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Matthew A Boutros, DO

Internal Medicine · Harbor City

NPI 1245768787

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
4
Since medical school
9 years
Graduated 2017

Offices

4 locations · Southern California Permanente Medical Group · 11,250 clinicians in this group

Looking this up.

Hospitals listed: Kaiser Foundation Hospital - South Bay. 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. Boutros’s office to ask if they take your plan before you enroll.

Hospitals they work in

1 hospital

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

  • Kaiser Foundation Hospital - South BayHarbor City, CAAcute Care Hospital · Voluntary non-profit - Other · No emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 71% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.33, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital - South Bay

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

Every scored measure at Kaiser Foundation Hospital - South Bay
Clostridium Difficile (C.Diff)Infections0.33BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.3 (0.23 to 2.37) · 174 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.89 (0.45 to 1.34)No differentJul 2022 – Jun 2024
Death rate for stroke patientsComplications and deaths13.6 · 258 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths5.3 · 2,741 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 924 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 965 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.33 (0.75 to 5.9) · 118 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.66 (0 to 3.39) · 25 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.24 (0.54 to 3.93) · 118 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.69 (0 to 18.49) · 33 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.75 (0.22 to 3.28) · 37 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.37 (0 to 1.4) · 715 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.6 · 39 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.746No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.076No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.587No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.818No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.9 · 104 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23 · 689 casesNoneJul 2023 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits20.3 · 563 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.7 · 37 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19 · 201 casesNoneJul 2023 – Jun 2025

What patients said (510 patients answered, 18% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital - South Bay
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Kaiser Foundation Hospital - South Bay
Room was "always" clean74%
Nurses "always" communicated well76%
Doctors "always" communicated well77%
Staff "always" explained61%
Yes, staff "did" give patients this information90%
Yes, staff "did" give patients information about help after discharge90%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital71%
Staff "always" explained possible side effects49%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$3,950

Medicare paid this office $3,950 for 22 people.

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

Largest Original Medicare bills
Return visit (30+ min)12$1,495$100

Who their Medicare patients are

22 Original Medicare patients in 2024. Average age 59 · 85 and older 0% · Health risk score 1.95. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 64%.

The office billed $10,419, Medicare allowed $4,787 and paid $3,950; for 46 services of 13 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.

Medicaid work

$20,508 in 2024

Medicaid paid $20,508 for 371 billed services this clinician did in 2024, up to 30 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
Return visit (30+ min)170$18,661
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)88$1,763
Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use15$84
TOBACCO NON-USER98$0
Medicaid work by year
2024371430$20,508
2023109316$4,520
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)54$3,950
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)30$570
TOBACCO NON-USER25$0

Drugs they prescribed that Part D paid

$172,162

Pharmacies billed $172,162 in 2024.

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

Opioids were 5% of their Part D prescriptions (168 of 3,721) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.

3,365 generic and 305 brand-name prescriptions · $172,162 in drug cost · 115 antibiotic prescriptions to 92 people · 11 antipsychotic prescriptions to people over 65.

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
Ozempic34$25,159$740
Xarelto13$15,009$1,155
Eliquis15$14,560$971
Jardiance17$8,911$524
Humulin N Kwikpen17$5,056$297
See all 76 drugs
Every Part D drug this clinician prescribed
Ozempic34$25,159$740
Xarelto13$15,009$1,155
Eliquis15$14,560$971
Jardiance17$8,911$524
Humulin N Kwikpen17$5,056$297
Atorvastatin309$3,792$12
Alvesco26$3,445$132
Wixela Inhub11$3,192$290
Humulin N16$3,055$191
Amlodipine Besylate247$2,948$12
Pradaxa12$2,624$219
Levothyroxine133$2,472$19
Hydrocodone-Acetaminophen99$2,369$24
Losartan178$2,307$13
Gabapentin83$2,118$26
Lisinopril111$1,375$12
Adacel Tdap26$1,326$51
Potassium Chloride38$1,304$34
Albuterol Sulfate Hfa64$1,246$19
Terazosin26$1,186$46
Rosuvastatin99$1,161$12
Omeprazole77$874$11
Metformin Hcl Er95$861$9
Metoprolol84$837$10
Bisoprolol27$725$27
Hydralazine33$703$21
Metformin62$696$11
Atenolol56$678$12
Trazodone45$676$15
Trospium Chloride19$665$35
Lisinopril-Hydrochlorothiazide54$664$12
Pantoprazole53$617$12
Hydrochlorothiazide54$608$11
Estradiol16$583$36
Meloxicam88$570$6
Acetaminophen-Codeine31$563$18
Azelastine32$541$17
Oxycodone-Acetaminophen14$519$37
Duloxetine24$502$21
Nifedipine Er14$479$34
Nano 2nd Gen Pen Needle21$471$22
Clobetasol Propionate21$450$21
Clopidogrel24$446$19
Simvastatin39$445$11
Veo Insulin17$439$26
Furosemide39$434$11
Prednisone46$395$9
Glipizide31$389$13
Tamsulosin23$328$14
Fluticasone Propionate14$324$23
Mirtazapine23$317$14
Alendronate29$312$11
Allopurinol29$310$11
Amoxicillin-Clavulanate Potass22$310$14
Veo Insulin11$285$26
Mupirocin15$276$18
Cephalexin23$253$11
Pravastatin19$249$13
Spironolactone15$247$16
Neomycin-Polymyxin-Dexameth14$243$17
Ibuprofen23$209$9
Lorazepam22$202$9
Triamcinolone Acetonide20$202$10
Montelukast18$198$11
Losartan-Hydrochlorothiazide15$177$12
Lovastatin15$175$12
Citalopram Hbr14$169$12
Ezetimibe15$167$11
Topiramate19$162$9
Warfarin11$136$12
Isosorbide Mononitrate Er12$127$11
Tramadol15$116$8
Carvedilol11$104$9
Ciprofloxacin12$102$9
Azithromycin15$97$6
Terbinafine11$91$8

Year by year

Part D prescribing by year
20243,7211,1945% (168)8%$172,162
20237073118% (53)None$30,179
202230None0% (0)None$30,510
2021167260% (0)37%$121,808
202015None0% (0)None$10,142

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

See the drugs prescribed each year

2023: 17 drugs

Part D drugs prescribed in 2023
Atorvastatin35$666$19
Hydrocodone-Acetaminophen38$580$15
Losartan32$389$12
Amlodipine Besylate29$378$13
Levothyroxine13$264$20
Lisinopril20$243$12
Gabapentin13$236$18
Albuterol Sulfate Hfa13$229$18
Metformin15$198$13
Omeprazole17$191$11
Azelastine11$186$17
Meloxicam25$154$6
Prednisone17$128$8
Metoprolol13$128$10
Metformin Hcl Er14$125$9
Pantoprazole11$114$10
Rosuvastatin11$107$10

2021: 1 drug

Part D drugs prescribed in 2021
Atorvastatin11$107$10

Money from drug and device companies

$95 in 2019

A payment is not proof that care is biased.

Payments by company
Otsuka Pharmaceutical Development & CommercializationNone$64
3 payments
  • Meals · 2019-08-15 · $21
  • Meals · 2019-05-09 · $21
  • Meals · 2019-02-28 · $22
PfizerEliquis$21
1 payment
  • Meals for Eliquis · 2019-09-12 · $21
bioMerieuxVidas Brahms Pct$10
4 payments
  • Meals for Vidas Brahms Pct · 2019-09-19 · $1
  • Meals for Vidas Brahms Pct · 2019-09-19 · $1
  • Meals for Vidas Brahms Pct · 2019-05-02 · $6
  • Meals for Vidas Brahms Pct · 2019-05-01 · $2
See all 8 published payments
Every published payment
bioMerieuxMeals · 2019-09-19Vidas Brahms Pct$1
bioMerieuxMeals · 2019-09-19Vidas Brahms Pct$1
PfizerMeals · 2019-09-12Eliquis$21
Otsuka Pharmaceutical Development & CommercializationMeals · 2019-08-15None$21
Otsuka Pharmaceutical Development & CommercializationMeals · 2019-05-09None$21
bioMerieuxMeals · 2019-05-02Vidas Brahms Pct$6
bioMerieuxMeals · 2019-05-01Vidas Brahms Pct$2
Otsuka Pharmaceutical Development & CommercializationMeals · 2019-02-28None$22

Professional record

NPI
1245768787
Licence
CA 20A16673
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X); Student in a training program (390200000X)
Mailing address
1500 21st St, Sacramento, CA, 95811
NPI first listed
2017-05-29
NPI last updated
2024-05-07
NPI record certified
2020-06-12

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

This office lists an electronic records connection.