Daniel Paul Birkbeck, MD
Hand Surgery · Napa
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 3
- 1 carrier
- Offices
- 6
- Since medical school
- 36 years
- University of Michigan Medical School, 1990
Offices
6 locations · Napa Valley Orthopaedic Medical Group Inc · Northbay Health Medical Foundation · St. Helena Hospital · Adventist Health Physicians Network · Northbay Physicians Surgery Center, LLC
Looking this up.
Hospitals listed: Adventist Health St Helena · Northbay Medical Center · Providence Queen of the Valley Medical Center · Sonoma Valley Hospital. 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. Birkbeck’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
California Medical Board record
Licence G86952 · Current
Licensed to practise in California · since 2003 · expires 2028-08-31 · University of Michigan Medical School.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Surgery centers they own
- Napa Advanced Surgery CenterOffice-Based Surgery Center · Napa, CA25% owner since 2018 · accredited by AAAASFInitial Accreditation1 inspection, 1 with deficiencies · last 2018-07-11: Requirements Met
- Napa Advanced Surgery Center, LLCOffice-Based Surgery Center · Napa, CA15% owner since 2015 · accredited by AAAASFAccreditation Renewed2 inspections, 1 with deficiencies · last 2016-03-21
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 Orthopaedic Surgery - Surgery of the Hand
Hospitals they work in
4 hospitals
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Adventist Health St HelenaSaint Helena, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Adventist Health, which runs 28 hospitals in 3 statesPatients rate it 3 of 5 · 77% would definitely recommend itOverall rating: 4 of 5 starsWorse than the national rate — Postoperative respiratory failure rate: 15.08 (9.46 to 20.69) · 531 cases, Jul 2022 – Jun 2024
- Northbay Medical CenterFairfield, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Northbay Healthcare, which runs 2 hospitalsPatients rate it 2 of 5 · 67% would definitely recommend itOverall rating: 2 of 5 starsWorse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.6 (11 to 18.8) · 166 cases, Jan 2024 – Dec 2024
- 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 itOverall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.107, Oct 2024 – Sep 2025
- Sonoma Valley HospitalSonoma, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency departmentPatients rate it 4 of 5 · 79% would definitely recommend itOverall rating: 2 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for Adventist Health St Helena
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 0 better, 4 the same, 0 worse of 4 measures. Readmissions: 1 better, 8 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.
| Postoperative respiratory failure rateComplications and deaths | 15.08 (9.46 to 20.69) · 531 cases | Worse | Jul 2022 – Jun 2024 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.91 (0 to 1.92) · 430 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.22 (0.89 to 1.55) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 152.62 (102.81 to 202.43) · 69 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 8.3 · 37 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.3 · 201 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11.5 · 152 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 13.3 · 126 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.5 · 38 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.5 · 953 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.27 (0.06 to 0.48) · 2,438 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.32 (0.12 to 0.53) · 2,875 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.42 (1.24 to 5.59) · 1,095 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 2.59 (1.12 to 4.05) · 550 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.66 (1.18 to 4.13) · 1,041 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.91 (3.32 to 10.5) · 529 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.7 (0.19 to 3.2) · 91 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.51 (0 to 1.32) · 2,008 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.9 · 56 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.568 | No different | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.362 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 16 · 194 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.1 · 153 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 37.2 · 236 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -41 · 178 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -33.9 · 127 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.5 · 116 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.5 (3.8 to 7.9) · 150 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 11.2 (8.2 to 14.8) · 150 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.2 · 59 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.1 · 32 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.5 (10.5 to 17.4) · 1,276 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.2) · 841 cases | No different | Jan 2024 – Dec 2024 |
What patients said (573 patients answered, 28% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 3 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 4 |
| Quietness | 1 |
| Recommend hospital | 4 |
| Room was "always" clean | 75% |
| Nurses "always" communicated well | 79% |
| Doctors "always" communicated well | 78% |
| Staff "always" explained | 59% |
| Yes, staff "did" give patients this information | 85% |
| Yes, staff "did" give patients information about help after discharge | 81% |
| Doctors "always" explained things so they could understand | 73% |
| Doctors "always" listened carefully | 78% |
| Doctors "always" treated them with courtesy and respect | 85% |
| Patients who gave a rating of "9" or "10" (high) | 75% |
| Staff "always" explained new medications | 73% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 78% |
| Nurses "always" treated them with courtesy and respect | 88% |
| "Always" quiet at night | 34% |
| "YES", patients would definitely recommend the hospital | 77% |
| Staff "always" explained possible side effects | 45% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
See every measure and the patient survey for Northbay Medical Center
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 0 better, 8 the same, 3 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 14.6 (11 to 18.8) · 166 cases | Worse | Jan 2024 – Dec 2024 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.08 (0.1 to 2.06) · 1,001 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.04 (0.7 to 1.38) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 180.67 (132.84 to 228.51) · 88 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 3.7 · 31 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 7.4 · 171 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 13 · 180 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 10.4 · 338 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 13.7 · 552 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.6 · 238 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.6 · 2,034 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.2 (0 to 0.4) · 6,261 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.22 (0.02 to 0.42) · 6,385 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.02 (1.87 to 6.16) · 1,179 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.89 (0.26 to 3.51) · 280 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.02 (0.51 to 3.54) · 1,156 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 12.55 (4.71 to 20.39) · 284 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.96 (1.99 to 9.92) · 276 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.96 (0.48 to 3.43) · 256 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.34 (0 to 1) · 4,549 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.7 · 25 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.663 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.985 | No different | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.763 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.923 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 13.6 · 197 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.1 · 420 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 0.7 · 197 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 32.6 · 439 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 25 · 627 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 18.8 · 560 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.5 (3.7 to 7.9) · 166 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.6 · 25 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.9 · 210 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 14.1 (10.5 to 19) · 196 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.3) · 250 cases | No different | Jan 2024 – Dec 2024 |
What patients said (1,123 patients answered, 20% of those asked)
| Cleanliness | 3 |
| Nurse communication | 2 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 3 |
| Room was "always" clean | 71% |
| Nurses "always" communicated well | 72% |
| Doctors "always" communicated well | 74% |
| Staff "always" explained | 54% |
| Yes, staff "did" give patients this information | 85% |
| Yes, staff "did" give patients information about help after discharge | 83% |
| Doctors "always" explained things so they could understand | 70% |
| Doctors "always" listened carefully | 72% |
| Doctors "always" treated them with courtesy and respect | 80% |
| Patients who gave a rating of "9" or "10" (high) | 64% |
| Staff "always" explained new medications | 69% |
| Nurses "always" explained things so they could understand | 67% |
| Nurses "always" listened carefully | 70% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 44% |
| "YES", patients would definitely recommend the hospital | 67% |
| Staff "always" explained possible side effects | 40% |
| Yes, staff "did" give patients information about possible symptoms | 87% |
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.
| Clostridium Difficile (C.Diff)Infections | 0.107 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.9 (0 to 1.92) · 609 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.85 (0.5 to 1.2) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 191.43 (130.54 to 252.33) · 39 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 1.9 · 46 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 9.1 · 89 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.8 · 135 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 12 · 271 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 16.7 · 376 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 11 · 175 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.7 · 1,316 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.21 (0 to 0.41) · 4,152 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.23 (0.03 to 0.43) · 4,188 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.81 (1.63 to 5.99) · 803 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.54 (0 to 3.21) · 250 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.19 (0.62 to 3.77) · 742 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.45 (0.91 to 16) · 250 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.58 (1.75 to 9.42) · 250 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.65 (0.17 to 3.13) · 152 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.19 (0 to 0.94) · 2,994 cases | No different | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.684 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.887 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.2 · 133 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.1 · 270 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | -4.8 · 143 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -22.1 · 316 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -1 · 399 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 20.4 · 337 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.3 (3.5 to 7.8) · 107 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 13.4 (9.8 to 17.7) · 107 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission for CABGUnplanned return visits | 10.5 · 46 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.2 · 76 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.4 (9.4 to 16.2) · 848 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1.1 (0.8 to 1.4) · 423 cases | No different | Jan 2024 – Dec 2024 |
What patients said (449 patients answered, 22% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 3 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 1 |
| Recommend hospital | 4 |
| Room was "always" clean | 73% |
| Nurses "always" communicated well | 79% |
| Doctors "always" communicated well | 77% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 84% |
| Yes, staff "did" give patients information about help after discharge | 85% |
| Doctors "always" explained things so they could understand | 72% |
| Doctors "always" listened carefully | 75% |
| Doctors "always" treated them with courtesy and respect | 84% |
| Patients who gave a rating of "9" or "10" (high) | 69% |
| Staff "always" explained new medications | 73% |
| Nurses "always" explained things so they could understand | 75% |
| Nurses "always" listened carefully | 76% |
| Nurses "always" treated them with courtesy and respect | 86% |
| "Always" quiet at night | 40% |
| "YES", patients would definitely recommend the hospital | 74% |
| Staff "always" explained possible side effects | 41% |
| Yes, staff "did" give patients information about possible symptoms | 84% |
See every measure and the patient survey for Sonoma Valley Hospital
Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 6 the same, 0 worse of 6 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.11 (0.63 to 1.6) | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 8.2 · 37 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 16.6 · 106 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 9.6 · 35 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 5.6 · 345 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.21 (0 to 0.44) · 713 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.27 (0.05 to 0.48) · 660 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.36 (0.77 to 5.94) · 101 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.65 (0 to 3.38) · 27 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.31 (0.58 to 4.03) · 100 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.86 (0 to 18.76) · 28 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.15 (0.84 to 9.45) · 27 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 1.12 (0 to 2.33) · 540 cases | No different | Jul 2022 – Jun 2024 |
| Clostridium Difficile (C.Diff)Infections | 0.651 | No different | Oct 2024 – Sep 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 21.1 · 60 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 15.5 · 47 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 7.1 · 100 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 18 · 105 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.7 · 47 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.6 (10.2 to 17.9) · 486 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.6 to 1.3) · 83 cases | No different | Jan 2024 – Dec 2024 |
What patients said (164 patients answered, 31% of those asked)
| Cleanliness | 4 |
| Nurse communication | 5 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 3 |
| Recommend hospital | 4 |
| Room was "always" clean | 74% |
| Nurses "always" communicated well | 85% |
| Doctors "always" communicated well | 88% |
| Staff "always" explained | 65% |
| Yes, staff "did" give patients this information | 89% |
| Yes, staff "did" give patients information about help after discharge | 88% |
| Doctors "always" explained things so they could understand | 84% |
| Doctors "always" listened carefully | 88% |
| Doctors "always" treated them with courtesy and respect | 92% |
| Patients who gave a rating of "9" or "10" (high) | 74% |
| Staff "always" explained new medications | 77% |
| Nurses "always" explained things so they could understand | 81% |
| Nurses "always" listened carefully | 82% |
| Nurses "always" treated them with courtesy and respect | 91% |
| "Always" quiet at night | 52% |
| "YES", patients would definitely recommend the hospital | 79% |
| Staff "always" explained possible side effects | 53% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
Original Medicare doctor bills
$414,447
Medicare paid this office $414,447 for 925 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Injection, collagenase, clostridium histolyticum, 0.01 mg | 21 | $109,270 | None |
| New patient visit (45+ min) | 349 | $49,791 | $143 |
| Return visit (30+ min) | 319 | $40,486 | $113 |
| Release and/or relocation of hand nerve | 71 | $27,696 | $360 |
| Short return visit (20+ min) | 235 | $21,639 | $80 |
See all 26 services
| Injection, collagenase, clostridium histolyticum, 0.01 mg | 21 | $109,270 | None |
| New patient visit (45+ min) | 349 | $49,791 | $143 |
| Return visit (30+ min) | 319 | $40,486 | $113 |
| Release and/or relocation of hand nerve | 71 | $27,696 | $360 |
| Short return visit (20+ min) | 235 | $21,639 | $80 |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 21 | $20,481 | $975 |
| Removal of bone joints between wrist and fingers | 19 | $14,896 | $648 |
| Incision of tendon covering of finger | 43 | $14,098 | $191 |
| Injection into tendon or ligament | 172 | $10,829 | $49 |
| Aspiration and/or injection of fluid from small joint | 137 | $7,971 | $49 |
| X-ray of hand, minimum of 3 views | 143 | $7,112 | $37 |
| Transfer of tendon to back of hand | 16 | $7,017 | $439 |
| X-ray of wrist, minimum of 3 views | 118 | $6,997 | $42 |
| New patient visit (30+ min) | 54 | $5,475 | $101 |
| X-ray of finger, minimum of 2 views | 85 | $4,058 | $39 |
| Removal of growth of tendon finger or hand | 11 | $3,333 | $303 |
| Aspiration and/or injection of fluid from medium joint | 54 | $3,253 | $49 |
| Incision or the tendon covering on the top side of the wrist | 13 | $2,889 | $222 |
| Manipulation of finger for connective tissue release following enzyme injection | 21 | $2,545 | $116 |
| Injection of carpal tunnel | 18 | $1,734 | $91 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 344 | $1,497 | None |
| Injection of medication into palm | 21 | $1,468 | $67 |
| X-ray of elbow, minimum of 3 views | 37 | $1,325 | $34 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $1,196 | $109 |
| Application of nonmoveable forearm to hand splint | 18 | $1,185 | $66 |
| Cast supplies, short arm splint, adult (11 years +), fiberglass | 19 | $209 | $10 |
Procedures Medicare counted
| Knee replacement | 1-10 | None |
| Melanoma (skin cancer) excision | 1-10 | None |
| Removal of tissue | 1-10 | None |
| Removal or shaving of skin growth | 1-10 | None |
Procedures year by year
| Procedure | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|
| Injection into tendon or ligament | 212 | 148 | 191 | 192 | 224 | 223 |
| Aspiration and/or injection of fluid from small joint | 191 | 141 | 158 | 118 | 160 | 163 |
| Release and/or relocation of hand nerve | 59 | 58 | 80 | 70 | 75 | 77 |
| Incision of tendon covering of finger | 50 | 68 | 56 | 55 | 92 | 74 |
| Aspiration and/or injection of fluid from medium joint | 54 | 37 | 44 | 33 | 66 | 66 |
| Injection of carpal tunnel | 26 | 23 | 26 | 21 | 21 | 19 |
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
925 Original Medicare patients in 2024. Average age 74 · Under 65 8% · 85 and older 12% · Women 59% · Also on Medicaid 18% · Health risk score 1.06. At or below the middle of the specialty; the typical hand surgery clinician is at 1.08.
Conditions among them: High blood pressure 67% · Diabetes 24% · Coronary heart disease 22% · Depression 20% · Atrial fibrillation 17% · Chronic kidney disease 16% · Cancer 14% · Heart failure 12% · COPD 10% · Stroke 7% · Dementia 3%.
The office billed $1,042,007, Medicare allowed $532,035 and paid $414,447; for 6,478 services of 95 kinds; $110,772 of it was for drugs given in the office and $303,675 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
| 2024 | 925 | 6,478 | 74 | 1.06 | $1,042,007 | $414,447 |
| 2023 | 926 | 5,258 | 74 | 1.05 | $939,023 | $329,612 |
| 2022 | 809 | 4,553 | 74 | 1.08 | $811,420 | $285,819 |
| 2021 | 827 | 4,859 | 73 | 1.06 | $860,147 | $297,640 |
| 2020 | 720 | 3,941 | 72 | 1.18 | $789,554 | $235,791 |
| 2019 | 902 | 5,310 | 73 | 1.21 | $845,389 | $279,713 |
| 2018 | 656 | 4,669 | 72 | 1.09 | $782,489 | $269,436 |
| 2017 | 601 | 3,314 | 72 | 1.15 | $630,879 | $193,271 |
| 2016 | 616 | 3,931 | 73 | 1.12 | $643,356 | $212,505 |
| 2015 | 641 | 3,823 | 72 | 1.07 | $602,915 | $200,559 |
| 2014 | 628 | 4,051 | 73 | 1.11 | $563,664 | $200,170 |
| 2013 | 581 | 3,616 | 73 | 1.24 | $588,575 | $206,074 |
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: 21 services
| New patient visit (45+ min) | 309 | $42,706 | $138 |
| Return visit (30+ min) | 280 | $34,378 | $105 |
| Release and/or relocation of hand nerve | 68 | $27,288 | $364 |
| Short return visit (20+ min) | 222 | $18,816 | $74 |
| Incision of tendon covering of finger | 58 | $17,387 | $189 |
| New patient visit (30+ min) | 143 | $13,221 | $92 |
| Injection into tendon or ligament | 177 | $10,029 | $45 |
| X-ray of hand, minimum of 3 views | 205 | $9,455 | $34 |
| Removal of bone joints between wrist and fingers | 18 | $8,528 | $449 |
| Aspiration and/or injection of fluid from small joint | 122 | $6,715 | $46 |
| Removal of growth of tendon finger or hand | 17 | $4,831 | $284 |
| X-ray of wrist, minimum of 3 views | 81 | $4,240 | $38 |
| X-ray of finger, minimum of 2 views | 92 | $3,807 | $35 |
| Aspiration and/or injection of fluid from medium joint | 52 | $2,991 | $45 |
| Application of nonmoveable forearm to hand splint | 26 | $2,403 | $63 |
| Injection of carpal tunnel | 21 | $1,812 | $86 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 323 | $1,544 | None |
| Long return visit (40+ min) | 13 | $1,458 | $112 |
| X-ray of elbow, minimum of 3 views | 32 | $1,107 | $32 |
| Cast supplies, short arm splint, adult (11 years +), fiberglass | 23 | $374 | $11 |
| Aspiration and/or injection of fluid from small joint | 13 | $220 | $16 |
2022: 23 services
| Injection, collagenase, clostridium histolyticum, 0.01 mg | 11 | $50,780 | None |
| Return visit (30+ min) | 322 | $38,342 | $103 |
| New patient visit (45+ min) | 247 | $32,347 | $130 |
| Release and/or relocation of hand nerve | 68 | $23,458 | $335 |
| Short return visit (20+ min) | 195 | $15,787 | $70 |
| Incision of tendon covering of finger | 35 | $10,101 | $184 |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 11 | $9,479 | $862 |
| Removal of bone joints between wrist and fingers | 16 | $8,915 | $425 |
| Injection into tendon or ligament | 155 | $8,453 | $44 |
| X-ray of hand, minimum of 3 views | 152 | $6,223 | $32 |
| New patient visit (30+ min) | 70 | $6,136 | $88 |
| Removal of growth of tendon finger or hand | 20 | $5,745 | $261 |
| Aspiration and/or injection of fluid from small joint | 84 | $4,629 | $39 |
| X-ray of wrist, minimum of 3 views | 70 | $3,163 | $34 |
| X-ray of finger, minimum of 2 views | 51 | $2,090 | $33 |
| Injection of carpal tunnel | 20 | $1,736 | $83 |
| Aspiration and/or injection of fluid from medium joint | 29 | $1,562 | $47 |
| Manipulation of finger for connective tissue release following enzyme injection | 12 | $1,414 | $109 |
| Application of nonmoveable forearm to hand splint | 20 | $1,358 | $59 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 238 | $1,206 | None |
| Injection of medication into palm | 12 | $1,007 | $77 |
| X-ray of elbow, minimum of 3 views | 31 | $967 | $28 |
| Cast supplies, short arm splint, adult (11 years +), fiberglass | 20 | $274 | $11 |
2021: 22 services
| Injection, collagenase, clostridium histolyticum, 0.01 mg | 13 | $50,702 | None |
| Return visit (30+ min) | 394 | $46,959 | $103 |
| New patient visit (45+ min) | 214 | $29,097 | $136 |
| Release and/or relocation of hand nerve | 73 | $27,502 | $344 |
| Short return visit (20+ min) | 164 | $14,075 | $74 |
| Incision of tendon covering of finger | 26 | $9,064 | $162 |
| X-ray of hand, minimum of 3 views | 189 | $8,309 | $32 |
| Injection into tendon or ligament | 146 | $7,874 | $41 |
| New patient visit (30+ min) | 88 | $7,275 | $83 |
| Removal of bone joints between wrist and fingers | 13 | $6,697 | $515 |
| Aspiration and/or injection of fluid from small joint | 116 | $6,060 | $38 |
| X-ray of wrist, minimum of 3 views | 78 | $3,398 | $38 |
| Removal of growth of tendon finger or hand | 12 | $3,162 | $264 |
| X-ray of finger, minimum of 2 views | 64 | $2,630 | $35 |
| Injection of carpal tunnel | 26 | $2,160 | $83 |
| Aspiration and/or injection of fluid from medium joint | 37 | $2,046 | $46 |
| Manipulation of finger for connective tissue release following enzyme injection | 14 | $1,485 | $106 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 253 | $1,469 | None |
| Injection of medication into palm | 14 | $1,095 | $78 |
| X-ray of elbow, minimum of 3 views | 35 | $1,086 | $27 |
| Application of nonmoveable forearm to hand splint | 11 | $661 | $55 |
| Cast supplies, short arm splint, adult (11 years +), fiberglass | 11 | $122 | $10 |
2020: 19 services
| Return visit (30+ min) | 283 | $26,109 | $85 |
| New patient visit (45+ min) | 195 | $25,650 | $132 |
| Release and/or relocation of hand nerve | 53 | $21,159 | $365 |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 13 | $11,930 | $918 |
| Short return visit (20+ min) | 173 | $11,750 | $59 |
| Incision of tendon covering of finger | 36 | $11,489 | $169 |
| Removal of bone joints between wrist and fingers | 12 | $6,653 | $512 |
| New patient visit (30+ min) | 84 | $6,326 | $75 |
| Injection into tendon or ligament | 118 | $5,819 | $39 |
| Aspiration and/or injection of fluid from small joint | 113 | $5,367 | $38 |
| X-ray of hand, minimum of 3 views | 118 | $5,152 | $33 |
| Removal of growth of tendon finger or hand | 13 | $3,097 | $238 |
| X-ray of wrist, minimum of 3 views | 67 | $2,833 | $34 |
| X-ray of finger, minimum of 2 views | 69 | $2,681 | $32 |
| Injection of carpal tunnel | 23 | $1,821 | $79 |
| Aspiration and/or injection of fluid from medium joint | 30 | $1,579 | $43 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 249 | $1,502 | None |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 12 | $1,253 | $104 |
| X-ray of elbow, minimum of 3 views | 31 | $1,136 | $28 |
2019: 23 services
| New patient visit (45+ min) | 261 | $37,492 | $144 |
| Return visit (30+ min) | 334 | $32,622 | $92 |
| Release and/or relocation of hand nerve | 53 | $20,171 | $342 |
| Short return visit (20+ min) | 218 | $16,507 | $61 |
| New patient visit (30+ min) | 155 | $13,244 | $85 |
| Incision of tendon covering of finger | 32 | $9,807 | $196 |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 11 | $9,638 | $876 |
| Injection into tendon or ligament | 168 | $8,776 | $41 |
| Removal of bone joints between wrist and fingers | 11 | $8,561 | $713 |
| Aspiration and/or injection of fluid from small joint | 133 | $6,252 | $35 |
| X-ray of hand, minimum of 3 views | 130 | $5,592 | $31 |
| X-ray of wrist, minimum of 3 views | 96 | $5,072 | $35 |
| X-ray of finger, minimum of 2 views | 94 | $3,674 | $32 |
| Removal of growth of tendon finger or hand | 12 | $3,553 | $296 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 329 | $2,196 | None |
| Aspiration and/or injection of fluid from medium joint | 40 | $2,189 | $41 |
| Injection of carpal tunnel | 26 | $1,962 | $75 |
| Application of nonmoveable forearm to hand splint | 21 | $1,445 | $58 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $1,304 | $119 |
| Application of elbow to finger cast | 12 | $1,082 | $77 |
| X-ray of elbow, minimum of 3 views | 28 | $1,061 | $28 |
| Aspiration and/or injection of fluid from small joint | 11 | $219 | $18 |
| Cast supplies, short arm splint, adult (11 years +), fiberglass | 17 | $188 | $9 |
2018: 22 services
| Injection, collagenase, clostridium histolyticum, 0.01 mg | 21 | $70,627 | None |
| Release and/or relocation of hand nerve | 70 | $28,239 | $357 |
| Return visit (30+ min) | 210 | $19,942 | $90 |
| Removal of bone joints between wrist and fingers | 23 | $17,236 | $689 |
| Incision of tendon covering of finger | 47 | $15,936 | $183 |
| Short return visit (20+ min) | 200 | $13,879 | $59 |
| New patient visit (30+ min) | 158 | $12,630 | $80 |
| Transfer of tendon to palm | 22 | $8,762 | $381 |
| New patient visit (45+ min) | 49 | $7,076 | $144 |
| Injection into tendon or ligament | 80 | $3,483 | $37 |
| X-ray of hand, minimum of 3 views | 89 | $3,412 | $28 |
| Aspiration and/or injection of fluid from small joint | 74 | $3,352 | $36 |
| Removal of growth of tendon finger or hand | 11 | $3,165 | $288 |
| X-ray of wrist, minimum of 3 views | 71 | $2,751 | $32 |
| Manipulation of finger for connective tissue release following enzyme injection | 21 | $2,043 | $89 |
| X-ray of finger, minimum of 2 views | 58 | $1,901 | $29 |
| Injection of medication into palm | 21 | $1,664 | $72 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 178 | $1,240 | None |
| Aspiration and/or injection of fluid from medium joint | 20 | $1,067 | $43 |
| Application of nonmoveable forearm to hand splint | 13 | $923 | $62 |
| X-ray of elbow, minimum of 3 views | 24 | $814 | $30 |
| Aspiration and/or injection of fluid from small joint | 15 | $293 | $15 |
2017: 18 services
| Release and/or relocation of hand nerve | 61 | $20,995 | $309 |
| Short return visit (20+ min) | 245 | $17,108 | $58 |
| New patient visit (30+ min) | 213 | $16,800 | $79 |
| Return visit (30+ min) | 128 | $10,933 | $82 |
| Removal of bone joints between wrist and fingers | 12 | $8,202 | $684 |
| Incision of tendon covering of finger | 29 | $8,093 | $169 |
| Aspiration and/or injection of fluid from small joint | 96 | $4,792 | $34 |
| Transfer of tendon to palm | 11 | $3,879 | $353 |
| X-ray of hand, minimum of 3 views | 95 | $3,387 | $26 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 21 | $3,353 | $152 |
| Injection into tendon or ligament | 60 | $2,764 | $41 |
| X-ray of wrist, minimum of 3 views | 58 | $2,296 | $30 |
| X-ray of finger, minimum of 2 views | 60 | $1,858 | $25 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 169 | $1,328 | None |
| Aspiration and/or injection of fluid from medium joint | 28 | $1,313 | $40 |
| X-ray of elbow, minimum of 3 views | 25 | $812 | $28 |
| Application of nonmoveable forearm to hand splint | 11 | $706 | $54 |
| Cast supplies, short arm splint, adult (11 years +), fiberglass | 11 | $114 | $9 |
2016: 21 services
| Injection, collagenase, clostridium histolyticum, 0.01 mg | 15 | $41,035 | None |
| New patient visit (30+ min) | 235 | $19,339 | $82 |
| Release and/or relocation of hand nerve | 51 | $18,430 | $341 |
| Short return visit (20+ min) | 227 | $16,198 | $57 |
| Return visit (30+ min) | 140 | $13,912 | $87 |
| Incision of tendon covering of finger | 38 | $12,470 | $208 |
| Aspiration and/or injection of fluid from small joint | 118 | $5,255 | $34 |
| Removal of growth of tendon finger or hand | 12 | $3,512 | $270 |
| X-ray of hand, minimum of 3 views | 91 | $3,351 | $27 |
| New patient visit (45+ min) | 20 | $2,812 | $141 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 16 | $2,746 | $172 |
| X-ray of wrist, minimum of 3 views | 59 | $2,371 | $31 |
| X-ray of finger, minimum of 2 views | 60 | $2,209 | $28 |
| Aspiration and/or injection of fluid from medium joint | 46 | $2,095 | $36 |
| Injection into tendon or ligament | 26 | $1,317 | $47 |
| Manipulation of finger for connective tissue release following enzyme injection | 16 | $1,298 | $81 |
| Application of nonmoveable forearm to hand splint | 21 | $1,270 | $58 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 182 | $1,244 | None |
| X-ray of elbow, minimum of 3 views | 24 | $909 | $28 |
| Injection of medication into palm | 16 | $841 | $53 |
| Cast supplies, short arm splint, adult (11 years +), fiberglass | 20 | $203 | $9 |
2015: 19 services
| Short return visit (20+ min) | 305 | $24,090 | $59 |
| New patient visit (30+ min) | 266 | $21,258 | $80 |
| Release and/or relocation of hand nerve | 48 | $18,361 | $367 |
| Removal of bone joints between wrist and fingers | 12 | $8,020 | $668 |
| Aspiration and/or injection of fluid from small joint | 120 | $6,248 | $36 |
| Incision of tendon covering of finger | 23 | $6,101 | $185 |
| Return visit (30+ min) | 72 | $6,061 | $83 |
| Transfer of tendon to palm | 12 | $4,057 | $338 |
| X-ray of hand, minimum of 3 views | 96 | $3,187 | $24 |
| X-ray of wrist, minimum of 3 views | 77 | $3,021 | $29 |
| Aspiration and/or injection of fluid from medium joint | 53 | $2,599 | $37 |
| X-ray of finger, minimum of 2 views | 60 | $2,206 | $28 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 12 | $2,080 | $173 |
| Injection into tendon or ligament | 41 | $1,968 | $45 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 195 | $1,493 | None |
| Application of nonmoveable forearm to hand splint | 14 | $911 | $61 |
| X-ray of elbow, minimum of 3 views | 24 | $698 | $25 |
| Short return visit (20+ min) | 11 | $422 | $35 |
| Cast supplies, short arm splint, adult (11 years +), fiberglass | 14 | $142 | $9 |
2014: 18 services
| Release and/or relocation of hand nerve | 54 | $19,191 | $343 |
| Return visit (30+ min) | 176 | $16,073 | $86 |
| Short return visit (20+ min) | 210 | $15,769 | $61 |
| New patient visit (30+ min) | 178 | $14,089 | $79 |
| Removal of bone joints between wrist and fingers | 11 | $9,459 | $631 |
| Aspiration and/or injection of fluid from small joint | 97 | $4,876 | $39 |
| X-ray of wrist, minimum of 3 views | 75 | $4,355 | $36 |
| Transfer of tendon to palm | 11 | $4,328 | $393 |
| Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation | 14 | $3,974 | $284 |
| X-ray of hand, minimum of 3 views | 69 | $3,207 | $31 |
| Injection into tendon or ligament | 59 | $3,119 | $50 |
| Short return visit (20+ min) | 57 | $2,835 | $42 |
| Aspiration and/or injection of fluid from medium joint | 47 | $2,418 | $39 |
| X-ray of finger, minimum of 2 views | 56 | $2,071 | $30 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 198 | $1,620 | None |
| X-ray of elbow, minimum of 3 views | 32 | $1,381 | $31 |
| X-ray of hand, minimum of 3 views | 18 | $178 | $7 |
| X-ray of wrist, minimum of 3 views | 12 | $161 | $8 |
2013: 15 services
| Return visit (30+ min) | 227 | $23,825 | $90 |
| Release and/or relocation of hand nerve | 54 | $20,168 | $342 |
| New patient visit (30+ min) | 224 | $18,583 | $83 |
| Short return visit (20+ min) | 149 | $10,831 | $61 |
| Incision of tendon covering of finger | 19 | $5,481 | $196 |
| X-ray of wrist, minimum of 3 views | 90 | $5,105 | $35 |
| Aspiration and/or injection of fluid from small joint | 83 | $4,349 | $37 |
| X-ray of hand, minimum of 3 views | 106 | $4,318 | $30 |
| Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation | 14 | $3,859 | $276 |
| Injection into tendon or ligament | 72 | $3,829 | $48 |
| X-ray of finger, minimum of 2 views | 64 | $2,940 | $33 |
| Aspiration and/or injection of fluid from medium joint | 33 | $2,227 | $52 |
| Nerve test | 14 | $1,419 | $64 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 181 | $1,417 | None |
| X-ray of elbow, minimum of 3 views | 22 | $886 | $31 |
Medicaid work
$15,793 in 2024
Medicaid paid $15,793 for 165 billed services this clinician did in 2024, up to 22 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.
| New patient visit (45+ min) | 140 | $14,237 |
| Return visit (30+ min) | 25 | $1,557 |
| 2024 | 165 | 2 | 22 | $15,793 |
| 2023 | 112 | 2 | 22 | $9,872 |
| 2022 | 98 | 1 | 21 | $10,160 |
| 2021 | 111 | 4 | 17 | $7,285 |
| 2020 | 100 | 2 | 25 | $10,020 |
| 2019 | 172 | 3 | 19 | $18,829 |
| 2018 | 53 | 2 | 14 | $6,424 |
See the largest Medicaid services in earlier years
2023
| New patient visit (45+ min) | 97 | $9,178 |
| Return visit (30+ min) | 15 | $694 |
2022
| New patient visit (45+ min) | 98 | $10,160 |
2021
| New patient visit (45+ min) | 58 | $5,187 |
| X-RAY EXAM OF WRIST | 25 | $1,123 |
| Return visit (30+ min) | 14 | $619 |
| Short return visit (20+ min) | 14 | $356 |
2020
| New patient visit (45+ min) | 85 | $8,427 |
| New patient visit (30+ min) | 15 | $1,592 |
2019
| New patient visit (45+ min) | 144 | $16,704 |
| New patient visit (30+ min) | 14 | $1,534 |
| Short return visit (20+ min) | 14 | $591 |
2018
| New patient visit (45+ min) | 41 | $5,136 |
| New patient visit (30+ min) | 12 | $1,288 |
Drugs they prescribed that Part D paid
$13,371
Pharmacies billed $13,371 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
17 generic and fewer than 11 brand-name prescriptions · $13,371 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
| 2024 | 19 | 14 | None | None | $13,371 |
| 2023 | 28 | 18 | 39% (11) | None | $6,244 |
| 2022 | 15 | 11 | None | None | $17,635 |
| 2021 | 46 | 38 | 57% (26) | None | $26,695 |
| 2020 | 63 | 57 | 81% (51) | None | $21,871 |
| 2019 | 86 | 65 | 74% (64) | None | $862 |
| 2018 | 127 | 103 | 86% (109) | None | $1,560 |
| 2017 | 74 | 57 | 80% (59) | None | $4,947 |
| 2016 | 114 | 80 | 70% (80) | None | $2,040 |
| 2015 | 59 | 33 | 58% (34) | None | $741 |
| 2014 | 113 | 82 | 74% (84) | None | $1,452 |
| 2013 | 102 | 83 | 87% (89) | None | $1,131 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2021: 1 drug
| Hydrocodone-Acetaminophen | 23 | $132 | $6 |
2020: 1 drug
| Hydrocodone-Acetaminophen | 48 | $273 | $6 |
2019: 1 drug
| Hydrocodone-Acetaminophen | 52 | $359 | $7 |
2018: 2 drugs
| Hydrocodone-Acetaminophen | 79 | $521 | $7 |
| Oxycodone-Acetaminophen | 24 | $187 | $8 |
2017: 2 drugs
| Hydrocodone-Acetaminophen | 36 | $266 | $7 |
| Oxycodone-Acetaminophen | 14 | $196 | $14 |
2016: 2 drugs
| Hydrocodone-Acetaminophen | 58 | $1,040 | $18 |
| Oxycodone-Acetaminophen | 18 | $480 | $27 |
2015: 2 drugs
| Hydrocodone-Acetaminophen | 13 | $158 | $12 |
| Sulfamethoxazole-Trimethoprim | 11 | $55 | $5 |
2014: 3 drugs
| Hydrocodone-Acetaminophen | 53 | $562 | $11 |
| Oxycodone-Acetaminophen | 16 | $325 | $20 |
| Sulfamethoxazole-Trimethoprim | 11 | $53 | $5 |
2013: 1 drug
| Hydrocodone-Acetaminophen | 58 | $525 | $9 |
Money from drug and device companies
$269 in 2025
| 2025 | 1 | 8 | None | $269 |
| 2024 | 1 | 3 | None | $60 |
| 2023 | 3 | 3 | None | $223 |
| 2021 | 2 | 2 | None | $145 |
| 2020 | 1 | 1 | None | $13 |
| 2019 | 2 | 2 | None | $29 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Endo USA | Xiaflex | $269 | 8 payments
|
See all 8 published payments
| Endo USA | Meals · 2025-11-07 | Xiaflex | $150 |
| Endo USA | Meals · 2025-10-29 | Xiaflex | $19 |
| Endo USA | Meals · 2025-09-24 | Xiaflex | $3 |
| Endo USA | Meals · 2025-09-24 | Xiaflex | $19 |
| Endo USA | Meals · 2025-08-13 | Xiaflex | $18 |
| Endo USA | Meals · 2025-06-04 | Xiaflex | $20 |
| Endo USA | Meals · 2025-05-07 | Xiaflex | $20 |
| Endo USA | Meals · 2025-02-24 | Xiaflex | $21 |
See earlier years (2024, 2023, 2021, 2020, 2019)
2024: $60
| Bioventus | Exogen Ultrasound Bone Healing System | $60 | 3 payments
|
2023: $223
| Endo Pharmaceuticals | Xiaflex | $118 | 1 payment
|
| Zimmer Biomet Holdings | None | $83 | 1 payment
|
| Orthofix Medical | Physio-Stim | $22 | 1 payment
|
2021: $145
| Axogen | Avance Nerve Graft | $121 | 1 payment
|
| Stryker | Easy Clip | $24 | 1 payment
|
2020: $13
| Endo Pharmaceuticals | Xiaflex | $13 | 1 payment
|
2019: $29
| BioDelivery Sciences International | Bunavail 2.1 Mg 30-Count Box | $17 | 1 payment
|
| Collegium Pharmaceutical | Xtampza | $12 | 1 payment
|
Professional record
- NPI
- 1265433254
- Licence
- CA G86952, MI DB055806California G86952: Current · expires 2028-08-31
- Trained
- University of Michigan Medical School, 1990 · 36 years ago
- Group
- Napa Valley Orthopaedic Medical Group Inc · Northbay Health Medical Foundation · St. Helena Hospital · Adventist Health Physicians Network · Northbay Physicians Surgery Center, LLC
- Gender
- Male
More record details
- Sole proprietor
- No
- Medicaid ID
- MI 32697515
- Taxonomy
- Federal specialty code 207XS0106X (207XS0106X)
- Mailing address
- 3273 Claremont Way, Suite 100, Napa, CA, 94558
- NPI first listed
- 2005-08-02
- NPI last updated
- 2018-12-17
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 2500 Hilborn Rd, Fairfield, CA, 94534