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California Medical Board record
Licence A98260 · Current
Licensed to practise in California · since 2006 · expires 2028-09-30 · University of Michigan Medical School.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$319,914
Medicare paid this office $319,914 for 317 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Botox
16
$43,838
—None
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
72
$41,250
$458
Long return visit (40+ min)
107
$35,457
$169
Telephone medical discussion with physician, 21-30 minutes
134
$34,997
$119
Destruction of peripheral nerve or branch
60
$27,650
$130
See all 23 services
Every Original Medicare service billed
Botox
16
$43,838
—None
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
72
$41,250
$458
Long return visit (40+ min)
107
$35,457
$169
Telephone medical discussion with physician, 21-30 minutes
134
$34,997
$119
Destruction of peripheral nerve or branch
60
$27,650
$130
Injection of substance into lower spine canal using imaging guidance
27
$13,153
$268
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
50
$13,025
$159
Return visit (30+ min)
65
$12,779
$118
Short return visit (20+ min)
96
$12,142
$81
New patient visit (45+ min)
58
$8,879
$153
Anesthesia for lens surgery
69
$7,126
$94
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
24
$6,657
$256
Injection of lower or sacral spine facet joint using imaging guidance, single level
15
$5,397
$180
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face
13
$5,135
$143
Aspiration and/or injection of fluid from large joint
66
$4,322
$41
Ultrasonic guidance for needle placement
38
$3,369
$57
Injection of upper or middle spine facet joint using imaging guidance, single level
11
$3,146
$197
Injection of trigger points, 1-2 muscles
50
$2,887
$37
Injection of lower or sacral spine facet joint using imaging guidance, second level
Injection of upper or middle spine facet joint using imaging guidance, second level
11
$1,735
$96
Injection, dexamethasone sodium phosphate, 1 mg
11
$2
—None
Who their Medicare patients are
317 Original Medicare patients in 2024. Average age 75 · Under 65 5% · 85 and older 13% · Women 56% · Also on Medicaid 24% · Health risk score 1.18. At or below the middle of the specialty; the typical anesthesiology clinician is at 1.54.
The office billed $710,136, Medicare allowed $408,436 and paid $319,914; for 11,355 services of 65 kinds; $48,249 of it was for drugs given in the office and $271,665 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
2024
317
11,355
75
1.18
$710,136
$319,914
2023
253
8,493
74
1.37
$610,860
$279,006
2022
276
8,343
75
1.25
$616,557
$311,582
2021
274
5,463
74
1.22
$595,418
$291,030
2020
298
4,205
73
1.42
$456,902
$183,643
2019
233
3,229
75
1.41
$156,309
$77,236
2018
267
1,924
74
1.31
$167,460
$83,847
2017
252
1,219
73
1.27
$159,659
$65,897
2016
271
1,915
73
1.30
$266,073
$93,611
2015
109
212
75
1.23
$65,376
$23,960
2014
247
532
76
1.12
$169,951
$58,456
2013
181
271
75
1.23
$108,859
$37,280
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: 24 services
Original Medicare services billed in 2023
Telephone medical discussion with physician, 21-30 minutes
129
$31,725
$121
Long return visit (40+ min)
102
$31,606
$168
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
52
$29,954
$461
Botox
12
$28,811
—None
Destruction of peripheral nerve or branch
44
$22,213
$131
Short return visit (20+ min)
110
$15,576
$82
Return visit (30+ min)
83
$14,830
$118
Injection of substance into lower spine canal using imaging guidance
35
$14,790
$269
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
53
$14,360
$167
New patient visit (45+ min)
48
$7,248
$151
Injection of lower or sacral spine facet joint using imaging guidance, single level
20
$5,972
$181
Aspiration and/or injection of fluid from large joint
Aspiration and/or injection of fluid from large joint
25
$1,152
$27
Injection of anesthetic agent and/or steroid into other nerve or branch
15
$904
$48
Injection of trigger points, 3 or more muscles
23
$658
$18
Ultrasonic guidance for needle placement
18
$563
$27
2015: 6 services
Original Medicare services billed in 2015
Return visit (30+ min)
21
$2,575
$89
New patient visit (45+ min)
19
$2,547
$134
Anesthesia for lens surgery
16
$2,416
$121
Anesthesia for procedure on lower intestine using an endoscope
11
$1,585
$144
Injections of substances into lower or sacral spine
11
$811
$74
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes
11
$517
$30
2014: 8 services
Original Medicare services billed in 2014
Anesthesia for lens surgery
65
$8,873
$123
Anesthesia for procedure on lower intestine using an endoscope
30
$4,628
$154
Anesthesia for other procedure on upper abdomen
12
$4,321
$332
Injections of substances into lower or sacral spine
46
$4,108
$59
New patient visit (45+ min)
26
$3,493
$134
Anesthesia for procedure on gastrointestinal tract using an endoscope
23
$3,481
$139
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes
31
$1,918
$32
Ultrasonic guidance for needle placement
22
$682
$27
2013: 5 services
Original Medicare services billed in 2013
Anesthesia for lens surgery
45
$5,319
$113
Anesthesia for procedure on lower intestine using an endoscope
31
$4,271
$138
Anesthesia for procedure on gastrointestinal tract using an endoscope
19
$2,407
$127
Injections of substances into lower or sacral spine
16
$1,165
$73
Ultrasonic guidance for needle placement
12
$315
$26
Medicaid work
$148 in 2023
Medicaid paid $148 for 16 billed services this clinician did in 2023, up to 13 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 2023
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older
16
$148
Medicaid work by year
2023
16
1
13
$148
2022
20
1
20
$198
2021
47
1
17
$393
2020
57
1
17
$2,419
See the largest Medicaid services in earlier years
2022
Largest Medicaid services in 2022
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older
20
$198
2021
Largest Medicaid services in 2021
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older
47
$393
2020
Largest Medicaid services in 2020
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older
57
$2,419
Money from drug and device companies
$347 in 2024
Industry payments by year
2024
3
6
—None
$347
2023
2
10
—None
$260
2022
2
6
—None
$214
2021
3
22
$4,400
$4,889
2020
2
5
$900
$957
2019
1
1
—None
$120
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.