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Romeo C Agbayani, MD

Otolaryngology · Greenbrae

NPI 1205909603

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
8
1 carrier
Offices
3
Since medical school
33 years
Tufts University School of Medicine, 1993

Offices

3 locations · Bass Medical Group · 292 clinicians in this group

Looking this up.

Hospitals listed: Marinhealth Medical Center · Novato Community Hospital. That is not proof they admit you there this week.

Plans that list them

8 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Agbayani’s office at (925) 932-6330 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

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 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

California Medical Board record

Licence G81045 · Current

Licensed to practise in California · since 1995 · expires 2027-03-31 · Tufts University School of Medicine.

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

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.

  • Marinhealth Medical CenterGreenbrae, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of MarinHealthPatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.66 (3.59 to 7.73) · 1,505 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.177, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025
  • Novato Community HospitalNovato, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 84% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0, Oct 2024 – Sep 2025
See every measure and the patient survey for Marinhealth Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 3 better, 8 the same, 0 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 Marinhealth Medical Center
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.66 (3.59 to 7.73) · 1,505 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.177BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.85 (0 to 1.83) · 1,056 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.04 (0.72 to 1.36)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.34 (112.58 to 222.09) · 57 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.9 · 47 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.5 · 119 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.6 · 257 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.5 · 428 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths11.4 · 477 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.3 · 197 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 2,827 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.38) · 6,990 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.41) · 6,838 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.41 (0 to 3) · 664 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.86 (1.4 to 4.33) · 1,436 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.38 (3.68 to 17.08) · 705 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.38 (0.72 to 8.04) · 672 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.66 (0.18 to 3.15) · 300 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.56 (0 to 1.25) · 5,550 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.4 · 76 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.396No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 275 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 427 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-20.3 · 289 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits3.3 · 494 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-4.9 · 499 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.9 · 435 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.5 (3.6 to 8.4) · 93 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.2 (7.8 to 16) · 93 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.6 · 84 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.5 · 53 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 111 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (10.3 to 16.5) · 2,119 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.8 to 1.4) · 670 casesNo differentJan 2024 – Dec 2024

What patients said (1,233 patients answered, 19% of those asked)

Patient survey stars by topic at Marinhealth Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Marinhealth Medical Center
Room was "always" clean68%
Nurses "always" communicated well73%
Doctors "always" communicated well74%
Staff "always" explained56%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully72%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)72%
Staff "always" explained new medications70%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully68%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night48%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms85%
See every measure and the patient survey for Novato Community Hospital

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 3 the same, 0 worse of 3 measures. Readmissions: 0 better, 7 the same, 0 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Novato Community Hospital
Clostridium Difficile (C.Diff)Infections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0 to 2.06) · 213 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.85 (0.4 to 1.3)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.2 · 25 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10 · 111 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.1 · 140 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.3 · 42 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 627 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 1,872 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.04 to 0.46) · 1,796 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.92 (0.5 to 5.33) · 505 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.64 (0 to 3.36) · 317 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.2 (0.51 to 3.88) · 495 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.93 (0 to 17.29) · 323 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.88 (0.69 to 9.07) · 311 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.75 (0.22 to 3.27) · 96 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.41 (0 to 1.49) · 1,320 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.2 · 143 casesNoneApr 2023 – Mar 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.6 · 108 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-31.9 · 121 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.1 · 150 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.6 · 143 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 118 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 27 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.5 to 16.5) · 930 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 184 casesNo differentJan 2024 – Dec 2024

What patients said (334 patients answered, 30% of those asked)

Patient survey stars by topic at Novato Community Hospital
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Novato Community Hospital
Room was "always" clean78%
Nurses "always" communicated well81%
Doctors "always" communicated well83%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand78%
Doctors "always" listened carefully84%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)82%
Staff "always" explained new medications77%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully82%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital84%
Staff "always" explained possible side effects49%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$263,186

Medicare paid this office $263,186 for 1,236 people.

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

Largest Original Medicare bills
Short return visit (20+ min)459$55,324$74
Diagnostic exam of nasal passages using an endoscope203$43,223$172
New patient visit (30+ min)432$37,491$87
Removal of impacted ear wax475$31,272$38
Diagnostic exam of voice box using a flexible endoscope101$13,865$115
See all 17 services
Every Original Medicare service billed
Short return visit (20+ min)459$55,324$74
Diagnostic exam of nasal passages using an endoscope203$43,223$172
New patient visit (30+ min)432$37,491$87
Removal of impacted ear wax475$31,272$38
Diagnostic exam of voice box using a flexible endoscope101$13,865$115
Return visit (30+ min)106$11,761$102
Comprehensive hearing and speech recognition test334$11,321$29
New patient visit (45+ min)59$7,280$123
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia20$4,193$200
Long return visit (40+ min)23$3,568$149
Simple control of nose bleed23$3,525$136
New patient visit (15+ min)67$3,444$51
Test for eardrum and muscle function178$3,158$17
Test to assess middle ear function162$2,946$14
Exam of ear using a microscope44$1,791$26
Removal of foreign body in ear canal22$1,638$68
Short return visit11$604$50

Procedures Medicare counted

Procedure volume Medicare published
Removal of skin lesions1-10None
Spinal fusion1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Removal of impacted ear wax668623774767778831
Diagnostic exam of nasal passages using an endoscope160124197198239252
Diagnostic exam of voice box using a flexible endoscope199174226176164121
Removal of foreign body in ear canal141422132424
Simple control of nose bleed–1517––26
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia––––2221

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

1,236 Original Medicare patients in 2024. Average age 78 · Under 65 2% · 85 and older 21% · Women 55% · Also on Medicaid 7% · Health risk score 1.02. At or below the middle of the specialty; the typical otolaryngology clinician is at 1.19.

Conditions among them: High blood pressure 61% · Coronary heart disease 25% · Atrial fibrillation 19% · Depression 17% · Chronic kidney disease 16% · Cancer 16% · Diabetes 14% · Heart failure 9% · COPD 9% · Stroke 9% · Dementia 6%.

The office billed $758,211, Medicare allowed $363,406 and paid $263,186; for 3,763 services of 70 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
20241,2363,763781.02$758,211$263,186
20231,2573,718781.02$710,112$277,576
20221,2113,306770.99$645,640$258,309
20211,2883,634770.96$734,665$287,807
20201,0913,123771.04$623,101$231,663
20191,0123,077771.03$680,942$231,861
20187482,029781.06$474,678$145,387
20178312,351771.03$539,150$160,456
20161,0102,553771.09$539,901$177,586
20159182,164771.06$375,741$150,155
20149492,475780.94$403,138$172,580
20136571,562761.02$261,527$122,434

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
Short return visit (20+ min)472$58,037$79
Diagnostic exam of nasal passages using an endoscope185$44,443$186
New patient visit (30+ min)438$38,632$88
Removal of impacted ear wax439$28,528$37
Diagnostic exam of voice box using a flexible endoscope135$20,323$124
Return visit (30+ min)121$14,889$112
Comprehensive hearing and speech recognition test355$12,737$32
New patient visit (45+ min)71$10,049$142
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia20$4,607$209
Long return visit (40+ min)24$4,520$167
Test to assess middle ear function206$3,949$15
New patient visit (15+ min)61$3,787$62
Test for eardrum and muscle function171$3,379$19
New patient visit (60+ min)15$3,053$204
Exam of ear using a microscope47$1,597$29
Removal of foreign body in ear canal24$1,425$59

2022: 14 services

Original Medicare services billed in 2022
Short return visit (20+ min)408$46,733$81
Diagnostic exam of nasal passages using an endoscope160$37,332$189
New patient visit (30+ min)387$35,774$92
Removal of impacted ear wax449$27,994$36
Diagnostic exam of voice box using a flexible endoscope139$22,289$127
Return visit (30+ min)136$18,060$113
New patient visit (45+ min)122$17,157$141
Comprehensive hearing and speech recognition test308$10,981$33
Test for eardrum and muscle function180$3,556$20
Long return visit (40+ min)17$2,733$152
Test to assess middle ear function128$2,262$16
Exam of ear using a microscope32$1,668$29
New patient visit (15+ min)27$1,595$59
Removal of foreign body in ear canal13$1,023$79

2021: 18 services

Original Medicare services billed in 2021
Short return visit (20+ min)460$51,975$79
Diagnostic exam of nasal passages using an endoscope163$38,035$193
New patient visit (30+ min)423$37,669$89
Removal of impacted ear wax444$29,081$38
Diagnostic exam of voice box using a flexible endoscope173$28,360$125
New patient visit (45+ min)124$17,354$140
Return visit (30+ min)112$13,625$110
Comprehensive hearing and speech recognition test338$12,328$34
Control of bleeding of nose using an endoscope14$3,827$239
Test for eardrum and muscle function184$3,785$20
New patient visit (15+ min)67$3,730$56
Simple control of nose bleed13$2,463$145
Long return visit (40+ min)15$2,367$158
Test to assess middle ear function133$2,320$15
Exam of ear using a microscope52$1,622$28
Removal of foreign body in ear canal21$1,524$69
Short return visit21$1,129$51
Repositioning exercises of head for treatment of dizziness, each day11$378$34

2020: 17 services

Original Medicare services billed in 2020
New patient visit (30+ min)409$36,238$89
Short return visit (20+ min)305$28,492$64
Diagnostic exam of nasal passages using an endoscope106$23,019$186
Removal of impacted ear wax367$22,811$37
Return visit (30+ min)180$21,282$89
Diagnostic exam of voice box using a flexible endoscope143$20,403$117
New patient visit (45+ min)84$11,953$142
Comprehensive hearing and speech recognition test258$9,967$34
Long return visit (40+ min)25$4,123$133
New patient visit (15+ min)65$3,898$60
Test to assess middle ear function171$3,020$14
Test for eardrum and muscle function98$1,989$20
Simple control of nose bleed13$1,914$128
Ultrasound scan of head and neck soft tissue13$1,640$117
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,344$122
Removal of foreign body in ear canal12$1,024$73
Short return visit13$522$37

2019: 18 services

Original Medicare services billed in 2019
Diagnostic exam of nasal passages using an endoscope133$30,564$191
New patient visit (30+ min)363$30,184$83
Short return visit (20+ min)297$29,309$65
Removal of impacted ear wax377$25,611$38
Return visit (30+ min)158$20,933$95
Diagnostic exam of voice box using a flexible endoscope156$20,318$102
Comprehensive hearing and speech recognition test250$9,305$32
New patient visit (45+ min)49$6,182$126
Long return visit (40+ min)21$2,974$124
New patient visit (15+ min)47$2,827$60
Test to assess middle ear function149$2,612$13
Evaluation and testing for balance with recording15$1,450$97
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,431$119
Ultrasound scan of head and neck soft tissue12$1,369$81
Test for eardrum and muscle function59$1,000$17
Removal of foreign body in ear canal13$935$67
Short return visit20$847$37
Exam of ear using a microscope13$434$26

2018: 15 services

Original Medicare services billed in 2018
Removal of impacted ear wax310$20,856$36
Return visit (30+ min)154$16,880$88
Diagnostic exam of nasal passages using an endoscope67$15,782$188
Short return visit (20+ min)180$14,785$58
Diagnostic exam of voice box using a flexible endoscope105$13,014$97
New patient visit (30+ min)140$11,284$81
Comprehensive hearing and speech recognition test201$6,372$30
Exam to assess movement of vocal cord flaps using an endoscope17$3,128$156
Long return visit (40+ min)21$2,477$113
New patient visit (45+ min)16$2,016$126
New patient visit (15+ min)31$1,753$57
Ultrasound scan of head and neck soft tissue11$1,251$104
Short return visit30$1,124$33
Test for eardrum and muscle function62$1,062$17
Test to assess middle ear function43$575$12

2017: 15 services

Original Medicare services billed in 2017
Removal of impacted ear wax370$23,590$37
Short return visit (20+ min)265$21,390$57
Diagnostic exam of nasal passages using an endoscope79$19,688$182
New patient visit (30+ min)194$15,556$80
Return visit (30+ min)127$14,000$86
Diagnostic exam of voice box using a flexible endoscope123$13,772$94
Comprehensive hearing and speech recognition test260$8,280$29
Exam to assess movement of vocal cord flaps using an endoscope14$4,460$149
New patient visit (45+ min)22$2,839$129
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia11$2,183$168
Long return visit (40+ min)14$1,815$113
Short return visit42$1,668$35
New patient visit (15+ min)24$1,438$60
Test for eardrum and muscle function51$799$15
Test to assess middle ear function58$764$12

2016: 18 services

Original Medicare services billed in 2016
Removal of impacted ear wax396$27,935$40
Diagnostic exam of nasal passages using an endoscope73$17,972$191
New patient visit (45+ min)122$16,616$136
Diagnostic exam of voice box using a flexible endoscope141$16,529$97
Short return visit248$13,614$37
New patient visit (30+ min)141$13,105$93
Short return visit (20+ min)158$12,639$63
Comprehensive hearing and speech recognition test259$8,819$31
Return visit (30+ min)61$6,458$92
Exam to assess movement of vocal cord flaps using an endoscope13$2,927$172
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia15$2,765$184
New patient visit (60+ min)13$2,160$166
Long return visit (40+ min)16$2,125$125
Simple control of nose bleed12$1,346$84
New patient visit (15+ min)21$1,308$62
Test to assess middle ear function89$1,242$13
Test for eardrum and muscle function53$910$17
Removal of foreign body in ear canal11$892$81

2015: 13 services

Original Medicare services billed in 2015
Removal of impacted ear wax395$28,005$39
Short return visit (20+ min)316$26,536$61
New patient visit (45+ min)124$17,019$137
Diagnostic exam of nasal passages using an endoscope61$14,771$197
Diagnostic exam of voice box using a flexible endoscope93$11,588$103
Comprehensive hearing and speech recognition test215$7,000$31
New patient visit (30+ min)58$4,998$86
Exam to assess movement of vocal cord flaps using an endoscope20$4,750$183
Short return visit103$4,660$39
Long return visit (40+ min)11$1,389$126
Simple control of nose bleed11$1,293$86
Test to assess middle ear function60$812$12
Test for eardrum and muscle function32$602$18

2014: 17 services

Original Medicare services billed in 2014
Removal of impacted ear wax443$32,447$40
Short return visit (20+ min)297$25,048$61
Diagnostic exam of nasal passages using an endoscope61$15,943$197
New patient visit (45+ min)110$15,245$139
Diagnostic exam of voice box using a flexible endoscope102$13,105$102
New patient visit (30+ min)93$8,133$87
Comprehensive hearing and speech recognition test230$7,935$31
Exam to assess movement of vocal cord flaps using an endoscope26$6,330$192
Short return visit133$5,809$36
Return visit (30+ min)29$3,291$94
New patient visit (60+ min)16$2,723$170
Long return visit (40+ min)12$1,505$125
Simple control of nose bleed11$1,150$82
Test to assess middle ear function77$1,059$12
New patient visit (15+ min)17$787$46
Test for eardrum and muscle function40$751$18
Office for the evaluation and management of established patient that may not require presence of healthcare professional19$344$18

2013: 14 services

Original Medicare services billed in 2013
Short return visit (20+ min)209$17,993$61
Removal of impacted ear wax208$13,116$43
Diagnostic exam of voice box using a flexible endoscope100$11,927$106
Diagnostic exam of nasal passages using an endoscope50$11,888$205
New patient visit (45+ min)78$10,915$140
New patient visit (30+ min)115$10,051$87
Short return visit104$4,767$38
Comprehensive hearing and speech recognition test135$4,728$32
New patient visit (60+ min)17$2,895$170
New patient visit (15+ min)24$1,529$64
Return visit (30+ min)13$1,233$95
Test to assess middle ear function71$1,099$13
Office for the evaluation and management of established patient that may not require presence of healthcare professional21$453$19
Test for eardrum and muscle function11$201$18

Drugs they prescribed that Part D paid

$96,529

Pharmacies billed $96,529 in 2024.

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

Opioids were 6% of their Part D prescriptions (21 of 375) in 2024. Above the middle of the specialty; the typical otolaryngology clinician is at 4%.

314 generic and fewer than 11 brand-name prescriptions · $96,529 in drug cost · 75 antibiotic prescriptions to 49 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.

Largest Part D drug costs
Dupixent20$82,058$4,103
Ciprofloxacin-Dexamethasone46$5,187$113
Ipratropium76$3,566$47
Azelastine15$676$45
Omeprazole16$372$23
See all 9 drugs
Every Part D drug this clinician prescribed
Dupixent20$82,058$4,103
Ciprofloxacin-Dexamethasone46$5,187$113
Ipratropium76$3,566$47
Azelastine15$676$45
Omeprazole16$372$23
Amoxicillin-Clavulanate Potass37$292$8
Doxycycline Hyclate13$191$15
Prednisone24$184$8
Hydrocodone-Acetaminophen21$160$8

Year by year

Part D prescribing by year
20243751476% (21)None$96,529
20232851255% (15)4%$44,245
20222821436% (16)8%$14,945
2021222109None8%$20,301
202017793None10%$8,811
2019222107None9%$8,973
20182721116% (15)10%$13,560
20173021196% (19)12%$17,950
20163251354% (12)22%$28,634
2015307134None35%$35,707
20144091729% (38)36%$44,588
20133321405% (16)46%$38,657

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

See the drugs prescribed each year

2023: 8 drugs

Part D drugs prescribed in 2023
Ipratropium74$4,893$66
Ciprofloxacin-Dexamethasone12$1,722$143
Fluticasone Propionate24$603$25
Azelastine13$529$41
Amoxicillin-Clavulanate Potass28$287$10
Doxycycline Hyclate11$172$16
Prednisone16$148$9
Hydrocodone-Acetaminophen15$130$9

2022: 9 drugs

Part D drugs prescribed in 2022
Ciprofloxacin-Dexamethasone18$2,869$159
Ipratropium48$2,745$57
Azelastine19$662$35
Fluticasone Propionate21$572$27
Doxycycline Hyclate19$369$19
Clotrimazole-Betamethasone18$328$18
Amoxicillin-Clavulanate Potass21$310$15
Prednisone11$159$14
Hydrocodone-Acetaminophen15$91$6

2021: 4 drugs

Part D drugs prescribed in 2021
Ipratropium53$4,362$82
Ciprofloxacin-Dexamethasone17$2,803$165
Fluticasone Propionate30$556$19
Omeprazole11$135$12

2020: 6 drugs

Part D drugs prescribed in 2020
Ciprodex13$3,349$258
Ipratropium22$1,687$77
Fluticasone Propionate21$394$19
Clotrimazole-Betamethasone16$187$12
Amoxicillin-Clavulanate Potass15$137$9
Prednisone13$106$8

2019: 6 drugs

Part D drugs prescribed in 2019
Ciprodex11$2,720$247
Ipratropium18$1,022$57
Fluticasone Propionate41$594$14
Amoxicillin-Clavulanate Potass15$195$13
Doxycycline Hyclate14$178$13
Prednisone15$157$10

2018: 8 drugs

Part D drugs prescribed in 2018
Ciprodex13$2,897$223
Mometasone Furoate13$2,790$215
Ipratropium34$1,551$46
Azelastine17$1,476$87
Fluticasone Propionate52$648$12
Amoxicillin-Clavulanate Potass27$365$14
Prednisone18$160$9
Hydrocodone-Acetaminophen15$140$9

2017: 8 drugs

Part D drugs prescribed in 2017
Ciprodex22$4,455$202
Ipratropium37$1,885$51
Azelastine15$1,504$100
Fluticasone Propionate44$657$15
Amoxicillin-Clavulanate Potass29$617$21
Prednisone16$135$8
Amoxicillin15$112$7
Hydrocodone-Acetaminophen13$83$6

2016: 9 drugs

Part D drugs prescribed in 2016
Nasonex19$7,143$376
Mometasone Furoate15$4,880$325
Ciprodex19$3,558$187
Azelastine16$2,346$147
Amoxicillin-Clavulanate Potass39$770$20
Fluticasone Propionate45$664$15
Ipratropium17$539$32
Omeprazole11$161$15
Levofloxacin12$158$13

2015: 8 drugs

Part D drugs prescribed in 2015
Nasonex63$19,761$314
Azelastine13$2,512$193
Ciprodex12$2,111$176
Dymista11$1,863$169
Ipratropium20$670$34
Fluticasone Propionate46$666$14
Amoxicillin-Clavulanate Potass22$285$13
Omeprazole13$183$14

2014: 9 drugs

Part D drugs prescribed in 2014
Nasonex85$22,812$268
Nexium13$6,215$478
Ciprodex30$4,739$158
Ipratropium26$1,044$40
Fluticasone Propionate26$640$25
Amox Tr-Potassium Clavulanate43$624$15
Hydrocodone-Acetaminophen28$467$17
Prednisone14$133$9
Amoxicillin11$82$7

2013: 9 drugs

Part D drugs prescribed in 2013
Nasonex74$17,262$233
Nexium18$8,471$471
Ciprodex22$3,273$149
Astepro14$2,218$158
Fluticasone Propionate17$794$47
Ipratropium18$560$31
Amox Tr-Potassium Clavulanate25$535$21
Hydrocodone-Acetaminophen13$279$21
Prednisone12$80$7

Money from drug and device companies

$241 in 2025

Industry payments by year
2025216None$241
2024421None$445
2023621None$421
2022611None$268
20211037None$3,088
202039$2,250$2,803
2019737$3,000$7,454

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
GlaxoSmithKlineNucala$171
13 payments
  • Meals for Nucala · 2025-12-16 · $17
  • Meals for Nucala · 2025-12-03 · $15
  • Meals for Nucala · 2025-10-30 · $12
  • Meals for Nucala · 2025-10-09 · $13
  • Meals for Nucala · 2025-09-12 · $15
  • Meals for Nucala · 2025-08-19 · $10
  • Meals for Nucala · 2025-07-17 · $12
  • Meals for Nucala · 2025-06-11 · $12
  • Meals for Nucala · 2025-05-07 · $9
  • Meals for Nucala · 2025-05-07 · $1
  • Meals for Nucala · 2025-04-08 · $19
  • Meals for Nucala · 2025-02-20 · $25
  • Meals for Nucala · 2025-02-12 · $10
GenzymeDupixent$71
3 payments
  • Meals for Dupixent · 2025-10-23 · $23
  • Meals for Dupixent · 2025-07-24 · $25
  • Meals for Dupixent · 2025-04-03 · $23
See all 16 published payments
Every published payment
GlaxoSmithKlineMeals · 2025-12-16Nucala$17
GlaxoSmithKlineMeals · 2025-12-03Nucala$15
GlaxoSmithKlineMeals · 2025-10-30Nucala$12
GenzymeMeals · 2025-10-23Dupixent$23
GlaxoSmithKlineMeals · 2025-10-09Nucala$13
GlaxoSmithKlineMeals · 2025-09-12Nucala$15
GlaxoSmithKlineMeals · 2025-08-19Nucala$10
GenzymeMeals · 2025-07-24Dupixent$25
GlaxoSmithKlineMeals · 2025-07-17Nucala$12
GlaxoSmithKlineMeals · 2025-06-11Nucala$12
GlaxoSmithKlineMeals · 2025-05-07Nucala$9
GlaxoSmithKlineMeals · 2025-05-07Nucala$1
GlaxoSmithKlineMeals · 2025-04-08Nucala$19
GenzymeMeals · 2025-04-03Dupixent$23
GlaxoSmithKlineMeals · 2025-02-20Nucala$25
GlaxoSmithKlineMeals · 2025-02-12Nucala$10
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $445

Payments by company in 2024
GlaxoSmithKlineNucala$234
16 payments
  • Meals for Nucala · 2024-10-22 · $8
  • Meals for Nucala · 2024-10-08 · $13
  • Meals for Nucala · 2024-09-19 · $8
  • Meals for Nucala · 2024-08-27 · $7
  • Meals for Nucala · 2024-08-13 · $7
  • Meals for Nucala · 2024-07-16 · $8
  • Meals for Nucala · 2024-06-06 · $7
  • Meals for Nucala · 2024-05-22 · $8
  • Meals · 2024-05-01 · $117
  • Meals for Nucala · 2024-04-25 · $8
  • Meals for Nucala · 2024-04-04 · $5
  • Meals for Nucala · 2024-03-13 · $10
  • Meals for Nucala · 2024-02-29 · $7
  • Meals for Nucala · 2024-02-15 · $7
  • Meals for Nucala · 2024-02-01 · $8
  • Meals for Nucala · 2024-01-18 · $7
StrykerHemopore$154
2 payments
  • Meals for Scopis Ent · 2024-11-26 · $24
  • Meals for Hemopore · 2024-06-07 · $130
Regeneron Healthcare SolutionsDupixent$35
2 payments
  • Meals for Dupixent · 2024-08-15 · $20
  • Meals for Dupixent · 2024-02-15 · $15
GenzymeDupixent$21
1 payment
  • Meals for Dupixent · 2024-05-16 · $21

2023: $421

Payments by company in 2023
StrykerXpress Ent Dilation System$150
3 payments
  • Meals for Xpress Ent Dilation System · 2023-06-19 · $45
  • Meals for Xpress Ent Dilation System · 2023-06-01 · $42
  • Meals for Xpress Ent Dilation System · 2023-01-31 · $63
GlaxoSmithKlineNucala$139
12 payments
  • Meals for Nucala · 2023-12-07 · $29
  • Meals for Nucala · 2023-11-30 · $7
  • Meals for Nucala · 2023-11-09 · $7
  • Meals for Nucala · 2023-09-22 · $7
  • Meals for Nucala · 2023-08-31 · $9
  • Meals for Nucala · 2023-08-17 · $7
  • Meals for Nucala · 2023-07-25 · $8
  • Meals for Nucala · 2023-06-28 · $6
  • Meals for Nucala · 2023-06-07 · $12
  • Meals for Nucala · 2023-06-06 · $11
  • Meals for Nucala · 2023-03-10 · $6
  • Meals for Nucala · 2023-02-15 · $31
GenzymeDupixent$44
2 payments
  • Meals for Dupixent · 2023-12-14 · $20
  • Meals for Dupixent · 2023-05-09 · $24
Regeneron Healthcare SolutionsDupixent$33
1 payment
  • Meals for Dupixent · 2023-07-25 · $33
AcclarentAcclarent Aera$31
2 payments
  • Meals for Acclarent Aera · 2023-11-28 · $16
  • Meals for Relieva Tract · 2023-04-14 · $15
Optinose USXhance$24
1 payment
  • Meals for Xhance · 2023-05-11 · $24

2022: $268

Payments by company in 2022
StrykerMedline Industries, Inc.$80
3 payments
  • Meals for Xpress Ent Dilation System · 2022-11-04 · $21
  • Meals for Latera · 2022-08-09 · $27
  • Meals for Medline Industries, Inc. · 2022-02-15 · $32
GlaxoSmithKlineNucala$75
3 payments
  • Meals for Nucala · 2022-10-18 · $26
  • Meals for Nucala · 2022-05-26 · $17
  • Meals for Nucala · 2022-03-17 · $31
OptiNose USXhance$40
2 payments
  • Meals for Xhance · 2022-10-28 · $19
  • Meals for Xhance · 2022-08-04 · $21
MedtronicSinuva$32
1 payment
  • Meals for Sinuva · 2022-06-02 · $32
GenzymeDupixent$27
1 payment
  • Meals for Dupixent · 2022-09-08 · $27
Novartis PharmaceuticalsXolair$16
1 payment
  • Meals for Xolair · 2022-02-24 · $16

2021: $3,088

Payments by company in 2021
Intersect ENTPropel$2,678
8 payments
  • Education for Sinuva · 2021-11-08 · $299
  • Travel for Propel · 2021-10-01 · $130
  • Travel for Propel · 2021-09-12 · $925
  • Meals for Propel · 2021-09-12 · $328
  • Meals for Propel · 2021-09-12 · $150
  • Travel for Propel · 2021-09-12 · $198
  • Travel for Sinuva · 2021-08-30 · $623
  • Meals for Sinuva · 2021-08-29 · $25
Optinose USXhance$121
17 payments
  • Meals for Xhance · 2021-12-15 · $6
  • Meals for Xhance · 2021-11-30 · $6
  • Meals for Xhance · 2021-10-27 · $6
  • Meals for Xhance · 2021-10-12 · $9
  • Meals for Xhance · 2021-09-08 · $13
  • Meals for Xhance · 2021-08-25 · $6
  • Meals for Xhance · 2021-08-11 · $6
  • Meals for Xhance · 2021-07-23 · $6
  • Meals for Xhance · 2021-07-07 · $5
  • Meals for Xhance · 2021-06-24 · $8
  • Meals for Xhance · 2021-06-09 · $8
  • Meals for Xhance · 2021-05-25 · $7
  • Meals for Xhance · 2021-05-06 · $7
  • Meals for Xhance · 2021-04-15 · $7
  • Meals for Xhance · 2021-03-10 · $8
  • Meals for Xhance · 2021-02-03 · $5
  • Meals for Xhance · 2021-01-13 · $8
StrykerXpress Ent Dilation System$79
2 payments
  • Meals for Medline Industries, Inc. · 2021-10-28 · $27
  • Meals for Xpress Ent Dilation System · 2021-04-22 · $52
GlaxoSmithKlineNucala$53
2 payments
  • Meals for Nucala · 2021-12-10 · $25
  • Meals for Nucala · 2021-08-25 · $28
DavolProgel$48
1 payment
  • Meals for Progel · 2021-02-24 · $48
Regeneron Healthcare SolutionsDupixent$31
1 payment
  • Meals for Dupixent · 2021-05-05 · $31
GenzymeDupixent$22
1 payment
  • Meals for Dupixent · 2021-07-08 · $22
Ethicon USHarmonic$21
1 payment
  • Meals for Harmonic · 2021-04-20 · $21
Hikma Pharmaceuticals USAMitigare$18
1 payment
  • Meals for Mitigare · 2021-05-11 · $18
Itamar MedicalWatchpat$17
1 payment
  • Meals for Watchpat · 2021-06-17 · $17

2020: $2,803

Payments by company in 2020
Intersect ENTNone$2,678
3 payments
  • Paid to speak or teach · 2020-01-07 · $2,250
  • Meals · 2020-01-07 · $413
  • Travel · 2020-01-07 · $15
StrykerEntellus - Xpress Ent Dilation System$95
3 payments
  • Meals for Entellus - Xpress Ent Dilation System · 2020-10-29 · $43
  • Meals for Entellus - Xpress Ent Dilation System · 2020-07-30 · $22
  • Meals for Entellus - Xpress Ent Dilation System · 2020-02-13 · $30
AcclarentTrudi$30
2 payments
  • Meals for Trudi · 2020-08-06 · $16
  • Meals for Trudi Navigation System · 2020-03-05 · $14

2019: $7,454

Payments by company in 2019
Intersect ENTSinuva$7,117
22 payments
  • Travel for Propel · 2019-11-14 · $178
  • Travel for Propel · 2019-11-11 · $178
  • Meals for Sinuva · 2019-09-19 · $22
  • Travel for Propel · 2019-08-17 · $56
  • Travel for Sinuva · 2019-08-17 · $151
  • Meals for Propel · 2019-07-29 · $12
  • Meals for Propel · 2019-07-28 · $60
  • Travel for Sinuva · 2019-07-28 · $103
  • Travel for Sinuva · 2019-07-28 · $939
  • Meals for Sinuva · 2019-07-27 · $160
  • Meals for Sinuva · 2019-07-27 · $228
  • Meals for Propel · 2019-07-27 · $149
  • Travel for Propel · 2019-07-26 · $20
  • Meals for Sinuva · 2019-07-26 · $25
  • Meals for Propel · 2019-07-26 · $68
  • Travel for Sinuva · 2019-06-20 · $773
  • Paid to speak or teach · 2019-03-20 · $3,000
  • Meals · 2019-03-20 · $118
  • Travel · 2019-03-20 · $432
  • Travel · 2019-03-20 · $11
  • Travel for Propel · 2019-02-04 · $264
  • Travel for Propel · 2019-02-03 · $171
StrykerEntellus - Fiagon Sinus Navigation System$108
4 payments
  • Meals for Entellus - Fiagon Sinus Navigation System · 2019-08-21 · $30
  • Meals for Entellus - Xpress Ent Dilation System · 2019-04-12 · $29
  • Meals for Spy Technology · 2019-02-07 · $23
  • Meals for None · 2019-01-31 · $27
Aerin MedicalVivaer Rf Stylus$76
2 payments
  • Meals for Vivaer Rf Stylus · 2019-11-18 · $43
  • Meals for Vivaer Rf Stylus · 2019-08-29 · $33
AcclarentAcclarent Navwire Sinus Navigation Guidewire$76
2 payments
  • Meals for Acclarent Navwire Sinus Navigation Guidewire · 2019-10-16 · $40
  • Meals for Acclarent Aera Eustachian Tube Balloon Dilation System · 2019-05-01 · $36
OptiNose USXhance$42
2 payments
  • Meals for Xhance · 2019-06-26 · $23
  • Meals for Xhance · 2019-03-12 · $19
Cook MedicalCook Medical Sleep$19
1 payment
  • Meals for Cook Medical Sleep · 2019-11-21 · $19
OsteomedCmf-Cfx$18
1 payment
  • Meals for Cmf-Cfx · 2019-07-03 · $18

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
0.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1205909603
Licence
CA G81045California G81045: Current · expires 2027-03-31
Trained
Tufts University School of Medicine, 1993 · 33 years ago
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Medicaid ID
CA 00G810450
Taxonomy
Otolaryngology (207Y00000X)
Mailing address
1000 S Eliseo Dr, # 103, Greenbrae, CA, 94904
NPI first listed
2006-11-16
NPI last updated
2025-01-02
NPI record certified
2025-01-02

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