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Raj Bhatia, MD

Pulmonary Disease · Oxnard

NPI 1447281704

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
3
Since medical school
36 years
Graduated 1990

Offices

3 locations · West Coast Critical Care Specialists, Inc. · Gila River Health Care Corporation

Looking this up.

Hospitals listed: Huhu Kam Memorial Hospital · St Johns Regional Medical Center. 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. Bhatia’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A61991 · Current

Licensed to practise in California · since 1997 · expires 2027-04-30 · University of Poona, Pravara Rural Hospital and Medical College.

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.

  • Huhu Kam Memorial HospitalSacaton, AZCritical Access Hospital · Government - Federal · Has an emergency department
    No overall ratingNo measure marked better or worse than the national rate
  • St Johns Regional Medical CenterOxnard, 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 3 of 5 · 68% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Death rate among surgical inpatients with serious treatable complications: 130.06 (90.32 to 169.81) · 120 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.404, Oct 2024 – Sep 2025
See every measure and the patient survey for St Johns Regional Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 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 St Johns Regional Medical Center
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths130.06 (90.32 to 169.81) · 120 casesBetterJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.404BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.8 (0 to 1.75) · 1,494 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.85 (0.56 to 1.14)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2 · 40 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.8 · 159 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths8.7 · 279 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.1 · 580 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.6 · 654 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.6 · 380 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 3,404 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.37) · 8,124 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.01 to 0.39) · 8,331 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.92 (1.89 to 5.95) · 1,414 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.17 (0.6 to 3.75) · 412 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.94 (0.46 to 3.43) · 1,361 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.75 (0.73 to 12.78) · 439 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.94 (3.39 to 10.49) · 383 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.94 (0.47 to 3.41) · 325 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.11 (0 to 0.67) · 7,172 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 88 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.236No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.331No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.571No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.737No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.7 · 336 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.8 · 715 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-8.1 · 284 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.6 · 648 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-9.1 · 674 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.9 · 670 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.8 (5.2 to 8.9) · 428 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.8 (8.6 to 13.5) · 428 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.9 · 98 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.3 · 49 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.1 · 196 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14 (10.5 to 18.8) · 247 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 486 casesNo differentJan 2024 – Dec 2024

What patients said (1,151 patients answered, 18% of those asked)

Patient survey stars by topic at St Johns Regional Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at St Johns Regional Medical Center
Room was "always" clean70%
Nurses "always" communicated well78%
Doctors "always" communicated well76%
Staff "always" explained63%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night46%
"YES", patients would definitely recommend the hospital68%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$146,732

Medicare paid this office $146,732 for 657 people.

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

Largest Original Medicare bills
Sleep study in sleep lab with continuous airway pressure (6 years or older)96$42,721$423
Sleep study in sleep lab (6 years or older)147$35,844$244
Return visit (30+ min)111$19,486$114
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes48$10,196$103
Short return visit (20+ min)87$8,558$82
See all 13 services
Every Original Medicare service billed
Sleep study in sleep lab with continuous airway pressure (6 years or older)96$42,721$423
Sleep study in sleep lab (6 years or older)147$35,844$244
Return visit (30+ min)111$19,486$114
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes48$10,196$103
Short return visit (20+ min)87$8,558$82
Initial hospital care with moderate level of medical decision making at least 75 minutes35$5,617$152
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes21$4,551$97
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$4,161$69
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation67$2,662$40
New patient visit (45+ min)17$2,595$153
Sleep study including heart rate, breathing, and sleep time76$2,592$34
New patient visit (30+ min)11$1,127$102
Test for exercise-induced lung stress13$473$32

Who their Medicare patients are

657 Original Medicare patients in 2024. Average age 72 · Under 65 12% · 85 and older 9% · Women 51% · Also on Medicaid 27% · Health risk score 1.68. At or below the middle of the specialty; the typical critical care (intensivists) clinician is at 2.58.

Conditions among them: High blood pressure 75% · Diabetes 38% · Coronary heart disease 37% · COPD 31% · Depression 28% · Atrial fibrillation 27% · Heart failure 26% · Chronic kidney disease 26% · Cancer 17% · Stroke 13% · Dementia 7%.

The office billed $558,359, Medicare allowed $183,933 and paid $146,732; for 1,047 services of 30 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
20246571,047721.68$558,359$146,732
2023419820762.36$424,456$112,242
20227581,454731.77$605,220$154,188
20217261,235731.79$481,431$143,438
20208691,650742.12$601,302$199,676
20191,0282,012732.09$890,614$280,650
20181,0042,289732.08$809,414$312,193
20178582,598732.23$861,771$263,143
20165161,965732.13$687,058$209,277
20155731,794722.23$639,890$215,184
20145011,570742.19$558,034$191,228
20135962,292742.29$674,798$239,518

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: 15 services

Original Medicare services billed in 2023
Sleep study in sleep lab with continuous airway pressure (6 years or older)68$31,776$448
Sleep study in sleep lab (6 years or older)34$16,668$490
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes105$14,925$100
Short return visit (20+ min)111$12,703$75
Return visit (30+ min)71$11,064$105
Critical care, first 30-74 minutes43$9,999$172
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes44$3,336$67
Initial hospital care with moderate level of medical decision making at least 75 minutes20$2,601$130
New patient visit (45+ min)14$2,025$145
New patient visit (30+ min)22$1,723$78
Test to examine how well the lungs exchange gases23$1,052$46
Test to determine lung volumes using sensors23$958$42
Test for exercise-induced lung stress18$624$30
Test to measure expiratory airflow and volume changes before and after medication administration23$607$26
Test to measure expiratory airflow and volume16$396$25

2022: 17 services

Original Medicare services billed in 2022
Sleep study in sleep lab (6 years or older)115$28,764$250
Sleep study in sleep lab with continuous airway pressure (6 years or older)86$26,896$302
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes105$18,953$86
Return visit (30+ min)115$18,897$104
Short return visit (20+ min)124$12,720$74
Initial hospital care with moderate level of medical decision making at least 75 minutes63$10,750$163
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes82$7,640$60
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation140$5,296$38
New patient visit (45+ min)37$5,072$137
Critical care, first 30-74 minutes14$3,299$183
Telephone medical discussion with physician, 11-20 minutes45$3,132$63
New patient visit (30+ min)29$2,403$83
Test to examine how well the lungs exchange gases41$2,115$52
Test to determine lung volumes using sensors40$1,902$48
Test to measure expiratory airflow and volume changes before and after medication administration41$1,392$34
Test for exercise-induced lung stress17$624$30
Test to measure expiratory airflow and volume26$624$24

2021: 18 services

Original Medicare services billed in 2021
Sleep study in sleep lab with continuous airway pressure (6 years or older)86$31,093$342
Sleep study in sleep lab (6 years or older)92$28,354$308
Return visit (30+ min)103$14,794$110
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes72$12,514$81
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation195$10,912$56
Short return visit (20+ min)108$10,496$78
Telephone medical discussion with physician, 21-30 minutes51$5,587$95
Telephone medical discussion with physician, 11-20 minutes73$5,561$70
Initial hospital care with moderate level of medical decision making at least 75 minutes30$4,780$154
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$4,497$62
New patient visit (45+ min)22$3,198$145
Critical care, first 30-74 minutes14$2,724$182
Long return visit (40+ min)15$2,395$133
New patient visit (30+ min)19$1,699$89
Test to examine how well the lungs exchange gases21$1,135$54
Test to measure expiratory airflow and volume37$972$26
Test to determine lung volumes using sensors20$960$48
Test for exercise-induced lung stress13$420$30

2020: 13 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes228$40,234$92
Sleep study in sleep lab (6 years or older)104$30,058$286
Initial hospital care with moderate level of medical decision making at least 75 minutes153$27,562$174
Sleep study in sleep lab with continuous airway pressure (6 years or older)67$26,561$369
Return visit (30+ min)154$22,059$88
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation172$14,102$82
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes57$9,106$63
Critical care, first 30-74 minutes37$8,929$194
Telephone medical discussion with physician, 11-20 minutes76$6,077$68
New patient visit (45+ min)26$3,711$143
Telephone medical discussion with physician, 21-30 minutes22$2,147$98
Short return visit (20+ min)26$1,735$60
Test for exercise-induced lung stress16$545$30

2019: 15 services

Original Medicare services billed in 2019
Sleep study in sleep lab with continuous airway pressure (6 years or older)196$75,729$352
Sleep study in sleep lab (6 years or older)295$62,650$212
Return visit (30+ min)261$48,569$92
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes201$37,659$87
Initial hospital care with moderate level of medical decision making at least 75 minutes105$18,468$162
Critical care, first 30-74 minutes43$11,570$181
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation64$4,654$73
New patient visit (45+ min)31$4,435$143
Short return visit (20+ min)45$3,222$64
New patient visit (30+ min)24$2,038$85
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$1,790$62
Long return visit (40+ min)14$1,687$121
Test for exercise-induced lung stress29$1,008$29
Test to measure expiratory airflow and volume26$824$32
Test to measure expiratory airflow and volume changes before and after medication administration14$731$52

2018: 18 services

Original Medicare services billed in 2018
Sleep study in sleep lab (6 years or older)319$79,160$247
Sleep study in sleep lab with continuous airway pressure (6 years or older)193$76,019$369
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes213$48,868$86
Return visit (30+ min)221$39,246$87
Initial hospital care with moderate level of medical decision making at least 75 minutes141$24,954$166
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes91$10,821$60
Critical care, first 30-74 minutes25$6,217$207
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation69$5,389$78
Short return visit (20+ min)75$5,163$59
New patient visit (30+ min)35$2,883$82
New patient visit (45+ min)18$2,534$141
Long return visit (40+ min)12$1,499$125
Emergent insertion of breathing tube into windpipe using an endoscope11$1,364$124
Irrigation and suction of lung airways to obtain cells using an endoscope11$1,169$106
Test to measure expiratory airflow and volume changes before and after medication administration20$973$49
Test to measure expiratory airflow and volume21$690$33
Test for exercise-induced lung stress16$505$30
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg15$1None

2017: 20 services

Original Medicare services billed in 2017
Sleep study in sleep lab with continuous airway pressure (6 years or older)144$57,763$380
Sleep study in sleep lab (6 years or older)167$50,862$303
Return visit (30+ min)206$37,048$87
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes141$28,824$88
Critical care, first 30-74 minutes48$16,182$184
Initial hospital care with moderate level of medical decision making at least 75 minutes87$15,665$168
Test to measure expiratory airflow and volume changes before and after medication administration202$11,068$52
Test to examine how well the lungs exchange gases208$10,341$49
Test to determine lung volumes using sensors208$9,831$46
New patient visit (30+ min)60$5,243$87
Short return visit (20+ min)81$5,066$56
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes46$3,705$60
Emergent insertion of breathing tube into windpipe using an endoscope13$1,427$110
Irrigation and suction of lung airways to obtain cells using an endoscope12$1,392$116
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation17$1,337$79
Insertion of non-tunneled central venous tube for infusion (5 years or older)11$1,029$94
Test to measure rate of airflow17$448$26
Inhalation treatment for airway obstruction or sputum production25$428$17
Test to measure largest amount of air breathed in an out16$376$23
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg103$11None

2016: 15 services

Original Medicare services billed in 2016
Sleep study in sleep lab with continuous airway pressure (6 years or older)90$57,670$571
Sleep study in sleep lab (6 years or older)79$43,896$549
Return visit (30+ min)121$27,158$89
Measurement of lung stretching capacity190$14,519$74
Test to measure expiratory airflow and volume changes before and after medication administration203$11,404$54
Test to examine how well the lungs exchange gases196$9,863$49
Test to determine lung volumes using sensors199$9,527$47
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes63$9,356$86
Critical care, first 30-74 minutes28$7,553$184
Short return visit (20+ min)66$5,112$59
New patient visit (30+ min)47$3,940$84
Inhalation treatment for airway obstruction or sputum production153$2,642$17
Initial hospital care with moderate level of medical decision making at least 75 minutes12$2,211$170
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,452$61
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme141$20None

2015: 13 services

Original Medicare services billed in 2015
Sleep study in sleep lab with continuous airway pressure (6 years or older)88$56,010$572
Sleep study in sleep lab (6 years or older)85$45,876$540
Return visit (30+ min)130$25,709$91
Measurement of lung stretching capacity208$15,695$73
Test to measure expiratory airflow and volume changes before and after medication administration224$12,309$52
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes79$11,574$86
Test to examine how well the lungs exchange gases215$10,865$49
Test to determine lung volumes using sensors223$10,461$46
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,382$168
Short return visit (20+ min)60$4,764$60
Critical care, first 30-74 minutes20$4,602$184
New patient visit (30+ min)43$3,733$87
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes43$3,442$59

2014: 14 services

Original Medicare services billed in 2014
Sleep study in sleep lab with continuous airway pressure (6 years or older)81$57,484$587
Sleep study in sleep lab (6 years or older)63$36,636$547
Return visit (30+ min)129$21,931$90
Measurement of lung stretching capacity193$14,649$75
Test to measure expiratory airflow and volume changes before and after medication administration196$10,370$51
Test to examine how well the lungs exchange gases191$9,500$49
Test to determine lung volumes using sensors194$8,963$45
Short return visit (20+ min)91$6,327$56
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes42$5,038$85
Critical care, first 30-74 minutes21$4,998$185
Long return visit (40+ min)18$3,827$123
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes41$3,012$60
Initial hospital care with moderate level of medical decision making at least 75 minutes17$2,882$170
New patient visit (30+ min)31$2,720$88

2013: 19 services

Original Medicare services billed in 2013
Sleep study in sleep lab with continuous airway pressure (6 years or older)70$42,699$601
Sleep study in sleep lab (6 years or older)57$32,887$577
Return visit (30+ min)181$31,178$88
Short return visit (20+ min)214$20,371$60
Initial hospital care with moderate level of medical decision making at least 75 minutes90$15,811$163
Critical care, first 30-74 minutes50$14,392$180
Measurement of lung stretching capacity171$13,744$79
Test to measure expiratory airflow and volume changes before and after medication administration177$11,452$56
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes78$11,419$84
Test to examine how well the lungs exchange gases171$9,738$56
Test to determine lung volumes using sensors171$9,219$53
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes83$6,505$58
New patient visit (45+ min)40$5,087$127
Long return visit (40+ min)32$4,511$116
New patient visit (30+ min)29$2,558$88
Emergent insertion of breathing tube into windpipe using an endoscope18$1,586$88
Exam of lung airways using an endoscope11$1,344$122
Test to measure expiratory airflow and volume27$955$32
Test to measure oxygen level in blood using ear or finger device100$303$3

Medicaid work

$44,792 in 2024

Medicaid paid $44,792 for 159 billed services this clinician did in 2024, up to 39 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
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist65$32,786
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist12$8,315
Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time12$1,864
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES70$1,826
Medicaid work by year
2024159439$44,792
2023125216$78,279
2022182450$22,919
2021340733$69,931
2020476636$61,422
2019534441$87,555
2018614729$50,005
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist84$50,967
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist41$27,313

2022

Largest Medicaid services in 2022
Return visit (30+ min)63$7,962
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist12$7,169
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES94$5,743
New patient visit (45+ min)13$2,044

2021

Largest Medicaid services in 2021
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist53$30,426
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist27$17,614
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES122$6,737
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES74$5,917
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes32$5,634
Return visit (30+ min)19$2,433
Short return visit (20+ min)13$1,171

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES187$16,989
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist26$15,270
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES172$11,307
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist12$7,592
1ST HOSP IP/OBS HIGH 7532$5,711
Return visit (30+ min)47$4,553

2019

Largest Medicaid services in 2019
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist54$29,002
Return visit (30+ min)233$23,272
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist43$17,948
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES204$17,334

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES197$12,818
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist42$12,629
Return visit (30+ min)168$6,217
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist24$5,664
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES135$4,836
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes20$4,083
1ST HOSP IP/OBS HIGH 7528$3,758

Drugs they prescribed that Part D paid

$524,924

Pharmacies billed $524,924 in 2024.

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

344 generic and 428 brand-name prescriptions · $524,924 in drug cost · 25 antibiotic prescriptions to 15 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
Xywav16$109,724$6,858
Trelegy Ellipta84$85,540$1,018
Ambrisentan11$73,300$6,664
Breo Ellipta105$53,296$508
Breztri Aerosphere28$17,582$628
See all 22 drugs
Every Part D drug this clinician prescribed
Xywav16$109,724$6,858
Trelegy Ellipta84$85,540$1,018
Ambrisentan11$73,300$6,664
Breo Ellipta105$53,296$508
Breztri Aerosphere28$17,582$628
Sunosi12$16,844$1,404
Spiriva Respimat24$15,187$633
Stiolto Respimat18$12,254$681
Combivent Respimat13$6,212$478
Symbicort19$4,828$254
Advair Diskus13$2,568$198
Albuterol Sulfate Hfa74$2,332$32
Breyna12$1,694$141
Modafinil20$1,456$73
Eszopiclone21$752$36
Ipratropium29$604$21
Montelukast34$523$15
Omeprazole19$296$16
Azithromycin13$106$8
Trazodone12$75$6
Prednisone21$61$3
Temazepam11$36$3

Year by year

Part D prescribing by year
2024772184None55%$524,924
20236251350% (0)66%$521,491
2022724173None58%$608,582
20218821640% (0)56%$449,430
2020843153None54%$273,835
2019908169None61%$324,868
20181,097188None57%$375,242
2017799141None46%$315,432
201662594None51%$296,377
2015655970% (0)66%$432,372
20147871460% (0)58%$392,724
20131,278163None63%$552,530

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

See the drugs prescribed each year

2023: 17 drugs

Part D drugs prescribed in 2023
Ofev12$144,567$12,047
Trelegy Ellipta115$104,511$909
Xywav14$88,976$6,355
Breo Ellipta105$58,237$555
Ambrisentan12$33,995$2,833
Stiolto Respimat18$14,313$795
Modafinil17$7,841$461
Anoro Ellipta11$7,763$706
Combivent Respimat13$6,674$513
Fluticasone-Vilanterol12$4,345$362
Albuterol Sulfate Hfa47$2,851$61
Ventolin Hfa29$2,567$89
Wixela Inhub11$1,657$151
Eszopiclone11$514$47
Montelukast20$507$25
Ropinirole13$322$25
Prednisone19$106$6

2022: 18 drugs

Part D drugs prescribed in 2022
Ofev20$252,745$12,637
Trelegy Ellipta128$100,843$788
Xywav14$84,696$6,050
Breo Ellipta76$43,472$572
Stiolto Respimat35$20,907$597
Xarelto13$14,276$1,098
Symbicort13$9,406$724
Albuterol Sulfate Hfa65$3,347$51
Wixela Inhub12$1,863$155
Modafinil14$1,494$107
Eszopiclone28$864$31
Ropinirole41$681$17
Cefepime11$489$44
Montelukast22$412$19
Trazodone18$212$12
Prednisone19$175$9
Fluticasone Propionate12$150$12
Zolpidem14$145$10

2021: 22 drugs

Part D drugs prescribed in 2021
Trelegy Ellipta78$60,375$774
Breo Ellipta114$56,798$498
Stiolto Respimat31$19,737$637
Spiriva Respimat26$17,503$673
Symbicort25$17,376$695
Anoro Ellipta17$15,727$925
Xarelto11$8,603$782
Horizant11$5,169$470
Albuterol Sulfate Hfa82$4,828$59
Modafinil13$2,740$211
Ventolin Hfa24$2,638$110
Eszopiclone25$1,209$48
Ropinirole61$804$13
Levalbuterol Tartrate Hfa13$706$54
Omeprazole20$603$30
Trazodone39$500$13
Levetiracetam-Nacl11$415$38
Montelukast21$338$16
Fluticasone Propionate15$224$15
Zolpidem25$221$9
Pantoprazole11$207$19
Prednisone25$173$7

2020: 22 drugs

Part D drugs prescribed in 2020
Trelegy Ellipta78$51,001$654
Breo Ellipta68$36,960$544
Stiolto Respimat43$23,115$538
Symbicort35$22,003$629
Anoro Ellipta16$11,966$748
Spiriva Respimat16$8,527$533
Horizant11$5,033$458
Ventolin Hfa37$3,304$89
Albuterol Sulfate Hfa54$3,164$59
Proair Hfa17$2,291$135
Modafinil18$1,571$87
Eszopiclone22$828$38
Ropinirole38$599$16
Montelukast24$373$16
Fluticasone Propionate18$292$16
Cefepime11$225$20
Trazodone20$201$10
Atorvastatin13$188$14
Zolpidem23$126$5
Clonazepam14$88$6
Prednisone21$86$4
Levofloxacin12$55$5

2019: 24 drugs

Part D drugs prescribed in 2019
Trelegy Ellipta87$47,921$551
Breo Ellipta64$31,388$490
Spiriva Respimat55$30,338$552
Anoro Ellipta46$22,177$482
Stiolto Respimat42$20,990$500
Symbicort32$18,109$566
Spiriva14$14,518$1,037
Advair Diskus17$9,011$530
Modafinil24$5,717$238
Horizant12$5,106$425
Ventolin Hfa56$3,773$67
Proair Hfa28$2,985$107
Dymista12$2,907$242
Albuterol Sulfate Hfa48$2,379$50
Ropinirole34$658$19
Eszopiclone18$657$37
Montelukast31$440$14
Trazodone43$385$9
Prednisone46$318$7
Omeprazole11$282$26
Clonazepam22$171$8
Zolpidem20$127$6
Azithromycin11$90$8
Temazepam17$81$5

2018: 29 drugs

Part D drugs prescribed in 2018
Breo Ellipta129$49,062$380
Spiriva Respimat67$30,054$449
Advair Diskus50$24,989$500
Symbicort25$18,016$721
Stiolto Respimat37$17,573$475
Spiriva26$15,545$598
Anoro Ellipta33$14,089$427
Incruse Ellipta12$5,253$438
Horizant11$4,611$419
Ventolin Hfa71$4,332$61
Combivent Respimat11$4,147$377
Daliresp11$3,814$347
Methylphenidate Er12$2,918$243
Proair Hfa32$2,497$78
Ethambutol21$1,623$77
Xopenex Hfa22$1,543$70
Azelastine14$1,400$100
Rifampin21$1,260$60
Temazepam19$993$52
Ropinirole53$912$17
Eszopiclone25$817$33
Azithromycin41$675$16
Trazodone50$612$12
Prednisone53$536$10
Omeprazole21$418$20
Montelukast21$319$15
Digoxin11$269$24
Zolpidem14$139$10
Clonazepam19$136$7

2017: 21 drugs

Part D drugs prescribed in 2017
Letairis13$125,445$9,650
Adcirca18$67,031$3,724
Breo Ellipta72$26,206$364
Spiriva45$20,039$445
Symbicort27$9,540$353
Advair Diskus24$9,060$377
Tudorza Pressair13$4,394$338
Anoro Ellipta12$4,327$361
Dulera12$3,485$290
Methylphenidate Er11$2,771$252
Ventolin Hfa30$1,811$60
Eszopiclone39$1,446$37
Ropinirole86$1,125$13
Rifampin15$984$66
Azelastine11$975$89
Azithromycin52$695$13
Trazodone57$489$9
Prednisone58$361$6
Montelukast12$250$21
Clonazepam26$141$5
Zolpidem16$116$7

2016: 19 drugs

Part D drugs prescribed in 2016
Letairis12$105,356$8,780
Adcirca25$94,134$3,765
Spiriva49$17,479$357
Breo Ellipta49$16,662$340
Advair Diskus29$12,554$433
Symbicort16$6,356$397
Anoro Ellipta16$5,068$317
Tudorza Pressair15$3,984$266
Eszopiclone42$2,637$63
Azelastine13$1,625$125
Proair Hfa23$1,408$61
Ventolin Hfa21$1,391$66
Ropinirole64$1,227$19
Azithromycin19$459$24
Omeprazole21$345$16
Prednisone28$239$9
Trazodone18$227$13
Zolpidem22$211$10
Clonazepam30$167$6

2015: 18 drugs

Part D drugs prescribed in 2015
Adcirca69$180,236$2,612
Letairis20$152,521$7,626
Spiriva91$31,342$344
Advair Diskus40$13,843$346
Symbicort24$8,606$359
Tudorza Pressair23$6,600$287
Anoro Ellipta16$4,807$300
Nasonex21$4,376$208
Eszopiclone32$2,336$73
Proair Hfa46$2,272$49
Methylphenidate Er11$1,839$167
Azelastine15$944$63
Ropinirole45$826$18
Omeprazole27$548$20
Zolpidem25$179$7
Azithromycin12$163$14
Clonazepam13$83$6
Prednisone14$67$5

2014: 18 drugs

Part D drugs prescribed in 2014
Letairis20$144,079$7,204
Adcirca60$124,522$2,075
Spiriva128$44,585$348
Advair Diskus60$26,656$444
Symbicort29$8,019$277
Tudorza Pressair27$7,172$266
Eszopiclone23$5,263$229
Nasonex17$2,797$165
Proair Hfa22$1,079$49
Ropinirole45$914$20
Omeprazole34$715$21
Ventolin Hfa14$703$50
Fluticasone Propionate18$328$18
Azithromycin21$315$15
Zolpidem28$286$10
Prednisone36$279$8
Clonazepam41$197$5
Temazepam17$120$7

2013: 27 drugs

Part D drugs prescribed in 2013
Letairis33$222,159$6,732
Adcirca78$132,577$1,700
Spiriva221$69,930$316
Advair Diskus155$54,732$353
Symbicort50$14,040$281
Tudorza Pressair29$6,560$226
Dulera16$5,487$343
Nasonex32$4,474$140
Proair Hfa43$2,570$60
Omeprazole95$2,541$27
Methylphenidate Er12$2,203$184
Foradil11$2,193$199
Albuterol Sulfate12$1,701$142
Azelastine16$1,687$105
Temazepam21$1,399$67
Xopenex Hfa21$1,307$62
Montelukast20$1,023$51
Ventolin Hfa22$876$40
Azithromycin42$816$19
Ropinirole38$750$20
Fluticasone Propionate14$528$38
Prednisone72$338$5
Clonazepam54$312$6
Pantoprazole14$291$21
Azathioprine11$226$21
Furosemide19$208$11
Zolpidem25$162$6

Money from drug and device companies

$639 in 2025

Industry payments by year
2025721None$639
202456None$157
202346None$463
202288None$206
202146None$214
202034None$96
2019710None$426

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
GlaxoSmithKlineNucala$255
8 payments
  • Meals for Nucala · 2025-11-06 · $21
  • Meals for Nucala · 2025-07-15 · $125
  • Meals for Trelegy Ellipta · 2025-06-17 · $19
  • Meals for Nucala · 2025-05-29 · $3
  • Meals for Nucala · 2025-05-28 · $32
  • Meals for Trelegy Ellipta · 2025-02-07 · $27
  • Meals for Nucala · 2025-02-04 · $3
  • Meals for Nucala · 2025-02-03 · $27
Jazz PharmaceuticalsXywav$126
2 payments
  • Education for Xywav · 2025-11-12 · $90
  • Meals for Xywav · 2025-11-12 · $36
InsmedArikayce$105
5 payments
  • Meals for Arikayce · 2025-12-18 · $20
  • Meals for Arikayce · 2025-09-02 · $27
  • Meals for Arikayce · 2025-05-08 · $23
  • Meals for Arikayce · 2025-04-02 · $18
  • Meals for Arikayce · 2025-02-24 · $16
Lilly USAZepbound$49
2 payments
  • Meals for Zepbound · 2025-10-03 · $17
  • Meals for Zepbound · 2025-05-20 · $33
Avadel CNS PharmaceuticalsLumryz$40
1 payment
  • Meals for Lumryz · 2025-07-31 · $40
Axsome TherapeuticsSunosi$39
2 payments
  • Meals for Sunosi · 2025-12-03 · $21
  • Meals for Sunosi · 2025-02-11 · $18
See all 21 published payments
Every published payment
InsmedMeals · 2025-12-18Arikayce$20
Axsome TherapeuticsMeals · 2025-12-03Sunosi$21
Jazz PharmaceuticalsEducation · 2025-11-12Xywav$90
Jazz PharmaceuticalsMeals · 2025-11-12Xywav$36
GlaxoSmithKlineMeals · 2025-11-06Nucala$21
Lilly USAMeals · 2025-10-03Zepbound$17
InsmedMeals · 2025-09-02Arikayce$27
Avadel CNS PharmaceuticalsMeals · 2025-07-31Lumryz$40
GlaxoSmithKlineMeals · 2025-07-15Nucala$125
GlaxoSmithKlineMeals · 2025-06-17Trelegy Ellipta$19
GlaxoSmithKlineMeals · 2025-05-29Nucala$3
GlaxoSmithKlineMeals · 2025-05-28Nucala$32
Lilly USAMeals · 2025-05-20Zepbound$33
InsmedMeals · 2025-05-08Arikayce$23
InsmedMeals · 2025-04-02Arikayce$18
Baxter HealthcareMeals · 2025-03-07None$25
InsmedMeals · 2025-02-24Arikayce$16
Axsome TherapeuticsMeals · 2025-02-11Sunosi$18
GlaxoSmithKlineMeals · 2025-02-07Trelegy Ellipta$27
GlaxoSmithKlineMeals · 2025-02-04Nucala$3
GlaxoSmithKlineMeals · 2025-02-03Nucala$27
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $157

Payments by company in 2024
GlaxoSmithKlineNucala$54
2 payments
  • Meals for Nucala · 2024-12-03 · $27
  • Meals for Nucala · 2024-06-17 · $28
Takeda Pharmaceuticals U.S.A.Glassia$31
1 payment
  • Meals for Glassia · 2024-12-12 · $31
Inspire Medical SystemsInspire$30
1 payment
  • Meals for Inspire · 2024-04-01 · $30
Actelion Pharmaceuticals USUptravi$26
1 payment
  • Meals for Uptravi · 2024-05-03 · $26
InsmedArikayce$16
1 payment
  • Meals for Arikayce · 2024-11-07 · $16

2023: $463

Payments by company in 2023
Intuitive SurgicalDa Vinci Surgical System$356
3 payments
  • Gift for Da Vinci Surgical System · 2023-10-11 · $203
  • Meals for Da Vinci Surgical System · 2023-10-10 · $118
  • Meals for Da Vinci Surgical System · 2023-05-30 · $36
Harmony BiosciencesWakix$60
1 payment
  • Education for Wakix · 2023-11-28 · $60
AstraZeneca Pharmaceuticals LPFasenra$24
1 payment
  • Meals for Fasenra · 2023-11-30 · $24
Philips Electronics North America(8874) Incourage$23
1 payment
  • Meals for (8874) Incourage · 2023-05-17 · $23

2022: $206

Payments by company in 2022
Harmony BiosciencesWakix$46
1 payment
  • Meals for Wakix · 2022-02-23 · $46
Jazz PharmaceuticalsXyrem$32
1 payment
  • Education for Xyrem · 2022-03-10 · $32
GlaxoSmithKlineNucala$26
1 payment
  • Meals for Nucala · 2022-06-15 · $26
AstraZeneca Pharmaceuticals LPTezspire$23
1 payment
  • Meals for Tezspire · 2022-09-29 · $23
Takeda Pharmaceuticals U.S.A.Glassia$22
1 payment
  • Meals for Glassia · 2022-06-08 · $22
Philips Electronics North America(7999) Src Und$21
1 payment
  • Meals for (7999) Src Und · 2022-05-25 · $21
LivaNova USALifesparc$20
1 payment
  • Meals for Lifesparc · 2022-05-02 · $20
Tactile Systems TechnologyFlexitouch Plus$16
1 payment
  • Meals for Flexitouch Plus · 2022-05-19 · $16

2021: $214

Payments by company in 2021
AstraZeneca Pharmaceuticals LPFarxiga$130
2 payments
  • Meals for Breztri · 2021-08-19 · $6
  • Meals for Farxiga · 2021-04-22 · $125
InsmedArikayce$44
2 payments
  • Education for Arikayce · 2021-08-02 · $32
  • Education for Arikayce · 2021-08-02 · $12
United TherapeuticsTyvaso$24
1 payment
  • Education for Tyvaso · 2021-07-15 · $24
Actelion Pharmaceuticals USUptravi$15
1 payment
  • Meals for Uptravi · 2021-07-26 · $15

2020: $96

Payments by company in 2020
Harmony BiosciencesWakix$58
2 payments
  • Meals for Wakix · 2020-10-21 · $45
  • Meals for Wakix · 2020-10-20 · $13
Actelion Pharmaceuticals USOpsumit$26
1 payment
  • Meals for Opsumit · 2020-03-02 · $26
GlaxoSmithKlineAnoro Ellipta$12
1 payment
  • Meals for Anoro Ellipta · 2020-08-20 · $12

2019: $426

Payments by company in 2019
Inspire Medical SystemsInspire Upper Airway Stimulation System$130
1 payment
  • Meals for Inspire Upper Airway Stimulation System · 2019-05-20 · $130
Actelion Pharmaceuticals USUptravi$124
1 payment
  • Meals for Uptravi · 2019-11-20 · $124
Jazz PharmaceuticalsXyrem$78
1 payment
  • Meals for Xyrem · 2019-04-19 · $78
Medical GraphicsNone$57
1 payment
  • Gift · 2019-05-30 · $57
PfizerEliquis$14
1 payment
  • Meals for Eliquis · 2019-12-06 · $14
Arbor PharmaceuticalsHorizant$11
1 payment
  • Meals for Horizant · 2019-06-13 · $11
Gilead SciencesNone$11
1 payment
  • Meals · 2019-03-26 · $11

Research money

Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.

Research payments by company and study
Genentech, Inc. · Roche Cancer Screening Collection Study · 2024Their institution$71,462
Genentech, Inc. · Roche Cancer Screening Collection Study · 2025Their institution$23,522

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
100.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1447281704
Licence
CA A61991California A61991: Current · expires 2027-04-30
Group
West Coast Critical Care Specialists, Inc. · Gila River Health Care Corporation
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A619910
Taxonomy
Federal specialty code 207RC0200X (207RC0200X); Federal specialty code 207RP1001X (207RP1001X); Federal specialty code 207RS0012X (207RS0012X)
Mailing address
1910 Outlet Center Dr, Oxnard, CA, 93036
NPI first listed
2006-07-05
NPI last updated
2020-11-24
NPI record certified
2020-11-24

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