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Alfort Briones Santos, MD

Family Practice · Antioch

NPI 1376731505

Medicare standing
2 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
3

On the public record

  • California licence: Accusation Filed
  • 1 Medical Board action on record

Offices

3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: Contra Costa Regional Medical Center · Sutter Delta Medical Center · Sutter Solano 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. Santos’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A105031 · Current

Licensed to practise in California · since 2008 · expires 2027-10-31 · University of Santo Tomas Faculty of Medicine and Surgery. Board flags: Accusation Filed.

Public record actions

Actions the Medical Board of California publishes for this licence
2026-03-27Board disciplineDisciplineAccusation filed. the physician has not had a hearing or been found guilty of any charges. · 8002023097278

Hospitals they work in

3 hospitals

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

  • Contra Costa Regional Medical CenterMartinez, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Contra Costa Health ServicesPatients rate it 3 of 5 · 73% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.167, Oct 2024 – Sep 2025
  • Sutter Delta Medical CenterAntioch, 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 2 of 5 · 60% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.173, Oct 2024 – Sep 2025
  • Sutter Solano Medical CenterVallejo, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 3 of 5 · 61% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.272, Oct 2024 – Sep 2025
See every measure and the patient survey for Contra Costa Regional Medical Center

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 1 better, 4 the same, 0 worse of 5 measures. Readmissions: 1 better, 4 the same, 1 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 Contra Costa Regional Medical Center
Clostridium Difficile (C.Diff)Infections0.167BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.99 (0 to 2.04) · 188 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.08 (0.63 to 1.53)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.2 · 44 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.8 · 111 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.4 · 114 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.3 · 27 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 321 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.44) · 1,181 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.47) · 1,198 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.2 (0.67 to 5.72) · 216 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.64 (0 to 3.36) · 71 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.5 (0.82 to 4.18) · 195 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.36 (1.01 to 19.71) · 72 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.88 (0.69 to 9.08) · 57 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.07 (0.55 to 3.58) · 67 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.93 (0 to 2.03) · 981 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.948No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections2.027No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.3 · 101 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits52.2 · 126 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-53.6 · 112 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.8 · 87 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.7 to 8.6) · 95 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (8.8 to 17.8) · 95 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.2 · 35 casesNoneJul 2023 – Jun 2025

What patients said (521 patients answered, 10% of those asked)

Patient survey stars by topic at Contra Costa Regional 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 Contra Costa Regional Medical Center
Room was "always" clean79%
Nurses "always" communicated well76%
Doctors "always" communicated well80%
Staff "always" explained66%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications78%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night45%
"YES", patients would definitely recommend the hospital73%
Staff "always" explained possible side effects54%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Sutter Delta Medical Center

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 5 the same, 2 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sutter Delta Medical Center
Clostridium Difficile (C.Diff)Infections0.173BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.98 (0 to 2.03) · 561 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.88 (0.47 to 1.29)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths176.46 (114.75 to 238.17) · 31 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.5 · 113 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.3 · 260 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.2 · 259 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.5 · 56 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 1,274 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.02 to 0.46) · 3,285 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.04 to 0.45) · 3,374 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.47 (1.02 to 5.93) · 364 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.16 (0.49 to 3.83) · 323 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.63 (0 to 18.4) · 26 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.71 (0.2 to 3.22) · 81 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.24 (0 to 1.07) · 2,713 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.962No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.1 · 116 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20 · 316 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits20 · 83 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits7.1 · 298 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits27.3 · 269 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.4 · 283 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 150 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.9 (9.7 to 17.1) · 529 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.6 to 1.3) · 45 casesNo differentJan 2024 – Dec 2024

What patients said (610 patients answered, 13% of those asked)

Patient survey stars by topic at Sutter Delta Medical Center
Cleanliness3
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating2
Quietness2
Recommend hospital2
Share of patients giving the best answer at Sutter Delta Medical Center
Room was "always" clean70%
Nurses "always" communicated well70%
Doctors "always" communicated well72%
Staff "always" explained53%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand67%
Doctors "always" listened carefully70%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)60%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand64%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect78%
"Always" quiet at night44%
"YES", patients would definitely recommend the hospital60%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms83%
See every measure and the patient survey for Sutter Solano Medical Center

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 8 the same, 1 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sutter Solano Medical Center
Clostridium Difficile (C.Diff)Infections0.272BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.93 (0 to 1.95) · 374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.99 (0.6 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths162.36 (106.6 to 218.11) · 31 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.3 · 77 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.9 · 28 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.2 · 113 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.2 · 154 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.3 · 65 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 960 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.41) · 2,268 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.04 to 0.46) · 2,327 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.7 (0.38 to 5.03) · 594 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.61 (0 to 3.31) · 285 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.13 (0.47 to 3.78) · 581 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.1 (0 to 16.32) · 302 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.77 (3.74 to 11.8) · 275 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.72 (0.21 to 3.24) · 114 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.59 (0 to 1.48) · 1,998 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.8 · 171 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.4 · 142 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits0.8 · 131 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits33 · 162 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18 · 160 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.5 (3.6 to 8.5) · 42 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10 (6.8 to 14.4) · 42 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.7 · 165 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 76 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14.2 (10.6 to 18.9) · 322 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.8 to 1.6) · 84 casesNo differentJan 2024 – Dec 2024

What patients said (355 patients answered, 17% of those asked)

Patient survey stars by topic at Sutter Solano Medical Center
Cleanliness2
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Sutter Solano Medical Center
Room was "always" clean63%
Nurses "always" communicated well77%
Doctors "always" communicated well78%
Staff "always" explained57%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge84%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)64%
Staff "always" explained new medications69%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital61%
Staff "always" explained possible side effects45%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$68,960

Medicare paid this office $68,960 for 467 people.

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

Largest Original Medicare bills
Initial hospital care with moderate level of medical decision making at least 75 minutes348$53,613$137
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes93$9,201$98
Critical care, first 30-74 minutes24$4,253$177
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes15$942$63

Who their Medicare patients are

467 Original Medicare patients in 2024. Average age 75 · Under 65 14% · 85 and older 21% · Women 56% · Also on Medicaid 59% · Health risk score 2.71. Sicker patients than 9 in 10 peers; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 57% · Chronic kidney disease 52% · Coronary heart disease 46% · Heart failure 43% · Depression 40% · COPD 39% · Atrial fibrillation 34% · Dementia 23% · Stroke 23% · Cancer 17%.

The office billed $351,923, Medicare allowed $97,177 and paid $68,960; for 533 services of 9 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
2024467533752.71$351,923$68,960
2023440490732.70$318,249$65,510
2022368402732.73$258,608$61,914
2021384423722.81$262,046$66,523
2020367413713.14$275,392$69,979
2019392840713.17$368,733$93,839
2018395923712.89$351,366$88,185
20174311,028713.03$393,271$100,118
2016408840722.82$303,962$77,120
20155131,268732.59$420,991$106,826
20144501,085732.87$344,721$88,846
20134681,124732.63$327,681$83,855

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: 3 services

Original Medicare services billed in 2023
Initial hospital care with moderate level of medical decision making at least 75 minutes301$47,476$143
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes126$13,812$107
Critical care, first 30-74 minutes21$3,798$181

2022: 5 services

Original Medicare services billed in 2022
Initial hospital care with moderate level of medical decision making at least 75 minutes247$45,521$169
Initial hospital observation care per day, typically 50 minutes49$4,516$92
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$4,062$113
Initial hospital observation care per day, typically 70 minutes24$3,886$162
Critical care, first 30-74 minutes20$3,708$185

2021: 4 services

Original Medicare services billed in 2021
Initial hospital care with moderate level of medical decision making at least 75 minutes260$48,899$173
Initial hospital observation care per day, typically 50 minutes57$6,157$108
Critical care, first 30-74 minutes24$4,721$197
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes41$4,554$111

2020: 5 services

Original Medicare services billed in 2020
Initial hospital care with moderate level of medical decision making at least 75 minutes273$53,636$181
Critical care, first 30-74 minutes28$5,369$192
Initial hospital observation care per day, typically 70 minutes32$4,824$151
Initial hospital observation care per day, typically 50 minutes32$3,542$107
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$2,238$124

2019: 8 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes159$35,985$93
Initial hospital care with moderate level of medical decision making at least 75 minutes170$31,480$174
Hospital discharge day management, more than 30 minutes103$10,196$97
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes53$5,443$66
Initial hospital observation care per day, typically 70 minutes27$4,178$155
Critical care, first 30-74 minutes15$2,807$187
Initial hospital observation care per day, typically 50 minutes14$1,592$114
Hospital observation care on day of discharge14$871$62

2018: 9 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes205$38,239$90
Hospital discharge day management, more than 30 minutes152$15,066$97
Initial hospital care with moderate level of medical decision making at least 75 minutes86$13,817$159
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes102$10,006$63
Critical care, first 30-74 minutes23$4,322$188
Initial hospital observation care per day, typically 70 minutes16$2,506$157
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes13$1,029$79
Hospital observation care on day of discharge15$859$57
Hospital discharge day management, 30 minutes or less13$859$66

2017: 7 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes234$52,479$90
Initial hospital care with moderate level of medical decision making at least 75 minutes105$17,153$159
Hospital discharge day management, more than 30 minutes169$16,843$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes49$3,559$61
Critical care, first 30-74 minutes16$2,933$173
Initial hospital observation care per day, typically 70 minutes20$2,501$125
Hospital observation care on day of discharge27$1,682$62

2016: 10 services

Original Medicare services billed in 2016
Initial hospital care with moderate level of medical decision making at least 75 minutes140$24,579$167
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes173$21,433$60
Hospital discharge day management, more than 30 minutes107$10,252$92
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes28$6,064$83
Initial hospital observation care per day, typically 50 minutes40$4,379$107
Critical care, first 30-74 minutes15$2,839$189
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,159$114
Initial hospital observation care per day, typically 70 minutes11$1,622$147
Hospital observation care on day of discharge22$1,457$63
Follow-up observation care per day, typically 25 minutes15$1,066$63

2015: 9 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes287$35,789$61
Hospital discharge day management, more than 30 minutes215$21,675$93
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes111$17,009$86
Initial hospital care with moderate level of medical decision making at least 75 minutes72$12,403$170
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes57$6,595$114
Critical care, first 30-74 minutes34$6,406$188
Initial hospital observation care per day, typically 50 minutes23$2,579$112
Hospital discharge day management, 30 minutes or less17$1,019$60
Hospital observation care on day of discharge12$761$63

2014: 9 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes152$27,378$87
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes185$21,790$61
Hospital discharge day management, more than 30 minutes163$15,202$93
Initial hospital care with moderate level of medical decision making at least 75 minutes57$9,677$170
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes46$5,274$115
Hospital discharge day management, 30 minutes or less43$2,576$60
Critical care, first 30-74 minutes12$2,272$189
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes39$1,812$32
Initial hospital observation care per day, typically 50 minutes15$1,514$101

2013: 9 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes317$35,557$58
Hospital discharge day management, more than 30 minutes132$12,415$91
Initial hospital care with moderate level of medical decision making at least 75 minutes67$11,004$164
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes58$7,367$87
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes58$5,978$100
Hospital discharge day management, 30 minutes or less91$5,308$58
Critical care, first 30-74 minutes14$2,589$185
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes25$943$33
Hospital observation care on day of discharge12$739$62

Medicaid work

$18,702 in 2024

Medicaid paid $18,702 for 213 billed services this clinician did in 2024, up to 23 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
1ST HOSP IP/OBS HIGH 75181$15,986
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES32$2,716
Medicaid work by year
2024213223$18,702
2023205225$14,148
2022162227$10,931
2021240228$15,760
2020224223$14,798
2019485329$22,954
2018345317$13,833
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
1ST HOSP IP/OBS HIGH 75176$12,343
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES29$1,805

2022

Largest Medicaid services in 2022
1ST HOSP IP/OBS HIGH 75148$10,172
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES14$759

2021

Largest Medicaid services in 2021
1ST HOSP IP/OBS HIGH 75212$14,026
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES28$1,734

2020

Largest Medicaid services in 2020
1ST HOSP IP/OBS HIGH 75211$14,154
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES13$644

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES304$11,862
1ST HOSP IP/OBS HIGH 75136$9,121
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter45$1,970

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES303$12,127
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter26$1,212
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES16$495

Drugs they prescribed that Part D paid

$2,841

Pharmacies billed $2,841 in 2024.

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

68 generic and fewer than 11 brand-name prescriptions · $2,841 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Hydralazine12$48$4

Year by year

Part D prescribing by year
202477NoneNoneNone$2,841
202343None0% (0)None$1,099
202267None0% (0)None$14,563
202191NoneNoneNone$30,672
202078None0% (0)None$26,359
201930583None34%$41,961
20184111084% (18)None$38,286
20172811116% (16)None$16,982
2016281995% (13)None$18,902
20153731347% (25)None$21,593
20142721056% (16)12%$21,270
20132931176% (18)22%$16,918

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

See the drugs prescribed each year

2021: 1 drug

Part D drugs prescribed in 2021
Nexium11$7,938$722

2019: 7 drugs

Part D drugs prescribed in 2019
Nexium12$7,673$639
Carafate11$6,904$628
Novolin R12$1,446$121
Cefpodoxime Proxetil18$987$55
Metronidazole11$69$6
Amlodipine Besylate15$47$3
Metoprolol18$44$2

2018: 11 drugs

Part D drugs prescribed in 2018
Levemir11$5,048$459
Ventolin Hfa13$722$56
Cefpodoxime Proxetil14$599$43
Pravastatin21$296$14
Atorvastatin19$152$8
Azithromycin17$130$8
Prednisone26$99$4
Carvedilol13$66$5
Amlodipine Besylate11$50$5
Lisinopril11$34$3
Metoprolol15$27$2

2017: 3 drugs

Part D drugs prescribed in 2017
Prednisone24$136$6
Levofloxacin17$94$6
Furosemide17$56$3

2016: 4 drugs

Part D drugs prescribed in 2016
Prednisone21$124$6
Levofloxacin23$115$5
Carvedilol11$56$5
Furosemide16$54$3

2015: 9 drugs

Part D drugs prescribed in 2015
Levofloxacin36$400$11
Prednisone29$234$8
Hydrocodone-Acetaminophen18$219$12
Clopidogrel15$208$14
Metronidazole13$118$9
Pantoprazole12$118$10
Carvedilol11$79$7
Lisinopril12$65$5
Furosemide17$54$3

2014: 5 drugs

Part D drugs prescribed in 2014
Levofloxacin19$262$14
Prednisone13$104$8
Lisinopril14$93$7
Simvastatin11$91$8
Metoprolol16$66$4

2013: 4 drugs

Part D drugs prescribed in 2013
Levofloxacin26$405$16
Metronidazole13$184$14
Hydrocodone-Acetaminophen11$78$7
Prednisone13$69$5

Money from drug and device companies

$106 in 2025

Industry payments by year
202511None$106
202411None$122
202322None$246

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
Verona PharmaOhtuvayre$106
1 payment
  • Meals for Ohtuvayre · 2025-04-22 · $106
See the published payment
Every published payment
Verona PharmaMeals · 2025-04-22Ohtuvayre$106
See earlier years (2024, 2023)

2024: $122

Payments by company in 2024
AstraZeneca Pharmaceuticals LPFasenra$122
1 payment
  • Meals for Fasenra · 2024-03-27 · $122

2023: $246

Payments by company in 2023
Boehringer Ingelheim PharmaceuticalsNone$125
1 payment
  • Meals · 2023-09-14 · $125
AstraZeneca Pharmaceuticals LPBreztri$122
1 payment
  • Meals for Breztri · 2023-06-14 · $122

Professional record

NPI
1376731505
Licence
CA A105031California A105031: Current · expires 2027-10-31
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Hospitalist (208M00000X); Family medicine (207Q00000X)
Mailing address
1261 Stoney Creek Dr, San Ramon, CA, 94582
NPI first listed
2007-10-12
NPI last updated
2022-07-21

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