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Theodore Pravinchandra Abraham, MD

Cardiovascular Disease (Cardiology) · San Francisco

NPI 1467427096

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
12
2 carriers
Offices
2

Offices

2 locations · University of California San Francisco · Regents of the University of California

Looking this up.

Hospitals listed: UCSF Medical Center. That is not proof they admit you there this week.

Plans that list them

12 plans · 2 carriers

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

12 of 12 plans

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 Harmony (HMO)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
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

California Medical Board record

Licence C147652 · Current

Licensed to practise in California · since 2017 · expires 2028-05-31 · Goa University, Goa Medical College.

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

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from 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
See every measure and the patient survey for UCSF Medical Center

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 3 better, 5 the same, 3 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 UCSF Medical Center
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.9 (3.79 to 6.02) · 7,590 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.8 (11.3 to 14.4) · 2,019 casesWorseJan 2024 – Dec 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths139.4 (110.22 to 168.58) · 452 casesBetterJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.622BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.626BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.491BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.7 to 1) · 2,336 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.24 (0.58 to 1.9) · 4,689 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.89 to 1.2)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.9 · 89 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.5 · 85 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.1 · 132 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.6 · 454 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 618 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 380 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.7 · 5,000 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.22 (0.06 to 0.38) · 15,965 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.05 to 0.35) · 17,859 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.85 (0 to 1.83) · 4,184 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2 (1.1 to 2.9) · 6,516 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.35 (4.49 to 10.21) · 3,989 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5 (3.22 to 6.77) · 4,087 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.95 (0.74 to 3.15) · 2,034 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.95 (0.63 to 1.28) · 15,431 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 399 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.899No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.689No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.224No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16 · 156 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20 · 564 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits60.3 · 160 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-9.7 · 550 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits44.1 · 660 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 667 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (4.8 to 6.7) · 2,019 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6 · 421 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.5 · 53 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 107 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.9 (11.3 to 17.1) · 3,247 casesNo differentJan 2022 – Dec 2024

What patients said (3,181 patients answered, 25% of those asked)

Patient survey stars by topic at UCSF Medical Center
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at UCSF Medical Center
Room was "always" clean71%
Nurses "always" communicated well80%
Doctors "always" communicated well80%
Staff "always" explained61%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge87%
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)76%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital81%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$54,717

Medicare paid this office $54,717 for 515 people.

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

Largest Original Medicare bills
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function281$16,408$58
Long return visit (40+ min)61$14,307$122
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function45$5,801$123
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report50$3,718$71
New patient visit (60+ min)16$2,223$139
See all 15 services
Every Original Medicare service billed
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function281$16,408$58
Long return visit (40+ min)61$14,307$122
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function45$5,801$123
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report50$3,718$71
New patient visit (60+ min)16$2,223$139
Ultrasound of heart with probe in esophagus, with report22$2,026$92
Ultrasound of heart, follow-up60$1,620$22
Heart muscle strain imaging107$1,082$10
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician33$621$19
Ultrasound of heart blood flow, valves and chambers, follow-up79$609$6
Ultrasound of heart blood flow, valves and chambers22$346$16
Ultrasound of heart with color-depicted blood flow, rate and valve function101$326$3
Heart muscle strain imaging12$320$27
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's20$311$15
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician20$247$12

Who their Medicare patients are

515 Original Medicare patients in 2024. Average age 74 · Under 65 11% · 85 and older 13% · Women 47% · Also on Medicaid 36% · Health risk score 2.33. Above the middle of the specialty; the typical cardiology clinician is at 1.71.

Conditions among them: High blood pressure 75% · Coronary heart disease 48% · Heart failure 46% · Atrial fibrillation 42% · Diabetes 41% · Chronic kidney disease 40% · Depression 27% · Cancer 20% · COPD 19% · Stroke 17% · Dementia 10%.

The office billed $877,620, Medicare allowed $71,391 and paid $54,717; for 1,128 services of 24 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
20245151,128742.33$877,620$54,717
2023410828741.99$707,157$41,801
2022498865732.06$774,747$44,750
2021549866732.08$777,250$52,343
2020393656722.33$525,396$35,966
20197351,019722.19$733,317$52,896
2018622935722.40$545,403$44,688
20178931,494692.86$349,183$41,862
20161,3892,556692.53$310,164$46,939
20151,0571,720692.57$215,292$35,482
20141,2051,980682.48$209,627$34,173
20138671,490692.56$187,494$28,946

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: 14 services

Original Medicare services billed in 2023
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function222$12,682$56
Long return visit (40+ min)57$10,326$120
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function36$4,032$112
Ultrasound of heart with probe in esophagus, with report31$2,857$92
New patient visit (60+ min)17$2,595$153
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report26$1,926$74
Ultrasound of heart, follow-up32$936$22
Heart muscle strain imaging71$721$10
Ultrasound of heart during rest, exercise and/or drug-induced stress with report14$699$50
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician29$573$19
Ultrasound of heart blood flow, valves and chambers31$494$16
Ultrasound of heart blood flow, valves and chambers, follow-up43$348$6
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician23$300$13
Ultrasound of heart with color-depicted blood flow, rate and valve function75$241$3

2022: 15 services

Original Medicare services billed in 2022
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function307$18,496$59
Long return visit (40+ min)36$7,694$124
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report39$2,863$72
Ultrasound of heart with probe in esophagus, with report30$2,787$90
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function39$2,283$59
New patient visit (60+ min)11$1,782$162
Hospital discharge day management, 30 minutes or less14$906$65
Ultrasound of heart during rest, exercise and/or drug-induced stress with report15$748$50
Ultrasound of heart, follow-up30$739$22
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician38$732$19
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician37$479$13
Ultrasound of heart blood flow, valves and chambers30$472$15
Heart muscle strain imaging35$370$11
Ultrasound of heart blood flow, valves and chambers, follow-up36$248$6
Ultrasound of heart with color-depicted blood flow, rate and valve function66$192$3

2021: 15 services

Original Medicare services billed in 2021
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function360$22,157$60
Long return visit (40+ min)36$8,613$130
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes17$3,324$92
New patient visit (60+ min)18$2,994$166
Ultrasound of heart with probe in esophagus, with report30$2,737$91
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report32$2,247$70
Ultrasound of heart during rest, exercise and/or drug-induced stress with report35$2,057$59
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function32$1,936$60
Ultrasound of heart, follow-up26$594$22
Ultrasound of heart blood flow, valves and chambers30$459$15
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician20$394$20
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician20$264$13
Ultrasound of heart blood flow, valves and chambers, follow-up26$176$6
Heart muscle strain imaging16$173$11
Ultrasound of heart with color-depicted blood flow, rate and valve function56$157$3

2020: 12 services

Original Medicare services billed in 2020
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function235$15,561$64
Ultrasound of heart with probe in esophagus, with report32$3,132$98
Long return visit (40+ min)17$2,330$101
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report25$1,809$72
Ultrasound of heart during rest, exercise and/or drug-induced stress with report22$1,275$58
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function17$1,006$59
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician36$768$20
Ultrasound of heart, follow-up25$589$23
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician39$556$14
Ultrasound of heart blood flow, valves and chambers31$521$17
Ultrasound of heart with color-depicted blood flow, rate and valve function54$161$3
Ultrasound of heart blood flow, valves and chambers, follow-up24$160$6

2019: 12 services

Original Medicare services billed in 2019
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function502$31,964$62
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function53$3,314$61
Ultrasound of heart with probe in esophagus, with report23$2,349$98
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report30$2,096$70
Ultrasound of heart during rest, exercise and/or drug-induced stress with report32$1,739$54
Ultrasound of heart, follow-up46$1,061$23
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician51$960$19
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician51$654$13
Ultrasound of heart blood flow, valves and chambers23$396$17
Ultrasound of heart blood flow, valves and chambers, follow-up46$301$7
Ultrasound of heart with color-depicted blood flow, rate and valve function69$202$3
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only13$105$8

2018: 14 services

Original Medicare services billed in 2018
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function353$22,059$60
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$3,505$90
Initial hospital care with moderate level of medical decision making at least 75 minutes17$2,969$175
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function39$2,498$62
Ultrasound of heart during rest, exercise and/or drug-induced stress with report34$2,006$59
Ultrasound of heart with probe in esophagus, with report19$1,693$89
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician54$898$16
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only93$707$7
Ultrasound of heart, follow-up27$648$21
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician54$640$12
Ultrasound of heart blood flow, valves and chambers19$304$16
Ultrasound of heart blood flow, valves and chambers, follow-up27$184$6
Ultrasound of heart with color-depicted blood flow, rate and valve function45$128$3
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only15$109$7

2017: 13 services

Original Medicare services billed in 2017
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function299$15,826$53
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only448$4,949$7
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes17$4,384$93
Long return visit (40+ min)30$2,799$82
Ultrasound of heart during rest, exercise and/or drug-induced stress with report38$2,196$56
Initial hospital care with moderate level of medical decision making at least 75 minutes11$1,990$181
Ultrasound of heart with probe in esophagus, with report19$1,702$90
Ultrasound of heart, follow-up45$1,069$21
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician36$465$13
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician19$365$19
Ultrasound of heart blood flow, valves and chambers, follow-up56$362$6
Ultrasound of heart blood flow, valves and chambers15$239$16
Ultrasound of heart with color-depicted blood flow, rate and valve function67$183$3

2016: 10 services

Original Medicare services billed in 2016
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function367$19,298$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only924$11,773$7
Long return visit (40+ min)44$5,088$89
New patient visit (60+ min)20$2,754$138
Ultrasound of heart with probe in esophagus, with report22$2,219$101
Ultrasound of heart during rest, exercise and/or drug-induced stress with report40$2,211$54
Ultrasound of heart, follow-up69$1,685$21
Ultrasound of heart blood flow, valves and chambers, follow-up78$549$6
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician37$433$11
Ultrasound of heart with color-depicted blood flow, rate and valve function82$245$3

2015: 10 services

Original Medicare services billed in 2015
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function280$15,040$52
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only691$7,316$7
Long return visit (40+ min)33$4,114$91
Ultrasound of heart during rest, exercise and/or drug-induced stress with report39$2,092$54
Ultrasound of heart with probe in esophagus, with report18$1,817$101
New patient visit (60+ min)12$1,573$131
Ultrasound of heart, follow-up63$1,451$21
Ultrasound of heart blood flow, valves and chambers, follow-up69$442$6
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician35$397$11
Ultrasound of heart with color-depicted blood flow, rate and valve function72$207$3

2014: 9 services

Original Medicare services billed in 2014
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function213$11,195$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only895$8,938$7
Ultrasound of heart during rest, exercise and/or drug-induced stress with report72$4,242$57
Long return visit (40+ min)25$2,612$90
Ultrasound of heart, follow-up70$1,569$21
Ultrasound of heart with probe in esophagus, with report17$1,478$87
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician69$822$12
Ultrasound of heart blood flow, valves and chambers, follow-up87$577$6
Ultrasound of heart with color-depicted blood flow, rate and valve function84$261$3

2013: 11 services

Original Medicare services billed in 2013
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function205$10,187$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only538$5,375$7
Ultrasound of heart during rest, exercise and/or drug-induced stress with report62$3,648$55
Long return visit (40+ min)20$1,874$89
Ultrasound of heart, follow-up74$1,640$20
Ultrasound of heart with probe in esophagus, with report17$1,431$84
New patient visit (60+ min)11$1,407$128
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician66$793$11
Return visit (30+ min)12$768$64
Ultrasound of heart blood flow, valves and chambers, follow-up79$522$6
Ultrasound of heart with color-depicted blood flow, rate and valve function83$285$3

Medicaid work

$22,820 in 2024

Medicaid paid $22,820 for 234 billed services this clinician did in 2024, up to 34 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
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography179$21,078
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)43$1,092
Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)12$651
Medicaid work by year
2024234334$22,820
2023133132$11,811
2022183132$13,714
2021177124$15,910
202098116$10,343
2019245128$20,063
2018217250$11,283
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography133$11,811

2022

Largest Medicaid services in 2022
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography183$13,714

2021

Largest Medicaid services in 2021
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography177$15,910

2020

Largest Medicaid services in 2020
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography98$10,343

2019

Largest Medicaid services in 2019
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography245$20,063

2018

Largest Medicaid services in 2018
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography162$10,821
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only55$462

Drugs they prescribed that Part D paid

$1,583,562

Pharmacies billed $1,583,562 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 497) in 2024. At or below the middle of the specialty; the typical cardiology clinician is at 0%.

250 generic and 247 brand-name prescriptions · $1,583,562 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.

Largest Part D drug costs
Camzyos184$1,517,450$8,247
Eliquis44$43,365$986
Jardiance16$13,232$827
Metoprolol56$1,097$20
Candesartan Cilexetil35$1,084$31
See all 10 drugs
Every Part D drug this clinician prescribed
Camzyos184$1,517,450$8,247
Eliquis44$43,365$986
Jardiance16$13,232$827
Metoprolol56$1,097$20
Candesartan Cilexetil35$1,084$31
Spironolactone36$446$12
Carvedilol18$343$19
Atorvastatin12$178$15
Losartan12$103$9
Furosemide15$53$4

Year by year

Part D prescribing by year
2024497690% (0)50%$1,583,562
202372230% (0)38%$153,528
202255190% (0)None$9,906
202185240% (0)None$5,308
202085250% (0)16%$10,667
201952170% (0)None$3,980
20189332None17%$4,685
2017109290% (0)17%$10,778
2016106280% (0)27%$12,743
201559240% (0)19%$9,537
201456110% (0)52%$8,966
201315None0% (0)None$378

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
Camzyos16$145,119$9,070
Candesartan Cilexetil11$339$31
Furosemide13$79$6

2022: 1 drug

Part D drugs prescribed in 2022
Candesartan Cilexetil12$1,485$124

2021: 3 drugs

Part D drugs prescribed in 2021
Metoprolol22$308$14
Atorvastatin12$121$10
Spironolactone11$78$7

2020: 1 drug

Part D drugs prescribed in 2020
Metoprolol23$431$19

2019: 1 drug

Part D drugs prescribed in 2019
Metoprolol13$467$36

2017: 3 drugs

Part D drugs prescribed in 2017
Metoprolol26$1,054$41
Valsartan11$124$11
Lisinopril11$20$2

2016: 4 drugs

Part D drugs prescribed in 2016
Eliquis14$6,242$446
Metoprolol25$702$28
Carvedilol11$77$7
Clonidine16$75$5

2015: 1 drug

Part D drugs prescribed in 2015
Metoprolol16$914$57

2014: 2 drugs

Part D drugs prescribed in 2014
Metoprolol20$881$44
Clonidine11$88$8

Money from drug and device companies

$466 in 2025

Industry payments by year
202515None$466
202411None$115
202312None$9,611

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
E.R. Squibb & Sons L.L.C.None$466
5 payments
  • Meals · 2025-02-27 · $29
  • Meals · 2025-02-27 · $53
  • Travel · 2025-02-27 · $221
  • Meals · 2025-02-27 · $115
  • Meals · 2025-02-27 · $48
See all 5 published payments
Every published payment
E.R. Squibb & Sons L.L.C.Meals · 2025-02-27None$29
E.R. Squibb & Sons L.L.C.Meals · 2025-02-27None$53
E.R. Squibb & Sons L.L.C.Travel · 2025-02-27None$221
E.R. Squibb & Sons L.L.C.Meals · 2025-02-27None$115
E.R. Squibb & Sons L.L.C.Meals · 2025-02-27None$48
See earlier years (2024, 2023)

2024: $115

Payments by company in 2024
E.R. Squibb & Sons L.L.C.None$115
1 payment
  • Meals · 2024-04-06 · $115

2023: $9,611

Payments by company in 2023
E.R. Squibb & Sons L.L.C.Camzyos$9,611
2 payments
  • Education for Camzyos · 2023-04-10 · $1,074
  • Education for Camzyos · 2023-02-10 · $8,537

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
E.R. Squibb & Sons, L.L.C. · Phase Iia Ohcm Pom (Part A) - A Phase 2a, Open-Label, Pilot Study To Evaluate Efficacy, Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of Myk-224 in Participants With Symptomatic Hypertrophic Cardiomyopathy and Left Ventricular Outflow Tract · 2023Their institution$253,464
E.R. Squibb & Sons, L.L.C. · A Long-Term Safety Extension Study of Mavacamten in Adults Who Have Completed Maverick-Hcm Or Explorer-Hcm · 2021Their institution$250,653
E.R. Squibb & Sons, L.L.C. · Phaseii Aohcm Pom(Part A) - A Phase 2a, Open-Label, Pilot Study To Evaluate Efficacy, Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of Myk-224 in Participants With Symptomatic Hypertrophic Cardiomyopathy and Left Ventricular Outflow Tract O · 2024Their institution$249,664
E.R. Squibb & Sons, L.L.C. · A Long-Term Safety Extension Study of Mavacamten in Adults Who Have Completed Maverick-Hcm Or Explorer-Hcm · 2022Their institution$154,516
E.R. Squibb & Sons, L.L.C. · A Long-Term Safety Extension Study of Mavacamten (Myk-461) in Adults With Hypertrophic Cardiomyopathy Who Have Completed the Maverick-Hcm (Myk-461-006) Or Explorer-Hcm (Myk-461-005) Trails (Mava-Lte) · 2024Their institution$129,916
E.R. Squibb & Sons, L.L.C. · A Phase 2a, Open-Label, Pilot Study To Evaluate Efficacy, Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of Myk-224 in Participants With Symptomatic Hypertrophic Cardiomyopathy and Left Ventricular Outflow Tract Obstruction (Mercutio) · 2025Their institution$111,703
E.R. Squibb & Sons, L.L.C. · A Long-Term Safety Extension Study of Mavacamten (Myk-461) in Adults With Hypertrophic Cardiomyopathy Who Have Completed the Maverick-Hcm (Myk-461-006) Or Explorer-Hcm (Myk-461-005) Trails (Mava-Lte) · 2025Their institution$107,633
E.R. Squibb & Sons, L.L.C. · A Long-Term Safety Extension Study of Mavacamten (Myk-461) in Adults With Hypertrophic Cardiomyopathy Who Have Completed the Maverick-Hcm (Myk-461-006) Or Explorer-Hcm (Myk-461-005) Trails (Mava-Lte) · 2023Their institution$94,475
E.R. Squibb & Sons, L.L.C. · A Randomized, Double-Blind, Placebo-Controlled Clinical Study To Evaluate Mavacamten in Adults With Symptomatic Non-Obstructive Hypertrophic Cardiomyopathy · 2024Their institution$68,659
E.R. Squibb & Sons, L.L.C. · A Randomized, Double-Blind, Placebo-Controlled Clinical Study To Evaluate Mavacamten in Adults With Symptomatic Non-Obstructive Hypertrophic Cardiomyopathy · 2025Their institution$40,955
Philips Electronics North America Corporation · Ecs Study · 2022Their institution$29,552
E.R. Squibb & Sons, L.L.C. · A Prospective Registry Study To Assess Real-World Patient Characteristics, Treatment Patterns, and Longitudinal Outcomes in Patients Receiving Mavacamten and Other Treatments for Symptomatic Obstructive Hypertrophic Cardiomyopathy (Obstructive Hcm) · 2024Their institution$25,275
GE HEALTHCARE · Influence of Hemodynamics on Myocardial Work · 2021Their institution$23,888
E.R. Squibb & Sons, L.L.C. · Mavacamten in Non-Obstructive Hcm · 2023Their institution$23,788
E.R. Squibb & Sons, L.L.C. · A Prospective Registry Study To Assess Real-World Patient Characteristics, Treatment Patterns, and Longitudinal Outcomes in Patients Receiving Mavacamten and Other Treatments for Symptomatic Obstructive Hypertrophic Cardiomyopathy (Obstructive-Hcm) (Discover-Hcm) · 2025Their institution$21,860
E.R. Squibb & Sons, L.L.C. · A Prospective Registry Study To Assess Real-World Patient Characteristics, Treatment Patterns, and Longitudinal Outcomes in Patients Receiving Mavacamten and Other Treatments for Symptomatic Obstructive Hypertrophic Cardiomyopathy (Obstructive Hcm) · 2023Their institution$11,190
E.R. Squibb & Sons, L.L.C. · A Study To Evaluate the Efficacy, Safety, and Tolerability of Myk-224 in Participants With Symptomatic Obstructive Hypertrophic Cardiomyopathy · 2023This clinician$9,889
Philips North America LLC · Ecs Study · 2024Their institution$4,900
E.R. Squibb & Sons, L.L.C. · Deliver Insights on Safety in Hypertrophic Cardiomyopathy and Observe Endpoints in Real World (Discover-Hcm) · 2024Their institution$4,396
E.R. Squibb & Sons, L.L.C. · Nhcm Phase III - A Randomized, Double-Blind, Placebo-Controlled Clinical Study To Evaluate Mavacamten in Adults With Symptomatic Non-Obstructive Hypertrophic Cardiomyopathy · 2023Their institution$3,692
E.R. Squibb & Sons, L.L.C. · A Study To Evaluate the Efficacy, Safety, and Tolerability of Myk-224 in Participants With Symptomatic Obstructive Hypertrophic Cardiomyopathy (Mercutio) · 2024Their institution$2,985
E.R. Squibb & Sons, L.L.C. · A Study To Evaluate the Efficacy, Safety, and Tolerability of Myk-224 in Participants With Symptomatic Obstructive Hypertrophic Cardiomyopathy · 2023Their institution$2,013
E.R. Squibb & Sons, L.L.C. · A Study of Mavacamten in Non-Obstructive Hypertrophic Cardiomyopathy (Odyssey-Hcm) · 2024Their institution$1,165
E.R. Squibb & Sons, L.L.C. · Phase Iia Ohcm Pom - A Phase 2a, Open-Label, Pilot Study To Evaluate Efficacy, Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of Myk-224 in Participants With Symptomatic Hypertrophic Cardiomyopathy and Left Ventricular Outflow Tract Obstruct · 2022Their institution$199
E.R. Squibb & Sons, L.L.C. · Mava Lte - A Long-Term Safety Extension Study of Mavacamten (Myk-461) in Adults With Hypertrophic Cardiomyopathy Who Have Completed the Maverick-Hcm (Myk-461-006) Or Explorer-Hcm (Myk-461-005) Trials (Mava-Lte) · 2022Their institution$176
E.R. Squibb & Sons, L.L.C. · A Randomized, Double-Blind, Placebo-Controlled Clinical Study To Evaluate Mavacamten in Adults With Symptomatic Non-Obstructive Hypertrophic Cardiomyopathy · 2023Their institution$135

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
75.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1467427096
Licence
CA C147652, MD D60411California C147652: Current · expires 2028-05-31
Group
University of California San Francisco · Regents of the University of California
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
MD 403643300, MN 338027100
Taxonomy
Cardiology (207RC0000X)
Mailing address
505 Parnassus Ave # M314, San Francisco, CA, 94143
NPI first listed
2006-02-17
NPI last updated
2021-10-05
NPI record certified
2021-10-05

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