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Robert M Cash, MD

Orthopedic Surgery · Modesto

NPI 1427061092

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
1 carrier
Offices
3
Since medical school
35 years
University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb), 1991

Offices

3 locations · Orion Orthopaedic Trauma Inc · County of San Joaquin · Samaritan Pacific Health Services Inc

Looking this up.

Hospitals listed: Good Samaritan Regional Medical Center · Samaritan North Lincoln Hospital · Samaritan Pacific Community Hospital. That is not proof they admit you there this week.

Plans that list them

9 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Cash’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence G82064 · Current

Licensed to practise in California · since 1995 · expires 2027-06-30 · University of Illinois College of Medicine.

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

Surgery centers they own

  • Valley Surgery Center at ModestoAmbulatory Surgery Center · Modesto, CA6.15% owner since 2018 · accredited by HFAP
    Initial Accreditation1 inspection, 1 with deficiencies · last 2023-08-01
  • Valley Surgery Center, L.P.Ambulatory Surgery Center · Modesto, CAOwner · accredited by JC
    Accreditation Renewed2 inspections, 2 with deficiencies · last 2011-06-06: Requirements Met

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.

  • Good Samaritan Regional Medical CenterCorvallis, ORAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Samaritan Health Services, which runs 5 hospitalsPatients rate it 4 of 5 · 71% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.347, Oct 2024 – Sep 2025
  • Samaritan North Lincoln HospitalLincoln City, ORCritical Access Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Samaritan Health Services, which runs 5 hospitalsPatients rate it 4 of 5 · 75% would definitely recommend it
    Overall rating: 3 of 5 starsNo measure marked better or worse than the national rate
  • Samaritan Pacific Community HospitalNewport, ORCritical Access Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Samaritan Health Services, which runs 5 hospitalsPatients rate it 4 of 5 · 70% would definitely recommend it
    Overall rating: 1 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for Good Samaritan Regional Medical Center

Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 1 better, 9 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.

Every scored measure at Good Samaritan Regional Medical Center
Clostridium Difficile (C.Diff)Infections0.347BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.88 (0 to 1.88) · 720 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.77 (0.44 to 1.11)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths164.59 (106.7 to 222.49) · 42 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.3 · 63 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths10 · 38 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.5 · 187 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths14.7 · 258 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.9 · 143 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 189 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 2,428 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.27 (0.06 to 0.48) · 3,639 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.07 to 0.48) · 3,734 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.56 (1.45 to 5.67) · 1,350 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.37 (0 to 2.94) · 728 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (0.9 to 3.82) · 1,313 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.16 (1.83 to 14.48) · 717 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths3.47 (0 to 7) · 685 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.67 (0.18 to 3.17) · 197 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.21 (0 to 0.99) · 2,885 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.2 · 65 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.226No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.418No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.919No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13 · 319 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits18.7 · 423 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits14.5 · 202 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits8.3 · 271 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits24.5 · 153 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.8 · 266 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6 (4 to 9) · 100 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.4 (6.6 to 13.3) · 100 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.7 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.9 · 111 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.4 · 98 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.8 to 17.7) · 249 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.3) · 583 casesNo differentJan 2024 – Dec 2024

What patients said (806 patients answered, 26% of those asked)

Patient survey stars by topic at Good Samaritan Regional Medical Center
Cleanliness3
Nurse communication4
Doctor communication4
Communication about medicines4
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital4
Share of patients giving the best answer at Good Samaritan Regional Medical Center
Room was "always" clean67%
Nurses "always" communicated well80%
Doctors "always" communicated well79%
Staff "always" explained66%
Yes, staff "did" give patients this information90%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)68%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night41%
"YES", patients would definitely recommend the hospital71%
Staff "always" explained possible side effects55%
Yes, staff "did" give patients information about possible symptoms91%
See every measure and the patient survey for Samaritan North Lincoln Hospital

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Readmissions: 0 better, 6 the same, 1 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 Samaritan North Lincoln Hospital
Death rate for COPD patientsComplications and deaths8.9 · 33 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths12.3 · 60 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.4 · 57 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.3 · 27 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.1 · 293 casesNoneJul 2024 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.1 · 67 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-8 · 60 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-27.1 · 49 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.9 · 60 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6 (3.8 to 9.2) · 59 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.8 (6.6 to 14.2) · 59 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 44 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.8 to 17.9) · 35 casesNo differentJan 2022 – Dec 2024

What patients said (167 patients answered, 25% of those asked)

Patient survey stars by topic at Samaritan North Lincoln Hospital
Cleanliness4
Nurse communication5
Doctor communication4
Communication about medicines4
Discharge information4
Overall hospital rating4
Quietness4
Recommend hospital4
Share of patients giving the best answer at Samaritan North Lincoln Hospital
Room was "always" clean77%
Nurses "always" communicated well86%
Doctors "always" communicated well83%
Staff "always" explained70%
Yes, staff "did" give patients this information90%
Yes, staff "did" give patients information about help after discharge90%
Doctors "always" explained things so they could understand80%
Doctors "always" listened carefully83%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications83%
Nurses "always" explained things so they could understand86%
Nurses "always" listened carefully83%
Nurses "always" treated them with courtesy and respect90%
"Always" quiet at night66%
"YES", patients would definitely recommend the hospital75%
Staff "always" explained possible side effects56%
Yes, staff "did" give patients information about possible symptoms90%
See every measure and the patient survey for Samaritan Pacific Community Hospital

Behind the star rating — Deaths: 0 better, 4 the same, 1 worse of 5 measures. Safety: 0 better, 1 the same, 0 worse of 1 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 Samaritan Pacific Community Hospital
Death rate for COPD patientsComplications and deaths13.6 · 37 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths12.5 · 103 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths19.6 · 70 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.7 · 35 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 375 casesNoneJul 2024 – Jun 2025
Clostridium Difficile (C.Diff)Infections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23.8 · 108 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits74.2 · 113 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits4.8 · 62 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.4 · 53 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.3 (4 to 9.5) · 63 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.2 (7.7 to 16) · 63 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.8 · 37 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.3 to 16.6) · 364 casesNo differentJan 2022 – Dec 2024

What patients said (214 patients answered, 23% of those asked)

Patient survey stars by topic at Samaritan Pacific Community Hospital
Cleanliness4
Nurse communication5
Doctor communication3
Communication about medicines4
Discharge information4
Overall hospital rating4
Quietness4
Recommend hospital4
Share of patients giving the best answer at Samaritan Pacific Community Hospital
Room was "always" clean81%
Nurses "always" communicated well85%
Doctors "always" communicated well77%
Staff "always" explained68%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand75%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications82%
Nurses "always" explained things so they could understand82%
Nurses "always" listened carefully83%
Nurses "always" treated them with courtesy and respect90%
"Always" quiet at night59%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects55%
Yes, staff "did" give patients information about possible symptoms93%

Original Medicare doctor bills

$145,654

Medicare paid this office $145,654 for 258 people.

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

Largest Original Medicare bills
Return visit (30+ min)122$21,903$93
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg48$20,572None
Replacement of knee joint, both sides of knee19$19,918$996
Short return visit (20+ min)151$16,550$64
Replacement of thigh bone and hip joint with prosthesis12$13,074$1,006
See all 13 services
Every Original Medicare service billed
Return visit (30+ min)122$21,903$93
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg48$20,572None
Replacement of knee joint, both sides of knee19$19,918$996
Short return visit (20+ min)151$16,550$64
Replacement of thigh bone and hip joint with prosthesis12$13,074$1,006
Aspiration and/or injection of fluid from large joint91$6,471$48
New patient visit (30+ min)48$3,778$79
New patient visit (45+ min)29$3,050$105
X-ray of knee, 3 views65$3,041$31
X-ray of hip, 2-3 views19$963$39
X-ray of shoulder, minimum of 2 views27$813$26
Injection, methylprednisolone acetate, 1 mg45$216None
Injection, methylprednisolone acetate, 40 mg12$40None

Procedures Medicare counted

Procedure volume Medicare published
Hip replacement1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Aspiration and/or injection of fluid from large joint188243236214138135
Replacement of knee joint, both sides of knee222025192320
Replacement of thigh bone and hip joint with prosthesis12––––13
Repair of shoulder rotator cuff using an endoscope1311––––
Removal of extensive shoulder joint tissue using an endoscope12–11–––
Shaving of part of shoulder bone and repair of ligament using an endoscope11–––––

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

258 Original Medicare patients in 2024. Average age 73 · Under 65 7% · 85 and older 5% · Women 61% · Also on Medicaid 13% · Health risk score 1.16. Above the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 40% · Coronary heart disease 24% · Chronic kidney disease 20% · Depression 19% · Atrial fibrillation 17% · Cancer 13% · Heart failure 12% · COPD 12% · Dementia 6% · Stroke 6%.

The office billed $359,798, Medicare allowed $191,438 and paid $145,654; for 7,185 services of 59 kinds; $21,589 of it was for drugs given in the office and $124,064 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
20242587,185731.16$359,798$145,654
20232874,896731.20$365,369$153,637
20222781,982721.11$451,107$171,568
20213311,761731.12$532,687$199,695
20202951,404721.18$461,601$163,487
20193721,486731.33$530,609$190,758
20183781,455721.32$464,824$129,730
20173872,658701.30$767,055$187,756
20163812,565711.34$605,857$160,035
20154213,074711.30$700,744$180,976
20144322,786701.05$760,485$209,089
20133993,362711.29$699,666$202,304

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: 11 services

Original Medicare services billed in 2023
Replacement of knee joint, both sides of knee22$22,688$986
Return visit (30+ min)120$20,539$97
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg42$18,825None
Short return visit (20+ min)145$15,389$63
New patient visit (45+ min)64$7,821$122
Aspiration and/or injection of fluid from large joint79$6,543$47
New patient visit (30+ min)64$5,172$81
X-ray of knee, 3 views61$2,819$31
X-ray of hip, 2-3 views19$836$38
X-ray of shoulder, minimum of 2 views24$761$27
Injection, methylprednisolone acetate, 40 mg45$327None

2022: 11 services

Original Medicare services billed in 2022
Return visit (30+ min)147$29,335$96
Short return visit (20+ min)136$19,170$68
Replacement of knee joint, both sides of knee19$18,867$993
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose31$14,212None
Aspiration and/or injection of fluid from large joint71$10,650$50
New patient visit (45+ min)55$6,909$126
New patient visit (30+ min)49$3,780$77
X-ray of knee, 3 views59$3,038$35
X-ray of hip, 2-3 views24$1,247$40
X-ray of shoulder, minimum of 2 views25$973$29
Injection, methylprednisolone acetate, 40 mg49$354None

2021: 15 services

Original Medicare services billed in 2021
Replacement of knee joint, both sides of knee23$26,370$1,055
Return visit (30+ min)134$25,532$101
Short return visit (20+ min)141$19,909$71
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose27$13,147None
Aspiration and/or injection of fluid from large joint93$12,129$51
New patient visit (30+ min)87$7,801$90
New patient visit (45+ min)58$7,248$125
X-ray of knee, 3 views52$2,343$33
Removal of extensive shoulder joint tissue using an endoscope11$1,396$127
Short return visit23$914$30
X-ray of shoulder, minimum of 2 views21$825$28
X-ray of hip, 2-3 views17$800$40
X-ray of wrist, minimum of 3 views11$465$31
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg53$415None
Injection, methylprednisolone acetate, 40 mg34$173None

2020: 11 services

Original Medicare services billed in 2020
Replacement of knee joint, both sides of knee20$22,420$1,121
Short return visit (20+ min)191$22,027$56
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose39$16,572None
Aspiration and/or injection of fluid from large joint91$11,816$49
Repair of shoulder rotator cuff using an endoscope11$8,973$816
New patient visit (30+ min)117$8,743$75
Return visit (30+ min)34$3,518$84
X-ray of knee, 3 views49$1,901$30
X-ray of hip, 2-3 views25$1,087$34
X-ray of shoulder, minimum of 2 views16$534$27
Injection, methylprednisolone acetate, 40 mg72$446None

2019: 17 services

Original Medicare services billed in 2019
Replacement of knee joint, both sides of knee22$23,366$1,062
Short return visit (20+ min)202$20,334$54
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose21$17,824None
Replacement of thigh bone and hip joint with prosthesis12$13,167$1,097
Repair of shoulder rotator cuff using an endoscope12$11,202$862
New patient visit (30+ min)149$10,458$70
Aspiration and/or injection of fluid from large joint83$7,961$42
Return visit (30+ min)59$5,572$78
Initial hospital care with moderate level of medical decision making at least 75 minutes13$2,009$155
X-ray of knee, 3 views49$1,777$28
Shaving of part of shoulder bone and repair of ligament using an endoscope11$1,551$141
Removal of extensive shoulder joint tissue using an endoscope11$1,466$122
X-ray of hip, 2-3 views24$939$32
Short return visit12$764$31
X-ray of shoulder, minimum of 2 views16$606$25
X-ray of knee, 1-2 views17$410$23
Injection, methylprednisolone acetate, 40 mg72$393None

2018: 17 services

Original Medicare services billed in 2018
Short return visit (20+ min)247$21,664$50
Replacement of thigh bone and hip joint with prosthesis13$13,310$951
Replacement of knee joint, both sides of knee13$12,692$976
New patient visit (30+ min)146$11,327$78
Removal of knee cartilage using an endoscope11$3,950$359
Aspiration and/or injection of fluid from large joint64$3,574$41
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 and47$1,835$39
Return visit (30+ min)18$1,512$80
X-ray of knee, 3 views27$820$28
X-ray of hip, 2-3 views16$589$33
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg41$513None
X-ray of knee, 1-2 views16$491$23
Short return visit13$407$27
X-ray of shoulder, minimum of 2 views14$393$23
Injection, methylprednisolone acetate, 40 mg25$168None
Injection, dexamethasone sodium phosphate, 1 mg40$16None
Injection, lidocaine hcl for intravenous infusion, 10 mg35$1None

2017: 15 services

Original Medicare services billed in 2017
Replacement of knee joint, both sides of knee27$29,474$1,053
Short return visit (20+ min)262$26,018$51
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement12$11,221$935
Treatment of broken neck of thigh bone with bone implant12$11,106$925
Repair of shoulder rotator cuff using an endoscope13$10,786$830
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg14$7,795None
New patient visit (30+ min)95$7,173$76
Aspiration and/or injection of fluid from large joint76$4,723$41
Removal of extensive shoulder joint tissue using an endoscope18$3,364$187
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 and73$3,350$40
Shaving of part of shoulder bone and repair of ligament using an endoscope14$1,915$137
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg76$938None
Short return visit20$878$29
Injection, dexamethasone sodium phosphate, 1 mg74$33None
Injection, lidocaine hcl for intravenous infusion, 10 mg67$2None

2016: 11 services

Original Medicare services billed in 2016
Replacement of knee joint, both sides of knee29$31,917$1,064
Short return visit (20+ min)284$28,010$51
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg15$9,538None
New patient visit (30+ min)105$7,489$71
Aspiration and/or injection of fluid from large joint72$4,618$44
Initial hospital care with moderate level of medical decision making at least 75 minutes17$2,548$150
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 and57$2,457$42
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg67$747None
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes13$394$30
Short return visit11$310$28
Injection, dexamethasone sodium phosphate, 1 mg64$35None

2015: 14 services

Original Medicare services billed in 2015
Short return visit (20+ min)299$30,441$52
Replacement of knee joint, both sides of knee16$16,370$1,023
Treatment of broken neck of thigh bone with bone implant13$13,770$984
Replacement of thigh bone and hip joint with prosthesis11$12,648$1,054
New patient visit (30+ min)141$10,940$78
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg17$10,573None
Aspiration and/or injection of fluid from large joint92$6,603$43
Initial hospital care with moderate level of medical decision making at least 75 minutes37$6,106$161
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 and93$3,989$39
Removal of extensive shoulder joint tissue using an endoscope16$3,394$200
Return visit (30+ min)16$1,295$76
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg81$1,025None
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes19$585$29
Injection, dexamethasone sodium phosphate, 1 mg80$52None

2014: 14 services

Original Medicare services billed in 2014
Short return visit (20+ min)285$29,414$55
Replacement of knee joint, both sides of knee18$21,972$1,099
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg17$10,758None
New patient visit (30+ min)136$10,617$78
Repair of shoulder rotator cuff using an endoscope11$9,461$860
Initial hospital care with moderate level of medical decision making at least 75 minutes42$6,865$163
Removal of extensive shoulder joint tissue using an endoscope23$5,057$211
Aspiration and/or injection of fluid from large joint74$4,925$45
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 and57$2,536$42
Shaving of part of shoulder bone and repair of ligament using an endoscope12$1,703$142
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,218$111
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes34$1,047$31
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg65$688None
Injection, dexamethasone sodium phosphate, 1 mg56$30None

2013: 14 services

Original Medicare services billed in 2013
Short return visit (20+ min)271$29,471$53
Replacement of knee joint, both sides of knee22$29,418$1,226
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg26$16,313None
Treatment of broken neck of thigh bone with bone implant15$14,702$980
New patient visit (30+ min)127$10,377$82
Initial hospital care with moderate level of medical decision making at least 75 minutes44$6,752$153
Aspiration and/or injection of fluid from large joint74$6,021$46
Removal of extensive shoulder joint tissue using an endoscope18$3,797$211
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes23$2,474$108
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 and45$2,097$43
Shaving of part of shoulder bone and repair of ligament using an endoscope14$1,938$138
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes37$1,220$30
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg59$667None
Injection, dexamethasone sodium phosphate, 1 mg56$24None

Medicaid work

$679 in 2024

Medicaid paid $679 for 13 billed services this clinician did in 2024, up to 12 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
Return visit (30+ min)13$679
Medicaid work by year
202413112$679
202368216$2,815
2019134328$3,574
2018289334$8,036
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)56$2,610
Short return visit (20+ min)12$205

2019

Largest Medicaid services in 2019
OFF/OP EST MAY X REQ PHY/QHP109$2,725
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES13$556
Short return visit12$293

2018

Largest Medicaid services in 2018
OFF/OP EST MAY X REQ PHY/QHP199$4,975
Short return visit (20+ min)65$2,389
Short return visit25$672

Drugs they prescribed that Part D paid

$4,810

Pharmacies billed $4,810 in 2024.

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

Opioids were 65% of their Part D prescriptions (284 of 440) in 2024. A higher opioid share than 9 in 10 peers; the typical orthopedic surgery clinician is at 31%. Surgeons prescribe little besides pain medicine after an operation, so their opioid share runs high.

437 generic and fewer than 11 brand-name prescriptions · $4,810 in drug cost · 41 antibiotic prescriptions to 27 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
Hydrocodone-Acetaminophen99$1,277$7
Diclofenac22$736$19
Oxycodone-Acetaminophen26$626$13
Ibuprofen19$527$16
Ondansetron Odt15$222$15
See all 8 drugs
Every Part D drug this clinician prescribed
Hydrocodone-Acetaminophen99$1,277$7
Diclofenac22$736$19
Oxycodone-Acetaminophen26$626$13
Ibuprofen19$527$16
Ondansetron Odt15$222$15
Tramadol23$191$4
Acetaminophen-Codeine11$182$10
Amoxicillin14$74$4

Year by year

Part D prescribing by year
202444017365% (284)None$4,810
202339417162% (246)None$7,035
202237416561% (227)0%$6,614
202133115558% (192)None$5,163
202024112454% (129)None$3,812
201920511162% (127)None$4,033
201826112558% (151)13%$15,567
201731113659% (184)9%$11,943
201633815269% (234)None$12,890
201542516853% (224)11%$22,804
201458018261% (356)12%$22,398
201361618469% (425)10%$23,847

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

See the drugs prescribed each year

2023: 10 drugs

Part D drugs prescribed in 2023
Hydrocodone-Acetaminophen140$1,487$11
Oxycodone-Acetaminophen55$1,101$20
Diclofenac30$895$30
Doxycycline Monohydrate16$514$32
Ondansetron Odt11$282$26
Ibuprofen16$251$16
Meloxicam11$192$17
Tramadol25$168$7
Acetaminophen-Codeine23$120$5
Amoxicillin16$62$4

2022: 6 drugs

Part D drugs prescribed in 2022
Hydrocodone-Acetaminophen150$1,627$11
Diclofenac54$1,586$29
Oxycodone-Acetaminophen40$994$25
Tramadol28$195$7
Ibuprofen14$121$9
Amoxicillin22$83$4

2021: 8 drugs

Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen128$1,308$10
Diclofenac31$1,131$36
Oxycodone-Acetaminophen36$559$16
Cephalexin12$350$29
Ondansetron15$195$13
Ibuprofen12$130$11
Tramadol26$130$5
Amoxicillin17$46$3

2020: 8 drugs

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen85$844$10
Diclofenac17$666$39
Oxycodone-Acetaminophen24$292$12
Cephalexin11$167$15
Ibuprofen12$121$10
Meloxicam16$78$5
Sulfamethoxazole-Trimethoprim12$68$6
Tramadol14$41$3

2019: 4 drugs

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen72$809$11
Oxycodone-Acetaminophen27$431$16
Diclofenac11$364$33
Tramadol23$108$5

2018: 5 drugs

Part D drugs prescribed in 2018
Voltaren28$2,828$101
Hydrocodone-Acetaminophen83$1,780$21
Oxycodone-Acetaminophen28$805$29
Tramadol33$191$6
Meloxicam15$94$6

2017: 6 drugs

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen113$2,236$20
Voltaren17$1,912$112
Oxycodone-Acetaminophen44$1,710$39
Diclofenac11$693$63
Meloxicam39$241$6
Tramadol23$123$5

2016: 5 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen141$4,120$29
Oxycodone-Acetaminophen44$2,741$62
Acetaminophen-Codeine14$270$19
Tramadol32$195$6
Meloxicam26$141$5

2015: 8 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen152$5,453$36
Janumet27$3,534$131
Oxycodone-Acetaminophen36$3,332$93
Diclofenac26$654$25
Tramadol32$295$9
Ibuprofen13$166$13
Meloxicam22$139$6
Sulfamethoxazole-Trimethoprim16$99$6

2014: 12 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen293$6,828$23
Janumet43$3,368$78
Oxycodone-Acetaminophen38$3,236$85
Voltaren15$2,528$169
Losartan12$547$46
Diclofenac16$419$26
Acetaminophen-Codeine14$179$13
Meloxicam20$168$8
Warfarin26$113$4
Lactulose11$107$10
Simvastatin12$100$8
Sulfamethoxazole-Trimethoprim12$82$7

2013: 9 drugs

Part D drugs prescribed in 2013
Voltaren47$7,366$157
Hydrocodone-Acetaminophen350$6,246$18
Oxycodone Hcl-Acetaminophen18$815$45
Tramadol33$396$12
Meloxicam21$280$13
Acetaminophen-Codeine14$227$16
Warfarin26$132$5
Naproxen12$86$7
Amoxicillin13$81$6

Money from drug and device companies

$89 in 2023

Industry payments by year
202311None$89
202238None$542
202125None$145
201925None$139

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
Zimmer Biomet HoldingsPersona$89
1 payment
  • Meals for Persona · 2023-01-17 · $89
See the published payment
Every published payment
Zimmer Biomet HoldingsMeals · 2023-01-17Persona$89
See earlier years (2022, 2021, 2019)

2022: $542

Payments by company in 2022
Zimmer Biomet HoldingsPersona$382
6 payments
  • Travel for Persona · 2022-04-08 · $37
  • Meals for Persona · 2022-04-08 · $33
  • Meals for Persona · 2022-04-08 · $43
  • Travel for Persona · 2022-04-08 · $24
  • Travel for Persona · 2022-04-08 · $19
  • Travel for Persona · 2022-04-07 · $227
Smith+NephewBioinductive Implant With Arthroscopic Delivery System - Medium$144
1 payment
  • Meals for Bioinductive Implant With Arthroscopic Delivery System - Medium · 2022-05-11 · $144
NevroOmnia$15
1 payment
  • Meals for Omnia · 2022-02-02 · $15

2021: $145

Payments by company in 2021
Zimmer Biomet HoldingsArcos$88
2 payments
  • Meals for Arcos · 2021-03-24 · $39
  • Meals for Arcos · 2021-03-24 · $49
GlaxoSmithKlineTrelegy Ellipta$57
3 payments
  • Meals for Trelegy Ellipta · 2021-10-29 · $20
  • Meals for Trelegy Ellipta · 2021-08-18 · $22
  • Meals for Trelegy Ellipta · 2021-07-20 · $15

2019: $139

Payments by company in 2019
Zimmer Biomet HoldingsTaperloc$120
4 payments
  • Meals for Taperloc · 2019-08-23 · $43
  • Meals for Taperloc · 2019-08-23 · $5
  • Meals for Taperloc · 2019-08-23 · $53
  • Travel for Taperloc · 2019-08-23 · $19
StrykerVariax$19
1 payment
  • Meals for Variax · 2019-05-24 · $19

Checkups this office reported

1 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

Medicare’s overall office score
71.9 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Checkup rates this office reported to Medicare
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)As Medicare defines this measure0%None

Professional record

NPI
1427061092
Licence
CA G82064California G82064: Current · expires 2027-06-30
Trained
University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb), 1991 · 35 years ago
Group
Orion Orthopaedic Trauma Inc · County of San Joaquin · Samaritan Pacific Health Services Inc
Gender
Male
More record details
Sole proprietor
Yes
Medicaid ID
CA 4870629
Taxonomy
Orthopedic surgery (207X00000X)
Mailing address
Po Box 576158, Modesto, CA, 95357
NPI first listed
2006-08-14
NPI last updated
2026-01-02
NPI record certified
2026-01-02

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

Extra NPI addresses: 825 Nw Highway 101 Ste A, Lincoln City, OR, 97367 · 930 Sw Abbey St Ste A, Newport, OR, 97365

This office lists an electronic records connection.