Neal Sheldon Birnbaum, MD

1 location · Regents Univ of California UCSF · 276 clinicians in this group

Hospitals listed: Marinhealth Medical Center · Novato Community Hospital · Sonoma Valley Hospital · UCSF Medical Center. That is not proof they admit you there this week.

12 plans · 2 carriers

Licence C36561 · Current

Licensed to practise in California · since 1975 · expires 2027-12-31 · Ohio State University College of Medicine.

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

4 hospitals

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

• Marinhealth Medical CenterGreenbrae, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of MarinHealthPatients rate it 3 of 5 · 76% would definitely recommend it
  Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.66 (3.59 to 7.73) · 1,505 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.177, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025
• Novato Community HospitalNovato, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 84% would definitely recommend it
  Overall rating: 5 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0, Oct 2024 – Sep 2025
• Sonoma Valley HospitalSonoma, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency departmentPatients rate it 4 of 5 · 79% would definitely recommend it
  Overall rating: 2 of 5 starsNo measure marked better or worse than the national rate
• UCSF Medical CenterSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of UCSF Helen Diller Family Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 81% would definitely recommend it
  Overall rating: 4 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 4.9 (3.79 to 6.02) · 7,590 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 12.8 (11.3 to 14.4) · 2,019 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 139.4 (110.22 to 168.58) · 452 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.622, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.626, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.491, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.7 to 1) · 2,336 cases, Jan 2024 – Dec 2024

$484,836

Medicare paid this office $484,836 for 272 people.

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

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

272 Original Medicare patients in 2024. Average age 76 · Women 68% · Also on Medicaid 7% · Health risk score 1.27. At or below the middle of the specialty; the typical rheumatology clinician is at 1.38.

Conditions among them: High blood pressure 64% · Coronary heart disease 24% · Diabetes 18% · Cancer 17% · Chronic kidney disease 16% · Atrial fibrillation 14% · Depression 14% · Heart failure 11% · COPD 8% · Stroke 6% · Dementia 4%.

The office billed $1,088,611, Medicare allowed $618,851 and paid $484,836; for 46,750 services of 28 kinds; $385,275 of it was for drugs given in the office and $99,561 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 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.

$965 in 2019

Medicaid paid $965 for 12 billed services this clinician did in 2019, 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.

$3,221,670

Pharmacies billed $3,221,670 in 2024.

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

Opioids were 3% of their Part D prescriptions (48 of 1,502) in 2024. Above the middle of the specialty; the typical rheumatology clinician is at 3%.

1,050 generic and fewer than 11 brand-name prescriptions · $3,221,670 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.

$16,645 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.