Skip to main content
UniHealth

Doctor search

Leonard M Popky, MD

Emergency Medicine · Monterey

NPI 1215044755

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
2

Offices

2 locations · Emergency Physicians Associates San Jose PC · 131 clinicians in this group

Looking this up.

Hospitals listed: 059175 · Community Hospital of the Monterey Peninsula · Santa Clara Valley Medical Center. 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. Popky’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence G65991 · Current

Licensed to practise in California · since 1989 · expires 2028-07-31 · Medical College of Pennsylvania.

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.

  • Community Hospital of the Monterey PeninsulaMonterey, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Montage HealthPatients rate it 4 of 5 · 84% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.48 (1.22 to 1.74), Jul 2022 – Jun 2024Worse than the national rate — Postoperative acute kidney injury requiring dialysis rate: 3.12 (1.69 to 4.56) · 1,095 cases, Jul 2022 – Jun 2024Worse than the national rate — Postoperative respiratory failure rate: 19.24 (14.17 to 24.3) · 1,118 cases, Jul 2022 – Jun 2024Worse than the national rate — Postoperative sepsis rate: 9.62 (6.42 to 12.82) · 1,086 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.39, Oct 2024 – Sep 2025
  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Community Hospital of the Monterey Peninsula

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 1 better, 5 the same, 1 worse of 7 measures. Readmissions: 0 better, 11 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 Community Hospital of the Monterey Peninsula
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.48 (1.22 to 1.74)WorseJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths3.12 (1.69 to 4.56) · 1,095 casesWorseJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths19.24 (14.17 to 24.3) · 1,118 casesWorseJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths9.62 (6.42 to 12.82) · 1,086 casesWorseJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.39BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.27 (0.39 to 2.16) · 1,873 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths158.2 (110.65 to 205.75) · 140 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.3 · 74 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.8 · 135 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10 · 184 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.7 · 686 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.4 · 1,072 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8 · 328 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.8 · 3,300 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.29 (0.11 to 0.48) · 10,234 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.1 to 0.46) · 10,572 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.25 (1.47 to 5.04) · 2,617 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.37 (1.04 to 3.7) · 2,519 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.21 (0.75 to 3.66) · 744 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.61 (0.06 to 1.17) · 8,715 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.2 · 156 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.28No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.799No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.732No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.7 · 152 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.6 · 625 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits6.3 · 193 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-3.2 · 749 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits7 · 1,074 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.5 · 850 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4 (2.7 to 5.8) · 224 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.5 (10.4 to 17.4) · 224 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.7 · 153 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.5 · 49 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 144 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14.2 (10.9 to 18.6) · 711 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (1 to 1.5) · 746 casesNo differentJan 2024 – Dec 2024

What patients said (520 patients answered, 28% of those asked)

Patient survey stars by topic at Community Hospital of the Monterey Peninsula
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating5
Quietness3
Recommend hospital5
Share of patients giving the best answer at Community Hospital of the Monterey Peninsula
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained62%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge84%
Doctors "always" explained things so they could understand75%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect89%
Patients who gave a rating of "9" or "10" (high)82%
Staff "always" explained new medications79%
Nurses "always" explained things so they could understand79%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect89%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital84%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

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

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

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

Original Medicare doctor bills

$141,078

Medicare paid this office $141,078 for 630 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making245$36,291$133
Return visit (30+ min)128$28,094$78
Emergency department visit with moderate level of medical decision making154$14,606$88
Removal of skin and tissue, 20.0 sq cm or less101$14,064$49
New patient visit (45+ min)83$8,828$106
See all 12 services
Every Original Medicare service billed
Emergency department visit with high level of medical decision making245$36,291$133
Return visit (30+ min)128$28,094$78
Emergency department visit with moderate level of medical decision making154$14,606$88
Removal of skin and tissue, 20.0 sq cm or less101$14,064$49
New patient visit (45+ min)83$8,828$106
Management of oxygen chamber therapy11$7,363$84
Removal of muscle and/or tissue, 20.0 sq cm or less18$6,394$123
Critical care, first 30-74 minutes38$6,303$162
Removal of skin and tissue, each additional 20.0 sq cm or less29$4,208$20
Short return visit (20+ min)52$3,696$54
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only141$1,085$7
Application of chemical to stop tissue regrowth in wound15$502$28

Procedures Medicare counted

Procedure volume Medicare published
Removal of nail tissue1-10None
Removal of skin lesions1-10None
Removal of tissue255More than 93% of doctors who do this
Removal or shaving of skin growth1-10None

Who their Medicare patients are

630 Original Medicare patients in 2024. Average age 75 · Under 65 12% · 85 and older 25% · Women 54% · Also on Medicaid 39% · Health risk score 2.31. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Diabetes 44% · Coronary heart disease 41% · Heart failure 35% · Chronic kidney disease 35% · Atrial fibrillation 33% · Depression 30% · COPD 24% · Dementia 17% · Cancer 16% · Stroke 14%.

The office billed $1,073,776, Medicare allowed $187,202 and paid $141,078; for 1,970 services of 55 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
20246301,970752.31$1,073,776$141,078
20235842,028752.09$939,459$138,996
20225051,497751.99$529,808$97,517
20214711,292732.20$502,273$99,134
2020411818741.89$331,777$65,712
2019486985722.06$369,226$68,174
2018552774742.34$1,086,388$74,667
20178541,210732.26$1,835,863$116,177
20168201,227742.20$1,424,263$111,589
20155241,075712.06$594,536$89,548
20149691,112712.00$555,602$118,224
20131,0111,219732.34$463,946$125,272

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: 12 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making248$36,106$135
Return visit (30+ min)99$24,565$81
Emergency department visit with moderate level of medical decision making132$12,651$88
Removal of skin and tissue, 20.0 sq cm or less87$11,776$49
New patient visit (45+ min)71$7,806$110
Management of oxygen chamber therapy15$7,255$86
Critical care, first 30-74 minutes41$7,242$177
Removal of muscle and/or tissue, 20.0 sq cm or less25$6,475$125
Short return visit (20+ min)58$6,332$55
Removal of skin and tissue, each additional 20.0 sq cm or less34$5,458$20
New patient visit (30+ min)21$1,428$68
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only174$1,233$7

2022: 13 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making208$35,076$158
Short return visit (20+ min)62$10,953$56
Emergency department visit with moderate level of medical decision making92$9,493$101
Removal of skin and tissue, 20.0 sq cm or less49$7,910$50
Critical care, first 30-74 minutes29$6,798$219
Removal of skin and tissue, each additional 20.0 sq cm or less19$5,558$22
Emergency department visit with low level of medical decision making82$5,102$59
New patient visit (30+ min)43$3,012$70
New patient visit (45+ min)14$1,584$113
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only189$1,494$7
Return visit (30+ min)12$994$83
Short return visit26$944$29
X-ray of chest, 1 view11$73$7

2021: 13 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making233$43,344$175
Removal of skin and tissue, 20.0 sq cm or less50$9,338$50
Short return visit (20+ min)41$9,166$57
Emergency department visit with moderate level of medical decision making73$7,553$101
Critical care, first 30-74 minutes22$5,335$242
Management of oxygen chamber therapy11$4,463$91
Emergency department visit with low level of medical decision making59$3,680$61
New patient visit (30+ min)47$3,144$67
Short return visit40$1,897$31
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only195$1,567$7
Removal of skin and tissue, each additional 20.0 sq cm or less13$1,445$22
New patient visit (45+ min)12$1,385$115
Return visit (30+ min)11$1,101$85

2020: 9 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making202$33,174$157
Emergency department visit with moderate level of medical decision making84$8,756$101
Critical care, first 30-74 minutes23$5,896$236
Removal of skin and tissue, 20.0 sq cm or less28$3,660$52
Emergency department visit with low level of medical decision making57$2,688$47
Short return visit30$2,103$21
Short return visit (20+ min)24$1,691$43
New patient visit (15+ min)24$1,024$43
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only98$821$8

2019: 9 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making205$31,645$145
Emergency department visit with moderate level of medical decision making130$12,235$92
Emergency department visit with low level of medical decision making109$5,417$48
Critical care, first 30-74 minutes19$4,027$192
Removal of skin and tissue, 20.0 sq cm or less30$3,564$50
Short return visit35$1,905$21
Short return visit (20+ min)25$1,478$41
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only141$1,201$8
New patient visit (15+ min)18$742$41

2018: 5 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making404$58,225$137
Emergency department visit with moderate level of medical decision making96$9,072$94
Emergency department visit with low level of medical decision making52$2,619$49
Critical care, first 30-74 minutes13$2,374$183
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only160$1,152$7

2017: 4 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making645$93,709$137
Emergency department visit with moderate level of medical decision making149$13,764$90
Emergency department visit with low level of medical decision making79$4,030$49
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only255$1,777$7

2016: 6 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making536$79,290$136
Emergency department visit with moderate level of medical decision making157$14,760$90
Critical care, first 30-74 minutes28$4,913$175
Emergency department visit with low level of medical decision making94$4,246$45
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only234$1,658$7
X-ray of chest, 1 view, front11$82$7

2015: 8 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making234$32,586$132
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes49$23,792$83
Emergency department visit with moderate level of medical decision making118$11,484$88
Emergency department visit with low level of medical decision making109$5,056$45
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more27$4,155$62
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes33$3,974$117
Critical care, first 30-74 minutes12$2,169$181
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only107$782$7

2014: 5 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making529$73,620$134
Emergency department visit with moderate level of medical decision making332$28,456$82
Critical care, first 30-74 minutes34$6,170$181
Emergency department visit with low level of medical decision making116$4,991$42
Emergent insertion of breathing tube into windpipe using an endoscope14$1,269$85

2013: 4 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making403$58,395$137
Emergency department visit with moderate level of medical decision making438$40,899$87
Critical care, first 30-74 minutes59$11,107$185
Emergency department visit with low level of medical decision making173$8,068$44

Medicaid work

$126,274 in 2024

Medicaid paid $126,274 for 3,125 billed services this clinician did in 2024, up to 180 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
EMERGENCY DEPT VISIT MOD MDM1,530$50,498
EMERGENCY DEPARTMENT VISIT HIGH MDM726$36,332
Clinic visit/encounter, all-inclusive59$31,575
Service141$5,146
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only246$1,055
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less125$883
EMERGENCY DEPT VISIT LOW MDM14$530
Return visit (30+ min)34$210
Service24$46
Medication list documented in medical record (COA)87$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)30$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)26$0
Medicaid work by year
20243,12513180$126,274
20234,02513171$123,674
20222,7797168$82,051
20212,1335109$71,783
20201,622770$50,463
20191,7671266$112,208
20184,92018257$214,819
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM1,737$58,750
EMERGENCY DEPARTMENT VISIT HIGH MDM753$38,443
Service390$14,722
EMERGENCY DEPT VISIT LOW MDM229$3,943
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less187$3,698
Return visit (30+ min)125$1,710
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only254$1,317
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count43$331
Service239$324
Short return visit (20+ min)17$196
COMPREHENSIVE METABOLIC PANEL13$156
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy25$86

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT LOW MDM1,322$28,513
EMERGENCY DEPARTMENT VISIT HIGH MDM506$25,030
EMERGENCY DEPT VISIT MOD MDM610$21,228
Service165$5,947
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only97$957
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less19$222
Service60$154

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM497$27,698
EMERGENCY DEPT VISIT LOW MDM890$20,093
EMERGENCY DEPT VISIT MOD MDM521$18,912
Service98$3,698
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only127$1,382

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM335$17,066
EMERGENCY DEPT VISIT LOW MDM614$13,343
EMERGENCY DEPT VISIT MOD MDM379$12,608
Service109$4,080
Service26$2,228
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only146$1,038
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count13$101

2019

Largest Medicaid services in 2019
Service232$61,991
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"64$13,671
EMERGENCY DEPT VISIT LOW MDM680$13,592
EMERGENCY DEPT VISIT MOD MDM327$8,862
EMERGENCY DEPARTMENT VISIT HIGH MDM154$5,562
Service134$4,976
Infusion, normal saline solution , 1000 cc17$2,675
Service38$475
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only69$228
COMPREHENSIVE METABOLIC PANEL14$96
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count17$79
Unclassified drugs21$0

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT LOW MDM1,891$77,638
EMERGENCY DEPARTMENT VISIT HIGH MDM747$65,898
EMERGENCY DEPT VISIT MOD MDM634$37,408
Service449$16,211
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"27$4,352
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only337$3,934
Computed tomography, head or brain; without contrast material17$2,567
Service214$2,044
COMPREHENSIVE METABOLIC PANEL201$2,002
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count220$1,080
Service12$533
Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types12$493

Drugs they prescribed that Part D paid

$4,603

Pharmacies billed $4,603 in 2024.

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

Opioids were 11% of their Part D prescriptions (34 of 320) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

302 generic and fewer than 11 brand-name prescriptions · $4,603 in drug cost · 112 antibiotic prescriptions to 89 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
Cephalexin49$200$4
Hydrocodone-Acetaminophen23$99$4
Mupirocin11$97$9
Ondansetron21$80$4
Amoxicillin-Clavulanate Potass13$55$4
See all 8 drugs
Every Part D drug this clinician prescribed
Cephalexin49$200$4
Hydrocodone-Acetaminophen23$99$4
Mupirocin11$97$9
Ondansetron21$80$4
Amoxicillin-Clavulanate Potass13$55$4
Prednisone17$41$2
Ibuprofen17$37$2
Sulfamethoxazole-Trimethoprim11$30$3

Year by year

Part D prescribing by year
202432021711% (34)None$4,603
202332822810% (34)None$4,967
202226018210% (27)None$5,786
202116712111% (19)8%$5,846
20201661059% (15)8%$6,938
201919814714% (27)7%$2,968
201824817316% (39)6%$4,427
201742229920% (86)8%$5,296
201635324321% (73)None$4,839
201521514225% (54)None$3,018
201436826128% (102)None$4,483
201334422929% (101)None$11,651

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

See the drugs prescribed each year

2023: 10 drugs

Part D drugs prescribed in 2023
Cephalexin42$347$8
Amoxicillin-Clavulanate Potass17$174$10
Mupirocin14$141$10
Ondansetron26$133$5
Triamcinolone Acetonide13$103$8
Ibuprofen33$90$3
Azithromycin12$88$7
Hydrocodone-Acetaminophen22$77$4
Prednisone15$32$2
Tramadol11$15$1

2022: 5 drugs

Part D drugs prescribed in 2022
Cephalexin39$260$7
Ondansetron13$96$7
Hydrocodone-Acetaminophen20$89$4
Prednisone21$62$3
Ibuprofen15$58$4

2021: 2 drugs

Part D drugs prescribed in 2021
Cephalexin36$186$5
Hydrocodone-Acetaminophen12$47$4

2020: 4 drugs

Part D drugs prescribed in 2020
Cephalexin31$183$6
Ondansetron Odt11$68$6
Hydrocodone-Acetaminophen15$63$4
Prednisone11$27$2

2019: 5 drugs

Part D drugs prescribed in 2019
Cephalexin21$124$6
Hydrocodone-Acetaminophen21$92$4
Ciprofloxacin12$78$6
Prednisone20$64$3
Sulfamethoxazole-Trimethoprim11$57$5

2018: 5 drugs

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen30$129$4
Ciprofloxacin19$120$6
Ondansetron Odt14$98$7
Prednisone26$63$2
Ibuprofen11$44$4

2017: 11 drugs

Part D drugs prescribed in 2017
Oseltamivir Phosphate12$1,256$105
Ondansetron Odt46$253$6
Hydrocodone-Acetaminophen66$213$3
Ciprofloxacin22$145$7
Prednisone33$107$3
Sulfamethoxazole-Trimethoprim19$88$5
Meclizine16$87$5
Cephalexin15$78$5
Azithromycin13$75$6
Pantoprazole14$67$5
Oxycodone-Acetaminophen14$58$4

2016: 8 drugs

Part D drugs prescribed in 2016
Ventolin Hfa12$626$52
Hydrocodone-Acetaminophen59$255$4
Ondansetron Odt25$211$8
Cephalexin32$208$6
Prednisone29$114$4
Loperamide15$97$6
Ibuprofen15$78$5
Azithromycin13$70$5

2015: 5 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen50$219$4
Cephalexin24$122$5
Prednisone23$86$4
Ondansetron Odt11$65$6
Ibuprofen15$41$3

2014: 10 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen74$382$5
Cephalexin31$185$6
Ondansetron Odt18$181$10
Prednisone24$116$5
Azithromycin13$108$8
Meclizine12$83$7
Oxycodone-Acetaminophen11$75$7
Ibuprofen15$60$4
Sulfamethoxazole-Trimethoprim12$50$4
Lorazepam14$45$3

2013: 8 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen65$247$4
Azithromycin16$182$11
Ondansetron Odt15$156$10
Oxycodone-Acetaminophen23$99$4
Sulfamethoxazole-Trimethoprim18$94$5
Meclizine14$93$7
Prednisone27$83$3
Ibuprofen18$60$3

Money from drug and device companies

$96 in 2025

Industry payments by year
202523None$96
202412None$53
202313None$83
202213None$70
201912None$141

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
Smith+NephewGrafix$63
2 payments
  • Meals for Grafix · 2025-09-27 · $18
  • Meals for Grafix · 2025-04-18 · $45
OrganogenesisPuraply Wound Matrix$32
1 payment
  • Meals for Puraply Wound Matrix · 2025-02-07 · $32
See all 3 published payments
Every published payment
Smith+NephewMeals · 2025-09-27Grafix$18
Smith+NephewMeals · 2025-04-18Grafix$45
OrganogenesisMeals · 2025-02-07Puraply Wound Matrix$32
See earlier years (2024, 2023, 2022, 2019)

2024: $53

Payments by company in 2024
OrganogenesisNone$53
2 payments
  • Meals · 2024-03-11 · $14
  • Meals · 2024-01-16 · $39

2023: $83

Payments by company in 2023
OrganogenesisPuraply$83
3 payments
  • Meals for Puraply · 2023-05-17 · $14
  • Meals for Puraply · 2023-03-31 · $50
  • Meals for Puraply · 2023-01-23 · $19

2022: $70

Payments by company in 2022
OrganogenesisPuraply$70
3 payments
  • Meals for Puraply · 2022-10-25 · $25
  • Meals for Puraply · 2022-07-12 · $27
  • Meals for Puraply · 2022-06-24 · $17

2019: $141

Payments by company in 2019
Smith+NephewGrafix Pl Prime$141
2 payments
  • Meals for Grafix Pl Prime · 2019-12-18 · $128
  • Meals for Grafix Pl Prime · 2019-07-23 · $13

Professional record

NPI
1215044755
Licence
CA G65991California G65991: Current · expires 2028-07-31
Trained
Medical College of Pennsylvania, 1986
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207P00000X (207P00000X); Federal specialty code 207PE0004X (207PE0004X)
Mailing address
1 Wyndemere Way, Monterey, CA, 93940
NPI first listed
2006-08-23
NPI last updated
2019-10-23

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

Extra NPI addresses: 1 Wyndemere Way, Monterey, CA, 93940