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Karl J Christoffersen, MD

Orthopedic Surgery · Santa Cruz

NPI 1407835556

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

Offices

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

Looking this up.

Hospitals listed: 057007 · 058307 · Dominican Hospital · Sutter Maternity & Surgery Center of Santa Cruz. 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. Christoffersen’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence G74982 · Current

Licensed to practise in California · since 1992 · expires 2027-12-31 · Saint Louis University School of Medicine.

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.

  • Dominican HospitalSanta Cruz, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 4 of 5 · 68% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Postoperative sepsis rate: 11.66 (8.02 to 15.3) · 412 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.168, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.169, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.489, Oct 2024 – Sep 2025
  • Sutter Maternity & Surgery Center of Santa CruzSanta Cruz, CAAcute Care Hospital · Voluntary non-profit - Private · No emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 85% would definitely recommend it
    No overall ratingNo measure marked better or worse than the national rate
See every measure and the patient survey for Dominican Hospital

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 1 better, 8 the same, 2 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 Dominican Hospital
Postoperative sepsis rateComplications and deaths11.66 (8.02 to 15.3) · 412 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.168BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.169BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.489BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.01 (0.06 to 1.95) · 1,248 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.14 (0.85 to 1.43)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths134.37 (94.33 to 174.41) · 132 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 54 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.2 · 137 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12 · 228 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.5 · 534 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.8 · 491 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 278 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 2,973 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.14 (0 to 0.34) · 7,510 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,695 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.42 (1.44 to 5.4) · 1,594 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.26 (0 to 2.76) · 436 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.85 (0.4 to 3.29) · 1,474 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.73 (3 to 14.46) · 437 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.58 (0.13 to 3.03) · 343 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.57 (0 to 1.17) · 6,336 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0.615No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.937No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16 · 212 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 505 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits45 · 237 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-13.5 · 594 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.9 · 510 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.9 · 473 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.4 to 7.8) · 126 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13 (9.4 to 17.7) · 126 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits12.7 · 43 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 143 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.1 (9.4 to 15.4) · 1,585 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 390 casesNo differentJan 2024 – Dec 2024

What patients said (774 patients answered, 23% of those asked)

Patient survey stars by topic at Dominican Hospital
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital4
Share of patients giving the best answer at Dominican Hospital
Room was "always" clean73%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand77%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night32%
"YES", patients would definitely recommend the hospital68%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Sutter Maternity & Surgery Center of Santa Cruz

Behind the star rating — Deaths: 0 better, 1 the same, 0 worse of 1 measures. Safety: 0 better, 2 the same, 0 worse of 2 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.

Every scored measure at Sutter Maternity & Surgery Center of Santa Cruz
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.04 (0 to 2.12) · 59 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.01 (0.5 to 1.52)No differentJul 2022 – Jun 2024
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.9 · 63 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.44) · 118 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.05 to 0.49) · 116 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.36 (0.77 to 5.95) · 113 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.65 (0 to 3.37) · 109 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.28 (0.56 to 4) · 109 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.41 (0 to 18.05) · 109 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.75 (2.52 to 10.98) · 102 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.75 (0.23 to 3.28) · 42 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.61 (0 to 1.94) · 51 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 30 casesNoneApr 2023 – Mar 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 32 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.7 (9.2 to 14.9) · 3,197 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.3) · 506 casesNo differentJan 2024 – Dec 2024

What patients said (203 patients answered, 24% of those asked)

Patient survey stars by topic at Sutter Maternity & Surgery Center of Santa Cruz
Cleanliness5
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information5
Overall hospital rating5
Quietness4
Recommend hospital5
Share of patients giving the best answer at Sutter Maternity & Surgery Center of Santa Cruz
Room was "always" clean84%
Nurses "always" communicated well83%
Doctors "always" communicated well83%
Staff "always" explained62%
Yes, staff "did" give patients this information93%
Yes, staff "did" give patients information about help after discharge96%
Doctors "always" explained things so they could understand79%
Doctors "always" listened carefully83%
Doctors "always" treated them with courtesy and respect88%
Patients who gave a rating of "9" or "10" (high)87%
Staff "always" explained new medications78%
Nurses "always" explained things so they could understand78%
Nurses "always" listened carefully82%
Nurses "always" treated them with courtesy and respect89%
"Always" quiet at night69%
"YES", patients would definitely recommend the hospital85%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$218,403

Medicare paid this office $218,403 for 703 people.

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

Largest Original Medicare bills
Replacement of knee joint, both sides of knee46$50,310$1,048
Replacement of thigh bone and hip joint with prosthesis32$33,115$1,035
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg45$21,263None
Short return visit (20+ min)253$21,224$68
Return visit (30+ min)193$20,611$99
See all 11 services
Every Original Medicare service billed
Replacement of knee joint, both sides of knee46$50,310$1,048
Replacement of thigh bone and hip joint with prosthesis32$33,115$1,035
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg45$21,263None
Short return visit (20+ min)253$21,224$68
Return visit (30+ min)193$20,611$99
Aspiration and/or injection of fluid from large joint201$18,671$58
New patient visit (30+ min)189$16,236$86
New patient visit (45+ min)32$3,537$111
Short return visit60$3,199$43
Injection, triamcinolone acetonide, not otherwise specified, 10 mg178$1,876None
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$1,694$85

Procedures Medicare counted

Procedure volume Medicare published
Hip replacement40More than 83% of doctors who do this
Knee replacement57More than 82% of doctors who do this
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10None
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10None

Who their Medicare patients are

703 Original Medicare patients in 2024. Average age 76 · Under 65 4% · 85 and older 13% · Women 64% · Also on Medicaid 12% · Health risk score 1.00. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 65% · Coronary heart disease 20% · Diabetes 19% · Atrial fibrillation 19% · Chronic kidney disease 18% · Depression 18% · Cancer 14% · Heart failure 11% · COPD 10% · Dementia 4% · Stroke 4%.

The office billed $1,201,301, Medicare allowed $290,526 and paid $218,403; for 7,350 services of 41 kinds; $24,883 of it was for drugs given in the office and $193,520 for care.

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
20247037,350761.00$1,201,301$218,403
20236966,486761.05$1,198,654$233,169
20228547,360750.93$1,216,182$257,780
20217916,533750.92$1,066,274$235,549
20206995,303741.02$995,232$214,107
20199395,919740.99$1,233,925$264,838
20188475,403741.00$1,018,114$212,228
20178414,770730.94$1,028,096$214,757
20167153,647740.97$958,375$198,840
20156453,725730.87$1,007,346$214,373
20146453,266740.92$883,132$182,778
20135682,802740.94$838,753$178,079

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: 12 services

Original Medicare services billed in 2023
Replacement of knee joint, both sides of knee53$63,058$1,087
Replacement of thigh bone and hip joint with prosthesis28$30,359$1,084
Return visit (30+ min)214$21,871$97
Short return visit (20+ min)252$21,401$69
Aspiration and/or injection of fluid from large joint198$18,984$58
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg32$17,178None
New patient visit (30+ min)113$9,883$87
New patient visit (45+ min)58$7,793$134
Short return visit65$3,464$45
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes31$3,084$99
Injection, triamcinolone acetonide, not otherwise specified, 10 mg183$2,097None
Office for the evaluation and management of established patient that may not require presence of healthcare professional13$186$14

2022: 13 services

Original Medicare services billed in 2022
Replacement of knee joint, both sides of knee48$54,169$1,105
Return visit (30+ min)327$36,538$104
Replacement of thigh bone and hip joint with prosthesis32$35,479$1,109
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg50$24,746None
Aspiration and/or injection of fluid from large joint254$21,092$59
New patient visit (45+ min)159$20,246$127
Short return visit (20+ min)223$19,786$72
New patient visit (30+ min)102$9,372$92
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes23$2,769$115
Short return visit48$2,472$45
Injection, triamcinolone acetonide, not otherwise specified, 10 mg207$2,296None
Office for the evaluation and management of established patient that may not require presence of healthcare professional36$695$19
Injection, methylprednisolone acetate, 40 mg13$115None

2021: 14 services

Original Medicare services billed in 2021
Return visit (30+ min)284$33,760$106
Replacement of thigh bone and hip joint with prosthesis30$33,558$1,119
Replacement of knee joint, both sides of knee24$27,932$1,117
New patient visit (45+ min)196$26,126$133
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg45$23,982None
Aspiration and/or injection of fluid from large joint226$19,636$61
Short return visit (20+ min)200$16,996$71
Treatment of broken neck of thigh bone with bone implant11$11,725$1,066
New patient visit (30+ min)78$6,563$84
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes30$3,362$112
Long return visit (40+ min)14$2,222$159
Injection, triamcinolone acetonide, not otherwise specified, 10 mg204$2,166None
Short return visit24$1,014$41
Office for the evaluation and management of established patient that may not require presence of healthcare professional24$490$20

2020: 13 services

Original Medicare services billed in 2020
Replacement of thigh bone and hip joint with prosthesis25$30,801$1,185
Replacement of knee joint, both sides of knee25$30,678$1,180
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg48$25,585None
Short return visit (20+ min)310$22,014$58
New patient visit (30+ min)190$16,628$88
Aspiration and/or injection of fluid from large joint189$15,947$57
Treatment of broken neck of thigh bone with bone implant13$13,975$1,075
Return visit (30+ min)117$10,770$90
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$4,422$116
Short return visit78$3,371$37
New patient visit (15+ min)24$1,300$54
Injection, triamcinolone acetonide, not otherwise specified, 10 mg133$943None
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg34$355None

2019: 13 services

Original Medicare services billed in 2019
Replacement of knee joint, both sides of knee41$48,575$1,157
Replacement of thigh bone and hip joint with prosthesis33$38,240$1,159
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg61$30,498None
Short return visit (20+ min)395$29,456$58
New patient visit (30+ min)286$25,392$89
Aspiration and/or injection of fluid from large joint247$20,528$53
Return visit (30+ min)144$13,056$88
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes33$3,813$116
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg210$3,737None
Short return visit67$2,797$36
New patient visit (15+ min)41$2,545$62
Long return visit (40+ min)16$2,024$126
New patient visit (45+ min)12$1,703$142

2018: 12 services

Original Medicare services billed in 2018
Replacement of knee joint, both sides of knee33$37,374$1,099
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg55$29,609None
Short return visit (20+ min)358$24,567$54
New patient visit (30+ min)249$21,017$84
Replacement of thigh bone and hip joint with prosthesis18$20,246$1,125
Aspiration and/or injection of fluid from large joint231$17,677$53
Return visit (30+ min)142$12,266$81
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg197$3,179None
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,811$108
New patient visit (15+ min)49$2,716$55
Short return visit59$2,339$35
New patient visit (45+ min)12$1,346$112

2017: 14 services

Original Medicare services billed in 2017
Replacement of knee joint, both sides of knee41$45,110$1,100
Replacement of thigh bone and hip joint with prosthesis27$29,947$1,109
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg46$26,331None
Short return visit (20+ min)405$25,477$51
New patient visit (30+ min)242$18,895$78
Aspiration and/or injection of fluid from large joint209$15,004$51
Treatment of broken neck of thigh bone with bone implant14$13,866$990
Return visit (30+ min)111$9,090$80
New patient visit (15+ min)78$4,140$53
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg187$2,736None
Short return visit64$2,505$33
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$1,951$98
New patient visit (45+ min)11$1,324$120
Injection into tendon or ligament12$480$34

2016: 12 services

Original Medicare services billed in 2016
Replacement of knee joint, both sides of knee45$49,622$1,103
Replacement of thigh bone and hip joint with prosthesis25$29,568$1,095
Short return visit (20+ min)318$20,906$51
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg34$18,163None
New patient visit (30+ min)212$16,614$78
Aspiration and/or injection of fluid from large joint181$12,499$50
Return visit (30+ min)132$11,053$78
New patient visit (15+ min)66$3,411$52
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,413$110
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg162$1,990None
Injection into tendon or ligament13$655$41
Short return visit18$610$34

2015: 12 services

Original Medicare services billed in 2015
Replacement of knee joint, both sides of knee46$53,373$1,160
Replacement of thigh bone and hip joint with prosthesis25$29,137$1,165
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg33$20,877None
Short return visit (20+ min)272$20,620$56
New patient visit (30+ min)185$16,316$88
Return visit (30+ min)138$12,472$85
Aspiration and/or injection of fluid from large joint158$11,248$52
New patient visit (45+ min)19$2,477$130
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$2,450$117
New patient visit (15+ min)43$2,359$55
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg134$1,750None
Long return visit (40+ min)13$1,626$125

2014: 16 services

Original Medicare services billed in 2014
Replacement of knee joint, both sides of knee32$35,077$1,096
Replacement of thigh bone and hip joint with prosthesis23$25,224$1,097
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg25$17,385None
Short return visit (20+ min)258$17,061$53
New patient visit (30+ min)191$15,069$79
Treatment of broken neck of thigh bone with bone implant13$12,844$988
Return visit (30+ min)129$10,285$75
Aspiration and/or injection of fluid from large joint135$8,296$49
New patient visit (45+ min)29$3,585$124
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,879$111
New patient visit (15+ min)51$2,846$56
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg114$1,210None
Long return visit (40+ min)11$1,177$107
Injection into tendon or ligament11$575$48
Short return visit17$572$34
Injection, methylprednisolone acetate, 40 mg13$42None

2013: 14 services

Original Medicare services billed in 2013
Replacement of knee joint, both sides of knee35$45,167$1,221
Replacement of thigh bone and hip joint with prosthesis19$21,689$1,142
Short return visit (20+ min)229$15,029$52
New patient visit (30+ min)173$14,599$84
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg19$13,533None
Aspiration and/or injection of fluid from large joint139$9,065$42
Return visit (30+ min)79$6,696$81
New patient visit (15+ min)68$3,487$51
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes18$1,885$105
New patient visit (45+ min)13$1,530$118
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg133$1,417None
Short return visit18$647$34
Injection into tendon or ligament14$600$40
Injection, methylprednisolone acetate, 40 mg11$32None

Medicaid work

$1,572 in 2023

Medicaid paid $1,572 for 25 billed services this clinician did in 2023, up to 13 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
New patient visit (30+ min)12$1,107
Short return visit (20+ min)13$465
Medicaid work by year
202325213$1,572
202218118$888
201913112$440
201813113$369
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Return visit (30+ min)18$888

2019

Largest Medicaid services in 2019
New patient visit (30+ min)13$440

2018

Largest Medicaid services in 2018
Short return visit (20+ min)13$369

Drugs they prescribed that Part D paid

$346

Pharmacies billed $346 in 2024.

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

Opioids were 38% of their Part D prescriptions (26 of 69) in 2024. Above the middle of the specialty; the typical orthopedic surgery clinician is at 31%.

69 generic and 0 brand-name prescriptions · $346 in drug cost · 32 antibiotic prescriptions to 28 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
Cephalexin19$119$6
Oxycodone11$49$4
Amoxicillin11$33$3

Year by year

Part D prescribing by year
2024695538% (26)0%$346
2023857339% (33)None$1,375
2022845225% (21)None$3,880
2021846642% (35)None$1,191
2020634641% (26)None$1,139
2019817046% (37)0%$757
2018665047% (31)None$1,101
2017674452% (35)None$722
2016805353% (42)None$1,372
2015956359% (56)None$2,125
2014795668% (54)19%$2,276
2013564577% (43)None$2,361

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

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Cephalexin26$294$11
Oxycodone16$174$11
Amoxicillin17$90$5

2022: 2 drugs

Part D drugs prescribed in 2022
Cephalexin24$246$10
Amoxicillin14$67$5

2021: 3 drugs

Part D drugs prescribed in 2021
Cephalexin22$167$8
Oxycodone17$144$8
Amoxicillin15$61$4

2020: 2 drugs

Part D drugs prescribed in 2020
Oxycodone15$223$15
Cephalexin20$79$4

2019: 3 drugs

Part D drugs prescribed in 2019
Oxycodone23$246$11
Cephalexin25$177$7
Hydrocodone-Acetaminophen12$111$9

2018: 2 drugs

Part D drugs prescribed in 2018
Oxycodone25$324$13
Cephalexin12$75$6

2017: 2 drugs

Part D drugs prescribed in 2017
Oxycodone19$318$17
Cephalexin16$93$6

2016: 2 drugs

Part D drugs prescribed in 2016
Oxycodone26$333$13
Cephalexin17$147$9

2015: 3 drugs

Part D drugs prescribed in 2015
Oxycodone28$378$13
Hydrocodone-Acetaminophen12$140$12
Cephalexin14$68$5

2014: 4 drugs

Part D drugs prescribed in 2014
Oxycodone18$286$16
Hydrocodone-Acetaminophen15$194$13
Cephalexin15$85$6
Hydromorphone11$78$7

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen23$251$11

Money from drug and device companies

$194 in 2023

A payment is not proof that care is biased.

Payments by company
Zimmer Biomet HoldingsEcho$149
1 payment
  • Education for Echo · 2023-04-07 · $149
StrykerAugment Injectable$45
1 payment
  • Meals for Augment Injectable · 2023-04-02 · $45
See all 2 published payments
Every published payment
Zimmer Biomet HoldingsEducation · 2023-04-07Echo$149
StrykerMeals · 2023-04-02Augment Injectable$45

Professional record

NPI
1407835556
Licence
CA G74982California G74982: Current · expires 2027-12-31
Trained
Saint Louis University School of Medicine, 1991
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Orthopedic surgery (207X00000X)
Mailing address
2025 Soquel Ave, Santa Cruz, CA, 95062
NPI first listed
2006-01-16
NPI last updated
2012-01-03

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