Ganesh Kulkarni, MD
Internal Medicine · Escondido
- 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
- 5
Offices
5 locations · Palomar Hospitalist Medical Group Inc · Quantum Bay Area Hospitalist Medical Group Inc · Paradise Valley Medical Group Inc
Looking this up.
Hospitals listed: Palomar Health Downtown Campus · Paradise Valley Hospital. 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. Kulkarni’s office to ask if they take your plan before you enroll.
California Medical Board record
Licence A136635 · Current
Licensed to practise in California · since 2015 · expires 2027-06-30 · Maharashtra University of Health Sciences, Jawaharlal Nehru Medical College, Wardha.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
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.
- Palomar Health Downtown CampusEscondido, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency departmentPart of Palomar Health, which runs 3 hospitalsPatients rate it 2 of 5 · 66% would definitely recommend itOverall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.399, Oct 2024 – Sep 2025
- Paradise Valley HospitalNational City, CAAcute Care Hospital · Proprietary · Has an emergency departmentPart of Prime Healthcare Services, which runs 45 hospitals in 14 statesPatients rate it 2 of 5 · 59% would definitely recommend itOverall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.13, Oct 2024 – Sep 2025
See every measure and the patient survey for Palomar Health Downtown Campus
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 8 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.
| Clostridium Difficile (C.Diff)Infections | 0.399 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.11 (0.12 to 2.1) · 1,134 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.94 (0.61 to 1.28) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 215.31 (170.28 to 260.35) · 113 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.4 · 32 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 11.3 · 110 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 13.1 · 181 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11.4 · 324 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 16.1 · 635 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 13.6 · 382 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.9 · 4,143 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.2 (0 to 0.39) · 6,632 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.29 (0.09 to 0.48) · 6,431 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 2.65 (0.63 to 4.68) · 1,527 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.44 (0 to 3.04) · 355 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.64 (1.17 to 4.11) · 1,519 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 5.75 (0 to 13.71) · 363 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.13 (2.1 to 10.16) · 328 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 2.28 (0.81 to 3.76) · 277 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.79 (0.16 to 1.42) · 5,775 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.9 · 38 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 1.171 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 1.103 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.66 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 2.122 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 13.7 · 335 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.6 · 552 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 0.6 · 208 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 13.7 · 380 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -4.2 · 664 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.3 · 912 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 4.9 (3.2 to 7.5) · 46 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 9.7 (6.9 to 13.4) · 46 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 46 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 10.5 · 52 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.5 · 182 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13 (9.7 to 17.4) · 102 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.3) · 320 cases | No different | Jan 2024 – Dec 2024 |
What patients said (2,384 patients answered, 16% of those asked)
| Cleanliness | 2 |
| Nurse communication | 2 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 3 |
| Room was "always" clean | 64% |
| Nurses "always" communicated well | 74% |
| Doctors "always" communicated well | 73% |
| Staff "always" explained | 55% |
| Yes, staff "did" give patients this information | 84% |
| Yes, staff "did" give patients information about help after discharge | 83% |
| Doctors "always" explained things so they could understand | 67% |
| Doctors "always" listened carefully | 71% |
| Doctors "always" treated them with courtesy and respect | 80% |
| Patients who gave a rating of "9" or "10" (high) | 66% |
| Staff "always" explained new medications | 69% |
| Nurses "always" explained things so they could understand | 70% |
| Nurses "always" listened carefully | 71% |
| Nurses "always" treated them with courtesy and respect | 81% |
| "Always" quiet at night | 47% |
| "YES", patients would definitely recommend the hospital | 66% |
| Staff "always" explained possible side effects | 41% |
| Yes, staff "did" give patients information about possible symptoms | 85% |
See every measure and the patient survey for Paradise Valley Hospital
Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 1 better, 2 the same, 0 worse of 3 measures. Readmissions: 0 better, 4 the same, 0 worse of 4 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Clostridium Difficile (C.Diff)Infections | 0.13 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.03 (0 to 2.12) · 158 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.87 (0.45 to 1.3) | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 8.3 · 38 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.2 · 26 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 9 · 60 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 17.2 · 137 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.8 · 52 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 4 · 667 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.19 (0 to 0.42) · 1,905 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.3 (0.09 to 0.51) · 1,954 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.34 (0.75 to 5.92) · 153 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.67 (0 to 3.4) · 43 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.27 (0.56 to 3.98) · 146 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.93 (0 to 18.86) · 45 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.1 (0.81 to 9.39) · 43 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.28 (0 to 1.19) · 1,318 cases | No different | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.4 · 35 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 23.4 · 138 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -17.6 · 90 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 0.8 · 136 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.4 · 197 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.8 · 62 cases | None | Jul 2023 – Jun 2025 |
What patients said (427 patients answered, 20% of those asked)
| Cleanliness | 3 |
| Nurse communication | 2 |
| Doctor communication | 2 |
| Communication about medicines | 3 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 2 |
| Room was "always" clean | 68% |
| Nurses "always" communicated well | 71% |
| Doctors "always" communicated well | 72% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 81% |
| Yes, staff "did" give patients information about help after discharge | 78% |
| Doctors "always" explained things so they could understand | 67% |
| Doctors "always" listened carefully | 71% |
| Doctors "always" treated them with courtesy and respect | 79% |
| Patients who gave a rating of "9" or "10" (high) | 63% |
| Staff "always" explained new medications | 73% |
| Nurses "always" explained things so they could understand | 67% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 78% |
| "Always" quiet at night | 48% |
| "YES", patients would definitely recommend the hospital | 59% |
| Staff "always" explained possible side effects | 40% |
| Yes, staff "did" give patients information about possible symptoms | 85% |
Original Medicare doctor bills
$78,221
Medicare paid this office $78,221 for 272 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 190 | $30,018 | $140 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 99 | $26,769 | $96 |
| Critical care, first 30-74 minutes | 49 | $12,227 | $170 |
| Hospital discharge day management, more than 30 minutes | 53 | $5,458 | $94 |
| Advance care planning, first 30 minutes | 28 | $1,838 | $61 |
See all 6 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 190 | $30,018 | $140 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 99 | $26,769 | $96 |
| Critical care, first 30-74 minutes | 49 | $12,227 | $170 |
| Hospital discharge day management, more than 30 minutes | 53 | $5,458 | $94 |
| Advance care planning, first 30 minutes | 28 | $1,838 | $61 |
| Critical care, each additional 30 minutes | 17 | $1,450 | $85 |
Who their Medicare patients are
272 Original Medicare patients in 2024. Average age 73 · Under 65 24% · 85 and older 20% · Women 53% · Also on Medicaid 76% · Health risk score 3.26. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 63% · Heart failure 58% · Chronic kidney disease 54% · Depression 48% · Coronary heart disease 46% · COPD 45% · Dementia 34% · Atrial fibrillation 33% · Stroke 17% · Cancer 11%.
The office billed $326,000, Medicare allowed $98,318 and paid $78,221; for 680 services of 10 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
| 2024 | 272 | 680 | 73 | 3.26 | $326,000 | $78,221 |
| 2023 | 257 | 452 | 73 | 3.04 | $219,318 | $53,800 |
| 2022 | 257 | 474 | 72 | 2.76 | $233,496 | $59,885 |
| 2021 | 196 | 226 | 71 | 3.48 | $132,300 | $38,939 |
| 2020 | 207 | 211 | 75 | 3.23 | $111,192 | $30,432 |
| 2019 | 764 | 9,172 | 77 | 2.02 | $1,011,097 | $602,639 |
| 2018 | 809 | 12,944 | 78 | 1.87 | $1,427,727 | $844,266 |
| 2017 | 985 | 10,251 | 78 | 1.89 | $1,191,198 | $705,243 |
| 2016 | 728 | 4,020 | 78 | 2.21 | $595,101 | $347,221 |
| 2015 | 29 | 78 | 77 | 1.61 | $18,459 | $7,025 |
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: 5 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 164 | $25,544 | $142 |
| Critical care, first 30-74 minutes | 64 | $11,826 | $174 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 33 | $6,870 | $97 |
| Advance care planning, first 30 minutes | 71 | $4,626 | $63 |
| Critical care, each additional 30 minutes | 36 | $3,351 | $88 |
2022: 7 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 181 | $34,469 | $169 |
| Critical care, first 30-74 minutes | 46 | $8,960 | $183 |
| Advance care planning, first 30 minutes | 83 | $5,934 | $66 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 28 | $4,765 | $85 |
| Hospital discharge day management, more than 30 minutes | 17 | $1,467 | $86 |
| Critical care, each additional 30 minutes | 16 | $1,458 | $91 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 11 | $1,273 | $58 |
2021: 2 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 162 | $30,976 | $177 |
| Critical care, first 30-74 minutes | 29 | $5,784 | $193 |
2020: 2 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 110 | $20,364 | $185 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 72 | $6,650 | $91 |
2019: 32 services
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 285 | $120,208 | $54 |
| Return visit (30+ min) | 306 | $91,342 | $85 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 176 | $61,819 | $109 |
| Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 156 | $59,142 | $38 |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 189 | $57,357 | $75 |
| Long return visit (40+ min) | 206 | $51,247 | $113 |
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 137 | $40,892 | $66 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 186 | $20,248 | $30 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 98 | $15,071 | $137 |
| Transitional care management services for problem of high complexity | 50 | $12,435 | $188 |
| Advance care planning, first 30 minutes | 123 | $11,953 | $64 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 79 | $9,587 | $121 |
| Advance care planning, first 30 minutes | 97 | $7,879 | $68 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 26 | $4,767 | $183 |
| New patient visit (60+ min) | 26 | $3,902 | $150 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 41 | $3,814 | $91 |
| Nursing facility discharge management, more than 30 minutes | 35 | $3,038 | $84 |
| Short return visit (20+ min) | 47 | $2,841 | $56 |
| Exam of neurobehavioral status, first hour | 31 | $2,436 | $79 |
| Pneumococcal vaccine, 13-valent | 13 | $2,422 | $186 |
| Ultrasound study of arm and leg arteries | 25 | $1,942 | $72 |
| Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 48 | $1,311 | $27 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 23 | $1,109 | $44 |
| Administration of influenza virus vaccine | 48 | $842 | $18 |
| Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 15 | $779 | $52 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 40 | $561 | $13 |
| Annual alcohol misuse screening, 5 to 15 minutes | 23 | $439 | $19 |
| Administration of pneumococcal vaccine | 22 | $386 | $18 |
| Face-to-face behavioral counseling for obesity, 15 minutes | 12 | $373 | $27 |
| Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 12 | $324 | $27 |
| Injection of drug or substance under skin or into muscle | 12 | $281 | $13 |
| Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 11 | $24 | None |
2018: 37 services
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 345 | $179,250 | $105 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 404 | $176,741 | $53 |
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 265 | $89,020 | $70 |
| Return visit (30+ min) | 271 | $87,474 | $78 |
| Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 155 | $56,045 | $37 |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 208 | $50,108 | $75 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 239 | $33,171 | $32 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 217 | $29,716 | $125 |
| Long return visit (40+ min) | 124 | $22,508 | $106 |
| Advance care planning, first 30 minutes | 186 | $16,433 | $62 |
| Transitional care management services for problem of high complexity | 44 | $10,893 | $179 |
| Exam of neurobehavioral status, first hour | 84 | $10,764 | $64 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 89 | $10,427 | $117 |
| Nursing facility discharge management, more than 30 minutes | 114 | $9,966 | $81 |
| Ultrasound of leg arteries or artery grafts | 27 | $5,864 | $209 |
| Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes | 51 | $5,842 | $102 |
| Advance care planning, first 30 minutes | 80 | $5,671 | $58 |
| Exam of neurobehavioral status, first hour | 63 | $5,568 | $71 |
| Short return visit (20+ min) | 101 | $5,387 | $44 |
| Ultrasound study of arm and leg arteries | 66 | $4,788 | $69 |
| New patient visit (60+ min) | 26 | $3,624 | $139 |
| Pneumococcal vaccine, 13-valent | 16 | $3,167 | $198 |
| Test for balance and posture | 35 | $3,103 | $80 |
| Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 61 | $2,677 | $44 |
| Pneumococcal vaccine, 23-valent | 17 | $1,795 | $106 |
| Ultrasound of both sides of head and neck blood flow | 11 | $1,762 | $147 |
| Ultrasound scan of abdominal aorta | 18 | $1,746 | $97 |
| Administration of influenza virus vaccine | 71 | $1,560 | $22 |
| Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 59 | $1,391 | $24 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 53 | $752 | $12 |
| Administration of pneumococcal vaccine | 31 | $693 | $22 |
| Injection of drug or substance under skin or into muscle | 21 | $517 | $14 |
| Short return visit | 14 | $422 | $30 |
| Annual alcohol misuse screening, 5 to 15 minutes | 13 | $242 | $19 |
| Blood test, clotting time | 11 | $133 | $5 |
| Insertion of needle into vein for collection of blood sample | 40 | $121 | $3 |
| Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 20 | $46 | None |
2017: 39 services
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 408 | $219,974 | $107 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 403 | $146,504 | $54 |
| Return visit (30+ min) | 392 | $83,215 | $86 |
| Short return visit (20+ min) | 205 | $31,829 | $58 |
| Transitional care management services for problem of high complexity | 186 | $25,940 | $120 |
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 133 | $24,445 | $75 |
| Long return visit (40+ min) | 132 | $22,826 | $105 |
| Transitional care management services for problem of high complexity | 83 | $21,263 | $185 |
| Advance care planning, first 30 minutes | 208 | $19,981 | $61 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 102 | $14,405 | $132 |
| Exam of neurobehavioral status, first hour | 99 | $11,941 | $67 |
| Advance care planning, first 30 minutes | 135 | $10,544 | $66 |
| Nursing facility discharge management, more than 30 minutes | 100 | $9,387 | $85 |
| New patient visit (60+ min) | 45 | $6,265 | $139 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 51 | $6,116 | $120 |
| Exam of neurobehavioral status, first hour | 68 | $5,540 | $75 |
| Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 28 | $4,942 | $177 |
| Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 64 | $3,316 | $52 |
| Ultrasound study of arm and leg arteries | 36 | $2,936 | $75 |
| Administration of influenza virus vaccine | 92 | $2,497 | $27 |
| Test for balance and posture | 27 | $2,415 | $83 |
| Injection of drug or substance under skin or into muscle | 38 | $2,146 | $20 |
| Removal of skin and tissue, 20.0 sq cm or less | 19 | $2,074 | $51 |
| Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 89 | $1,660 | $19 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 42 | $1,629 | $35 |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 18 | $1,538 | $77 |
| Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 57 | $1,501 | $26 |
| Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes | 11 | $1,273 | $106 |
| Face-to-face behavioral counseling for obesity, 15 minutes | 27 | $975 | $26 |
| Short return visit | 25 | $830 | $31 |
| Dxa bone density measurement of hip, pelvis, spine | 19 | $823 | $43 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 15 | $773 | $52 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 17 | $756 | $44 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 44 | $669 | $14 |
| Blood test, clotting time | 19 | $502 | $5 |
| Annual alcohol misuse screening, 5 to 15 minutes | 20 | $377 | $19 |
| Annual depression screening, 5 to 15 minutes | 14 | $264 | $19 |
| Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 34 | $149 | None |
| Insertion of needle into vein for collection of blood sample | 30 | $91 | $3 |
2016: 29 services
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 303 | $93,739 | $110 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 316 | $58,318 | $57 |
| Transitional care management services for problem of high complexity | 190 | $27,015 | $129 |
| Long return visit (40+ min) | 97 | $24,319 | $119 |
| Return visit (30+ min) | 97 | $15,827 | $88 |
| New patient visit (60+ min) | 92 | $15,474 | $168 |
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 124 | $13,793 | $74 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 73 | $11,796 | $84 |
| Transitional care management services for problem of high complexity | 45 | $10,878 | $191 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 64 | $10,450 | $163 |
| Advance care planning, first 30 minutes | 92 | $8,376 | $64 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 56 | $6,710 | $120 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 58 | $6,221 | $58 |
| Short return visit (20+ min) | 68 | $5,936 | $60 |
| Hospital discharge day management, more than 30 minutes | 60 | $5,194 | $87 |
| Advance care planning, first 30 minutes | 57 | $4,650 | $69 |
| Nursing facility discharge management, more than 30 minutes | 35 | $3,160 | $83 |
| Nursing facility annual assessment, typically 30 minutes | 32 | $2,499 | $78 |
| Initial hospital observation care per day, typically 70 minutes | 15 | $2,253 | $150 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 14 | $1,893 | $135 |
| Exam of neurobehavioral status, first hour | 20 | $1,586 | $76 |
| Exam of neurobehavioral status, first hour | 17 | $1,272 | $71 |
| Hospital discharge day management, 30 minutes or less | 18 | $1,063 | $59 |
| Nursing facility discharge day management, 30 minutes or less | 14 | $835 | $60 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 14 | $620 | $44 |
| Administration of influenza virus vaccine | 22 | $583 | $27 |
| Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 22 | $351 | $16 |
| Blood test, clotting time | 14 | $242 | $5 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 16 | $224 | $14 |
2015: 1 service
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 19 | $3,989 | $85 |
Medicaid work
$35,607 in 2024
Medicaid paid $35,607 for 674 billed services this clinician did in 2024, up to 49 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.
| 1ST HOSP IP/OBS HIGH 75 | 373 | $23,981 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 215 | $7,525 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 86 | $4,102 |
| 2024 | 674 | 3 | 49 | $35,607 |
| 2023 | 439 | 2 | 41 | $22,202 |
| 2022 | 369 | 2 | 39 | $22,441 |
| 2021 | 436 | 2 | 44 | $26,789 |
| 2020 | 313 | 2 | 43 | $14,869 |
| 2019 | 72 | 2 | 23 | $1,097 |
| 2018 | 242 | 5 | 19 | $0 |
See the largest Medicaid services in earlier years
2023
| 1ST HOSP IP/OBS HIGH 75 | 366 | $19,639 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 73 | $2,563 |
2022
| 1ST HOSP IP/OBS HIGH 75 | 342 | $19,744 |
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 27 | $2,696 |
2021
| 1ST HOSP IP/OBS HIGH 75 | 413 | $26,063 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 23 | $726 |
2020
| 1ST HOSP IP/OBS HIGH 75 | 245 | $14,038 |
| 1ST HOSP IP/OBS SF/LOW 40 | 68 | $831 |
2019
| 1ST HOSP IP/OBS HIGH 75 | 26 | $557 |
| 1ST HOSP IP/OBS SF/LOW 40 | 46 | $540 |
2018
| COLLECTION VENOUS BLOOD VENIPUNCTURE | 74 | $0 |
| COMPREHENSIVE METABOLIC PANEL | 47 | $0 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 34 | $0 |
| Return visit (30+ min) | 14 | $0 |
| Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 73 | $0 |
Money from drug and device companies
$90 in 2019
A payment is not proof that care is biased.
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Lifevest | $25 | 1 payment
|
| Pfizer | Prevnar - 13 | $19 | 1 payment
|
| Novo Nordisk | Ozempic | $16 | 1 payment
|
| Novartis Pharmaceuticals | Entresto | $16 | 1 payment
|
| Salix Pharmaceuticals a division of Bausch Health US | Xifaxan | $14 | 1 payment
|
See all 5 published payments
| Salix Pharmaceuticals a division of Bausch Health US | Meals · 2019-09-23 | Xifaxan | $14 |
| Novartis Pharmaceuticals | Meals · 2019-09-12 | Entresto | $16 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Meals · 2019-09-09 | Lifevest | $25 |
| Pfizer | Meals · 2019-07-29 | Prevnar - 13 | $19 |
| Novo Nordisk | Meals · 2019-07-29 | Ozempic | $16 |
Professional record
- NPI
- 1376807990
- Licence
- CA A136635, MA 252558California A136635: Current · expires 2027-06-30
- Group
- Palomar Hospitalist Medical Group Inc · Quantum Bay Area Hospitalist Medical Group Inc · Paradise Valley Medical Group Inc
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Internal medicine (207R00000X)
- Mailing address
- 155 Glasson Way, Grass Valley, CA, 95945
- NPI first listed
- 2012-06-28
- NPI last updated
- 2015-12-11
This is when the NPI record was last certified, not a medical board exam.