Ali Banaie, MD

7 locations · Emergency and Acute Care Medical Corporation · Banaie Medical Corporation · Providence Medical Foundation

Hospitals listed: Grossmont Hospital · Providence Queen of the Valley Medical Center · Sharp Chula Vista Medical Center · Sharp Memorial Hospital · St Mary Medical Center. That is not proof they admit you there this week.

3 plans · 1 carrier

Licence A87308 · Current

Licensed to practise in California · since 2004 · expires 2027-08-31 · St. George'S University School of Medicine.

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

Surgery centers they own

• Grossmont Surgery Center - SCAAmbulatory Surgery Center · La Mesa, CAOwner · accredited by JC
  Accreditation Renewed4 inspections, 3 with deficiencies · last 2016-07-21: Requirements Met

5 hospitals

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

• Grossmont HospitalLa Mesa, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of Sharp Healthcare, which runs 6 hospitalsPatients rate it 3 of 5 · 69% would definitely recommend it
  Overall rating: 4 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.42, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.405, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.402, Oct 2024 – Sep 2025
• Providence Queen of the Valley Medical CenterNapa, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Providence, which runs 54 hospitals in 7 statesPatients rate it 3 of 5 · 74% would definitely recommend it
  Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.107, Oct 2024 – Sep 2025
• Sharp Chula Vista Medical CenterChula Vista, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Sharp Healthcare, which runs 6 hospitalsPatients rate it 3 of 5 · 72% would definitely recommend it
  Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.283, Oct 2024 – Sep 2025
• Sharp Memorial HospitalSan Diego, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sharp Healthcare, which runs 6 hospitalsPatients rate it 4 of 5 · 81% would definitely recommend it
  Overall rating: 4 of 5 starsWorse than the national rate — Pressure ulcer rate: 1.41 (0.88 to 1.95) · 7,340 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.498, Oct 2024 – Sep 2025
• St Mary Medical CenterLong Beach, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 2 of 5 · 62% would definitely recommend it
  Overall rating: 5 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.287, Oct 2024 – Sep 2025

$171,415

Medicare paid this office $171,415 for 772 people.

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

Procedures Medicare counted

Procedures year by year

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

772 Original Medicare patients in 2024. Average age 74 · Under 65 8% · 85 and older 14% · Women 49% · Also on Medicaid 37% · Health risk score 2.04. Above the middle of the specialty; the typical gastroenterology clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 44% · Coronary heart disease 40% · Chronic kidney disease 39% · Heart failure 31% · Depression 30% · Atrial fibrillation 27% · COPD 23% · Cancer 18% · Dementia 17% · Stroke 15%.

The office billed $1,377,848, Medicare allowed $219,722 and paid $171,415; for 1,730 services of 57 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 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.

$18,495 in 2024

Medicaid paid $18,495 for 417 billed services this clinician did in 2024, up to 27 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.

$304,491

Pharmacies billed $304,491 in 2024.

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

493 generic and 119 brand-name prescriptions · $304,491 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.

Year by year

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

$2,048 in 2025

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.