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Kathryn L Bilello, MD

Pulmonary Disease · Fresno

NPI 1366461816

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
6
Since medical school
40 years
New York University School of Medicine, 1986

Offices

6 locations · Central California Faculty Medical Group Inc · Fresno Community Hospital and Medical Center · Community Health Partners

Looking this up.

Hospitals listed: Clovis Community Medical Center · Community Regional Medical Center. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Bilello’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence G84862 · Current

Licensed to practise in California · since 1998 · expires 2028-06-30 · New York University School of Medicine.

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

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 Internal Medicine - Critical Care Medicine
  • American Board of Internal Medicine - Internal Medicine
  • American Board of Internal Medicine - Pulmonary Disease

Hospitals they work in

2 hospitals

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

  • Clovis Community Medical CenterClovis, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 80% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.7 (12.1 to 17.7) · 421 cases, Jan 2024 – Dec 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.692, Oct 2024 – Sep 2025
  • Community Regional Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 1 of 5 starsWorse than the national rate — Death rate among surgical inpatients with serious treatable complications: 211.21 (174.88 to 247.54) · 239 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.705, Oct 2024 – Sep 2025
See every measure and the patient survey for Clovis Community Medical Center

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 0 better, 6 the same, 1 worse of 7 measures. Readmissions: 1 better, 9 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 Clovis Community Medical Center
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.7 (12.1 to 17.7) · 421 casesWorseJan 2024 – Dec 2024
Clostridium Difficile (C.Diff)Infections0.692BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.97 (0.04 to 1.89) · 1,840 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.16 (0.86 to 1.45)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths217.06 (167.45 to 266.67) · 84 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 69 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths9.1 · 165 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.4 · 161 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths14 · 507 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.6 · 798 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 336 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 3,771 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.39) · 8,649 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.08 to 0.46) · 9,146 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.46 (1.47 to 5.45) · 1,654 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.19 (0.61 to 3.78) · 387 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.18 (0.7 to 3.66) · 1,578 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths13.47 (7.08 to 19.87) · 374 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.99 (1.37 to 8.61) · 379 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.58 (0.13 to 3.04) · 405 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.8 (0.23 to 1.38) · 8,198 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.2 · 90 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.651No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.922No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.449No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.509No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.3 · 210 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23 · 702 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-1.5 · 152 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits58.4 · 556 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18 · 769 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.8 · 802 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.5 (4 to 7.4) · 421 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.2 · 91 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 93 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 200 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.8 to 15.6) · 2,398 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1.1) · 720 casesNo differentJan 2024 – Dec 2024

What patients said (441 patients answered, 26% of those asked)

Patient survey stars by topic at Clovis Community Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Clovis Community Medical Center
Room was "always" clean80%
Nurses "always" communicated well75%
Doctors "always" communicated well75%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand69%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)72%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night52%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Community Regional Medical Center

Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 0 better, 7 the same, 0 worse of 7 measures. Readmissions: 0 better, 7 the same, 3 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 Community Regional Medical Center
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths211.21 (174.88 to 247.54) · 239 casesWorseJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.705BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.13 (0.29 to 1.96) · 2,304 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.09 (0.87 to 1.3)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.2 · 187 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 116 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.7 · 187 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.6 · 445 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.2 · 399 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 582 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 3,744 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.5) · 11,052 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,566 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.33 (1.64 to 5.01) · 3,139 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.08 (0 to 2.3) · 1,423 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.7 (0.52 to 2.88) · 3,084 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.85 (8.11 to 15.6) · 1,481 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.4 (3.81 to 8.98) · 1,404 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.35 (0.95 to 3.76) · 760 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.64 (0.16 to 1.11) · 10,254 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.817No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.031No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.837No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.81No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.853No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 258 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 689 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits37.4 · 202 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits35.2 · 543 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits39.2 · 434 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19.3 · 552 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (3.6 to 7.9) · 169 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.4 (8.3 to 15.4) · 169 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits12.4 · 189 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.6 · 248 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.9 (9.5 to 14.9) · 2,590 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 310 casesNo differentJan 2024 – Dec 2024

What patients said (421 patients answered, 26% of those asked)

Patient survey stars by topic at Community Regional Medical Center
Cleanliness4
Nurse communication2
Doctor communication3
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital3
Share of patients giving the best answer at Community Regional Medical Center
Room was "always" clean74%
Nurses "always" communicated well74%
Doctors "always" communicated well77%
Staff "always" explained55%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications69%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$73,213

Medicare paid this office $73,213 for 380 people.

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

Largest Original Medicare bills
Critical care, first 30-74 minutes68$25,076$164
Return visit (30+ min)123$20,785$92
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes62$7,260$93
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes32$3,402$100
New patient visit (60+ min)18$3,192$177
See all 17 services
Every Original Medicare service billed
Critical care, first 30-74 minutes68$25,076$164
Return visit (30+ min)123$20,785$92
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes62$7,260$93
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes32$3,402$100
New patient visit (60+ min)18$3,192$177
New patient visit (45+ min)24$3,057$127
Long return visit (40+ min)13$2,009$144
Test to examine how well the lungs exchange gases19$909$48
Test to measure expiratory airflow and volume changes before and after medication administration27$882$33
Telephone medical discussion with physician, 21-30 minutes11$842$77
Telephone medical discussion with physician, 11-20 minutes19$791$40
Test to determine lung volumes using sensors13$612$47
Test to measure expiratory airflow and volume changes before and after medication administration38$302$8
Test to examine how well the lungs exchange gases40$268$7
Test to determine lung volumes using sensors27$242$9
Test for exercise-induced lung stress15$224$15
Test to measure expiratory airflow and volume17$108$6

Who their Medicare patients are

380 Original Medicare patients in 2024. Average age 73 · Under 65 13% · 85 and older 11% · Women 56% · Also on Medicaid 39% · Health risk score 2.39. Above the middle of the specialty; the typical pulmonary disease clinician is at 2.13.

Conditions among them: High blood pressure 75% · COPD 50% · Coronary heart disease 47% · Diabetes 44% · Heart failure 39% · Chronic kidney disease 39% · Depression 30% · Atrial fibrillation 29% · Cancer 22% · Stroke 13% · Dementia 11%.

The office billed $222,504, Medicare allowed $95,831 and paid $73,213; for 845 services of 34 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.

Year by year

Original Medicare by year
2024380845732.39$222,504$73,213
2023338745722.32$201,006$66,924
2022434979722.23$254,519$83,076
2021356719712.58$238,000$72,155
2020403754722.59$196,063$65,496
2019482947722.71$239,474$78,254
2018411879712.42$229,124$74,549
2017421840712.53$231,387$75,452
2016405783722.35$198,049$66,379
2015425914712.35$308,860$99,953
2014404879702.05$278,809$88,100
2013432936702.44$317,276$100,288

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: 14 services

Original Medicare services billed in 2023
Critical care, first 30-74 minutes58$22,996$172
Return visit (30+ min)122$20,568$96
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes45$4,763$104
New patient visit (45+ min)31$4,131$133
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes27$2,814$97
Test to examine how well the lungs exchange gases25$1,225$49
Short return visit (20+ min)17$1,161$68
Test to measure expiratory airflow and volume changes before and after medication administration28$894$32
Test to determine lung volumes using sensors16$747$47
Test to measure expiratory airflow and volume changes before and after medication administration24$195$8
Test for exercise-induced lung stress11$194$18
Test to determine lung volumes using sensors19$181$10
Test to examine how well the lungs exchange gases24$169$7
Test to measure expiratory airflow and volume14$91$6

2022: 17 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes100$34,723$170
Return visit (30+ min)132$22,440$99
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$3,994$108
New patient visit (45+ min)31$3,730$120
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes37$3,263$76
Test to examine how well the lungs exchange gases40$2,001$50
Test to determine lung volumes using sensors33$1,531$46
Short return visit (20+ min)19$1,482$74
Test to measure expiratory airflow and volume changes before and after medication administration38$1,225$32
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$744$57
Test for exercise-induced lung stress15$414$28
Test for exercise-induced lung stress22$345$16
Test to determine lung volumes using sensors38$333$9
Test to measure expiratory airflow and volume13$294$23
Test to examine how well the lungs exchange gases46$282$6
Test to measure expiratory airflow and volume changes before and after medication administration41$277$7
Test to measure expiratory airflow and volume15$107$7

2021: 13 services

Original Medicare services billed in 2021
Critical care, first 30-74 minutes116$44,768$177
Return visit (30+ min)51$6,325$102
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes32$3,341$104
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes33$3,051$85
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes29$2,219$77
Test to examine how well the lungs exchange gases27$1,388$51
Test to measure expiratory airflow and volume changes before and after medication administration33$1,279$39
Test to determine lung volumes using sensors24$1,100$46
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,002$59
Test to determine lung volumes using sensors24$220$9
Test to examine how well the lungs exchange gases30$207$7
Test to measure expiratory airflow and volume changes before and after medication administration25$205$8
Test to measure expiratory airflow and volume20$131$6

2020: 17 services

Original Medicare services billed in 2020
Critical care, first 30-74 minutes77$29,770$183
Return visit (30+ min)97$10,399$83
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$3,781$105
Telephone medical discussion with physician, 21-30 minutes34$3,069$88
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$2,952$59
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes19$2,182$87
New patient visit (45+ min)13$1,722$132
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes20$1,581$79
Test to measure expiratory airflow and volume changes before and after medication administration30$1,512$47
Test to examine how well the lungs exchange gases18$938$49
Test to determine lung volumes using sensors18$842$47
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)21$638$30
Test to measure expiratory airflow and volume changes before and after medication administration33$348$11
Test to determine lung volumes using sensors30$302$10
Test to examine how well the lungs exchange gases37$274$7
Test for exercise-induced lung stress11$210$19
Test to measure expiratory airflow and volume16$112$7

2019: 17 services

Original Medicare services billed in 2019
Critical care, first 30-74 minutes86$28,453$175
Return visit (30+ min)128$17,739$83
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes48$5,076$106
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes39$4,785$57
New patient visit (45+ min)33$4,152$126
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes34$3,189$84
Initial hospital care with moderate level of medical decision making at least 75 minutes18$2,690$149
Return visit (30+ min)25$1,529$61
Test to measure expiratory airflow and volume changes before and after medication administration26$1,272$49
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes16$1,261$79
Test to examine how well the lungs exchange gases16$749$47
Test to determine lung volumes using sensors14$637$45
Test to measure expiratory airflow and volume changes before and after medication administration41$427$10
Test to determine lung volumes using sensors38$383$10
Test to examine how well the lungs exchange gases49$358$7
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)11$321$29
Test to measure expiratory airflow and volume16$110$7

2018: 16 services

Original Medicare services billed in 2018
Critical care, first 30-74 minutes54$25,005$179
Return visit (30+ min)144$20,728$80
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes48$4,442$58
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes39$4,301$108
New patient visit (45+ min)30$3,754$125
Return visit (30+ min)47$3,060$59
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,434$84
Long return visit (40+ min)12$1,139$88
Test to measure expiratory airflow and volume changes before and after medication administration16$823$51
New patient visit (30+ min)14$814$58
Test to examine how well the lungs exchange gases19$771$41
Test to determine lung volumes using gas dilution or washout13$484$37
Test to determine lung volumes using gas dilution or washout27$272$10
Test to measure expiratory airflow and volume changes before and after medication administration23$245$11
Test to examine how well the lungs exchange gases30$224$7
Test to measure expiratory airflow and volume11$76$7

2017: 15 services

Original Medicare services billed in 2017
Critical care, first 30-74 minutes88$27,925$176
Return visit (30+ min)119$17,213$79
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes76$8,271$106
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes39$4,547$57
New patient visit (45+ min)27$3,288$122
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes31$2,819$81
Long return visit (40+ min)16$1,744$109
Return visit (30+ min)26$1,562$60
Test to measure expiratory airflow and volume changes before and after medication administration19$928$49
New patient visit (30+ min)13$726$56
Test to examine how well the lungs exchange gases14$634$45
Test to determine lung volumes using gas dilution or washout11$382$35
Test to measure expiratory airflow and volume changes before and after medication administration30$299$10
Test to determine lung volumes using gas dilution or washout25$242$10
Test to examine how well the lungs exchange gases27$188$7

2016: 13 services

Original Medicare services billed in 2016
Critical care, first 30-74 minutes68$25,093$178
Return visit (30+ min)138$16,728$83
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes45$4,983$111
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes40$4,443$58
New patient visit (45+ min)26$3,325$128
Long return visit (40+ min)19$2,254$119
Initial hospital care with moderate level of medical decision making at least 75 minutes12$1,939$162
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$1,685$84
New patient visit (30+ min)14$1,037$74
Test to measure expiratory airflow and volume changes before and after medication administration52$567$11
Test to determine lung volumes using gas dilution or washout41$404$10
Test to examine how well the lungs exchange gases44$322$7
Test to measure expiratory airflow and volume21$145$7

2015: 12 services

Original Medicare services billed in 2015
Critical care, first 30-74 minutes118$53,339$178
Return visit (30+ min)122$16,812$81
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes67$7,438$108
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes56$6,196$84
Initial hospital care with moderate level of medical decision making at least 75 minutes26$4,389$163
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$3,052$58
New patient visit (45+ min)22$2,939$134
New patient visit (30+ min)14$1,227$88
Test to measure expiratory airflow and volume changes before and after medication administration30$332$11
Test to determine lung volumes using gas dilution or washout27$263$10
Test to examine how well the lungs exchange gases28$202$7
Test to measure expiratory airflow and volume13$90$7

2014: 12 services

Original Medicare services billed in 2014
Critical care, first 30-74 minutes105$44,235$179
Return visit (30+ min)121$15,817$80
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes58$7,127$84
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes45$4,983$111
Initial hospital care with moderate level of medical decision making at least 75 minutes23$3,644$158
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes33$3,489$58
New patient visit (45+ min)20$2,508$125
New patient visit (30+ min)15$1,230$82
Test to measure expiratory airflow and volume changes before and after medication administration43$449$10
Test to determine lung volumes using gas dilution or washout32$313$9
Test to examine how well the lungs exchange gases34$247$7
Test to measure expiratory airflow and volume26$179$7

2013: 12 services

Original Medicare services billed in 2013
Critical care, first 30-74 minutes115$53,912$173
Return visit (30+ min)150$19,935$84
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes69$6,774$81
New patient visit (45+ min)38$4,918$129
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes34$3,654$107
Long return visit (40+ min)15$1,860$109
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$1,129$56
Administration of influenza virus vaccine15$405$27
Test to determine lung volumes using gas dilution or washout27$284$11
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)16$230$14
Test to measure expiratory airflow and volume changes before and after medication administration23$230$10
Test to examine how well the lungs exchange gases25$190$8

Medicaid work

$13,726 in 2024

Medicaid paid $13,726 for 432 billed services this clinician did in 2024, up to 28 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
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes185$5,789
Clinic visit/encounter, all-inclusive13$4,680
Diffusing capacity67$1,220
EVALUATION OF WHEEZING52$942
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES85$832
Plethysmography for determination of lung volumes and, when performed, airway resistance30$264
Medicaid work by year
2024432628$13,726
2023364621$10,211
2022508627$12,085
2021176423$6,293
2020259422$15,489
2019204322$12,890
2018180622$1,835
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive13$4,509
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes183$3,674
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES52$916
EVALUATION OF WHEEZING50$491
Diffusing capacity50$448
Plethysmography for determination of lung volumes and, when performed, airway resistance16$173

2022

Largest Medicaid services in 2022
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes255$8,115
Clinic visit/encounter, all-inclusive12$3,623
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES31$256
EVALUATION OF WHEEZING72$42
Plethysmography for determination of lung volumes and, when performed, airway resistance66$29
Diffusing capacity72$20

2021

Largest Medicaid services in 2021
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes135$6,113
Diffusing capacity15$63
EVALUATION OF WHEEZING14$59
Plethysmography for determination of lung volumes and, when performed, airway resistance12$58

2020

Largest Medicaid services in 2020
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes204$10,715
Clinic visit/encounter, all-inclusive14$3,990
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES26$392
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES15$391

2019

Largest Medicaid services in 2019
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes133$7,756
Clinic visit/encounter, all-inclusive18$3,902
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES53$1,232

2018

Largest Medicaid services in 2018
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes68$910
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES56$519
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES14$260
EVALUATION OF WHEEZING14$76
Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes14$43
Diffusing capacity14$28

Drugs they prescribed that Part D paid

$178,519

Pharmacies billed $178,519 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 614) in 2024. At or below the middle of the specialty; the typical pulmonary disease clinician is at 0%.

355 generic and fewer than 11 brand-name prescriptions · $178,519 in drug cost · 87 antibiotic prescriptions to 37 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
Trelegy Ellipta71$52,053$733
Dupixent12$46,022$3,835
Breo Ellipta67$25,867$386
Breztri Aerosphere26$18,393$707
Stiolto Respimat16$7,273$455
See all 15 drugs
Every Part D drug this clinician prescribed
Trelegy Ellipta71$52,053$733
Dupixent12$46,022$3,835
Breo Ellipta67$25,867$386
Breztri Aerosphere26$18,393$707
Stiolto Respimat16$7,273$455
Breyna11$1,914$174
Albuterol Sulfate Hfa41$1,286$31
Wixela Inhub13$1,175$90
Montelukast49$720$15
Prednisone68$432$6
Azithromycin37$284$8
Pantoprazole32$224$7
Fluticasone Propionate18$216$12
Amoxicillin-Clavulanate Potass23$211$9
Levofloxacin18$122$7

Year by year

Part D prescribing by year
20246141100% (0)None$178,519
20236101130% (0)None$273,694
20226671120% (0)54%$398,207
2021513840% (0)58%$425,216
20206281160% (0)51%$442,184
20194881010% (0)52%$130,680
2018408950% (0)49%$92,632
201735286None57%$71,338
201638570None54%$83,464
201532561None48%$57,553
201438559None49%$60,590
2013375580% (0)47%$45,059

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

See the drugs prescribed each year

2023: 14 drugs

Part D drugs prescribed in 2023
Trelegy Ellipta74$69,178$935
Dupixent12$43,417$3,618
Breo Ellipta47$26,194$557
Symbicort28$15,816$565
Stiolto Respimat12$6,884$574
Advair Diskus14$5,849$418
Albuterol Sulfate Hfa46$1,739$38
Ventolin Hfa14$1,237$88
Azithromycin55$741$13
Montelukast34$609$18
Famotidine15$345$23
Fluticasone Propionate14$336$24
Prednisone61$332$5
Pantoprazole18$226$13

2022: 21 drugs

Part D drugs prescribed in 2022
Arikayce15$205,220$13,681
Trelegy Ellipta84$79,031$941
Breo Ellipta39$20,571$527
Advair Diskus21$10,548$502
Combivent Respimat13$8,374$644
Advair Hfa14$7,816$558
Fluticasone-Vilanterol13$6,691$515
Anoro Ellipta12$5,465$455
Symbicort12$5,292$441
Stiolto Respimat11$5,085$462
Albuterol Sulfate Hfa68$2,997$44
Ventolin Hfa29$2,091$72
Azithromycin41$1,532$37
Rifampin18$911$51
Montelukast42$897$21
Ipratropium13$428$33
Prednisone53$360$7
Pantoprazole25$266$11
Fluticasone Propionate22$253$12
Famotidine12$160$13
Levofloxacin16$70$4

2021: 12 drugs

Part D drugs prescribed in 2021
Arikayce20$249,047$12,452
Trelegy Ellipta46$34,535$751
Breo Ellipta56$30,049$537
Combivent Respimat28$16,918$604
Spiriva Respimat21$15,544$740
Advair Diskus21$13,106$624
Albuterol Sulfate Hfa78$3,316$43
Ventolin Hfa15$1,638$109
Montelukast28$847$30
Azithromycin25$597$24
Prednisone32$374$12
Fluticasone Propionate12$113$9

2020: 18 drugs

Part D drugs prescribed in 2020
Arikayce23$274,878$11,951
Nucala11$32,568$2,961
Breo Ellipta47$31,963$680
Trelegy Ellipta35$23,688$677
Spiriva Respimat15$9,595$640
Advair Diskus11$9,508$864
Symbicort15$7,103$474
Anoro Ellipta15$6,578$439
Albuterol Sulfate Hfa77$3,710$48
Ventolin Hfa26$2,273$87
Proair Hfa26$1,943$75
Azithromycin42$1,375$33
Rifampin14$1,058$76
Montelukast40$866$22
Ethambutol16$477$30
Prednisone61$477$8
Fluticasone Propionate11$183$17
Pantoprazole12$140$12

2019: 15 drugs

Part D drugs prescribed in 2019
Breo Ellipta47$32,816$698
Trelegy Ellipta18$11,056$614
Advair Diskus17$10,223$601
Spiriva Respimat19$9,496$500
Stiolto Respimat13$7,875$606
Anoro Ellipta18$7,409$412
Ventolin Hfa35$2,777$79
Proair Hfa21$1,760$84
Albuterol Sulfate Hfa22$1,112$51
Montelukast26$621$24
Azithromycin23$426$19
Prednisone48$352$7
Fluticasone Propionate16$251$16
Omeprazole12$178$15
Fluconazole16$93$6

2018: 11 drugs

Part D drugs prescribed in 2018
Breo Ellipta63$32,678$519
Advair Diskus16$11,864$741
Anoro Ellipta21$8,360$398
Spiriva11$7,040$640
Ventolin Hfa33$2,478$75
Proair Hfa12$1,037$86
Montelukast33$875$27
Azithromycin34$511$15
Prednisone44$293$7
Levofloxacin16$265$17
Fluticasone Propionate16$184$11

2017: 12 drugs

Part D drugs prescribed in 2017
Breo Ellipta61$25,233$414
Spiriva13$7,570$582
Advair Diskus11$6,494$590
Symbicort14$6,429$459
Anoro Ellipta12$4,437$370
Ventolin Hfa39$2,489$64
Proair Hfa16$1,681$105
Montelukast18$600$33
Levetiracetam12$286$24
Levofloxacin12$262$22
Prednisone27$235$9
Azithromycin18$189$11

2016: 13 drugs

Part D drugs prescribed in 2016
Advair Diskus42$25,158$599
Breo Ellipta45$20,515$456
Spiriva20$10,318$516
Advair Hfa11$4,104$373
Ventolin Hfa34$2,488$73
Proair Hfa11$695$63
Sucralfate11$271$25
Azithromycin22$243$11
Levetiracetam14$235$17
Prednisone26$224$9
Fluticasone Propionate19$219$12
Omeprazole13$58$4
Hydrochlorothiazide11$18$2

2015: 13 drugs

Part D drugs prescribed in 2015
Advair Diskus43$22,960$534
Spiriva19$10,029$528
Breo Ellipta17$5,603$330
Advair Hfa13$3,894$300
Ventolin Hfa12$800$67
Proair Hfa11$729$66
Azithromycin36$561$16
Levofloxacin15$318$21
Sucralfate13$296$23
Prednisone29$275$9
Fluticasone Propionate18$225$12
Levetiracetam12$197$16
Omeprazole13$70$5

2014: 15 drugs

Part D drugs prescribed in 2014
Advair Diskus58$25,653$442
Spiriva23$8,872$386
Pradaxa28$3,955$141
Advair Hfa11$3,213$292
Proair Hfa19$942$50
Azithromycin21$729$35
Ventolin Hfa11$528$48
Sucralfate13$433$33
Montelukast17$414$24
Fluticasone Propionate17$388$23
Prednisone34$303$9
Amoxicillin13$150$12
Omeprazole13$123$9
Prochlorperazine Maleate11$69$6
Alprazolam13$42$3

2013: 13 drugs

Part D drugs prescribed in 2013
Advair Diskus43$16,140$375
Spiriva12$3,833$319
Pradaxa34$2,231$66
Flovent Hfa12$2,000$167
Azithromycin26$816$31
Proair Hfa16$790$49
Montelukast19$717$38
Ventolin Hfa12$663$55
Fluticasone Propionate23$623$27
Sucralfate12$387$32
Omeprazole18$216$12
Amoxicillin12$142$12
Prednisone17$43$3

Money from drug and device companies

$24 in 2025

Industry payments by year
202511None$24
202324None$72
202223None$45
202112None$32
202013None$144

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
AmgenTezspire$24
1 payment
  • Meals for Tezspire · 2025-03-22 · $24
See the published payment
Every published payment
AmgenMeals · 2025-03-22Tezspire$24
See earlier years (2023, 2022, 2021, 2020)

2023: $72

Payments by company in 2023
Boehringer Ingelheim PharmaceuticalsOfev$43
2 payments
  • Meals for Ofev · 2023-11-29 · $22
  • Meals for Ofev · 2023-11-08 · $20
GlaxoSmithKlineNucala$29
2 payments
  • Meals for Nucala · 2023-12-20 · $16
  • Meals for Nucala · 2023-01-31 · $13

2022: $45

Payments by company in 2022
GlaxoSmithKlineNucala$29
2 payments
  • Meals for Nucala · 2022-11-08 · $12
  • Meals for Nucala · 2022-09-10 · $17
InsmedArikayce$16
1 payment
  • Education for Arikayce · 2022-01-28 · $16

2021: $32

Payments by company in 2021
InsmedArikayce$32
2 payments
  • Education for Arikayce · 2021-10-17 · $16
  • Education for Arikayce · 2021-10-13 · $16

2020: $144

Payments by company in 2020
GlaxoSmithKlineNucala$144
3 payments
  • Meals for Nucala · 2020-02-06 · $17
  • Meals for Nucala · 2020-02-05 · $123
  • Meals for Nucala · 2020-01-22 · $4

Professional record

NPI
1366461816
Licence
CA G84862California G84862: Current · expires 2028-06-30
Trained
New York University School of Medicine, 1986 · 40 years ago
Group
Central California Faculty Medical Group Inc · Fresno Community Hospital and Medical Center · Community Health Partners
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RP1001X (207RP1001X); Internal medicine (207R00000X); Federal specialty code 207RC0200X (207RC0200X)
Mailing address
2625 E Divisadero St, Fresno, CA, 93721
NPI first listed
2006-07-18
NPI last updated
2025-03-19
NPI record certified
2025-03-19

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

Extra NPI addresses: 726 N Medical Center Dr E Ste 201, Clovis, CA, 93611