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Raymond R Carrillo, MD

Nephrology · Salinas

NPI 1265511273

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
29
9 carriers
Offices
2

Offices

2 locations · Central Coast Nephrology Medical Corporation · 11 clinicians in this group

Looking this up.

Hospitals listed: 052751 · 552724 · 752547 · Hazel Hawkins Memorial Hospital · Natividad Medical Center · Salinas Valley Health Medical Center · Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

29 plans · 9 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Carrillo’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

29 of 29 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

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.

  • Hazel Hawkins Memorial HospitalHollister, CACritical Access Hospital · Government - Hospital District or Authority · Has an emergency department
    No overall ratingNo measure marked better or worse than the national rate
  • Natividad Medical CenterSalinas, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Natividad Medical CenterPatients rate it 3 of 5 · 71% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.316, Oct 2024 – Sep 2025
  • Salinas Valley Health Medical CenterSalinas, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of Salinas Valley Memorial Healthcare SystemPatients rate it 4 of 5 · 74% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.247, Oct 2024 – Sep 2025
  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Hazel Hawkins Memorial Hospital

Behind the star rating — Readmissions: 0 better, 2 the same, 0 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Hazel Hawkins Memorial Hospital
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (9.6 to 17.1) · 409 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 43 casesNo differentJan 2024 – Dec 2024
See every measure and the patient survey for Natividad Medical Center

Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 1 better, 5 the same, 0 worse of 6 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.

Every scored measure at Natividad Medical Center
Clostridium Difficile (C.Diff)Infections0.316BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.98 (0 to 2.04) · 332 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.18 (0.76 to 1.6)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths165.77 (109.76 to 221.78) · 28 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths9.9 · 47 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.5 · 80 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths18.4 · 110 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.5 · 34 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.4 · 609 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.26 (0.03 to 0.48) · 2,445 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.04 to 0.46) · 2,213 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.36 (2.03 to 6.7) · 564 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.64 (0 to 3.36) · 79 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.08 (0.44 to 3.71) · 555 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.67 (1.19 to 20.15) · 87 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.92 (0.71 to 9.12) · 79 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.73 (0.21 to 3.24) · 81 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths1.07 (0.12 to 2.02) · 1,742 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.462No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.9 · 62 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits8.4 · 93 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-7.3 · 121 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 100 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 32 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.7 to 17.9) · 162 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.7 to 1.5) · 72 casesNo differentJan 2024 – Dec 2024

What patients said (966 patients answered, 55% of those asked)

Patient survey stars by topic at Natividad Medical Center
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital4
Share of patients giving the best answer at Natividad Medical Center
Room was "always" clean75%
Nurses "always" communicated well74%
Doctors "always" communicated well78%
Staff "always" explained60%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand73%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)72%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night37%
"YES", patients would definitely recommend the hospital71%
Staff "always" explained possible side effects45%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Salinas Valley Health Medical Center

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 9 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.

Every scored measure at Salinas Valley Health Medical Center
Clostridium Difficile (C.Diff)Infections0.247BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.32 (0.34 to 2.3) · 1,159 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.98 (0.68 to 1.29)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths198.42 (143.23 to 253.6) · 62 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.7 · 112 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.9 · 160 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.2 · 203 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.7 · 573 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 536 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.1 · 239 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.9 · 2,377 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.37) · 7,593 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.05 to 0.43) · 7,999 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.97 (1.83 to 6.1) · 1,428 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.7 (0.16 to 3.24) · 456 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.31 (0.87 to 3.76) · 1,325 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.78 (3.73 to 15.83) · 461 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.23 (1.52 to 8.95) · 453 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.65 (0.17 to 3.13) · 279 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.48 (0 to 1.11) · 6,011 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.487No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.082No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.432No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.373No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.5 · 197 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.2 · 491 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits18.2 · 224 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits8 · 660 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-0.3 · 569 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 485 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.9 (4.2 to 8.4) · 244 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11 (8.4 to 14.3) · 244 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits10.9 · 86 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 158 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.4 (9.9 to 17.9) · 197 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 489 casesNo differentJan 2024 – Dec 2024

What patients said (1,383 patients answered, 16% of those asked)

Patient survey stars by topic at Salinas Valley Health Medical Center
Cleanliness4
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital4
Share of patients giving the best answer at Salinas Valley Health Medical Center
Room was "always" clean79%
Nurses "always" communicated well81%
Doctors "always" communicated well78%
Staff "always" explained66%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand75%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)73%
Staff "always" explained new medications78%
Nurses "always" explained things so they could understand78%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night46%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects53%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$1,071,099

Medicare paid this office $1,071,099 for 730 people.

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

Largest Original Medicare bills
Dialysis services, 4 or more physician visits per month (20 years or older)50$113,875$321
Injection, inclisiran, 1 mg15$45,837None
Return visit (30+ min)283$35,566$70
Home dialysis services per month (20 years or older)19$34,938$250
Injection, denosumab, 1 mg24$30,097None
See all 23 services
Every Original Medicare service billed
Dialysis services, 4 or more physician visits per month (20 years or older)50$113,875$321
Injection, inclisiran, 1 mg15$45,837None
Return visit (30+ min)283$35,566$70
Home dialysis services per month (20 years or older)19$34,938$250
Injection, denosumab, 1 mg24$30,097None
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes198$26,341$65
Dialysis services, 2-3 physician visits per month (20 years or older)29$17,866$263
Initial hospital care with moderate level of medical decision making at least 75 minutes67$10,181$139
Injection, epoetin alfa, (for non-esrd use), 1000 units16$8,264None
Hemodialysis procedure with physician evaluation78$6,597$58
New patient visit (45+ min)48$6,434$134
Dialysis procedure including 1 evaluation29$5,861$69
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less40$3,894$56
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)19$2,596$0
Injection of drug or substance under skin or into muscle68$2,461$12
Administration of chemotherapy into vein, 1 hour or less16$1,988$110
Short return visit (20+ min)19$1,341$64
Complete ultrasound scan behind abdominal cavity14$1,075$77
Influenza vaccine split virus, preservative free14$1,054$75
Insertion of needle into vein for collection of blood sample65$1,038$9
Kidney function blood test panel56$638$9
Administration of chemotherapy into vein, each additional hour15$611$23
Administration of influenza virus vaccine16$508$32

Who their Medicare patients are

730 Original Medicare patients in 2024. Average age 73 · Under 65 18% · 85 and older 13% · Women 47% · Also on Medicaid 49% · Health risk score 4.23. Above the middle of the specialty; the typical nephrology clinician is at 4.01.

Conditions among them: High blood pressure 75% · Chronic kidney disease 75% · Diabetes 68% · Heart failure 44% · Coronary heart disease 40% · Atrial fibrillation 28% · Depression 24% · COPD 18% · Stroke 13% · Cancer 11% · Dementia 9%.

The office billed $2,326,955, Medicare allowed $1,363,672 and paid $1,071,099; for 39,875 services of 63 kinds; $792,534 of it was for drugs given in the office and $278,565 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
202473039,875734.23$2,326,955$1,071,099
202378125,538724.27$1,361,881$672,644
202279631,310733.72$1,408,232$679,477
202184334,701723.82$1,614,069$781,886
202089227,424724.08$1,469,199$670,795
201984322,470724.42$1,045,857$476,782
201887922,117714.39$1,086,788$512,439
201788524,463714.31$1,068,175$504,430
201690125,311714.08$1,193,323$543,948
201592318,336713.94$1,124,521$523,859
201489820,859723.61$921,878$434,480
201389624,143713.79$838,903$407,085

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
Dialysis services, 4 or more physician visits per month (20 years or older)55$85,941$324
Injection, denosumab, 1 mg36$41,733None
Home dialysis services per month (20 years or older)24$39,827$255
Return visit (30+ min)272$36,296$76
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes233$31,619$67
Injection, romosozumab-aqqg, 1 mg11$22,891None
Initial hospital care with moderate level of medical decision making at least 75 minutes94$14,438$149
Dialysis services, 2-3 physician visits per month (20 years or older)29$12,812$261
Injection, epoetin alfa, (for non-esrd use), 1000 units21$12,489None
Hemodialysis procedure with physician evaluation108$9,537$59
New patient visit (45+ min)47$5,772$123
Dialysis procedure including 1 evaluation27$5,674$73
Injection of drug or substance under skin or into muscle77$3,769$13
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less24$2,363$56
Influenza vaccine split virus, preservative free25$1,723$69
Short return visit (20+ min)46$1,721$34
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,542$103
Telephone medical discussion with physician, 11-20 minutes16$877$49
Insertion of needle into vein for collection of blood sample68$790$8
Administration of influenza virus vaccine26$721$28
Kidney function blood test panel56$613$9
Blood count, hemoglobin15$86$2
Urinalysis, manual test22$75$3
Red blood cell concentration measurement14$58$2

2022: 24 services

Original Medicare services billed in 2022
Dialysis services, 4 or more physician visits per month (20 years or older)58$102,076$332
Injection, denosumab, 1 mg34$37,303None
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes237$33,558$62
Home dialysis services per month (20 years or older)20$33,275$271
Dialysis services, 2-3 physician visits per month (20 years or older)31$16,633$277
Return visit (30+ min)141$16,501$79
Short return visit (20+ min)231$16,329$46
Injection, epoetin alfa, (for non-esrd use), 1000 units55$12,878None
Initial hospital care with moderate level of medical decision making at least 75 minutes71$12,072$168
Hemodialysis procedure with physician evaluation82$7,068$63
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)16$5,597$1
Dialysis procedure including 1 evaluation25$4,703$76
New patient visit (45+ min)34$4,284$126
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less32$3,658$62
Injection of drug or substance under skin or into muscle96$3,173$12
Telephone medical discussion with physician, 11-20 minutes32$2,901$64
Administration of chemotherapy into vein, 1 hour or less15$2,820$118
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes18$2,146$113
Administration of chemotherapy into vein, each additional hour15$978$26
Kidney function blood test panel80$742$9
Telephone medical discussion with physician, 5-10 minutes13$422$30
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes11$366$33
Insertion of needle into vein for collection of blood sample102$350$3
Blood count, hemoglobin38$205$2

2021: 27 services

Original Medicare services billed in 2021
Dialysis services, 4 or more physician visits per month (20 years or older)72$132,784$334
Short return visit (20+ min)257$32,264$68
Home dialysis services per month (20 years or older)24$31,623$264
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes253$31,067$61
Injection, denosumab, 1 mg30$31,038None
Dialysis services, 2-3 physician visits per month (20 years or older)42$22,640$280
Return visit (30+ min)80$14,260$98
Initial hospital care with moderate level of medical decision making at least 75 minutes81$13,898$167
Injection, epoetin alfa, (for non-esrd use), 1000 units53$13,135None
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)25$10,358$1
New patient visit (45+ min)48$6,312$131
Hemodialysis procedure with physician evaluation75$5,889$60
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less41$4,719$60
Dialysis procedure including 1 evaluation19$4,335$76
Administration of chemotherapy into vein, 1 hour or less16$3,407$122
Injection of drug or substance under skin or into muscle91$3,067$12
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,714$113
Telephone medical discussion with physician, 5-10 minutes30$1,695$46
Complete ultrasound scan behind abdominal cavity12$1,218$102
Administration of chemotherapy into vein, each additional hour16$1,049$26
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes23$978$33
Kidney function blood test panel79$845$9
Short return visit13$587$39
Insertion of needle into vein for collection of blood sample98$369$3
Blood count, hemoglobin46$214$2
Blood test, comprehensive group of blood chemicals14$161$9
Urinalysis, manual test18$60$3

2020: 30 services

Original Medicare services billed in 2020
Dialysis services, 4 or more physician visits per month (20 years or older)86$128,766$269
Injection, denosumab, 1 mg60$59,317None
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes261$35,469$62
Home dialysis services per month (20 years or older)20$27,444$218
Short return visit (20+ min)261$25,498$55
Dialysis services, 2-3 physician visits per month (20 years or older)52$22,562$228
Injection, epoetin alfa, (for non-esrd use), 1000 units57$14,228None
Initial hospital care with moderate level of medical decision making at least 75 minutes78$14,177$175
Return visit (30+ min)89$12,789$85
Hemodialysis procedure with physician evaluation100$10,274$62
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes41$5,009$111
Dialysis procedure including 1 evaluation23$4,651$75
New patient visit (45+ min)25$3,486$139
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less27$3,209$58
Injection of drug or substance under skin or into muscle125$3,192$12
Short return visit79$2,537$29
Administration of chemotherapy into vein, 1 hour or less11$2,157$127
Telephone medical discussion with physician, 11-20 minutes28$1,940$67
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes37$1,422$33
Telephone medical discussion with physician, 5-10 minutes28$1,276$43
Kidney function blood test panel117$1,227$9
Complete ultrasound scan behind abdominal cavity11$1,020$93
Influenza vaccine split virus, preservative free16$976$61
Administration of chemotherapy into vein, each additional hour11$623$27
Administration of influenza virus vaccine30$541$18
Insertion of needle into vein for collection of blood sample138$511$3
Blood test, comprehensive group of blood chemicals19$211$11
Blood test, lipids (cholesterol and triglycerides)11$174$13
Blood count, hemoglobin46$156$2
Urinalysis, manual test11$38$3

2019: 25 services

Original Medicare services billed in 2019
Dialysis services, 4 or more physician visits per month (20 years or older)102$126,422$256
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes279$38,516$59
Short return visit (20+ min)301$31,094$54
Injection, denosumab, 1 mg33$30,733None
Dialysis services, 2-3 physician visits per month (20 years or older)60$25,542$215
Home dialysis services per month (20 years or older)20$23,972$208
Initial hospital care with moderate level of medical decision making at least 75 minutes82$14,296$164
Hemodialysis procedure with physician evaluation125$12,349$61
Return visit (30+ min)81$9,097$86
Injection, epoetin alfa, (for non-esrd use), 1000 units34$6,092None
New patient visit (45+ min)36$4,896$136
Dialysis procedure including 1 evaluation20$4,124$71
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)11$3,960$1
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes28$3,666$115
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less24$2,388$60
Dialysis services, 1 physician visit per month (20 years or older)12$2,251$173
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes46$2,100$32
Injection of drug or substance under skin or into muscle76$1,632$13
Short return visit45$1,541$30
Hospital discharge day management, 30 minutes or less18$1,220$61
Kidney function blood test panel84$927$9
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free23$607$26
Administration of influenza virus vaccine24$423$18
Insertion of needle into vein for collection of blood sample101$356$3
Blood count, hemoglobin20$63$3

2018: 27 services

Original Medicare services billed in 2018
Dialysis services, 4 or more physician visits per month (20 years or older)104$139,665$253
Injection, denosumab, 1 mg53$49,540None
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes276$40,711$60
Short return visit (20+ min)302$30,008$53
Home dialysis services per month (20 years or older)21$23,956$208
Dialysis services, 2-3 physician visits per month (20 years or older)67$23,637$217
Injection, epoetin alfa, (for non-esrd use), 1000 units49$22,039None
Initial hospital care with moderate level of medical decision making at least 75 minutes98$16,724$162
Hemodialysis procedure with physician evaluation154$15,277$59
Return visit (30+ min)61$8,526$82
Injection of drug or substance under skin or into muscle104$4,512$17
New patient visit (45+ min)37$4,448$120
Hospital discharge day management, 30 minutes or less57$3,840$59
Dialysis procedure including 1 evaluation23$3,575$70
Hospital discharge day management, more than 30 minutes37$3,454$89
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes25$2,795$112
Short return visit76$2,550$30
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes45$2,140$32
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less19$1,874$60
Kidney function blood test panel105$1,294$10
Complete ultrasound scan behind abdominal cavity13$996$77
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$902$82
Insertion of needle into vein for collection of blood sample117$412$3
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free19$401$21
Administration of influenza virus vaccine19$382$20
Blood count, hemoglobin34$198$3
Urinalysis, manual test17$55$3

2017: 30 services

Original Medicare services billed in 2017
Dialysis services, 4 or more physician visits per month (20 years or older)94$121,721$253
Injection, denosumab, 1 mg48$41,600None
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes289$41,431$58
Home dialysis services per month (20 years or older)25$30,550$204
Short return visit (20+ min)286$28,385$53
Dialysis services, 2-3 physician visits per month (20 years or older)61$27,808$212
Initial hospital care with moderate level of medical decision making at least 75 minutes124$21,788$161
Injection, epoetin alfa, (for non-esrd use), 1000 units50$13,646None
Hemodialysis procedure with physician evaluation128$12,895$57
Return visit (30+ min)71$10,041$85
New patient visit (45+ min)34$4,576$135
Injection of drug or substance under skin or into muscle100$3,884$22
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)11$3,661$1
Hospital discharge day management, more than 30 minutes39$3,558$83
Hospital discharge day management, 30 minutes or less52$3,279$57
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes25$2,760$110
Dialysis procedure including 1 evaluation14$2,625$66
Short return visit80$2,338$26
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less26$2,242$57
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes47$2,106$31
Kidney function blood test panel102$1,294$12
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,154$89
Dialysis services, per day, less than full month service (20 years or older)13$1,143$7
Complete ultrasound scan behind abdominal cavity13$1,014$78
Administration of influenza virus vaccine27$647$23
Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage27$451$16
Insertion of needle into vein for collection of blood sample105$338$3
Hemoglobin a1c level12$170$13
Blood count, hemoglobin25$108$3
Urinalysis, manual test16$55$3

2016: 28 services

Original Medicare services billed in 2016
Dialysis services, 4 or more physician visits per month (20 years or older)91$131,041$244
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes281$41,647$56
Injection, denosumab, 1 mg49$35,804None
Home dialysis services per month (20 years or older)21$33,278$191
Short return visit (20+ min)292$31,335$52
Initial hospital care with moderate level of medical decision making at least 75 minutes128$21,556$156
Dialysis services, 2-3 physician visits per month (20 years or older)49$20,584$210
Hemodialysis procedure with physician evaluation140$13,979$56
Injection, epoetin alfa, (for non-esrd use), 1000 units51$12,488None
Return visit (30+ min)55$7,091$85
Hospital discharge day management, more than 30 minutes44$4,632$84
Dialysis procedure including 1 evaluation18$4,497$68
New patient visit (45+ min)30$3,878$129
Injection of drug or substance under skin or into muscle102$3,608$21
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$2,993$111
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less24$2,808$57
Short return visit88$2,633$28
Hospital discharge day management, 30 minutes or less37$2,315$55
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes66$2,173$28
Kidney function blood test panel111$1,540$11
Dialysis services, per day, less than full month service (20 years or older)13$1,177$7
Administration of influenza virus vaccine23$613$27
Insertion of needle into vein for collection of blood sample127$459$3
Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage23$388$17
Blood test, comprehensive group of blood chemicals14$196$13
Hemoglobin a1c level12$156$13
Blood count, hemoglobin28$124$3
Manual urinalysis test with examination using microscope, non-automated23$89$4

2015: 27 services

Original Medicare services billed in 2015
Dialysis services, 4 or more physician visits per month (20 years or older)104$147,082$252
Injection, denosumab, 1 mg45$35,168None
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes279$34,848$59
Short return visit (20+ min)310$32,656$54
Home dialysis services per month (20 years or older)23$27,450$196
Initial hospital care with moderate level of medical decision making at least 75 minutes128$23,323$167
Hemodialysis procedure with physician evaluation125$13,757$59
Injection, epoetin alfa, (for non-esrd use), 1000 units45$13,222None
Dialysis services, 2-3 physician visits per month (20 years or older)37$12,632$214
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes42$4,953$113
New patient visit (45+ min)33$4,401$133
Injection of drug or substance under skin or into muscle91$3,807$21
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes73$3,691$32
Return visit (30+ min)33$3,428$80
Hospital discharge day management, 30 minutes or less51$3,376$57
Hospital discharge day management, more than 30 minutes36$3,251$88
Short return visit93$3,166$29
Dialysis procedure including 1 evaluation15$2,067$71
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less19$1,907$56
Dialysis services, per day, less than full month service (20 years or older)15$1,748$6
Kidney function blood test panel118$1,601$11
Administration of influenza virus vaccine27$718$27
Insertion of needle into vein for collection of blood sample142$521$3
Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage27$367$14
Blood test, comprehensive group of blood chemicals17$245$13
Blood count, hemoglobin40$187$3
Manual urinalysis test with examination using microscope, non-automated38$160$4

2014: 27 services

Original Medicare services billed in 2014
Dialysis services, 4 or more physician visits per month (20 years or older)90$136,496$252
Short return visit (20+ min)302$32,967$52
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes229$31,902$58
Home dialysis services per month (20 years or older)20$30,251$203
Injection, denosumab, 1 mg40$28,180None
Initial hospital care with moderate level of medical decision making at least 75 minutes116$20,042$166
Injection, epoetin alfa, (for non-esrd use), 1000 units56$15,766None
Hemodialysis procedure with physician evaluation121$12,605$59
Dialysis services, 2-3 physician visits per month (20 years or older)30$8,700$212
Return visit (30+ min)62$6,671$74
New patient visit (45+ min)38$5,153$136
Injection of drug or substance under skin or into muscle99$4,375$20
Dialysis services, per day, less than full month service (20 years or older)19$3,588$7
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes82$3,261$31
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes29$3,247$112
Dialysis procedure including 1 evaluation19$3,190$63
Hospital discharge day management, more than 30 minutes32$2,863$84
Hospital discharge day management, 30 minutes or less42$2,835$58
Short return visit70$2,349$31
Complete ultrasound scan behind abdominal cavity19$2,207$116
Kidney function blood test panel133$2,042$11
Administration of influenza virus vaccine30$784$26
Insertion of needle into vein for collection of blood sample156$660$3
Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage30$410$14
Blood count, hemoglobin55$261$3
Manual urinalysis test with examination using microscope, non-automated49$207$4
Hemoglobin a1c level14$195$13

2013: 31 services

Original Medicare services billed in 2013
Dialysis services, 4 or more physician visits per month (20 years or older)93$150,213$249
Return visit (30+ min)241$44,188$80
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes289$38,899$56
Home dialysis services per month (20 years or older)19$28,309$199
Initial hospital care with moderate level of medical decision making at least 75 minutes145$24,973$159
Injection, epoetin alfa, (for non-esrd use), 1000 units57$17,661None
Hemodialysis procedure with physician evaluation140$15,363$56
Short return visit (20+ min)173$12,032$54
Dialysis services, 2-3 physician visits per month (20 years or older)33$11,843$211
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)23$8,180$1
New patient visit (45+ min)32$4,152$130
Injection of drug or substance under skin or into muscle61$4,124$22
Hospital discharge day management, 30 minutes or less58$3,808$57
Hospital discharge day management, more than 30 minutes36$3,466$85
Dialysis procedure including 1 evaluation17$3,298$67
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes85$3,041$30
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,865$110
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less26$2,232$62
Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)12$2,222$148
Dialysis services, per day, less than full month service (20 years or older)19$2,193$6
Kidney function blood test panel124$2,130$12
New patient visit (60+ min)11$1,867$170
Complete ultrasound scan behind abdominal cavity15$1,697$113
Administration of influenza virus vaccine29$811$26
Insertion of needle into vein for collection of blood sample138$652$3
Short return visit15$468$31
Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage23$279$12
Blood count, hemoglobin41$240$3
Blood test, comprehensive group of blood chemicals12$226$14
Manual urinalysis test with examination using microscope, non-automated46$200$4
Hemoglobin a1c level13$180$13

Medicaid work

$50,213 in 2024

Medicaid paid $50,213 for 741 billed services this clinician did in 2024, up to 34 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
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month279$31,529
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES319$8,572
End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older51$6,609
Return visit (30+ min)92$3,503
Medicaid work by year
2024741434$50,213
20231,249840$46,925
20222,9391247$35,772
20216,6271739$48,148
20207,6571636$44,451
20198,7161646$59,516
20187,7791636$45,931
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES454$15,228
End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older123$10,158
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month189$9,894
Return visit (30+ min)193$8,244
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional60$1,840
1ST HOSP IP/OBS HIGH 7525$964
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month12$597
UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT193$0

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES574$15,233
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month157$10,490
Darbepoetin alfa, esrd use144$5,208
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional49$1,689
Return visit (30+ min)30$1,008
Iron sucrose injection80$858
Short return visit (20+ min)42$857
Injection, epoetin alfa, (for non-esrd use), 1000 units17$293
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular29$86
1ST HOSP IP/OBS HIGH 7512$51
Protein, total, except by refractometry; serum, plasma or whole blood12$0
UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT1,793$0

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES518$15,340
Darbepoetin alfa, esrd use825$14,502
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month141$10,234
Iron sucrose injection576$3,657
Short return visit (20+ min)106$2,528
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional45$1,815
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3 mL dosage, diluent reconstituted; third dose17$40
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular15$31
Creatinine; blood14$0
Measurement of alkaline phosphatase29$0
Phosphorus inorganic (phosphate)42$0
Protein, total, except by refractometry; serum, plasma or whole blood72$0

2020

Largest Medicaid services in 2020
Darbepoetin alfa, esrd use834$18,243
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES477$11,764
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month142$7,897
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional84$3,740
Short return visit (20+ min)106$2,057
Iron sucrose injection335$626
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular20$124
CALCIUM TOTAL25$0
Creatinine; blood74$0
Measurement of alkaline phosphatase78$0
Phosphorus inorganic (phosphate)78$0
Protein, total, except by refractometry; serum, plasma or whole blood83$0

2019

Largest Medicaid services in 2019
Darbepoetin alfa, esrd use1,034$24,844
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES579$15,779
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month157$8,876
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional122$4,758
Short return visit (20+ min)131$3,101
Iron sucrose injection439$1,836
Return visit (30+ min)15$322
Creatinine; blood26$0
Measurement of alkaline phosphatase42$0
Phosphorus inorganic (phosphate)55$0
Protein, total, except by refractometry; serum, plasma or whole blood69$0
Urea nitrogen; quantitative107$0

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES541$16,639
Darbepoetin alfa, esrd use749$9,350
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month185$7,294
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional151$4,855
Iron sucrose injection418$3,453
Short return visit (20+ min)114$2,337
1ST HOSP IP/OBS HIGH 7529$2,003
Measurement of alkaline phosphatase36$0
Phosphorus inorganic (phosphate)63$0
Protein, total, except by refractometry; serum, plasma or whole blood68$0
Measurement of transferrin12$0
Urea nitrogen; quantitative195$0

Drugs they prescribed that Part D paid

$208,996

Pharmacies billed $208,996 in 2024.

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

1,224 generic and 189 brand-name prescriptions · $208,996 in drug cost · 41 antibiotic prescriptions to 30 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
Veltassa56$56,354$1,006
Velphoro15$37,712$2,514
Sevelamer Carbonate51$17,406$341
Eliquis13$8,537$657
Calcium Acetate70$6,092$87
See all 33 drugs
Every Part D drug this clinician prescribed
Veltassa56$56,354$1,006
Velphoro15$37,712$2,514
Sevelamer Carbonate51$17,406$341
Eliquis13$8,537$657
Calcium Acetate70$6,092$87
Cinacalcet18$4,156$231
Ultra-Fine Short Pen Needle25$1,414$57
Bumetanide25$882$35
Hydralazine61$845$14
Amlodipine Besylate97$811$8
Doxazosin Mesylate24$726$30
Tamsulosin54$637$12
Furosemide84$597$7
Losartan62$484$8
Nifedipine Er11$444$40
Calcitriol15$421$28
Omeprazole17$391$23
Carvedilol22$301$14
Gabapentin30$291$10
Valsartan13$265$20
Atorvastatin28$248$9
Metoprolol31$230$7
Metoprolol20$204$10
Pantoprazole34$185$5
Allopurinol19$183$10
Lactulose19$178$9
Lisinopril42$176$4
Metformin13$145$11
Prednisone29$139$5
Hydrochlorothiazide19$136$7
Paroxetine13$88$7
Simvastatin15$68$5
Glipizide12$33$3

Year by year

Part D prescribing by year
20241,441193None13%$208,996
20231,456202None14%$282,824
20221,5962170% (0)15%$351,680
20212,164294None12%$358,898
20202,0272901% (28)13%$265,775
20191,9852482% (45)11%$232,019
20182,6812714% (102)14%$389,559
20173,0502543% (93)18%$595,305
20163,3852534% (123)22%$678,455
20153,7812564% (147)26%$652,306
20143,8332624% (165)29%$572,458
20134,2953054% (173)31%$598,797

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

See the drugs prescribed each year

2023: 40 drugs

Part D drugs prescribed in 2023
Renvela11$29,365$2,670
Velphoro16$27,774$1,736
Sevelamer Carbonate38$24,505$645
Veltassa20$22,851$1,143
Auryxia11$20,634$1,876
Tradjenta14$15,843$1,132
Novolog Flexpen21$13,107$624
Eliquis16$12,936$809
Cinacalcet14$7,498$536
Calcium Acetate41$4,099$100
Amlodipine Besylate95$1,547$16
Ultra-Fine Short Pen Needle23$1,483$64
Hydralazine58$1,310$23
Omeprazole26$1,227$47
Tamsulosin57$1,142$20
Metolazone11$1,108$101
Losartan72$1,104$15
Metoprolol56$909$16
Bumetanide20$907$45
Doxazosin Mesylate28$884$32
Atorvastatin55$839$15
Furosemide57$802$14
Lisinopril42$773$18
Gabapentin25$636$25
Carvedilol35$629$18
Calcitriol16$508$32
Gentamicin Sulfate15$499$33
Simvastatin24$477$20
Pantoprazole30$413$14
Valsartan11$350$32
Levothyroxine13$299$23
Paroxetine17$283$17
Prednisone18$277$15
Allopurinol17$276$16
Metformin20$263$13
Lactulose11$219$20
Hydrochlorothiazide19$198$10
Metoprolol14$196$14
Glipizide13$136$10
Ciprofloxacin12$68$6

2022: 38 drugs

Part D drugs prescribed in 2022
Renvela38$87,523$2,303
Sevelamer Carbonate39$27,868$715
Eliquis25$17,671$707
Tacrolimus15$16,146$1,076
Tradjenta20$15,213$761
Lanthanum Carbonate14$13,285$949
Clinisol53$10,045$190
Calcium Acetate44$8,577$195
Novolog Flexpen14$8,457$604
Midodrine14$4,613$330
Amlodipine Besylate128$1,347$11
Potassium Chloride14$1,057$76
Hydralazine37$1,028$28
Atorvastatin73$996$14
Losartan85$961$11
Furosemide67$881$13
Carvedilol49$714$15
Omeprazole20$692$35
Tamsulosin46$689$15
Doxazosin Mesylate38$534$14
Pantoprazole30$477$16
Levothyroxine19$474$25
Metoprolol51$412$8
Metoprolol15$372$25
Lisinopril45$330$7
Clonidine15$282$19
Allopurinol15$263$18
Calcitriol14$238$17
Simvastatin26$221$9
Gabapentin16$188$12
Hydrochlorothiazide23$183$8
Paroxetine20$178$9
Prednisone11$172$16
Metformin19$137$7
Isosorbide Mononitrate Er12$124$10
Levofloxacin14$84$6
Glipizide13$68$5
Famotidine11$64$6

2021: 48 drugs

Part D drugs prescribed in 2021
Renvela41$77,724$1,896
Velphoro20$30,868$1,543
Cinacalcet18$27,777$1,543
Sevelamer Carbonate82$27,171$331
Tacrolimus29$17,514$604
Lanthanum Carbonate14$14,729$1,052
Tradjenta16$12,398$775
Clinisol54$9,984$185
Eliquis11$8,609$783
Calcium Acetate70$7,100$101
Novolog Flexpen11$6,534$594
Midodrine19$4,372$230
Potassium Chloride25$3,602$144
Paricalcitol13$2,467$190
Mycophenolate Mofetil20$1,515$76
Amlodipine Besylate184$1,506$8
Atorvastatin99$1,453$15
Pantoprazole58$1,285$22
Losartan95$1,271$13
Hydralazine66$1,212$18
Doxazosin Mesylate46$961$21
Furosemide100$943$9
Ezetimibe15$909$61
Bumetanide13$864$66
Carvedilol59$694$12
Omeprazole37$686$19
Metoprolol63$566$9
Tamsulosin44$533$12
Lidocaine-Prilocaine22$517$23
Metoprolol24$512$21
Lisinopril69$444$6
Clonidine35$427$12
Valsartan11$393$36
Calcitriol14$367$26
Gabapentin27$337$12
Terazosin16$327$20
Hydrochlorothiazide35$309$9
Prednisone27$309$11
Simvastatin25$305$12
Levothyroxine14$298$21
Allopurinol19$297$16
Hydroxyzine13$237$18
Lactulose20$214$11
Metformin16$140$9
Generlac11$101$9
Atenolol12$84$7
Glipizide13$46$4
Ciprofloxacin13$38$3

2020: 45 drugs

Part D drugs prescribed in 2020
Renvela35$56,615$1,618
Cinacalcet22$25,467$1,158
Veltassa20$18,090$905
Sevelamer Carbonate77$15,696$204
Lanthanum Carbonate11$13,517$1,229
Velphoro12$10,836$903
Clinisol57$10,044$176
Tacrolimus27$6,137$227
Calcium Acetate73$6,050$83
Procrit11$3,651$332
Bumetanide24$1,995$83
Midodrine18$1,790$99
Hydralazine63$1,350$21
Mycophenolate Mofetil20$1,270$63
Amlodipine Besylate162$1,229$8
Potassium Chloride18$1,182$66
Atorvastatin82$1,100$13
Losartan81$963$12
Valsartan19$926$49
Doxazosin Mesylate25$854$34
Megestrol Acetate12$812$68
Furosemide94$804$9
Pantoprazole50$786$16
Levothyroxine17$477$28
Tamsulosin37$464$13
Metoprolol73$458$6
Clonidine42$451$11
Ezetimibe12$404$34
Gabapentin32$363$11
Metoprolol22$348$16
Lisinopril47$306$7
Simvastatin32$299$9
Carvedilol24$295$12
Omeprazole38$253$7
Prednisone29$227$8
Allopurinol16$209$13
Hydrochlorothiazide30$184$6
Hydrocodone-Acetaminophen18$183$10
Terazosin20$152$8
Lactulose18$138$8
Paroxetine11$96$9
Atenolol15$84$6
Ciprofloxacin14$71$5
Alprazolam12$71$6
Cephalexin13$42$3

2019: 41 drugs

Part D drugs prescribed in 2019
Renvela44$70,522$1,603
Sevelamer Carbonate64$30,489$476
Lanthanum Carbonate15$13,519$901
Clinisol28$5,125$183
Calcium Acetate75$4,931$66
Tacrolimus17$4,658$274
Bumetanide13$1,942$149
Amlodipine Besylate175$1,459$8
Hydralazine84$1,207$14
Doxazosin Mesylate27$1,207$45
Midodrine13$888$68
Hydrocodone-Acetaminophen28$864$31
Atorvastatin64$798$12
Valsartan26$682$26
Mycophenolate Mofetil12$672$56
Furosemide91$619$7
Metoprolol21$614$29
Tamsulosin39$550$14
Losartan55$549$10
Metoprolol90$541$6
Calcitriol27$489$18
Allopurinol31$464$15
Omeprazole57$404$7
Clonidine40$398$10
Lisinopril37$367$10
Pantoprazole38$325$9
Gabapentin30$313$10
Loperamide14$307$22
Simvastatin34$301$9
Prednisone40$274$7
Clopidogrel16$200$13
Zolpidem16$192$12
Carvedilol22$149$7
Paroxetine14$136$10
Fluoxetine12$132$11
Hydrochlorothiazide17$125$7
Ranitidine14$110$8
Terazosin14$103$7
Losartan-Hydrochlorothiazide13$75$6
Metformin11$47$4
Cephalexin11$44$4

2018: 64 drugs

Part D drugs prescribed in 2018
Renvela97$163,807$1,689
Sevelamer Carbonate64$55,411$866
Fosrenol15$17,419$1,161
Tacrolimus29$10,637$367
Calcium Acetate140$9,844$70
Lantus Solostar18$9,606$534
Lantus13$7,706$593
Lyrica15$3,428$229
Bumetanide20$2,834$142
Mycophenolate Mofetil26$1,979$76
Hydrocodone-Acetaminophen78$1,892$24
Midodrine29$1,424$49
Amlodipine Besylate174$1,322$8
Calcitriol56$1,115$20
Esomeprazole Magnesium13$1,080$83
Metolazone22$1,023$47
Metoprolol32$966$30
Hydralazine63$902$14
Travasol11$861$78
Lanthanum Carbonate17$841$49
Diphenoxylate-Atropine12$841$70
Atorvastatin56$678$12
Tamsulosin37$621$17
Chlorthalidone20$596$30
Omega-3 Acid Ethyl Esters11$584$53
Metoprolol104$570$5
Furosemide124$555$4
Levothyroxine20$551$28
Potassium Chloride14$550$39
Nifedipine Er17$536$32
Doxazosin Mesylate19$493$26
Morphine Sulfate Er12$462$39
Omeprazole73$423$6
Gabapentin50$416$8
Losartan48$416$9
Carvedilol60$351$6
Ondansetron17$335$20
Zolpidem24$307$13
Pantoprazole44$296$7
Clonidine36$295$8
Prednisone54$278$5
Lisinopril42$276$7
Pravastatin11$271$25
Simvastatin50$262$5
Loperamide14$252$18
Isosorbide Mononitrate Er16$234$15
Paroxetine22$211$10
Clopidogrel17$205$12
Allopurinol29$193$7
Famotidine21$177$8
Terazosin25$162$6
Benazepril27$141$5
Promethazine17$140$8
Atenolol13$137$11
Hydroxyzine14$123$9
Nortriptyline14$103$7
Levofloxacin11$97$9
Alprazolam17$97$6
Hydrochlorothiazide21$96$5
Hydroxyzine Pamoate12$65$5
Glipizide23$60$3
Losartan-Hydrochlorothiazide13$59$5
Ciprofloxacin11$35$3
Diazepam12$21$2

2017: 71 drugs

Part D drugs prescribed in 2017
Renvela155$249,122$1,607
Sensipar88$145,708$1,656
Fosrenol26$26,310$1,012
Lantus Solostar33$15,535$471
Sevelamer Carbonate16$15,262$954
Calcium Acetate128$8,784$69
Humalog11$7,929$721
Januvia14$6,754$482
Novolog Flexpen12$6,317$526
Lantus12$5,788$482
Tacrolimus15$4,524$302
Lyrica16$3,084$193
Esomeprazole Magnesium28$2,398$86
Mycophenolate Mofetil28$2,307$82
Bumetanide21$1,974$94
Hydrocodone-Acetaminophen73$1,545$21
Calcitriol57$1,224$21
Amlodipine Besylate229$1,206$5
Omega-3 Acid Ethyl Esters13$1,079$83
Tamsulosin49$961$20
Travasol13$939$72
Eplerenone13$917$71
Hydralazine71$901$13
Doxazosin Mesylate36$850$24
Omeprazole112$716$6
Levothyroxine23$649$28
Atorvastatin50$624$12
Metoprolol133$541$4
Allopurinol33$471$14
Enalapril Maleate22$442$20
Lisinopril75$442$6
Furosemide87$441$5
Carvedilol80$419$5
Metoprolol19$419$22
Nifedipine Er17$376$22
Clonidine46$374$8
Duloxetine13$370$28
Gabapentin60$368$6
Losartan56$316$6
Simvastatin72$315$4
Loperamide16$315$20
Escitalopram20$293$15
Pen Needle13$276$21
Pantoprazole43$274$6
Prednisone37$221$6
Benazepril33$205$6
Metoclopramide26$187$7
Hydroxyzine18$167$9
Ondansetron12$164$14
Levofloxacin11$159$14
Isosorbide Mononitrate Er11$155$14
Glipizide48$150$3
Trazodone28$142$5
Atenolol13$135$10
Famotidine25$118$5
Amoxicillin-Clavulanate Potass11$106$10
Nortriptyline15$102$7
Alprazolam15$98$7
Azithromycin13$97$7
Clopidogrel14$89$6
Losartan-Hydrochlorothiazide14$86$6
Fluoxetine14$75$5
Hydrochlorothiazide29$62$2
Ciprofloxacin11$62$6
Gemfibrozil12$60$5
Hydroxyzine Pamoate11$59$5
Metformin12$57$5
Cephalexin11$47$4
Ibuprofen11$44$4
Lorazepam11$40$4
Diazepam13$38$3

2016: 72 drugs

Part D drugs prescribed in 2016
Renvela164$251,843$1,536
Sensipar122$163,681$1,342
Fosrenol54$49,397$915
Lantus31$13,662$441
Calcium Acetate156$13,580$87
Humalog19$13,477$709
Novolog Flexpen20$9,996$500
Januvia15$8,054$537
Lantus Solostar15$7,992$533
Nexium23$5,879$256
Lyrica21$5,381$256
Tacrolimus13$3,602$277
Clinisol23$3,438$149
Hydrocodone-Acetaminophen90$2,978$33
Valsartan16$1,918$120
Hydralazine107$1,635$15
Verapamil12$1,616$135
Esomeprazole Magnesium16$1,435$90
Calcitriol55$1,405$26
Amlodipine Besylate226$1,317$6
Omega-3 Acid Ethyl Esters13$1,143$88
Levothyroxine44$946$22
Doxazosin Mesylate52$923$18
Atorvastatin63$884$14
Mycophenolate Mofetil13$854$66
Tamsulosin34$794$23
Eplerenone11$750$68
Metoprolol28$729$26
Omeprazole115$716$6
Gabapentin85$694$8
Bumetanide18$636$35
Diltiazem 24hr Er14$626$45
Terazosin20$591$30
Metoprolol150$560$4
Carvedilol75$531$7
Allopurinol37$527$14
Enalapril Maleate24$511$21
Losartan32$445$14
Zolpidem18$428$24
Lisinopril86$418$5
Simvastatin82$414$5
Furosemide109$409$4
Midodrine11$353$32
Benazepril48$353$7
Prednisone35$350$10
Insulin14$342$24
Pravastatin22$315$14
Escitalopram19$275$14
Nifedipine Er12$223$19
Amoxicillin-Clavulanate Potass15$212$14
Pantoprazole19$200$11
Ibuprofen24$198$8
Atenolol31$175$6
Clopidogrel35$175$5
Lactulose22$164$7
Clonidine28$160$6
Nifedical Xl14$160$11
Alprazolam23$158$7
Trazodone27$147$5
Glimepiride20$141$7
Losartan-Hydrochlorothiazide14$140$10
Levofloxacin12$134$11
Paroxetine12$123$10
Mirtazapine11$117$11
Metformin28$87$3
Glipizide31$85$3
Metoclopramide12$77$6
Gemfibrozil12$76$6
Cephalexin16$70$4
Hydrochlorothiazide12$49$4
Diazepam12$24$2
Famotidine13$24$2

2015: 76 drugs

Part D drugs prescribed in 2015
Renvela176$225,304$1,280
Sensipar119$143,584$1,207
Fosrenol66$54,362$824
Clinisol150$21,252$142
Calcium Acetate159$16,928$106
Lantus25$11,471$459
Novolog Flexpen22$9,793$445
Novolog15$8,405$560
Lyrica28$6,756$241
Lantus Solostar20$6,390$319
Januvia19$6,351$334
Nexium25$6,189$248
Levemir Flextouch12$4,602$383
Crestor12$3,998$333
Hydrocodone-Acetaminophen107$3,466$32
Clonidine15$2,682$179
Esomeprazole Magnesium11$2,118$193
Hydralazine141$2,035$14
Calcitriol58$1,394$24
Amlodipine Besylate244$1,392$6
Tamsulosin34$1,353$40
Valsartan13$1,237$95
Metoprolol48$1,224$26
Verapamil12$1,144$95
Levothyroxine42$949$23
Bumetanide22$938$43
Omeprazole129$904$7
Oxycodone-Acetaminophen11$875$80
Benazepril89$856$10
Furosemide129$821$6
Bd Ultra-Fine Pen Needle13$792$61
Doxazosin Mesylate29$694$24
Losartan56$674$12
Allopurinol49$668$14
Enalapril Maleate25$622$25
Simvastatin112$563$5
Synthroid12$555$46
Metoprolol139$505$4
Gabapentin65$502$8
Mycophenolate Mofetil13$483$37
Insulin21$477$23
Atorvastatin40$422$11
Insulin16$412$26
Nifedipine Er15$392$26
Isosorbide Dinitrate13$383$29
Carvedilol57$352$6
Pravastatin26$340$13
Chlorthalidone18$340$19
Hydromorphone11$325$30
Lisinopril66$315$5
Alprazolam37$296$8
Clonidine34$277$8
Pioglitazone19$264$14
Prednisone38$259$7
Zolpidem18$235$13
Metoclopramide22$143$7
Amoxicillin-Clavulanate Potass17$143$8
Escitalopram18$139$8
Atenolol34$138$4
Diltiazem 24hr Cd11$131$12
Glimepiride21$122$6
Metformin30$120$4
Lactulose12$112$9
Pantoprazole15$106$7
Clopidogrel20$103$5
Hydrochlorothiazide21$102$5
Glipizide Xl11$98$9
Warfarin23$92$4
Gemfibrozil13$82$6
Ciprofloxacin16$74$5
Cephalexin18$70$4
Paroxetine12$69$6
Pramipexole Dihydrochloride12$53$4
Diazepam15$52$3
Glipizide16$41$3
Famotidine13$27$2

2014: 76 drugs

Part D drugs prescribed in 2014
Renvela176$146,602$833
Sensipar117$122,659$1,048
Fosrenol61$45,491$746
Renagel19$28,593$1,505
Calcium Acetate176$21,100$120
Clinisol125$18,581$149
Humalog40$15,572$389
Lantus26$11,757$452
Sevelamer Carbonate16$11,051$691
Novolog Flexpen19$9,575$504
Nexium35$9,279$265
Novolog17$8,910$524
Diovan34$7,651$225
Clonidine19$4,175$220
Januvia13$3,853$296
Lantus Solostar11$3,756$341
Duloxetine15$3,570$238
Lyrica13$3,189$245
Hydrocodone-Acetaminophen127$2,985$24
Hydralazine99$2,328$24
Calcitriol56$2,227$40
Bd Ultra-Fine Pen Needle35$1,693$48
Amlodipine Besylate199$1,685$8
Mycophenolate Mofetil19$1,601$84
Oxycodone-Acetaminophen11$1,432$130
Omeprazole161$1,330$8
Proair Hfa27$1,319$49
Metoprolol31$1,175$38
Paricalcitol11$1,015$92
Novolin R11$1,010$92
Furosemide179$907$5
Levothyroxine56$867$15
Tamsulosin33$836$25
Atorvastatin57$781$14
Doxazosin Mesylate30$741$25
Bumetanide12$724$60
Verapamil12$715$60
Losartan60$702$12
Insulin33$699$21
Afeditab Cr15$698$47
Diltiazem 24hr Er20$672$34
Carvedilol68$662$10
Nifedipine Er14$656$47
Simvastatin94$632$7
Metoprolol139$618$4
Benazepril72$611$8
Pioglitazone20$576$29
Pravastatin23$563$24
Gabapentin66$504$8
Allopurinol73$423$6
Lisinopril53$411$8
Enalapril Maleate31$361$12
Clonidine36$321$9
Ramipril38$296$8
Glipizide Er14$254$18
Alprazolam33$242$7
Diltiazem 24hr Cd13$237$18
Clopidogrel30$227$8
Lactulose12$224$19
Amox Tr-Potassium Clavulanate18$197$11
Metoclopramide25$182$7
Terazosin20$181$9
Hydrochlorothiazide18$176$10
Metformin25$162$6
Glipizide Xl16$146$9
Prednisone23$145$6
Glimepiride25$127$5
Warfarin23$123$5
Tramadol16$113$7
Atenolol24$111$5
Ibuprofen14$103$7
Bisoprolol-Hydrochlorothiazide11$97$9
Famotidine21$89$4
Zolpidem12$81$7
Gemfibrozil12$79$7
Ciprofloxacin12$41$3

2013: 87 drugs

Part D drugs prescribed in 2013
Renvela284$194,158$684
Sensipar173$141,341$817
Renagel19$23,018$1,211
Fosrenol23$20,899$909
Clinisol53$19,663$371
Calcium Acetate162$17,255$107
Lantus32$12,909$403
Myfortic12$11,954$996
Novolog Flexpen27$11,643$431
Humalog27$8,832$327
Nexium36$8,239$229
Novolog18$6,205$345
Lantus Solostar18$6,029$335
Diovan33$5,551$168
Zemplar23$4,991$217
Clonidine17$4,432$261
Hectorol12$4,171$348
Micardis17$3,586$211
Effient15$3,408$227
Lyrica17$3,345$197
Hydrocodone-Acetaminophen128$2,808$22
Hydralazine105$2,754$26
Crestor13$2,527$194
Midodrine26$2,151$83
Omeprazole170$2,000$12
Amlodipine Besylate192$1,940$10
Lovaza12$1,861$155
Colcrys11$1,836$167
Nifedipine Er33$1,649$50
Mycophenolate Mofetil16$1,553$97
Niaspan13$1,361$105
Simvastatin165$1,325$8
Bd Ultra-Fine Pen Needle23$1,161$50
Atorvastatin46$1,098$24
Proair Hfa23$1,084$47
Furosemide196$1,060$5
Novolin R12$1,056$88
Metoprolol164$949$6
Tamsulosin37$886$24
Calcitriol22$846$38
Clopidogrel18$820$46
Metoprolol25$784$31
Insulin29$772$27
Verapamil12$758$63
Carvedilol72$733$10
Benazepril87$727$8
Losartan53$712$13
Gabapentin74$692$9
Diltiazem 24hr Er19$642$34
Oxycodone Hcl-Acetaminophen11$622$57
Insulin26$594$23
Ramipril55$550$10
Lisinopril68$485$7
Levothyroxine60$460$8
Labetalol12$454$38
Doxazosin Mesylate36$442$12
Synthroid22$441$20
Allopurinol78$426$5
Clonidine41$418$10
Bumetanide19$365$19
Megestrol Acetate19$350$18
Pravastatin23$348$15
Isosorbide Mononitrate Er18$332$18
Metoclopramide40$327$8
Insulin12$317$26
Glipizide Er26$298$11
Warfarin26$283$11
Diltiazem 24hr Cd11$255$23
Metolazone15$246$16
Hydrochlorothiazide26$243$9
Tramadol24$239$10
Prednisone58$236$4
Potassium Chloride14$233$17
Glipizide24$224$9
Glimepiride20$193$10
Enalapril Maleate22$185$8
Metformin22$168$8
Azithromycin17$163$10
Ciprofloxacin17$157$9
Atenolol30$150$5
Alprazolam22$133$6
Famotidine28$130$5
Zolpidem15$114$8
Ibuprofen19$99$5
Bisoprolol-Hydrochlorothiazide12$98$8
Lisinopril-Hydrochlorothiazide11$79$7
Diazepam12$41$3

Money from drug and device companies

$108 in 2025

Industry payments by year
202525None$108
202467None$260
202333None$53
202223None$69
202111None$17
202011None$21
201944None$72

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
AmgenEvenity$84
4 payments
  • Meals for Evenity · 2025-08-04 · $23
  • Meals for Krystexxa · 2025-07-02 · $17
  • Meals for Evenity · 2025-06-02 · $20
  • Meals for Tavneos · 2025-03-03 · $25
Calliditas Therapeutics USTarpeyo$24
1 payment
  • Meals for Tarpeyo · 2025-02-10 · $24
See all 5 published payments
Every published payment
AmgenMeals · 2025-08-04Evenity$23
AmgenMeals · 2025-07-02Krystexxa$17
AmgenMeals · 2025-06-02Evenity$20
AmgenMeals · 2025-03-03Tavneos$25
Calliditas Therapeutics USMeals · 2025-02-10Tarpeyo$24
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $260

Payments by company in 2024
Travere TherapeuticsNone$119
1 payment
  • Meals · 2024-10-24 · $119
AmgenAranesp$53
2 payments
  • Meals for Aranesp · 2024-03-27 · $31
  • Meals for Aranesp · 2024-03-05 · $21
GlaxoSmithKlineJesduvroq$24
1 payment
  • Meals for Jesduvroq · 2024-03-04 · $24
AstraZeneca Pharmaceuticals LPFarxiga$23
1 payment
  • Meals for Farxiga · 2024-07-17 · $23
Boston ScientificNone$21
1 payment
  • Meals · 2024-12-05 · $21
Octapharma USAOctagam Immune Globulin (Human)$20
1 payment
  • Meals for Octagam Immune Globulin (Human) · 2024-02-12 · $20

2023: $53

Payments by company in 2023
GenzymeFabrazyme$22
1 payment
  • Meals for Fabrazyme · 2023-02-08 · $22
Lilly USAJardiance$17
1 payment
  • Meals for Jardiance · 2023-12-28 · $17
AmgenAranesp$14
1 payment
  • Meals for Aranesp · 2023-12-11 · $14

2022: $69

Payments by company in 2022
Vifor PharmaVeltassa$53
2 payments
  • Meals for Veltassa · 2022-04-18 · $27
  • Meals for Veltassa · 2022-04-18 · $27
Boehringer Ingelheim PharmaceuticalsJardiance$16
1 payment
  • Meals for Jardiance · 2022-10-03 · $16

2021: $17

Payments by company in 2021
Vifor PharmaVeltassa$17
1 payment
  • Meals for Veltassa · 2021-08-31 · $17

2020: $21

Payments by company in 2020
RelypsaVeltassa$21
1 payment
  • Meals for Veltassa · 2020-08-03 · $21

2019: $72

Payments by company in 2019
RelypsaVeltassa$22
1 payment
  • Meals for Veltassa · 2019-07-11 · $22
Fresenius USA MarketingVelphoro$19
1 payment
  • Meals for Velphoro · 2019-04-16 · $19
Baxter HealthcareRenal - Crrt$17
1 payment
  • Meals for Renal - Crrt · 2019-10-10 · $17
Daiichi SankyoInjectafer$13
1 payment
  • Meals for Injectafer · 2019-02-11 · $13

Professional record

NPI
1265511273
Licence
CA G507670
Trained
University of California, Geffen School of Medicine, 1982
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00G507670
Taxonomy
Federal specialty code 207RN0300X (207RN0300X)
Mailing address
917 Blanco Circle, Salinas, CA, 93901
NPI first listed
2006-11-02
NPI last updated
2023-03-07

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