51	$2
Meclizine	11	$45	$4
Ibuprofen	11	$43	$4

2022: 10 drugs

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Part D drugs prescribed in 2022

Cefdinir	24	$559	$23
Albuterol Sulfate Hfa	12	$460	$38
Ondansetron Odt	36	$301	$8
Hydrocodone-Acetaminophen	40	$146	$4
Oxycodone-Acetaminophen	13	$102	$8
Amoxicillin-Clavulanate Potass	11	$73	$7
Meclizine	15	$55	$4
Prednisone	15	$40	$3
Naproxen	14	$38	$3
Tramadol	22	$38	$2

2021: 11 drugs

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Part D drugs prescribed in 2021

Cefdinir	29	$470	$16
Ondansetron Odt	31	$344	$11
Hydrocodone-Acetaminophen	50	$231	$5
Doxycycline Hyclate	15	$217	$14
Cephalexin	15	$186	$12
Amoxicillin-Clavulanate Potass	11	$136	$12
Azithromycin	15	$96	$6
Prednisone	23	$61	$3
Tramadol	34	$53	$2
Naproxen	12	$29	$2
Ibuprofen	12	$26	$2

2020: 8 drugs

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Part D drugs prescribed in 2020

Cefdinir	15	$242	$16
Cephalexin	23	$188	$8
Ondansetron Odt	13	$96	$7
Azithromycin	11	$77	$7
Hydrocodone-Acetaminophen	21	$72	$3
Prednisone	13	$46	$4
Ibuprofen	12	$31	$3
Tramadol	16	$23	$1

2019: 10 drugs

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Part D drugs prescribed in 2019

Nitrofurantoin Mono-Macro	18	$351	$20
Cephalexin	40	$301	$8
Ondansetron Odt	18	$138	$8
Hydrocodone-Acetaminophen	29	$97	$3
Amoxicillin-Clavulanate Potass	13	$88	$7
Azithromycin	16	$84	$5
Naproxen	26	$64	$2
Prednisone	17	$63	$4
Tramadol	30	$54	$2
Meclizine	15	$52	$3

2018: 5 drugs

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Part D drugs prescribed in 2018

Ondansetron Odt	18	$234	$13
Cephalexin	26	$193	$7
Amoxicillin-Clavulanate Potass	11	$99	$9
Hydrocodone-Acetaminophen	16	$69	$4
Naproxen	12	$42	$4

2017: 1 drug

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Part D drugs prescribed in 2017

Cephalexin	13	$118	$9

Money from drug and device companies

$122 in 2021

A payment is not proof that care is biased.

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Payments by company

Inari Medical	Flowtriever Catheter, S	$100	1 payment Meals for Flowtriever Catheter, S · 2021-04-21 · $100
Bioventus	Exogen Ultrasound Bone Healing System	$22	1 payment Meals for Exogen Ultrasound Bone Healing System · 2021-04-22 · $22

See all 2 published payments

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Every published payment

Bioventus	Meals · 2021-04-22	Exogen Ultrasound Bone Healing System	$22
Inari Medical	Meals · 2021-04-21	Flowtriever Catheter, S	$100

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score: 75.0 / 100; Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI: 1184069650
Licence: PA 207P00000X
Trained: University of Maryland School of Medicine, 2013
Group: Emergency Physicians of Orange County
Gender: Male

More record details

Sole proprietor: No
Taxonomy: Federal specialty code 207P00000X (207P00000X)
Mailing address: 430 Navaro Pl Unit 122, San Jose, CA, 95134
NPI first listed: 2013-05-09
NPI last updated: 2017-07-10

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