Kourosh F Ghassemi, MD
Gastroenterology · Santa Cruz
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 5
Offices
5 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Looking this up.
Hospitals listed: Dominican Hospital · Sutter Maternity & Surgery Center of Santa Cruz. 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. Ghassemi’s office to ask if they take your plan before you enroll.
California Medical Board record
Licence A64588 · Current
Licensed to practise in California · since 1998 · expires 2028-03-31 · University of Texas Medical Branch at Galveston.
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.
- Dominican HospitalSanta Cruz, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 4 of 5 · 68% would definitely recommend itOverall rating: 4 of 5 starsWorse than the national rate — Postoperative sepsis rate: 11.66 (8.02 to 15.3) · 412 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.168, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.169, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.489, Oct 2024 – Sep 2025
- Sutter Maternity & Surgery Center of Santa CruzSanta Cruz, CAAcute Care Hospital · Voluntary non-profit - Private · No emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 85% would definitely recommend itNo overall ratingNo measure marked better or worse than the national rate
See every measure and the patient survey for Dominican Hospital
Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 1 better, 8 the same, 2 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Postoperative sepsis rateComplications and deaths | 11.66 (8.02 to 15.3) · 412 cases | Worse | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.168 | Better | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.169 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.489 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.01 (0.06 to 1.95) · 1,248 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.14 (0.85 to 1.43) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 134.37 (94.33 to 174.41) · 132 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.4 · 54 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 7.2 · 137 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 12 · 228 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 10.5 · 534 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 12.8 · 491 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 8.7 · 278 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.4 · 2,973 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.14 (0 to 0.34) · 7,510 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.21 (0.02 to 0.4) · 7,695 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.42 (1.44 to 5.4) · 1,594 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.26 (0 to 2.76) · 436 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 1.85 (0.4 to 3.29) · 1,474 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.73 (3 to 14.46) · 437 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.58 (0.13 to 3.03) · 343 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.57 (0 to 1.17) · 6,336 cases | No different | Jul 2022 – Jun 2024 |
| MRSA BacteremiaInfections | 0.615 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 1.937 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 16 · 212 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22 · 505 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 45 · 237 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -13.5 · 594 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 1.9 · 510 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.9 · 473 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.2 (3.4 to 7.8) · 126 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 13 (9.4 to 17.7) · 126 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission for CABGUnplanned return visits | 12.7 · 43 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.7 · 143 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.1 (9.4 to 15.4) · 1,585 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.3) · 390 cases | No different | Jan 2024 – Dec 2024 |
What patients said (774 patients answered, 23% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 3 |
| Quietness | 1 |
| Recommend hospital | 4 |
| Room was "always" clean | 73% |
| Nurses "always" communicated well | 79% |
| Doctors "always" communicated well | 81% |
| Staff "always" explained | 61% |
| 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 | 77% |
| Doctors "always" listened carefully | 79% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 67% |
| Staff "always" explained new medications | 75% |
| Nurses "always" explained things so they could understand | 76% |
| Nurses "always" listened carefully | 76% |
| Nurses "always" treated them with courtesy and respect | 85% |
| "Always" quiet at night | 32% |
| "YES", patients would definitely recommend the hospital | 68% |
| Staff "always" explained possible side effects | 48% |
| Yes, staff "did" give patients information about possible symptoms | 88% |
See every measure and the patient survey for Sutter Maternity & Surgery Center of Santa Cruz
Behind the star rating — Deaths: 0 better, 1 the same, 0 worse of 1 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 4 the same, 0 worse of 4 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.04 (0 to 2.12) · 59 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.01 (0.5 to 1.52) | No different | Jul 2022 – Jun 2024 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.9 · 63 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.21 (0 to 0.44) · 118 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.27 (0.05 to 0.49) · 116 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.36 (0.77 to 5.95) · 113 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.65 (0 to 3.37) · 109 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.28 (0.56 to 4) · 109 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.41 (0 to 18.05) · 109 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.75 (2.52 to 10.98) · 102 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.75 (0.23 to 3.28) · 42 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.61 (0 to 1.94) · 51 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.6 · 30 cases | None | Apr 2023 – Mar 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.3 · 32 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 11.7 (9.2 to 14.9) · 3,197 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.3) · 506 cases | No different | Jan 2024 – Dec 2024 |
What patients said (203 patients answered, 24% of those asked)
| Cleanliness | 5 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 5 |
| Overall hospital rating | 5 |
| Quietness | 4 |
| Recommend hospital | 5 |
| Room was "always" clean | 84% |
| Nurses "always" communicated well | 83% |
| Doctors "always" communicated well | 83% |
| Staff "always" explained | 62% |
| Yes, staff "did" give patients this information | 93% |
| Yes, staff "did" give patients information about help after discharge | 96% |
| Doctors "always" explained things so they could understand | 79% |
| Doctors "always" listened carefully | 83% |
| Doctors "always" treated them with courtesy and respect | 88% |
| Patients who gave a rating of "9" or "10" (high) | 87% |
| Staff "always" explained new medications | 78% |
| Nurses "always" explained things so they could understand | 78% |
| Nurses "always" listened carefully | 82% |
| Nurses "always" treated them with courtesy and respect | 89% |
| "Always" quiet at night | 69% |
| "YES", patients would definitely recommend the hospital | 85% |
| Staff "always" explained possible side effects | 46% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
Original Medicare doctor bills
$13,833
Medicare paid this office $13,833 for 87 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 17 | $3,485 | $205 |
| Colorectal cancer screening; colonoscopy on individual at high risk | 12 | $2,240 | $187 |
| Return visit (30+ min) | 12 | $1,321 | $110 |
| Biopsy of large bowel using a flexible endoscope | 15 | $1,104 | $74 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 13 | $994 | $76 |
See all 6 services
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 17 | $3,485 | $205 |
| Colorectal cancer screening; colonoscopy on individual at high risk | 12 | $2,240 | $187 |
| Return visit (30+ min) | 12 | $1,321 | $110 |
| Biopsy of large bowel using a flexible endoscope | 15 | $1,104 | $74 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 13 | $994 | $76 |
| 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 monito | 18 | $86 | $5 |
Procedures Medicare counted
| Colonoscopy | 175 | More than 91% of doctors who do this |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 157 | More than 86% of doctors who do this |
Who their Medicare patients are
87 Original Medicare patients in 2024. Average age 72 · Women 51% · Also on Medicaid 24% · Health risk score 1.22. At or below the middle of the specialty; the typical gastroenterology clinician is at 1.42.
Conditions among them: High blood pressure 61% · Depression 31% · Diabetes 26% · Chronic kidney disease 21% · Cancer 16% · Heart failure 14%.
The office billed $140,372, Medicare allowed $16,856 and paid $13,833; for 131 services of 23 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
| 2024 | 87 | 131 | 72 | 1.22 | $140,372 | $13,833 |
| 2023 | 31 | 48 | 68 | 1.49 | $37,827 | $6,601 |
| 2022 | 270 | 560 | 74 | 1.39 | $577,885 | $56,384 |
| 2021 | 498 | 1,215 | 73 | 1.03 | $1,210,014 | $126,952 |
| 2020 | 486 | 1,110 | 73 | 1.24 | $1,088,856 | $115,438 |
| 2019 | 579 | 1,407 | 72 | 1.19 | $1,345,089 | $141,041 |
| 2018 | 574 | 1,514 | 73 | 1.22 | $1,308,593 | $141,589 |
| 2017 | 526 | 1,392 | 73 | 1.30 | $1,188,334 | $139,134 |
| 2016 | 538 | 1,113 | 73 | 1.26 | $1,087,014 | $126,046 |
| 2015 | 378 | 732 | 72 | 1.06 | $711,431 | $101,825 |
| 2014 | 130 | 200 | 72 | 1.03 | $173,795 | $25,884 |
| 2013 | 89 | 182 | 72 | 2.08 | $67,341 | $18,033 |
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
2022: 11 services
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 71 | $15,295 | $212 |
| Biopsy of large bowel using a flexible endoscope | 73 | $4,844 | $66 |
| Return visit (30+ min) | 52 | $4,698 | $85 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 26 | $4,288 | $165 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 66 | $4,283 | $63 |
| New patient visit (45+ min) | 33 | $4,101 | $124 |
| Colorectal cancer screening; colonoscopy on individual at high risk | 13 | $2,505 | $193 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $1,684 | $140 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $1,070 | $89 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 11 | $786 | $71 |
| 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 monito | 91 | $444 | $5 |
2021: 17 services
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 149 | $32,677 | $215 |
| Return visit (30+ min) | 108 | $14,343 | $102 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 63 | $11,102 | $173 |
| New patient visit (45+ min) | 74 | $10,460 | $141 |
| Biopsy of large bowel using a flexible endoscope | 147 | $9,050 | $61 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 126 | $7,561 | $59 |
| Insertion of stent into pancreatic or bile duct using a flexible endoscope | 15 | $6,768 | $376 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 33 | $5,352 | $162 |
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 21 | $4,277 | $204 |
| Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 13 | $2,510 | $193 |
| Colorectal cancer screening; colonoscopy on individual at high risk | 12 | $2,307 | $192 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 21 | $2,032 | $92 |
| Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 17 | $2,008 | $118 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 12 | $1,328 | $89 |
| 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 monito | 178 | $875 | $5 |
| Review by radiologist of image from tube placement into bile duct using an endoscope | 26 | $704 | $25 |
| Office for the evaluation and management of established patient that may not require presence of healthcare professional | 37 | $590 | $16 |
2020: 19 services
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 125 | $25,953 | $206 |
| Return visit (30+ min) | 115 | $10,926 | $79 |
| Biopsy of large bowel using a flexible endoscope | 144 | $10,771 | $74 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 96 | $6,457 | $67 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 36 | $6,192 | $172 |
| New patient visit (45+ min) | 46 | $5,813 | $126 |
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 | $5,338 | $198 |
| Insertion of stent into pancreatic or bile duct using a flexible endoscope | 12 | $4,798 | $400 |
| Removal of large bowel tissue using a flexible endoscope | 14 | $4,045 | $289 |
| Colorectal cancer screening; colonoscopy on individual at high risk | 16 | $3,105 | $194 |
| Long return visit (40+ min) | 23 | $2,857 | $124 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 16 | $2,767 | $173 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 18 | $2,200 | $116 |
| Diagnostic exam of large bowel using a flexible endoscope | 12 | $1,840 | $153 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $1,583 | $99 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 19 | $1,210 | $60 |
| Short return visit (20+ min) | 16 | $978 | $61 |
| 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 monito | 188 | $892 | $5 |
| Review by radiologist of image from tube placement into bile duct using an endoscope | 18 | $673 | $31 |
2019: 19 services
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 156 | $33,476 | $209 |
| Return visit (30+ min) | 179 | $19,042 | $85 |
| Biopsy of large bowel using a flexible endoscope | 208 | $17,989 | $86 |
| Insertion of stent into pancreatic or bile duct using a flexible endoscope | 20 | $8,697 | $378 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 37 | $6,831 | $185 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 105 | $6,299 | $58 |
| New patient visit (45+ min) | 48 | $5,915 | $123 |
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 25 | $5,422 | $209 |
| Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 12 | $2,509 | $193 |
| Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 15 | $2,225 | $148 |
| Colorectal cancer screening; colonoscopy on individual at high risk | 11 | $2,206 | $201 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 27 | $1,908 | $62 |
| Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 13 | $1,887 | $126 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 23 | $1,872 | $78 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 22 | $1,871 | $85 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $1,271 | $116 |
| New patient visit (30+ min) | 16 | $1,269 | $79 |
| Review by radiologist of image from tube placement into bile duct using an endoscope | 31 | $1,126 | $30 |
| 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 monito | 228 | $1,121 | $5 |
2018: 23 services
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 134 | $27,158 | $201 |
| Return visit (30+ min) | 184 | $21,399 | $86 |
| Biopsy of large bowel using a flexible endoscope | 173 | $14,408 | $81 |
| New patient visit (45+ min) | 83 | $9,538 | $115 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 136 | $8,996 | $63 |
| Insertion of stent into pancreatic or bile duct using a flexible endoscope | 19 | $7,906 | $376 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 45 | $7,563 | $164 |
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 25 | $4,639 | $186 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 30 | $3,067 | $59 |
| Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 15 | $2,934 | $196 |
| New patient visit (30+ min) | 29 | $2,542 | $88 |
| Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 17 | $2,434 | $116 |
| Colorectal cancer screening; colonoscopy on individual at high risk | 11 | $2,150 | $195 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 11 | $1,757 | $160 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 11 | $1,720 | $86 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 19 | $1,575 | $83 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | $1,380 | $81 |
| Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 11 | $1,279 | $98 |
| Ultrasound exam of lower large bowel using a flexible endoscope | 11 | $1,156 | $105 |
| 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 monito | 236 | $1,107 | $4 |
| Review by radiologist of image from tube placement into bile duct using an endoscope | 25 | $975 | $30 |
| Incision of pancreatic outlet using a flexible endoscope | 11 | $624 | $52 |
| Injection beneath lining of large bowel using a flexible endoscope | 11 | $154 | $14 |
2017: 24 services
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 98 | $20,840 | $208 |
| New patient visit (45+ min) | 160 | $20,509 | $128 |
| Return visit (30+ min) | 166 | $17,951 | $82 |
| Biopsy of large bowel using a flexible endoscope | 148 | $13,095 | $87 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 135 | $9,095 | $63 |
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 34 | $7,013 | $200 |
| Insertion of stent into pancreatic or bile duct using a flexible endoscope | 14 | $6,578 | $346 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 36 | $5,797 | $161 |
| Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 23 | $4,621 | $193 |
| Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 17 | $3,295 | $194 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 28 | $3,158 | $109 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 18 | $2,942 | $155 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 25 | $1,887 | $59 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 18 | $1,757 | $92 |
| Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 13 | $1,643 | $117 |
| Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | $1,566 | $142 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 14 | $1,533 | $85 |
| Diagnostic exam of large bowel using a flexible endoscope | 13 | $1,364 | $105 |
| Review by radiologist of image from tube placement into bile duct using an endoscope | 32 | $1,152 | $30 |
| Incision of pancreatic outlet using a flexible endoscope | 16 | $739 | $46 |
| 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 monito | 142 | $668 | $4 |
| Biopsy of lower large bowel using a flexible endoscope | 12 | $592 | $46 |
| Injection beneath lining of large bowel using a flexible endoscope | 16 | $288 | $18 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 15 | $140 | $9 |
2016: 20 services
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 98 | $20,482 | $205 |
| Biopsy of large bowel using a flexible endoscope | 156 | $15,966 | $100 |
| New patient visit (45+ min) | 119 | $14,558 | $122 |
| Return visit (30+ min) | 130 | $13,357 | $78 |
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 42 | $8,376 | $199 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 116 | $7,488 | $62 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 35 | $6,402 | $178 |
| Insertion of stent into pancreatic or bile duct using a flexible endoscope | 11 | $4,819 | $371 |
| Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 18 | $3,569 | $198 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 29 | $3,101 | $107 |
| Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 19 | $2,451 | $111 |
| Diagnostic exam of large bowel using a flexible endoscope | 14 | $2,221 | $159 |
| Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 16 | $1,932 | $121 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 23 | $1,812 | $58 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $1,658 | $87 |
| Injection beneath lining of large bowel using a flexible endoscope | 23 | $1,097 | $48 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 11 | $898 | $82 |
| New patient visit (30+ min) | 13 | $682 | $52 |
| Review by radiologist of image from tube placement into bile duct using an endoscope | 21 | $612 | $29 |
| Biopsy of lower large bowel using a flexible endoscope | 12 | $497 | $41 |
2015: 18 services
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 56 | $14,345 | $256 |
| Biopsy of large bowel using a flexible endoscope | 78 | $12,164 | $156 |
| New patient visit (45+ min) | 86 | $11,900 | $138 |
| Return visit (30+ min) | 72 | $8,146 | $88 |
| Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 34 | $7,666 | $219 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 70 | $6,190 | $87 |
| Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | $5,409 | $225 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $3,829 | $202 |
| New patient visit (30+ min) | 38 | $3,461 | $91 |
| Colorectal cancer screening; colonoscopy on individual at high risk | 13 | $2,875 | $221 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 22 | $2,566 | $117 |
| Diagnostic exam of large bowel using a flexible endoscope | 13 | $2,086 | $160 |
| Long return visit (40+ min) | 13 | $2,003 | $118 |
| Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 12 | $1,946 | $139 |
| Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 13 | $1,643 | $110 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | $1,427 | $95 |
| Short return visit (20+ min) | 12 | $754 | $63 |
| Review by radiologist of image from tube placement into bile duct using an endoscope | 17 | $563 | $31 |
2014: 5 services
| New patient visit (45+ min) | 28 | $3,761 | $134 |
| New patient visit (30+ min) | 35 | $3,075 | $88 |
| Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 12 | $2,448 | $204 |
| Return visit (30+ min) | 19 | $1,947 | $85 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $1,395 | $107 |
2013: 6 services
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 22 | $2,502 | $109 |
| New patient visit (45+ min) | 19 | $1,781 | $94 |
| Biopsy of large bowel using a flexible endoscope | 14 | $1,696 | $121 |
| New patient visit (30+ min) | 28 | $1,526 | $54 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 14 | $1,436 | $103 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $1,005 | $84 |
Medicaid work
$5,072 in 2021
Medicaid paid $5,072 for 50 billed services this clinician did in 2021, 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.
| Return visit (30+ min) | 50 | $5,072 |
| 2021 | 50 | 1 | 13 | $5,072 |
| 2020 | 15 | 1 | 15 | $1,456 |
See the largest Medicaid services in earlier years
2020
| Return visit (30+ min) | 15 | $1,456 |
Drugs they prescribed that Part D paid
$92,126
Pharmacies billed $92,126 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 234) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.
155 generic and 79 brand-name prescriptions · $92,126 in drug cost.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Zenpep | 19 | $43,708 | $2,300 |
| Creon | 12 | $37,943 | $3,162 |
| Alvesco | 12 | $1,564 | $130 |
| Gavilyte-C | 50 | $1,442 | $29 |
| Sucralfate | 25 | $925 | $37 |
See all 9 drugs
| Zenpep | 19 | $43,708 | $2,300 |
| Creon | 12 | $37,943 | $3,162 |
| Alvesco | 12 | $1,564 | $130 |
| Gavilyte-C | 50 | $1,442 | $29 |
| Sucralfate | 25 | $925 | $37 |
| Pantoprazole | 31 | $475 | $15 |
| Dicyclomine | 13 | $318 | $24 |
| Gavilyte-G | 18 | $276 | $15 |
| Omeprazole | 14 | $155 | $11 |
Year by year
| 2024 | 234 | 137 | 0% (0) | 34% | $92,126 |
| 2023 | 242 | 157 | None | 17% | $39,160 |
| 2022 | 285 | 139 | 0% (0) | 18% | $111,245 |
| 2021 | 409 | 154 | 0% (0) | 19% | $127,540 |
| 2020 | 478 | 176 | 0% (0) | 22% | $176,859 |
| 2019 | 600 | 260 | 0% (0) | 23% | $182,762 |
| 2018 | 613 | 273 | 0% (0) | 21% | $146,899 |
| 2017 | 487 | 216 | 0% (0) | None | $98,703 |
| 2016 | 318 | 157 | 0% (0) | None | $77,148 |
| 2015 | 172 | 109 | 0% (0) | 56% | $29,290 |
| 2014 | 57 | 40 | 0% (0) | 54% | $5,074 |
| 2013 | 51 | 27 | 0% (0) | 33% | $4,596 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 6 drugs
| Creon | 14 | $28,910 | $2,065 |
| Gavilyte-C | 103 | $2,480 | $24 |
| Alvesco | 12 | $1,564 | $130 |
| Pantoprazole | 25 | $936 | $37 |
| Dicyclomine | 13 | $301 | $23 |
| Omeprazole | 19 | $255 | $13 |
2022: 7 drugs
| Humira | 11 | $67,853 | $6,168 |
| Omeprazole | 88 | $1,697 | $19 |
| Azathioprine | 12 | $952 | $79 |
| Pantoprazole | 19 | $702 | $37 |
| Gavilyte-C | 18 | $378 | $21 |
| Gavilyte-G | 18 | $232 | $13 |
| Spironolactone | 11 | $17 | $2 |
2021: 11 drugs
| Humira | 13 | $82,577 | $6,352 |
| Omeprazole | 174 | $3,061 | $18 |
| Suprep | 22 | $2,448 | $111 |
| Eplerenone | 12 | $2,023 | $169 |
| Azathioprine | 12 | $643 | $54 |
| Famotidine | 16 | $599 | $37 |
| Pantoprazole | 16 | $507 | $32 |
| Spironolactone | 11 | $264 | $24 |
| Furosemide | 15 | $191 | $13 |
| Gavilyte-G | 11 | $137 | $12 |
| Peg-3350 and Electrolytes | 12 | $136 | $11 |
2020: 12 drugs
| Humira | 12 | $70,129 | $5,844 |
| Creon | 19 | $36,039 | $1,897 |
| Xifaxan | 12 | $31,177 | $2,598 |
| Ursodiol | 16 | $4,320 | $270 |
| Sucralfate | 21 | $3,514 | $167 |
| Omeprazole | 186 | $3,442 | $19 |
| Suprep | 21 | $2,202 | $105 |
| Nadolol | 11 | $1,686 | $153 |
| Spironolactone | 12 | $518 | $43 |
| Gavilyte-G | 29 | $375 | $13 |
| Pantoprazole | 17 | $339 | $20 |
| Furosemide | 12 | $130 | $11 |
2019: 9 drugs
| Humira | 13 | $70,626 | $5,433 |
| Creon | 24 | $43,006 | $1,792 |
| Xifaxan | 13 | $30,778 | $2,368 |
| Omeprazole | 210 | $4,745 | $23 |
| Suprep | 32 | $3,432 | $107 |
| Carafate | 11 | $2,489 | $226 |
| Gavilyte-G | 95 | $1,255 | $13 |
| Pantoprazole | 47 | $937 | $20 |
| Furosemide | 12 | $116 | $10 |
2018: 12 drugs
| Humira | 12 | $56,418 | $4,702 |
| Creon | 11 | $17,933 | $1,630 |
| Budesonide Ec | 12 | $6,683 | $557 |
| Omeprazole | 194 | $3,272 | $17 |
| Gavilyte-G | 110 | $1,397 | $13 |
| Suprep | 13 | $1,246 | $96 |
| Propranolol | 16 | $745 | $47 |
| Azathioprine | 11 | $697 | $63 |
| Peg-3350 and Electrolytes | 44 | $513 | $12 |
| Pantoprazole | 24 | $310 | $13 |
| Ranitidine | 12 | $241 | $20 |
| Dicyclomine | 16 | $121 | $8 |
2017: 9 drugs
| Humira | 11 | $47,266 | $4,297 |
| Creon | 16 | $23,613 | $1,476 |
| Omeprazole | 141 | $1,982 | $14 |
| Propranolol | 25 | $993 | $40 |
| Gavilyte-G | 67 | $814 | $12 |
| Peg-3350 and Electrolytes | 61 | $763 | $13 |
| Pantoprazole | 18 | $387 | $21 |
| Spironolactone | 19 | $312 | $16 |
| Dicyclomine | 17 | $92 | $5 |
2016: 5 drugs
| Creon | 15 | $18,617 | $1,241 |
| Moviprep | 23 | $2,017 | $88 |
| Omeprazole | 85 | $1,365 | $16 |
| Gavilyte-G | 39 | $498 | $13 |
| Peg-3350 and Electrolytes | 23 | $290 | $13 |
2015: 2 drugs
| Moviprep | 59 | $4,776 | $81 |
| Omeprazole | 20 | $458 | $23 |
2014: 2 drugs
| Moviprep | 21 | $1,690 | $80 |
| Omeprazole | 13 | $233 | $18 |
2013: 1 drug
| Omeprazole | 21 | $402 | $19 |
Money from drug and device companies
$49 in 2024
A payment is not proof that care is biased.
| Boston Scientific | X-Tack Endoscopic Helix Tacking System | $49 | 2 payments
|
See all 2 published payments
| Boston Scientific | Meals · 2024-07-16 | X-Tack Endoscopic Helix Tacking System | $34 |
| Boston Scientific | Meals · 2024-02-15 | Exalt Model D | $15 |
Professional record
- NPI
- 1215016969
- Licence
- CA A64588California A64588: Current · expires 2028-03-31
- Trained
- University of Texas Medical Branch at Galveston, 1996
- Video visits
- Lists video visits
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207RG0100X (207RG0100X)
- Mailing address
- 2025 Soquel Ave., Santa Cruz, CA, 95062
- NPI first listed
- 2006-11-03
- NPI last updated
- 2014-09-17
This is when the NPI record was last certified, not a medical board exam.