James Lilja, MD

4 locations · Bay Area Gynecology Oncology Inc · Washington Township Medical Foundation · Hazel Hawkins Memorial Hospital · County of Monterey

Hospitals listed: Community Hospital of the Monterey Peninsula · Good Samaritan Hospital · Hazel Hawkins Memorial Hospital · Natividad Medical Center · Washington Hospital. That is not proof they admit you there this week.

33 plans · 9 carriers

Licence G85643 · Current

Licensed to practise in California · since 2000 · expires 2027-05-31 · University of Pittsburgh School of Medicine.

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

Surgery centers they own

• Knowles Surgery Center, LLCAmbulatory Surgery Center · Los Gatos, CA2.1% owner since 2015 · accredited by AAAASF
  Probation3 inspections, 2 with deficiencies · last 2017-05-23: Requirements Met

5 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
• Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
  Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
• Hazel Hawkins Memorial HospitalHollister, CACritical Access Hospital · Government - Hospital District or Authority · Has an emergency department
  No overall ratingNo measure marked better or worse than the national rate
• Natividad Medical CenterSalinas, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Natividad Medical CenterPatients rate it 3 of 5 · 71% would definitely recommend it
  Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.316, Oct 2024 – Sep 2025
• Washington HospitalFremont, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of Washington Hospital Healthcare SystemPatients rate it 3 of 5 · 71% would definitely recommend it
  Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.188, 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): 0.164, Oct 2024 – Sep 2025

$135,594

Medicare paid this office $135,594 for 225 people.

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

Procedures Medicare counted

Who their Medicare patients are

225 Original Medicare patients in 2024. Average age 74 · Under 65 6% · 85 and older 11% · Also on Medicaid 32% · Health risk score 1.70. Sicker patients than 9 in 10 peers; the typical obstetrics & gynecology clinician is at 0.88.

Conditions among them: High blood pressure 75% · Cancer 59% · Diabetes 36% · Chronic kidney disease 27% · Coronary heart disease 19% · Depression 19% · Atrial fibrillation 15% · Heart failure 12% · COPD 11% · Stroke 8% · Dementia 7%.

The office billed $618,178, Medicare allowed $177,268 and paid $135,594; for 906 services of 64 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 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.

$0 in 2024

Medicaid paid $0 for 60 billed services this clinician did in 2024, up to 16 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.

$7,381

Pharmacies billed $7,381 in 2024.

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

Opioids were 30% of their Part D prescriptions (31 of 104) in 2024. A higher opioid share than 9 in 10 peers; the typical obstetrics & gynecology clinician is at 0%.

95 generic and fewer than 11 brand-name prescriptions · $7,381 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.

Year by year

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

$7,101 in 2025

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

NPI

1225081441

Licence

CA G85643California G85643: Current · expires 2027-05-31

Trained

University of Pittsburgh School of Medicine, 1993

Group

Bay Area Gynecology Oncology Inc · Washington Township Medical Foundation · Hazel Hawkins Memorial Hospital · County of Monterey

Video visits

Lists video visits

Gender

Male