Spien G Komak, MD

7 locations · Sutter Valley Medical Foundation · Sutter Bay Medical Foundation

Hospitals listed: Sutter Medical Center, Sacramento. That is not proof they admit you there this week.

Licence A183531 · Current

Licensed to practise in California · since 2022 · expires 2027-03-31 · University of California, Davis School of Medicine.

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

1 hospital

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

• Sutter Medical Center, SacramentoSacramento, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 3 of 5 · 79% would definitely recommend it
  Overall rating: 4 of 5 starsWorse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 13.9 (12 to 15.9) · 992 cases, Jan 2024 – Dec 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.066, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.335, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.215, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.46, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.253, Oct 2024 – Sep 2025

$9,323

Medicare paid this office $9,323 for 79 people.

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

Who their Medicare patients are

79 Original Medicare patients in 2024. Average age 76 · Women 63% · Health risk score 1.23. Above the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 68% · Coronary heart disease 37% · Diabetes 28% · Chronic kidney disease 28% · Atrial fibrillation 27% · Depression 23% · Heart failure 22% · Cancer 20% · COPD 19%.

The office billed $34,454, Medicare allowed $12,692 and paid $9,323; for 156 services of 24 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

$515 in 2024

Medicaid paid $515 for 150 billed services this clinician did in 2024, up to 37 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.

$78,823

Pharmacies billed $78,823 in 2024.

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

Opioids were 2% of their Part D prescriptions (23 of 952) in 2024. Above the middle of the specialty; the typical family practice clinician is at 2%.

792 generic and 143 brand-name prescriptions · $78,823 in drug cost · 58 antibiotic prescriptions to 51 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.

Year by year

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

NPI

1275097131

Licence

CA A183531California A183531: Current · expires 2027-03-31

Trained

University of California, Davis School of Medicine, 2021

Group

Sutter Valley Medical Foundation · Sutter Bay Medical Foundation

Gender

Male