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Ghassan S Bachir, MD

Cardiac Surgery · Fresno

NPI 1225081789

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
57 years
Graduated 1969

Offices

1 location

Looking this up.

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. Bachir’s office at (559) 475-6675 to ask if they take your plan before you enroll.

California Medical Board record

Licence A42006 · Current

Licensed to practise in California · since 1985 · expires 2028-08-31 · Russian "People'S Friendship" University Aka P. Lumumby.

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

Surgery centers they own

  • California Surgical Medical Clinics, Inc dba Advanced Cosmetic & Aesthetic Surgery CenterAmbulatory Surgery Center · Fresno, CA95.5% owner since 2017 · accredited by AAAHC
    Initial Accreditation2 inspections, 2 with deficiencies · last 2024-11-21: Requirements Met

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Surgery - Surgery
  • American Board of Thoracic Surgery - Thoracic and Cardiac Surgery

Original Medicare doctor bills

$198,367

Medicare paid this office $198,367 for 224 people.

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

Largest Original Medicare bills
Return visit (30+ min)141$43,579$93
Long return visit (40+ min)116$32,933$110
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional42$29,014$631
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b73$12,860$140
New patient visit (60+ min)66$7,989$121
See all 36 services
Every Original Medicare service billed
Return visit (30+ min)141$43,579$93
Long return visit (40+ min)116$32,933$110
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional42$29,014$631
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b73$12,860$140
New patient visit (60+ min)66$7,989$121
Short return visit (20+ min)58$7,722$67
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit55$6,560$119
New patient visit (45+ min)49$5,602$114
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function36$5,445$147
Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique64$5,157$64
X-ray of chest, minimum of 4 views91$3,959$33
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique85$3,577$34
Injection of drug or substance under skin or into muscle119$3,468$10
Urinalysis for bacteria45$1,733$29
Test to measure expiratory airflow and volume62$1,424$20
Complete ultrasound scan of abdomen15$1,319$88
Removal of impacted ear wax22$1,060$32
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional39$966$17
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen18$955$50
Application of lower and upper arm splint15$908$61
Complete ultrasound scan of pelvis15$843$56
X-ray of face bones, minimum of 3 views12$419$35
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report36$402$10
X-ray of abdomen, minimum of 3 views13$392$30
X-ray of shoulder, minimum of 2 views12$363$26
X-ray of middle spine, 3 views12$361$30
X-ray of sacrum and tailbone, minimum of 2 views12$323$25
Inhalation treatment for airway obstruction or sputum production44$279$6
X-ray of pelvis, 1-2 views13$267$21
Placement of strapping to shoulder15$265$18
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg11$55None
Injection, ceftriaxone sodium, per 250 mg96$36None
Injection, dexamethasone sodium phosphate, 1 mg107$11None
Injection, ketorolac tromethamine, per 15 mg15$8None
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg44$6None
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg30$1None

Procedures Medicare counted

Procedure volume Medicare published
Removal of nail tissue1-10None
Removal of tissue1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Removal of bone, each additional 20.0 sq cm or less4,736635––––
Removal of bone, 20.0 sq cm or less1,580251––––
Removal of muscle and/or tissue, each additional 20.0 sq cm or less47446––––
Removal of muscle and/or tissue, 20.0 sq cm or less19432––––
Removal of impacted ear wax––––1133
Application of lower and upper arm splint–––––15

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

Who their Medicare patients are

224 Original Medicare patients in 2024. Average age 74 · Under 65 5% · 85 and older 11% · Women 64% · Also on Medicaid 12% · Health risk score 1.07. At or below the middle of the specialty; the typical cardiac surgery clinician is at 1.73.

Conditions among them: High blood pressure 75% · Diabetes 49% · Coronary heart disease 31% · Chronic kidney disease 30% · Atrial fibrillation 25% · Cancer 17% · Depression 17% · Heart failure 14% · Stroke 13% · COPD 11% · Dementia 6%.

The office billed $418,574, Medicare allowed $260,070 and paid $198,367; for 3,044 services of 113 kinds; $549 of it was for drugs given in the office and $197,818 for care.

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
20242243,044741.07$418,574$198,367
20232303,054730.94$436,208$222,684
20222482,084730.99$328,618$178,297
20212761,150720.94$206,186$116,291
20202121,590751.58$356,618$182,831
20192568,413793.10$1,909,360$1,041,381
20181263,551764.09$893,855$403,032
20171281,305773.24$339,020$212,964
20161861,330763.71$281,044$132,746
20151821,687753.02$355,700$135,276
20142260713.16$18,900$6,353
20134385731.82$48,004$13,578

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: 38 services

Original Medicare services billed in 2023
Long return visit (40+ min)184$113,275$138
New patient visit (60+ min)114$18,756$163
Psychotherapy with evaluation and management visit, 45 minutes111$14,716$68
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional17$12,912$717
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function45$8,069$165
X-ray of chest, minimum of 4 views116$6,139$39
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b38$6,011$140
Complete ultrasound scan of abdomen34$3,652$99
Return visit (30+ min)22$3,011$97
Injection of drug or substance under skin or into muscle130$2,984$11
Complete ultrasound scan of pelvis30$2,707$87
Ultrasound of both sides of head and neck blood flow14$2,262$162
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique48$1,857$34
X-ray of abdomen, minimum of 3 views27$980$36
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing20$958$42
X-ray of pelvis, 1-2 views33$895$24
Urinalysis for bacteria22$852$29
X-ray of middle spine, 3 views24$797$33
X-ray of face bones, minimum of 3 views18$795$40
X-ray of lower and sacral spine, minimum of 4 views17$739$43
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen12$654$50
X-ray series of abdomen with single x-ray of chest14$632$42
Inhalation treatment for airway obstruction or sputum production65$631$7
X-ray of sacrum and tailbone, minimum of 2 views22$607$28
X-ray of both hips, 3-4 views11$591$45
X-ray of hand, minimum of 3 views14$532$31
X-ray of wrist, minimum of 3 views11$486$35
Test to measure expiratory airflow and volume20$470$22
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report34$460$12
X-ray of ankle, minimum of 3 views12$450$28
Removal of impacted ear wax11$426$39
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional11$223$20
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only14$97$6
Injection, ceftriaxone sodium, per 250 mg114$58None
Injection, dexamethasone sodium phosphate, 1 mg124$17None
Injection, ketorolac tromethamine, per 15 mg19$8None
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg41$5None
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg41$1None

2022: 18 services

Original Medicare services billed in 2022
Long return visit (40+ min)167$85,713$138
New patient visit (60+ min)163$24,643$150
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b58$17,214$139
Return visit (30+ min)70$13,762$100
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function27$4,934$170
X-ray of chest, minimum of 4 views85$4,393$40
Psychotherapy with evaluation and management visit, 45 minutes34$4,195$72
Complete ultrasound scan of abdomen20$2,130$101
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing28$1,778$40
Injection of drug or substance under skin or into muscle86$1,599$12
Complete ultrasound scan of pelvis16$1,557$92
X-ray of abdomen, minimum of 3 views12$517$37
X-ray of middle spine, 3 views15$501$33
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only35$247$6
Detection test by immunoassay with direct visual observation for influenza virus12$198$16
Inhalation treatment for airway obstruction or sputum production15$141$9
Injection, ceftriaxone sodium, per 250 mg77$34None
Injection, dexamethasone sodium phosphate, 1 mg89$11None

2021: 14 services

Original Medicare services billed in 2021
Long return visit (40+ min)112$53,600$148
New patient visit (60+ min)188$29,391$156
Return visit (30+ min)100$22,345$98
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage23$1,586$61
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing25$1,305$42
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose21$855$41
New patient visit (45+ min)11$836$76
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; third dose14$586$42
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose15$484$32
Administration of influenza virus vaccine23$463$18
Injection of drug or substance under skin or into muscle22$404$12
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only34$252$7
Injection, dexamethasone sodium phosphate, 1 mg13$4None
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage, for intramuscular use31$0$0

2020: 12 services

Original Medicare services billed in 2020
Removal of bone, each additional 20.0 sq cm or less53$63,292$100
Removal of bone, 20.0 sq cm or less54$63,104$251
New patient visit (60+ min)133$22,166$167
Long return visit (40+ min)44$9,550$122
Removal of muscle and/or tissue, 20.0 sq cm or less14$6,128$191
Removal of muscle and/or tissue, each additional 20.0 sq cm or less14$2,770$60
Return visit (30+ min)19$2,661$92
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen43$2,360$51
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus13$495$35
Injection of drug or substance under skin or into muscle23$384$12
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes11$375$34
Injection, dexamethasone sodium phosphate, 1 mg11$1None

2019: 6 services

Original Medicare services billed in 2019
Removal of bone, each additional 20.0 sq cm or less232$470,653$99
Removal of bone, 20.0 sq cm or less232$402,629$255
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes236$98,123$74
Removal of muscle and/or tissue, 20.0 sq cm or less55$36,632$189
Removal of muscle and/or tissue, each additional 20.0 sq cm or less55$28,083$59
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more43$3,510$56

2018: 9 services

Original Medicare services billed in 2018
Removal of bone, each additional 20.0 sq cm or less75$151,715$96
Removal of bone, 20.0 sq cm or less86$139,718$243
Removal of muscle and/or tissue, each additional 20.0 sq cm or less58$46,338$57
Removal of muscle and/or tissue, 20.0 sq cm or less53$39,609$175
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes68$15,406$71
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes36$4,506$87
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes18$1,723$86
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more15$1,096$55
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes11$868$72

2017: 11 services

Original Medicare services billed in 2017
Removal of bone, 20.0 sq cm or less79$111,421$241
Removal of muscle and/or tissue, 20.0 sq cm or less63$52,377$168
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes53$12,241$106
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes44$6,341$71
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes24$5,641$106
Removal of bone, each additional 20.0 sq cm or less25$4,730$97
Removal of skin and tissue, 20.0 sq cm or less19$4,707$84
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more36$4,694$130
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more35$4,563$130
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes28$3,511$72
Removal of muscle and/or tissue, each additional 20.0 sq cm or less16$1,771$57

2016: 13 services

Original Medicare services billed in 2016
Removal of bone, 20.0 sq cm or less34$32,398$240
Removal of muscle and/or tissue, 20.0 sq cm or less41$21,282$168
Removal of skin and tissue, 20.0 sq cm or less43$12,704$77
Removal of bone, 20.0 sq cm or less17$11,193$183
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes46$10,369$71
Removal of muscle and/or tissue, 20.0 sq cm or less30$8,989$112
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more58$7,808$130
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more43$4,042$55
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes46$3,748$35
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes23$3,482$68
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes24$2,383$99
Removal of skin and tissue, 20.0 sq cm or less38$2,108$44
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more15$1,330$51

2015: 18 services

Original Medicare services billed in 2015
Removal of bone, 20.0 sq cm or less40$18,556$187
Removal of bone, 20.0 sq cm or less28$18,194$153
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes86$16,169$74
Removal of muscle and/or tissue, 20.0 sq cm or less43$9,511$122
Removal of muscle and/or tissue, 20.0 sq cm or less18$7,604$173
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more41$7,473$56
Removal of skin and tissue, 20.0 sq cm or less69$7,318$48
Removal of bone, each additional 20.0 sq cm or less17$7,080$80
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more52$6,782$130
Removal of skin and tissue, 20.0 sq cm or less26$5,961$69
Removal of bone, each additional 20.0 sq cm or less13$5,488$89
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes57$4,835$36
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes42$4,429$105
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more45$3,960$56
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes22$2,806$74
Removal of skin and tissue, each additional 20.0 sq cm or less24$2,630$21
Removal of muscle and/or tissue, each additional 20.0 sq cm or less12$1,654$45
Removal of skin and tissue, each additional 20.0 sq cm or less12$1,210$24

2014: 1 service

Original Medicare services billed in 2014
New patient visit (45+ min)12$1,612$134

Medicaid work

$903 in 2024

Medicaid paid $903 for 1,570 billed services this clinician did in 2024, up to 44 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
Long return visit (40+ min)300$234
New patient visit (60+ min)61$165
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique277$143
Radiologic examination, chest; 4 or more views237$116
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique49$103
Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique174$62
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation169$49
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique187$31
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique43$0
Return visit (30+ min)73$0
Medicaid work by year
20241,5701044$903
20232,0071449$343
20222,6191154$14,564
2021404825$2,260
202036221$362
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
New patient visit (60+ min)189$195
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique218$103
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography33$42
Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report45$3
Radiologic examination, chest; 4 or more views332$0
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique101$0
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique169$0
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique28$0
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique13$0
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A48$0
Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)165$0
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation32$0

2022

Largest Medicaid services in 2022
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique552$9,053
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique377$1,796
Long return visit (40+ min)478$1,446
New patient visit (60+ min)271$1,382
Radiologic examination, chest; 4 or more views284$441
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza177$335
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A230$87
Preventive medicine counseling and risk factor reduction intervention for individual, approximately 45 minutes108$24
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique64$0
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique63$0
Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)15$0

2021

Largest Medicaid services in 2021
New patient visit (60+ min)108$1,030
Long return visit (40+ min)102$629
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique36$308
Radiologic examination, chest; 4 or more views15$151
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza21$106
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A15$35
Preventive medicine counseling and risk factor reduction intervention for individual, approximately 30 minutes57$0
Preventive medicine counseling and risk factor reduction intervention for individual, approximately 45 minutes50$0

2020

Largest Medicaid services in 2020
New patient visit (60+ min)21$256
SARSCOV CORONAVIRUS AG IA15$106

Drugs they prescribed that Part D paid

$213,598

Pharmacies billed $213,598 in 2024.

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

Opioids were 2% of their Part D prescriptions (52 of 2,544) in 2024. Above the middle of the specialty; the typical cardiac surgery clinician is at 0%. Surgeons prescribe little besides pain medicine after an operation, so their opioid share runs high.

2,319 generic and fewer than 11 brand-name prescriptions · $213,598 in drug cost · 301 antibiotic prescriptions to 186 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
Ozempic15$24,929$1,662
Mounjaro11$24,134$2,194
Tradjenta12$17,239$1,437
Ezetimibe93$3,914$42
Valsartan-Hydrochlorothiazide66$2,163$33
See all 58 drugs
Every Part D drug this clinician prescribed
Ozempic15$24,929$1,662
Mounjaro11$24,134$2,194
Tradjenta12$17,239$1,437
Ezetimibe93$3,914$42
Valsartan-Hydrochlorothiazide66$2,163$33
Fluticasone-Salmeterol13$1,900$146
Atorvastatin121$1,420$12
Levothyroxine77$1,405$18
Cephalexin33$1,108$34
Ezetimibe-Simvastatin15$1,013$68
Albuterol Sulfate Hfa38$997$26
Amlodipine Besylate90$924$10
Nifedipine Er22$871$40
Ofloxacin40$840$21
Methylprednisolone134$819$6
Fluticasone Propionate60$768$13
Montelukast46$734$16
Metoprolol39$674$17
Fenofibrate15$613$41
Vitamin D241$587$14
Gabapentin42$557$13
Losartan58$535$9
Metformin60$494$8
Azithromycin121$444$4
Pantoprazole15$424$28
Allopurinol17$414$24
Omeprazole29$357$12
Glipizide36$338$9
Lisinopril29$292$10
Valsartan16$289$18
Metformin Hcl Er21$270$13
Nitrofurantoin16$267$17
Alprazolam71$260$4
Rosuvastatin23$252$11
Escitalopram23$238$10
Tamsulosin22$233$11
Oxycodone-Acetaminophen30$169$6
Famotidine11$167$15
Ibuprofen31$164$5
Ropinirole13$157$12
Amoxicillin48$155$3
Triamcinolone Acetonide45$153$3
Trazodone14$148$11
Amoxicillin-Clavulanate Potass21$139$7
Ciprofloxacin23$132$6
Erythromycin14$132$9
Pregabalin12$131$11
Zolpidem30$131$4
Metronidazole17$128$8
Hydrochlorothiazide17$114$7
Ondansetron Odt21$111$5
Furosemide19$106$6
Hydrocodone-Acetaminophen20$98$5
Oxybutynin Chloride Er12$96$8
Acyclovir14$89$6
Lorazepam21$74$4
Fluconazole26$67$3
Prednisone29$49$2

Year by year

Part D prescribing by year
20242,5442742% (52)None$213,598
20232,2652512% (38)10%$219,810
20221,5922402% (33)9%$87,567
20211,1301963% (31)None$58,034
202016666None12%$4,408
201958NoneNoneNone$1,116
201860None0% (0)None$4,201
201756NoneNoneNone$2,171
20167111NoneNone$3,859
201531NoneNone0%$927
201421NoneNoneNone$294
20132211NoneNone$280

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

See the drugs prescribed each year

2023: 53 drugs

Part D drugs prescribed in 2023
Ozempic27$42,910$1,589
Mounjaro11$25,117$2,283
Advair Diskus21$11,088$528
Fluticasone-Salmeterol13$3,405$262
Ezetimibe57$2,096$37
Valsartan-Hydrochlorothiazide27$2,014$75
Nifedipine Er32$1,911$60
Atorvastatin114$1,649$14
Levothyroxine61$1,456$24
Ofloxacin49$1,325$27
Methylprednisolone124$1,311$11
Albuterol Sulfate Hfa52$1,272$24
Metoprolol40$1,168$29
Amlodipine Besylate100$1,132$11
Losartan47$1,024$22
Montelukast38$830$22
Azithromycin119$659$6
Fluticasone Propionate37$640$17
Omeprazole20$609$30
Metformin57$599$11
Gabapentin45$486$11
Rosuvastatin17$462$27
Bupropion Xl13$415$32
Cephalexin17$393$23
Nitrofurantoin12$381$32
Valsartan11$364$33
Lisinopril34$358$11
Ibuprofen54$357$7
Oxybutynin Chloride Er11$353$32
Hydrocodone-Acetaminophen31$339$11
Tamsulosin18$305$17
Ciprofloxacin32$288$9
Amoxicillin44$286$7
Glipizide24$261$11
Alprazolam55$238$4
Zolpidem22$228$10
Acyclovir25$217$9
Escitalopram17$205$12
Paxlovid (Eua)19$203$11
Vitamin D230$188$6
Metronidazole21$173$8
Amoxicillin-Clavulanate Potass15$168$11
Ondansetron Odt13$165$13
Naproxen11$150$14
Ketoconazole11$144$13
Pantoprazole15$138$9
Furosemide18$120$7
Hydrocortisone17$99$6
Triamcinolone Acetonide23$88$4
Fluconazole28$78$3
Lorazepam20$65$3
Hydrochlorothiazide16$51$3
Clonazepam16$41$3

2022: 35 drugs

Part D drugs prescribed in 2022
Advair Diskus20$8,734$437
Ezetimibe23$1,772$77
Ofloxacin34$1,720$51
Albuterol Sulfate Hfa39$1,673$43
Nifedipine Er29$1,411$49
Atorvastatin95$1,033$11
Metoprolol43$788$18
Levothyroxine52$770$15
Azithromycin110$621$6
Fluticasone Propionate43$578$13
Amlodipine Besylate69$514$7
Alprazolam32$498$16
Cephalexin24$442$18
Methylprednisolone42$431$10
Gabapentin39$392$10
Ibuprofen48$331$7
Metformin38$321$8
Lisinopril45$317$7
Losartan38$317$8
Amoxicillin-Clavulanate Potass31$312$10
Ciprofloxacin35$305$9
Omeprazole19$251$13
Hydrocodone-Acetaminophen32$205$6
Hydrocortisone28$201$7
Paxlovid (Eua)21$190$9
Tamsulosin11$187$17
Glipizide23$182$8
Pantoprazole16$165$10
Amoxicillin32$156$5
Metronidazole13$127$10
Zolpidem12$126$11
Simvastatin13$107$8
Prednisone50$106$2
Clonazepam12$100$8
Fluconazole11$49$4

2021: 31 drugs

Part D drugs prescribed in 2021
Incruse Ellipta11$4,118$374
Wixela Inhub12$2,728$227
Nifedipine Er45$1,606$36
Albuterol Sulfate Hfa35$1,333$38
Ofloxacin21$843$40
Atorvastatin53$649$12
Azithromycin78$552$7
Labetalol19$535$28
Fluticasone Propionate24$395$16
Metoprolol25$368$15
Levothyroxine21$332$16
Ibuprofen49$321$7
Cephalexin26$314$12
Hydrocodone-Acetaminophen24$309$13
Alprazolam35$278$8
Lisinopril32$277$9
Omeprazole17$264$16
Pantoprazole13$220$17
Metformin25$209$8
Amlodipine Besylate21$180$9
Ciprofloxacin32$176$5
Zolpidem16$155$10
Mupirocin21$142$7
Gabapentin25$129$5
Prednisone71$129$2
Losartan13$109$8
Furosemide24$74$3
Amoxicillin20$71$4
Hydrocortisone14$68$5
Fluconazole16$48$3
Simvastatin11$35$3

2020: 2 drugs

Part D drugs prescribed in 2020
Nifedipine Er12$286$24
Azithromycin18$112$6

2018: 2 drugs

Part D drugs prescribed in 2018
Glipizide12$149$12
Metformin12$134$11

2017: 2 drugs

Part D drugs prescribed in 2017
Metformin11$123$11
Glipizide11$105$10

2016: 3 drugs

Part D drugs prescribed in 2016
Azithromycin11$46$4
Glipizide12$37$3
Metformin11$33$3

Money from drug and device companies

$34 in 2025

Industry payments by year
202522None$34
202335None$390
202111None$22
201911None$125

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
DexcomDexcom G6 Transmitter$17
1 payment
  • Meals for Dexcom G6 Transmitter · 2025-04-23 · $17
GlaxoSmithKlineTrelegy Ellipta$16
1 payment
  • Meals for Trelegy Ellipta · 2025-02-27 · $16
See all 2 published payments
Every published payment
DexcomMeals · 2025-04-23Dexcom G6 Transmitter$17
GlaxoSmithKlineMeals · 2025-02-27Trelegy Ellipta$16
See earlier years (2023, 2021, 2019)

2023: $390

Payments by company in 2023
KerecisKerecis Omega3 Surgiclose$243
1 payment
  • Meals for Kerecis Omega3 Surgiclose · 2023-02-27 · $243
Lilly USAMounjaro$125
1 payment
  • Meals for Mounjaro · 2023-04-13 · $125
Novo NordiskNone$22
1 payment
  • Meals · 2023-07-12 · $22

2021: $22

Payments by company in 2021
HologicAptima$22
1 payment
  • Meals for Aptima · 2021-04-29 · $22

2019: $125

Payments by company in 2019
Neurocrine BiosciencesIngrezza$125
1 payment
  • Meals for Ingrezza · 2019-06-11 · $125

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
75.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1225081789
Licence
CA A42006California A42006: Current · expires 2028-08-31
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Surgery (208600000X); Federal specialty code 2086S0129X (2086S0129X); Thoracic surgery (208G00000X)
Mailing address
9526 North Winery Avenue, Fresno, CA, 93720
NPI first listed
2006-05-18
NPI last updated
2011-06-30

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