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Mark Klinger Borsody, MD

Neurology · Napa

NPI 1215179767

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Offices
17

Offices

17 locations · Providence Medical Foundation · Emergency and Acute Care Medical Corporation · Cep America - Neurology PC · Sarah Bush Lincoln Health Center

Looking this up.

Hospitals listed: Providence Queen of the Valley Medical Center · Sharp Chula Vista Medical Center · United Regional Health Care System. That is not proof they admit you there this week.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Borsody’s office 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
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

California Medical Board record

Licence C54987 · Current

Licensed to practise in California · since 2011 · expires 2027-12-31 · Ohio State University College of Medicine.

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

Hospitals they work in

3 hospitals

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

  • Providence Queen of the Valley Medical CenterNapa, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Providence, which runs 54 hospitals in 7 statesPatients rate it 3 of 5 · 74% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.107, Oct 2024 – Sep 2025
  • Sharp Chula Vista Medical CenterChula Vista, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Sharp Healthcare, which runs 6 hospitalsPatients rate it 3 of 5 · 72% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.283, Oct 2024 – Sep 2025
  • United Regional Health Care SystemWichita Falls, TXAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of United Regional Health Care SystemPatients rate it 4 of 5 · 73% would definitely recommend it
    Overall rating: 3 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.34 (1.04 to 1.63), Jul 2022 – Jun 2024Worse than the national rate — Iatrogenic pneumothorax rate: 0.45 (0.26 to 0.64) · 10,579 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.269, Oct 2024 – Sep 2025Better 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): 0.097, Oct 2024 – Sep 2025
See every measure and the patient survey for Providence Queen of the Valley Medical Center

Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 2 better, 9 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 Providence Queen of the Valley Medical Center
Clostridium Difficile (C.Diff)Infections0.107BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.9 (0 to 1.92) · 609 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.85 (0.5 to 1.2)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths191.43 (130.54 to 252.33) · 39 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.9 · 46 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths9.1 · 89 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 135 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths12 · 271 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.7 · 376 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11 · 175 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 1,316 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.41) · 4,152 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.23 (0.03 to 0.43) · 4,188 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.81 (1.63 to 5.99) · 803 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.21) · 250 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.19 (0.62 to 3.77) · 742 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.45 (0.91 to 16) · 250 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.58 (1.75 to 9.42) · 250 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.65 (0.17 to 3.13) · 152 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.19 (0 to 0.94) · 2,994 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.684No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.887No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.2 · 133 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.1 · 270 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-4.8 · 143 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-22.1 · 316 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-1 · 399 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits20.4 · 337 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.3 (3.5 to 7.8) · 107 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (9.8 to 17.7) · 107 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits10.5 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 76 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.4 to 16.2) · 848 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.8 to 1.4) · 423 casesNo differentJan 2024 – Dec 2024

What patients said (449 patients answered, 22% of those asked)

Patient survey stars by topic at Providence Queen of the Valley Medical Center
Cleanliness4
Nurse communication4
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness1
Recommend hospital4
Share of patients giving the best answer at Providence Queen of the Valley Medical Center
Room was "always" clean73%
Nurses "always" communicated well79%
Doctors "always" communicated well77%
Staff "always" explained57%
Yes, staff "did" give patients this information84%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)69%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night40%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms84%
See every measure and the patient survey for Sharp Chula Vista Medical Center

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 9 the same, 1 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sharp Chula Vista Medical Center
Clostridium Difficile (C.Diff)Infections0.283BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.35 (0.36 to 2.34) · 872 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.12 (0.79 to 1.44)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths178.91 (128.64 to 229.19) · 68 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.3 · 53 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.6 · 126 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.1 · 137 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.3 · 412 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths11.7 · 490 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.2 · 364 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.8 · 4,213 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.41) · 6,145 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.02 to 0.41) · 6,385 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.81 (1.63 to 6) · 1,111 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.31 (0.68 to 3.94) · 209 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.06 (0.54 to 3.59) · 958 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.99 (2.49 to 17.49) · 220 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.09 (2.08 to 10.1) · 212 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.68 (0.18 to 3.17) · 200 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.76 (0.15 to 1.38) · 5,253 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.4 · 34 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.404No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.224No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.582No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.904No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.9 · 255 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.4 · 933 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-6.9 · 134 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-0.4 · 488 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits3.2 · 528 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.7 · 894 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5 (3.3 to 7.9) · 47 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.5 (7.3 to 15.2) · 47 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.5 · 35 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.6 · 77 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits23.1 · 253 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.3 (9.9 to 18.2) · 133 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.5) · 150 casesNo differentJan 2024 – Dec 2024

What patients said (2,585 patients answered, 16% of those asked)

Patient survey stars by topic at Sharp Chula Vista Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at Sharp Chula Vista Medical Center
Room was "always" clean72%
Nurses "always" communicated well77%
Doctors "always" communicated well76%
Staff "always" explained59%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge84%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital72%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for United Regional Health Care System

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 4 the same, 1 worse of 7 measures. Readmissions: 1 better, 10 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 United Regional Health Care System
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.34 (1.04 to 1.63)WorseJul 2022 – Jun 2024
Iatrogenic pneumothorax rateComplications and deaths0.45 (0.26 to 0.64) · 10,579 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.269BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.097BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.01 (0.06 to 1.95) · 1,319 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths184.72 (135.45 to 234) · 116 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths4.9 · 85 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths9.6 · 293 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.1 · 266 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 646 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.2 · 1,081 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8 · 317 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.3 · 3,192 casesNoneJul 2024 – Jun 2025
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.08 to 0.45) · 10,578 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.76 (0.81 to 4.72) · 1,826 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.75 (0.19 to 3.31) · 637 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths3.31 (1.9 to 4.71) · 1,772 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths14.47 (8.44 to 20.5) · 640 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.41 (2.76 to 10.06) · 617 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.56 (0.12 to 2.99) · 404 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths1.14 (0.55 to 1.73) · 8,154 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.3 · 32 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.271No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.591No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.6 · 326 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23.9 · 806 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits13.7 · 284 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-25.4 · 730 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-13.4 · 1,186 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits21.5 · 1,310 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.2 to 7.9) · 34 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.8 (6.5 to 14.3) · 34 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits13.2 · 86 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.7 · 410 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.3 to 16.1) · 384 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.8 to 1.3) · 652 casesNo differentJan 2024 – Dec 2024

What patients said (488 patients answered, 21% of those asked)

Patient survey stars by topic at United Regional Health Care System
Cleanliness4
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness5
Recommend hospital4
Share of patients giving the best answer at United Regional Health Care System
Room was "always" clean77%
Nurses "always" communicated well79%
Doctors "always" communicated well76%
Staff "always" explained60%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand69%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night65%
"YES", patients would definitely recommend the hospital73%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$121,285

Medicare paid this office $121,285 for 630 people.

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

Largest Original Medicare bills
Initial hospital care with moderate level of medical decision making at least 75 minutes220$35,356$142
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes232$29,760$66
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes173$19,408$58
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes121$6,717$38
Measurement of brain wave activity (eeg), awake and drowsy89$5,024$49
See all 12 services
Every Original Medicare service billed
Initial hospital care with moderate level of medical decision making at least 75 minutes220$35,356$142
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes232$29,760$66
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes173$19,408$58
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes121$6,717$38
Measurement of brain wave activity (eeg), awake and drowsy89$5,024$49
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes47$4,933$105
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes44$4,264$97
New patient visit (45+ min)42$4,034$96
Return visit (30+ min)21$1,590$72
Short return visit (20+ min)22$1,310$49
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes14$958$68
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$664$41

Who their Medicare patients are

630 Original Medicare patients in 2024. Average age 76 · Under 65 14% · 85 and older 22% · Women 50% · Also on Medicaid 32% · Health risk score 1.93. Above the middle of the specialty; the typical neurology clinician is at 1.61.

Conditions among them: High blood pressure 75% · Stroke 72% · Coronary heart disease 47% · Diabetes 44% · Heart failure 41% · Depression 41% · Chronic kidney disease 38% · Atrial fibrillation 35% · Dementia 30% · COPD 26% · Cancer 17%.

The office billed $561,353, Medicare allowed $154,096 and paid $121,285; for 1,618 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

Original Medicare by year
20246301,618761.93$561,353$121,285
20236461,258751.98$362,408$107,331
2022689922761.84$324,343$94,091
20217681,216761.81$374,615$139,376
2020370700751.93$173,592$73,134
2019294653761.95$98,495$45,742
2018361924752.26$157,827$67,345
2017274770752.05$167,266$60,046

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: 14 services

Original Medicare services billed in 2023
Initial hospital care with moderate level of medical decision making at least 75 minutes179$29,030$144
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes168$19,115$66
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes140$14,767$86
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes138$11,537$58
New patient visit (45+ min)65$6,220$96
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes50$5,322$104
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth30$3,409$114
Long return visit (40+ min)29$3,200$103
Measurement of brain wave activity (eeg), awake and drowsy41$2,008$48
Return visit (30+ min)26$2,000$71
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,354$90
Short return visit (20+ min)27$1,304$48
New patient visit (45+ min)11$911$83
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes16$890$40

2022: 13 services

Original Medicare services billed in 2022
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth267$45,573$166
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes129$11,413$83
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes63$5,878$59
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth50$5,558$111
New patient visit (30+ min)55$3,801$69
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes34$3,477$102
Measurement of brain wave activity (eeg), awake and drowsy59$3,322$51
New patient visit (45+ min)19$2,485$131
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth23$2,255$90
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes19$1,846$80
Emergency department visit with low level of medical decision making24$1,383$58
Short return visit (20+ min)17$1,081$57
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes28$1,041$33

2021: 16 services

Original Medicare services billed in 2021
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth333$60,222$175
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes181$21,146$113
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes98$12,589$89
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth93$9,393$89
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes75$7,944$62
Initial hospital care with moderate level of medical decision making at least 75 minutes38$6,566$173
New patient visit (45+ min)18$2,090$116
Long return visit (40+ min)13$1,664$128
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth15$1,618$108
Measurement of brain wave activity (eeg), awake and drowsy28$1,526$53
New patient visit (45+ min)13$1,489$115
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes13$966$74
Measurement of brain wave activity (eeg), awake and asleep17$830$49
New patient visit (30+ min)11$738$67
Measurement of brain wave activity (eeg), 41-60 minutes13$663$51
Telehealth originating site facility fee22$454$21

2020: 12 services

Original Medicare services billed in 2020
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth77$14,239$185
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes94$12,304$93
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes68$8,270$122
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes74$5,993$64
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes65$5,928$88
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,742$179
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth30$4,231$96
Critical care, first 30-74 minutes15$3,893$185
Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth18$3,182$177
Measurement of brain wave activity (eeg), 41-60 minutes21$1,149$52
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes27$1,128$34
Emergency department visit with low level of medical decision making14$786$56

2019: 7 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes144$18,081$90
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes169$15,236$63
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes44$3,764$86
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes58$2,980$34
Measurement of brain wave activity (eeg), 61-119 minutes13$1,013$78
Measurement of brain wave activity (eeg), 41-60 minutes17$882$52
New patient visit (15+ min)12$532$44

2018: 9 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes228$30,187$62
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes141$20,043$89
Initial hospital care with moderate level of medical decision making at least 75 minutes26$4,659$166
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes33$2,764$84
Critical care, first 30-74 minutes12$2,271$189
Measurement of brain wave activity (eeg), 61-119 minutes24$2,060$76
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes34$1,449$32
Measurement of brain wave activity (eeg), 41-60 minutes25$1,264$51
Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test13$817$63

2017: 9 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes170$19,880$62
Initial hospital care with moderate level of medical decision making at least 75 minutes85$15,174$174
Critical care, first 30-74 minutes30$5,706$190
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes94$5,027$33
Measurement of brain wave activity (eeg), 61-119 minutes40$3,228$77
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes35$3,039$87
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes28$2,822$86
Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test19$1,291$68
Measurement of brain wave activity (eeg), 41-60 minutes14$711$51

Medicaid work

$17,805 in 2024

Medicaid paid $17,805 for 925 billed services this clinician did in 2024, up to 34 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
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES650$11,308
1ST HOSP IP/OBS HIGH 7548$3,443
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES72$1,744
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES155$1,310
Medicaid work by year
2024925434$17,805
2023357439$13,441
202112112$635
201828117$1,214
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES168$5,799
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES152$4,904
1ST HOSP IP/OBS HIGH 7525$2,515
Clinic visit/encounter, all-inclusive12$223

2021

Largest Medicaid services in 2021
Long return visit (40+ min)12$635

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES28$1,214

Money from drug and device companies

$144 in 2025

Industry payments by year
202511None$144
202411None$28

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
NeuroLogica Corporation a SamsungOmnitom$144
1 payment
  • Meals for Omnitom · 2025-04-04 · $144
See the published payment
Every published payment
NeuroLogica Corporation a SamsungMeals · 2025-04-04Omnitom$144
See earlier years (2024)

2024: $28

Payments by company in 2024
Tempus AINone$28
1 payment
  • Meals · 2024-01-22 · $28

Professional record

NPI
1215179767
Licence
CA C54987, IL 03612548California C54987: Current · expires 2027-12-31
Trained
Ohio State University College of Medicine, 1999
Group
Providence Medical Foundation · Emergency and Acute Care Medical Corporation · Cep America - Neurology PC · Sarah Bush Lincoln Health Center
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Neurology (2084N0400X)
Mailing address
5514 Doyle St Apt 9, Emeryville, CA, 94608
NPI first listed
2009-03-30
NPI last updated
2026-03-23
NPI record certified
2026-03-23

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

Extra NPI addresses: 1818 N Meade St, Appleton, WI, 54911 · 1000 Health Center Dr, Mattoon, IL, 61938 · 793 Country Club Dr, Moraga, CA, 94556 · 210 Medical Pavilion Dr, Raeford, NC, 28376