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California Medical Board record
Licence A124648 · Delinquent
Licence status: Delinquent · since 2013 · expires 2026-04-30 · Creighton University School of Medicine.
License renewal fee has not been paid. No practice is permitted.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$58,729
Medicare paid this office $58,729 for 486 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Emergency department visit with high level of medical decision making
283
$36,603
$126
Emergency department visit with moderate level of medical decision making
129
$11,489
$88
Critical care, first 30-74 minutes
35
$5,508
$157
Emergency department visit with low level of medical decision making
46
$2,507
$52
Who their Medicare patients are
486 Original Medicare patients in 2024. Average age 79 · Women 50% · Also on Medicaid 3% · Health risk score 1.35. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.
The office billed $692,429, Medicare allowed $76,142 and paid $58,729; for 548 services of 18 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
2024
486
548
79
1.35
$692,429
$58,729
2023
676
769
79
1.48
$929,560
$84,791
2022
639
742
78
1.42
$896,715
$88,758
2021
819
963
79
1.46
$1,123,106
$119,897
2020
319
521
77
2.10
$316,181
$46,151
2019
399
745
76
2.30
$379,492
$60,759
2018
313
708
73
2.71
$233,564
$52,532
2017
206
435
74
2.45
$134,205
$42,549
2016
475
1,193
75
2.54
$324,993
$73,823
2015
614
1,514
73
2.55
$411,554
$94,580
2014
761
1,859
73
2.20
$498,598
$117,887
2013
311
672
71
2.52
$187,070
$45,500
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
Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making
410
$56,978
$133
Emergency department visit with moderate level of medical decision making
151
$14,051
$92
Critical care, first 30-74 minutes
34
$5,492
$157
Emergency department visit with low level of medical decision making
82
$4,628
$54
Emergency department visit with straightforward medical decision making
13
$413
$32
2022: 4 services
Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making
411
$60,766
$139
Emergency department visit with moderate level of medical decision making
139
$13,583
$94
Critical care, first 30-74 minutes
41
$6,859
$167
Emergency department visit with low level of medical decision making
56
$3,228
$57
2021: 6 services
Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making
555
$84,006
$144
Emergency department visit with moderate level of medical decision making
151
$14,600
$95
Critical care, first 30-74 minutes
61
$10,847
$175
Emergency department visit with low level of medical decision making
72
$4,156
$55
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm
12
$552
$46
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less
11
$383
$35
2020: 6 services
Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making
192
$29,790
$151
Critical care, first 30-74 minutes
33
$6,762
$205
Emergency department visit with moderate level of medical decision making
45
$4,379
$97
Emergency department visit with low level of medical decision making
35
$1,966
$53
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
139
$1,147
$8
X-ray of chest, 1 view
18
$152
$8
2019: 6 services
Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making
228
$34,522
$149
Critical care, first 30-74 minutes
52
$10,291
$198
Emergency department visit with moderate level of medical decision making
73
$7,401
$101
Emergency department visit with low level of medical decision making
42
$2,329
$54
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
225
$1,781
$8
X-ray of chest, 1 view
44
$370
$8
2018: 6 services
Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making
152
$25,697
$166
Critical care, first 30-74 minutes
53
$11,764
$222
Emergency department visit with moderate level of medical decision making
53
$5,945
$112
Emergency department visit with low level of medical decision making
52
$3,264
$60
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
173
$1,557
$9
X-ray of chest, 1 view
104
$977
$9
2017: 6 services
Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making
107
$22,743
$211
Critical care, first 30-74 minutes
23
$6,610
$287
Emergency department visit with low level of medical decision making
47
$3,729
$75
Emergency department visit with moderate level of medical decision making
26
$3,689
$142
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
102
$1,166
$11
X-ray of chest, 1 view, front
60
$739
$12
2016: 6 services
Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making
322
$48,687
$145
Critical care, first 30-74 minutes
38
$7,781
$195
Emergency department visit with moderate level of medical decision making
62
$6,156
$99
Emergency department visit with low level of medical decision making
59
$3,137
$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
300
$2,436
$8
X-ray of chest, 1 view, front
230
$1,949
$8
2015: 11 services
Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making
387
$57,007
$142
Critical care, first 30-74 minutes
58
$11,588
$196
Emergency department visit with moderate level of medical decision making
103
$10,055
$97
Emergency department visit with low level of medical decision making
73
$3,753
$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
359
$2,935
$8
X-ray of chest, 1 view, front
278
$2,365
$8
Insertion of non-tunneled central venous tube for infusion (5 years or older)
14
$1,597
$106
Emergent insertion of breathing tube into windpipe using an endoscope
11
$1,051
$96
X-ray of ribs of one side of body, minimum of 2 views
12
$121
$10
X-ray of shoulder, minimum of 2 views
11
$105
$9
X-ray of pelvis, 1-2 views
13
$105
$8
2014: 12 services
Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making
473
$71,568
$145
Critical care, first 30-74 minutes
70
$13,633
$192
Emergency department visit with moderate level of medical decision making
125
$12,097
$94
Emergency department visit with low level of medical decision making
111
$5,560
$48
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
425
$3,393
$8
X-ray of chest, 1 view, front
314
$2,667
$8
Emergent insertion of breathing tube into windpipe using an endoscope
20
$2,006
$96
X-ray of pelvis, 1-2 views
22
$180
$8
X-ray of ribs of one side of body, minimum of 2 views
13
$132
$10
X-ray of knee, 3 views
11
$107
$8
X-ray of foot, minimum of 3 views
13
$106
$8
X-ray of chest, 2 views, front and side
11
$98
$9
2013: 6 services
Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making
211
$30,722
$142
Critical care, first 30-74 minutes
21
$4,171
$190
Emergency department visit with moderate level of medical decision making
41
$4,002
$95
Emergency department visit with low level of medical decision making
40
$2,000
$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
164
$1,201
$7
X-ray of chest, 1 view, front
113
$890
$8
Medicaid work
$5,649 in 2023
Medicaid paid $5,649 for 80 billed services this clinician did in 2023, up to 22 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 2023
EMERGENCY DEPT VISIT MOD MDM
54
$4,475
EMERGENCY DEPT VISIT LOW MDM
26
$1,174
Medicaid work by year
2023
80
2
22
$5,649
2022
92
2
14
$5,778
2021
171
3
20
$13,120
2020
304
6
49
$10,824
2019
1,200
8
92
$45,666
2018
3,415
9
188
$114,829
See the largest Medicaid services in earlier years
2022
Largest Medicaid services in 2022
EMERGENCY DEPT VISIT MOD MDM
52
$3,922
EMERGENCY DEPT VISIT LOW MDM
40
$1,856
2021
Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM
62
$6,766
EMERGENCY DEPT VISIT LOW MDM
70
$3,241
EMERGENCY DEPT VISIT MOD MDM
39
$3,113
2020
Largest Medicaid services in 2020
Service
79
$5,287
EMERGENCY DEPARTMENT VISIT HIGH MDM
65
$2,570
EMERGENCY DEPT VISIT LOW MDM
104
$2,416
EMERGENCY DEPT VISIT MOD MDM
18
$402
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
19
$122
Service
19
$28
2019
Largest Medicaid services in 2019
EMERGENCY DEPT VISIT LOW MDM
585
$19,389
Service
206
$12,541
EMERGENCY DEPT VISIT MOD MDM
179
$7,317
EMERGENCY DEPARTMENT VISIT HIGH MDM
118
$5,439
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 21% of their Part D prescriptions (52 of 250) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%.
235 generic and fewer than 11 brand-name prescriptions · $3,367 in drug cost · 65 antibiotic prescriptions to 61 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
Ondansetron Odt
23
$230
$10
Hydrocodone-Acetaminophen
31
$86
$3
Cephalexin
22
$66
$3
Prednisone
19
$33
$2
Tramadol
12
$22
$2
Year by year
Part D prescribing by year
2024
250
173
21% (52)
—None
$3,367
2023
300
212
24% (73)
4%
$3,771
2022
325
217
21% (69)
—None
$5,832
2021
317
220
19% (60)
8%
$8,502
2020
98
78
16% (16)
—None
$2,946
2019
172
115
8% (14)
7%
$1,900
2018
130
91
20% (26)
—None
$1,271
2017
111
75
14% (15)
—None
$1,104
2016
233
152
21% (48)
9%
$2,653
2015
267
182
28% (74)
9%
$3,554
2014
230
153
29% (66)
7%
$2,650
2013
94
67
21% (20)
12%
$1,326
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.