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Alberto A Bolanos, MD

Orthopedic Surgery · Albuquerque

NPI 1467548008

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Offices
3
Since medical school
37 years
Stanford University School of Medicine, 1989

Offices

3 locations · Southwest Medical Associates, LLC · Sonora Community Hospital

Looking this up.

Hospitals listed: Lovelace Medical Center · Lovelace Women'S Hospital. That is not proof they admit you there this week.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Bolanos’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
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 G84190 · Current

Licensed to practise in California · since 1997 · expires 2027-02-28 · Stanford University School of Medicine.

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

Hospitals they work in

2 hospitals

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

  • Lovelace Medical CenterAlbuquerque, NMAcute Care Hospital · Proprietary · Has an emergency departmentPart of Ardent Health Services, which runs 31 hospitals in 5 statesPatients rate it 3 of 5 · 67% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.44 (1.16 to 1.73), Jul 2022 – Jun 2024Worse than the national rate — Death rate among surgical inpatients with serious treatable complications: 214.53 (175.29 to 253.77) · 117 cases, Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 1.52 (0.88 to 2.16) · 4,327 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.361, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0, Oct 2024 – Sep 2025
  • Lovelace Women'S HospitalAlbuquerque, NMAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Ardent Health Services, which runs 31 hospitals in 5 statesPatients rate it 2 of 5 · 65% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 1.6 (1.2 to 2) · 502 cases, Jan 2024 – Dec 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.396, Oct 2024 – Sep 2025
See every measure and the patient survey for Lovelace Medical Center

Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 3 better, 3 the same, 1 worse of 7 measures. Readmissions: 1 better, 7 the same, 1 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Lovelace Medical Center
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.44 (1.16 to 1.73)WorseJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.53 (175.29 to 253.77) · 117 casesWorseJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths1.52 (0.88 to 2.16) · 4,327 casesWorseJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.361BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0.06 to 1.93) · 1,166 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.5 · 166 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths9.8 · 48 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.1 · 266 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.6 · 369 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15 · 239 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths13.6 · 241 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 3,833 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.22 (0.03 to 0.41) · 5,471 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.06 to 0.45) · 5,891 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.98 (3.03 to 6.92) · 2,027 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.41 (0.01 to 2.82) · 821 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.57 (1.18 to 3.96) · 1,783 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths12.37 (7.27 to 17.46) · 842 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.93 (3.67 to 10.19) · 805 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.08) · 314 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 104 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.474No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.942No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.286No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14 · 552 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.4 · 840 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-1.4 · 350 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits15.9 · 456 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits6.4 · 251 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.2 · 512 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.9 · 111 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.8 · 166 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.7 · 149 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.2 to 16.8) · 157 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 510 casesNo differentJan 2024 – Dec 2024

What patients said (928 patients answered, 25% of those asked)

Patient survey stars by topic at Lovelace Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information2
Overall hospital rating3
Quietness3
Recommend hospital3
Share of patients giving the best answer at Lovelace Medical Center
Room was "always" clean70%
Nurses "always" communicated well76%
Doctors "always" communicated well76%
Staff "always" explained59%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect81%
Patients who gave a rating of "9" or "10" (high)68%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms83%
See every measure and the patient survey for Lovelace Women'S Hospital

Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 1 better, 4 the same, 0 worse of 5 measures. Readmissions: 1 better, 4 the same, 0 worse of 5 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Lovelace Women'S Hospital
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.6 (1.2 to 2) · 502 casesWorseJan 2024 – Dec 2024
Clostridium Difficile (C.Diff)Infections0.396BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.97 (0 to 2.02) · 370 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.92 (0.46 to 1.38)No differentJul 2022 – Jun 2024
Death rate for heart failure patientsComplications and deaths9.4 · 44 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.1 · 85 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.9 · 27 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.5 · 836 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 1,121 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 1,096 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.58 (1.09 to 6.08) · 263 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.63 (0 to 3.34) · 95 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.2 (0.51 to 3.88) · 242 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.98 (0 to 17.37) · 108 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.66 (1.51 to 9.82) · 104 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.74 (0.22 to 3.27) · 76 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.45 (0 to 1.6) · 811 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.222No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.593No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 79 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-46.8 · 42 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-19 · 95 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 185 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 25 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.1 · 47 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (9.8 to 17) · 1,007 casesNo differentJan 2022 – Dec 2024

What patients said (493 patients answered, 17% of those asked)

Patient survey stars by topic at Lovelace Women'S Hospital
Cleanliness1
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating2
Quietness3
Recommend hospital3
Share of patients giving the best answer at Lovelace Women'S Hospital
Room was "always" clean59%
Nurses "always" communicated well72%
Doctors "always" communicated well72%
Staff "always" explained53%
Yes, staff "did" give patients this information80%
Yes, staff "did" give patients information about help after discharge78%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully71%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)61%
Staff "always" explained new medications66%
Nurses "always" explained things so they could understand66%
Nurses "always" listened carefully68%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night56%
"YES", patients would definitely recommend the hospital65%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$98,720

Medicare paid this office $98,720 for 247 people.

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

Largest Original Medicare bills
Replacement of knee joint, both sides of knee12$11,568$964
Return visit (30+ min)78$9,990$104
New patient visit (45+ min)71$8,929$126
Short return visit (20+ min)70$4,977$65
New patient visit (30+ min)47$3,843$82
See all 16 services
Every Original Medicare service billed
Replacement of knee joint, both sides of knee12$11,568$964
Return visit (30+ min)78$9,990$104
New patient visit (45+ min)71$8,929$126
Short return visit (20+ min)70$4,977$65
New patient visit (30+ min)47$3,843$82
Mri scan of leg joint without contrast28$2,856$98
X-ray of knee, 4 or more views81$2,782$28
Aspiration and/or injection of fluid large joint using ultrasound guidance17$1,948$89
X-ray of hip, 2-3 views57$1,912$31
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm15$1,888$126
Initial hospital care with moderate level of medical decision making at least 75 minutes13$1,832$141
Aspiration and/or injection of fluid from large joint20$1,155$55
Complete ultrasound scan of joint17$1,054$50
Injection of drug or substance under skin or into muscle19$353$14
Injection, methylprednisolone acetate, 40 mg11$302None
Injection, triamcinolone acetonide, not otherwise specified, 10 mg19$48None

Procedures Medicare counted

Procedure volume Medicare published
Hip replacement1-10None
Knee replacement1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Aspiration and/or injection of fluid large joint using ultrasound guidance1238586–6722
Aspiration and/or injection of fluid from large joint65222089–21
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm392018162015
Harvest of graft from large bone2113–1115–
Incision of back portion of knee joint capsule21–11–12–
Incision of knee joint with removal of cartilage of front and back of knee21–11–12–

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

247 Original Medicare patients in 2024. Average age 75 · Under 65 7% · 85 and older 14% · Women 61% · Also on Medicaid 15% · Health risk score 1.00. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 68% · Diabetes 25% · Chronic kidney disease 23% · Coronary heart disease 17% · Cancer 15% · Atrial fibrillation 15% · Depression 15% · Heart failure 12% · COPD 11% · Dementia 6% · Stroke 6%.

The office billed $367,510, Medicare allowed $127,393 and paid $98,720; for 985 services of 64 kinds; $1,636 of it was for drugs given in the office and $97,084 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
2024247985751.00$367,510$98,720
20231871,407761.21$481,368$209,889
20221901,283751.01$290,487$103,661
20211851,702751.17$387,419$120,144
20201731,556751.11$381,477$111,004
20192512,843751.09$445,336$199,323
20182712,292761.36$364,211$193,753
20172512,207761.20$330,639$186,221
20162741,929761.19$290,359$164,582
20152972,388761.36$392,530$211,600
20144023,187761.25$566,545$276,986
20133932,782771.38$555,996$271,045

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: 19 services

Original Medicare services billed in 2023
Return visit (30+ min)104$17,951$109
Replacement of knee joint, both sides of knee11$11,437$953
New patient visit (45+ min)60$8,178$136
Aspiration and/or injection of fluid large joint using ultrasound guidance44$6,839$122
Short return visit (20+ min)62$6,788$77
Incision of back portion of knee joint capsule11$6,617$551
Incision of knee joint with removal of cartilage of front and back of knee11$4,253$354
Removal of kneecap11$3,676$306
Complete ultrasound scan of joint46$3,085$50
Release of ligaments of knee joint11$2,611$218
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm19$2,525$126
Harvest of graft from large bone14$1,826$122
Injection, methylprednisolone acetate, 40 mg44$1,630None
Injection of drug or substance under skin or into muscle43$771$13
X-ray of knee, 4 or more views46$623$11
Aspiration and/or injection of fluid large joint using ultrasound guidance11$314$29
X-ray of hip, 2-3 views24$224$9
X-ray of hand, minimum of 3 views14$136$6
X-ray of shoulder, minimum of 2 views16$107$6

2022: 16 services

Original Medicare services billed in 2022
Return visit (30+ min)122$19,498$105
New patient visit (45+ min)70$8,601$123
Short return visit (20+ min)50$4,905$79
Aspiration and/or injection of fluid from large joint44$4,089$57
Complete ultrasound scan of joint42$3,873$58
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm15$2,029$127
Harvest of graft from large bone11$1,349$123
Injection of drug or substance under skin or into muscle39$811$14
Mri scan of leg joint without contrast12$705$59
Injection, methylprednisolone acetate, 40 mg18$534None
X-ray of knee, 4 or more views38$401$10
Aspiration and/or injection of fluid from large joint17$340$20
X-ray of knee, 3 views25$270$9
X-ray of shoulder, minimum of 2 views24$230$9
X-ray of hip, 2-3 views19$178$8
X-ray of both knees while standing12$93$8

2021: 17 services

Original Medicare services billed in 2021
Return visit (30+ min)145$32,493$113
New patient visit (45+ min)71$10,411$147
Aspiration and/or injection of fluid large joint using ultrasound guidance56$8,114$94
Complete ultrasound scan of joint59$6,280$67
Incision of back portion of knee joint capsule11$4,177$380
Incision of knee joint with removal of cartilage of front and back of knee11$3,933$358
Short return visit (20+ min)24$2,949$87
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm18$2,316$129
Injection, methylprednisolone acetate, 40 mg58$1,576None
Injection of drug or substance under skin or into muscle58$1,308$14
Mri scan of leg joint without contrast14$896$60
Measurement of range of motion in arm, leg or each spine section17$670$23
X-ray of knee, 4 or more views46$667$10
Aspiration and/or injection of fluid from large joint19$410$21
X-ray of hip, 2-3 views25$321$11
X-ray of shoulder, minimum of 2 views21$200$9
X-ray of knee, 3 views14$128$9

2020: 17 services

Original Medicare services billed in 2020
Return visit (30+ min)129$22,721$92
Aspiration and/or injection of fluid large joint using ultrasound guidance54$7,510$88
Complete ultrasound scan of joint53$7,332$79
New patient visit (45+ min)48$6,692$139
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm17$2,587$129
Short return visit (20+ min)25$1,798$67
Harvest of graft from large bone12$1,669$128
Injection, methylprednisolone acetate, 40 mg54$1,514None
Injection of drug or substance under skin or into muscle53$1,249$14
Mri scan of leg joint without contrast15$928$58
Measurement of range of motion in arm, leg or each spine section32$922$18
Aspiration and/or injection of fluid from large joint20$457$21
X-ray of knee, 4 or more views27$351$9
X-ray of hip, 2-3 views26$328$12
X-ray of knee, 3 views17$190$11
Imaging guidance for procedure, 60 minutes or less11$152$14
X-ray of shoulder, minimum of 2 views13$113$9

2019: 29 services

Original Medicare services billed in 2019
Return visit (30+ min)194$42,493$92
Replacement of knee joint, both sides of knee18$22,132$1,165
Complete ultrasound scan of joint70$10,907$85
Aspiration and/or injection of fluid large joint using ultrasound guidance68$9,962$81
New patient visit (45+ min)57$7,985$140
Incision of back portion of knee joint capsule20$7,813$372
Incision of knee joint with removal of cartilage of front and back of knee19$7,343$350
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg13$6,768None
Repair of dislocating kneecap with realignment19$6,505$325
Repair of hip joint capsule12$5,282$440
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm37$4,835$124
Release of ligaments of knee joint20$4,213$201
Initial hospital care with moderate level of medical decision making at least 75 minutes20$3,436$172
Short return visit (20+ min)37$3,020$62
Harvest of graft from large bone20$2,544$121
Injection of drug or substance under skin or into muscle70$1,949$15
Injection, methylprednisolone acetate, 40 mg70$1,889None
Measurement of range of motion in arm, leg or each spine section45$1,398$20
Mri scan of leg joint without contrast22$1,368$57
Aspiration and/or injection of fluid from large joint13$921$51
Aspiration and/or injection of fluid from large joint46$920$20
Mri scan of arm joint without contrast16$856$53
X-ray of knee, 4 or more views50$632$10
X-ray of hip, 2-3 views40$459$10
Imaging guidance for procedure, 60 minutes or less14$183$13
X-ray of shoulder, minimum of 2 views16$165$8
X-ray of lower and sacral spine, 2-3 views13$125$10
X-ray of knee, 3 views13$116$8
X-ray of knee, 1-2 views14$109$7

2018: 25 services

Original Medicare services billed in 2018
Return visit (30+ min)194$37,763$91
Replacement of thigh bone and hip joint with prosthesis14$16,186$1,156
Complete ultrasound scan of joint81$12,875$98
New patient visit (45+ min)95$12,787$135
Aspiration and/or injection of fluid large joint using ultrasound guidance70$9,128$81
Repair of hip joint capsule19$8,276$436
Initial hospital care with moderate level of medical decision making at least 75 minutes28$4,792$171
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm36$4,559$120
Incision of back portion of knee joint capsule11$3,859$351
Incision of knee joint with removal of cartilage of front and back of knee11$3,631$330
Repair of dislocating kneecap with realignment11$3,534$321
Injection of drug or substance under skin or into muscle76$2,405$19
Short return visit (20+ min)24$2,341$62
Release of ligaments of knee joint11$2,174$198
Harvest of graft from large bone12$1,447$121
Injection, methylprednisolone acetate, 40 mg80$1,199None
Mri scan of leg joint without contrast16$942$55
Measurement of range of motion in arm, leg or each spine section33$834$19
Aspiration and/or injection of fluid from large joint40$782$20
Imaging guidance for procedure, more than 1 hour25$760$30
Mri scan of arm joint without contrast11$693$58
Manual muscle testing of hand11$502$30
X-ray of hip, 2-3 views31$338$10
X-ray of knee, 1-2 views35$281$7
X-ray of shoulder, minimum of 2 views15$148$9

2017: 24 services

Original Medicare services billed in 2017
Return visit (30+ min)180$33,591$92
Complete ultrasound scan of joint79$15,730$116
Replacement of knee joint, both sides of knee11$12,756$1,160
Aspiration and/or injection of fluid large joint using ultrasound guidance74$10,489$81
New patient visit (45+ min)70$9,568$137
Repair of hip joint capsule12$5,246$437
Incision of back portion of knee joint capsule13$4,928$352
Initial hospital care with moderate level of medical decision making at least 75 minutes27$4,829$167
Incision of knee joint with removal of cartilage of front and back of knee14$4,636$331
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm33$3,957$120
Repair of dislocating kneecap with realignment11$3,551$323
Injection of drug or substance under skin or into muscle72$3,182$24
Short return visit (20+ min)37$3,058$58
Release of ligaments of knee joint14$2,975$198
Harvest of graft from large bone15$1,818$121
Mri scan of leg joint without contrast19$1,103$58
Injection, methylprednisolone acetate, 40 mg74$1,064None
Measurement of range of motion in arm, leg or each spine section32$850$16
Imaging guidance for procedure, more than 1 hour26$821$30
Aspiration and/or injection of fluid from large joint37$766$20
Mri scan of arm joint without contrast11$644$59
X-ray of hip, 2-3 views23$223$9
X-ray of knee, 1-2 views23$195$7
X-ray of shoulder, minimum of 2 views11$98$8

2016: 18 services

Original Medicare services billed in 2016
Return visit (30+ min)191$29,776$92
Complete ultrasound scan of joint75$12,864$114
New patient visit (45+ min)86$12,232$142
Aspiration and/or injection of fluid large joint using ultrasound guidance73$8,970$83
Repair of hip joint capsule17$7,543$444
Short return visit (20+ min)66$4,749$64
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm33$4,135$122
Initial hospital care with moderate level of medical decision making at least 75 minutes20$3,465$173
Injection of drug or substance under skin or into muscle75$2,737$24
Mri scan of leg joint without contrast18$1,181$59
Injection, methylprednisolone acetate, 40 mg71$862None
Mri scan of arm joint without contrast12$708$59
Imaging guidance for procedure, more than 1 hour20$607$30
Measurement of range of motion in arm, leg or each spine section24$567$18
Aspiration and/or injection of fluid from large joint24$494$20
X-ray of hip, 2-3 views36$374$10
X-ray of knee, 1-2 views36$279$7
X-ray of shoulder, minimum of 2 views22$183$8

2015: 26 services

Original Medicare services billed in 2015
Return visit (30+ min)198$38,524$97
Replacement of knee joint, both sides of knee17$20,381$1,199
New patient visit (45+ min)82$11,990$146
Complete ultrasound scan of joint71$11,737$119
Aspiration and/or injection of fluid large joint using ultrasound guidance77$9,467$88
Repair of hip joint capsule15$6,851$457
Incision of back portion of knee joint capsule16$6,254$391
Repair of dislocating kneecap with realignment17$5,744$338
Incision of knee joint with removal of cartilage of front and back of knee16$5,549$347
Short return visit (20+ min)74$5,281$63
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm39$5,049$126
Initial hospital care with moderate level of medical decision making at least 75 minutes27$4,809$178
Release of ligaments of knee joint18$3,742$208
Injection of drug or substance under skin or into muscle89$3,364$25
Ultrasonic guidance for needle placement39$2,653$58
Harvest of graft from large bone16$2,033$127
Mri scan of leg joint without contrast21$1,557$60
Injection, methylprednisolone acetate, 40 mg86$1,066None
Aspiration and/or injection of fluid from large joint46$979$21
X-ray of knee, 1-2 views88$928$8
X-ray of ribs of one side of body, minimum of 2 views68$765$10
Limited ultrasound scan of joint or other extremity structure except blood vessels19$740$34
Imaging guidance for procedure, more than 1 hour19$659$31
Measurement of range of motion in arm, leg or each spine section33$574$17
X-ray of both hips minimum 2 views19$245$12
X-ray of shoulder, minimum of 2 views21$190$8

2014: 40 services

Original Medicare services billed in 2014
Return visit (30+ min)180$29,235$96
Replacement of thigh bone and hip joint with prosthesis16$20,736$1,220
Replacement of knee joint, both sides of knee15$18,373$1,225
Treatment of broken neck of thigh bone with bone implant13$14,429$1,110
Short return visit (20+ min)150$13,111$61
New patient visit (45+ min)85$12,751$150
Ultrasonic guidance for needle placement94$11,007$72
Repair of hip joint capsule20$10,142$461
Aspiration and/or injection of fluid from large joint91$7,824$54
Initial hospital care with moderate level of medical decision making at least 75 minutes44$7,692$175
Complete ultrasound scan of joint52$7,469$120
Incision of back portion of knee joint capsule16$6,319$395
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm45$6,211$127
Incision of knee joint with removal of cartilage of front and back of knee15$5,244$350
Repair of dislocating kneecap with realignment15$5,110$341
Injection of drug or substance under skin or into muscle95$4,011$25
Release of ligaments of knee joint16$3,338$209
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 12.6-20.0 cm26$3,090$119
Limited ultrasound scan of joint or other extremity structure except blood vessels59$2,689$33
New patient visit (60+ min)13$2,292$176
Short return visit (20+ min)39$2,256$43
Long return visit (40+ min)15$2,041$128
Return visit (30+ min)25$2,030$68
Harvest of graft from large bone14$1,798$128
Aspiration and/or injection of fluid from large joint57$1,552$24
Mri scan of leg joint without contrast20$1,444$60
New patient visit (30+ min)15$1,348$90
Injection, methylprednisolone acetate, 40 mg95$1,262None
X-ray of knee, 1-2 views121$1,254$8
Mri scan of arm joint without contrast16$1,170$62
X-ray of ribs of one side of body, minimum of 2 views83$1,047$10
Imaging guidance for procedure, more than 1 hour32$1,043$32
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$961$64
New patient visit (30+ min)15$717$48
X-ray of shoulder, minimum of 2 views36$390$9
Aspiration and/or injection of fluid from medium joint20$385$19
Measurement of range of motion in arm, leg or each spine section16$334$18
X-ray of both hips minimum 2 views23$282$12
X-ray of thigh, 2 views12$101$7
X-ray of wrist, minimum of 3 views12$98$7

2013: 32 services

Original Medicare services billed in 2013
Replacement of knee joint, both sides of knee23$34,305$1,372
Short return visit (20+ min)217$27,053$64
Ultrasonic guidance for needle placement70$26,235$213
Partial replacement of thigh bone at hip joint with prosthesis11$11,216$1,020
Incision of back portion of knee joint capsule26$10,810$386
Return visit (30+ min)60$9,324$99
Repair of dislocating kneecap with realignment23$8,523$341
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 12.6-20.0 cm57$6,669$111
Repair of knee joint with drilling and or scraping of joint using an endoscope11$6,667$606
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,597$175
Incision of knee joint with removal of cartilage of front and back of knee15$5,592$350
New patient visit (30+ min)56$5,511$98
Aspiration and/or injection of fluid from large joint68$5,279$48
Release of ligaments of knee joint21$4,844$211
Short return visit (20+ min)71$4,457$41
Harvest of graft from large bone25$3,732$138
New patient visit (45+ min)21$3,101$148
Injection of drug or substance under skin or into muscle66$3,070$26
New patient visit (60+ min)14$2,593$185
New patient visit (30+ min)36$2,251$63
Injection of anesthetic agent and/or steroid into other nerve or branch24$2,002$80
Mri scan of leg joint without contrast26$1,565$56
Return visit (30+ min)15$1,159$68
Mri scan of arm joint without contrast20$1,152$58
X-ray of knee, 1-2 views106$1,081$8
X-ray of ribs of one side of body, minimum of 2 views85$994$9
Aspiration and/or injection of fluid from large joint18$906$36
Injection, methylprednisolone acetate, 40 mg64$798None
Measurement of range of motion in arm, leg or each spine section17$324$18
X-ray of shoulder, minimum of 2 views32$306$8
X-ray of thigh, 2 views15$168$8
X-ray of ankle, minimum of 3 views11$106$8

Medicaid work

$6,126 in 2024

Medicaid paid $6,126 for 120 billed services this clinician did in 2024, up to 20 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)75$3,721
New patient visit (45+ min)29$1,961
Short return visit (20+ min)16$445
Medicaid work by year
2024120320$6,126
2023408539$14,794
2022655641$23,159
20211,057553$34,934
2020928547$32,488
20191,339560$56,408
20181,248657$91,486
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)230$8,073
New patient visit (45+ min)73$4,824
Short return visit (20+ min)76$1,502
DRAIN/INJ JOINT/BURSA W/US17$345
Radiologic examination, knee; complete, 4 or more views12$50

2022

Largest Medicaid services in 2022
Return visit (30+ min)357$12,245
New patient visit (45+ min)112$7,124
Arthrocentesis and injection of knee joint90$2,252
Short return visit (20+ min)66$1,326
X-RAY CONSULTATION17$137
Radiologic examination, knee; 3 views13$75

2021

Largest Medicaid services in 2021
Return visit (30+ min)536$17,854
New patient visit (45+ min)163$10,425
X-RAY CONSULTATION207$2,997
Arthrocentesis and injection of knee joint58$1,974
Injection, methylprednisolone acetate, 40 mg93$1,684

2020

Largest Medicaid services in 2020
Return visit (30+ min)434$14,310
New patient visit (45+ min)156$10,689
X-RAY CONSULTATION175$2,723
Arthrocentesis and injection of knee joint59$2,430
Injection, methylprednisolone acetate, 40 mg104$2,337

2019

Largest Medicaid services in 2019
Return visit (30+ min)638$25,891
New patient visit (45+ min)212$18,584
Arthrocentesis and injection of knee joint147$5,782
Injection, methylprednisolone acetate, 40 mg157$3,441
X-RAY CONSULTATION185$2,710

2018

Largest Medicaid services in 2018
New patient visit (45+ min)310$29,944
Return visit (30+ min)607$28,540
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf28$19,055
Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation71$7,141
Arthrocentesis and injection of knee joint86$4,446
Injection, methylprednisolone acetate, 40 mg146$2,359

Drugs they prescribed that Part D paid

$2,492

Pharmacies billed $2,492 in 2024.

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

Opioids were 25% of their Part D prescriptions (96 of 381) in 2024. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 31%. Surgeons prescribe little besides pain medicine after an operation, so their opioid share runs high.

380 generic and fewer than 11 brand-name prescriptions · $2,492 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
Meloxicam234$1,078$5
Hydrocodone-Acetaminophen40$424$11
Diclofenac14$169$12
Oxycodone24$151$6
Tramadol32$141$4
See all 6 drugs
Every Part D drug this clinician prescribed
Meloxicam234$1,078$5
Hydrocodone-Acetaminophen40$424$11
Diclofenac14$169$12
Oxycodone24$151$6
Tramadol32$141$4
Ondansetron16$76$5

Year by year

Part D prescribing by year
202438116225% (96)None$2,492
202325711135% (89)None$4,260
202236914231% (115)None$9,094
202138213723% (89)None$9,474
202035712423% (82)None$10,555
201935915228% (99)3%$13,984
201841615927% (113)6%$10,374
201748015632% (152)6%$9,200
201641315132% (131)6%$9,506
201559318133% (198)6%$14,340
201472321440% (286)9%$25,472
201386121344% (375)14%$40,853

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

See the drugs prescribed each year

2023: 5 drugs

Part D drugs prescribed in 2023
Diclofenac23$1,830$80
Meloxicam113$1,008$9
Hydrocodone-Acetaminophen59$715$12
Celecoxib11$194$18
Tramadol18$98$5

2022: 4 drugs

Part D drugs prescribed in 2022
Diclofenac71$5,146$72
Meloxicam145$1,183$8
Hydrocodone-Acetaminophen92$1,092$12
Tramadol15$143$10

2021: 5 drugs

Part D drugs prescribed in 2021
Diclofenac98$5,121$52
Meloxicam138$1,405$10
Hydrocodone-Acetaminophen73$1,178$16
Celecoxib27$593$22
Tramadol12$128$11

2020: 5 drugs

Part D drugs prescribed in 2020
Diclofenac67$4,542$68
Meloxicam142$1,359$10
Celecoxib30$1,275$42
Hydrocodone-Acetaminophen58$760$13
Tramadol13$56$4

2019: 6 drugs

Part D drugs prescribed in 2019
Diclofenac81$8,112$100
Meloxicam137$750$5
Celecoxib13$660$51
Hydrocodone-Acetaminophen57$647$11
Oxycodone15$144$10
Tramadol20$86$4

2018: 5 drugs

Part D drugs prescribed in 2018
Diclofenac39$2,881$74
Meloxicam192$1,861$10
Hydrocodone-Acetaminophen77$1,153$15
Celecoxib17$841$49
Oxycodone16$130$8

2017: 6 drugs

Part D drugs prescribed in 2017
Meloxicam218$1,645$8
Hydrocodone-Acetaminophen98$1,210$12
Celecoxib33$1,143$35
Diclofenac13$1,018$78
Oxycodone26$411$16
Tramadol16$50$3

2016: 6 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen76$2,009$26
Celecoxib16$996$62
Meloxicam190$779$4
Oxycodone18$336$19
Tramadol18$120$7
Amoxicillin12$40$3

2015: 6 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen148$3,443$23
Voltaren17$3,115$183
Celecoxib14$2,288$163
Oxycodone-Acetaminophen23$1,187$52
Meloxicam287$1,105$4
Amoxicillin16$26$2

2014: 9 drugs

Part D drugs prescribed in 2014
Celebrex19$5,881$310
Lidocaine13$4,510$347
Hydrocodone-Acetaminophen239$4,151$17
Voltaren30$3,396$113
Meloxicam321$1,882$6
Piroxicam14$955$68
Oxycodone-Acetaminophen11$293$27
Oxycodone13$273$21
Tramadol11$60$5

2013: 10 drugs

Part D drugs prescribed in 2013
Lidoderm26$10,199$392
Celebrex46$9,237$201
Flector13$5,463$420
Hydrocodone-Acetaminophen266$4,124$16
Meloxicam307$3,509$11
Voltaren25$3,144$126
Oxycodone51$734$14
Piroxicam11$515$47
Acetaminophen-Codeine26$222$9
Diazepam11$36$3

Money from drug and device companies

$1,730 in 2025

Industry payments by year
2025411None$1,730
202439None$969
202311None$317
202211None$21
202144None$186
202078None$269
20191325None$2,399

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
StrykerMako$1,453
8 payments
  • Meals for Aequalis Perform Reversed · 2025-11-14 · $155
  • Meals for Aequalis Ascend Flex · 2025-09-11 · $197
  • Travel for Mako · 2025-07-25 · $152
  • Travel for Mako · 2025-07-25 · $63
  • Meals for Mako · 2025-06-12 · $121
  • Meals for Triathlon · 2025-05-09 · $177
  • Meals for Mako · 2025-05-08 · $141
  • Travel for Mako · 2025-04-30 · $447
Smith+NephewTrigen Intertan$134
1 payment
  • Meals for Trigen Intertan · 2025-08-13 · $134
Zimmer Biomet HoldingsPersona$120
1 payment
  • Meals for Persona · 2025-09-17 · $120
Alliance MedicalNone$23
1 payment
  • Meals · 2025-10-22 · $23
See all 11 published payments
Every published payment
StrykerMeals · 2025-11-14Aequalis Perform Reversed$155
Alliance MedicalMeals · 2025-10-22None$23
Zimmer Biomet HoldingsMeals · 2025-09-17Persona$120
StrykerMeals · 2025-09-11Aequalis Ascend Flex$197
Smith+NephewMeals · 2025-08-13Trigen Intertan$134
StrykerTravel · 2025-07-25Mako$152
StrykerTravel · 2025-07-25Mako$63
StrykerMeals · 2025-06-12Mako$121
StrykerMeals · 2025-05-09Triathlon$177
StrykerMeals · 2025-05-08Mako$141
StrykerTravel · 2025-04-30Mako$447
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $969

Payments by company in 2024
Zimmer Biomet HoldingsRosa$844
7 payments
  • Travel for Rosa · 2024-10-04 · $216
  • Meals for Rosa · 2024-09-21 · $33
  • Meals for Rosa · 2024-09-21 · $30
  • Travel for Rosa · 2024-09-20 · $279
  • Travel for Rosa · 2024-09-20 · $35
  • Meals for Persona · 2024-09-20 · $123
  • Meals · 2024-02-15 · $129
StrykerMako$103
1 payment
  • Meals for Mako · 2024-09-25 · $103
Evolution SurgicalNone$22
1 payment
  • Meals · 2024-02-03 · $22

2023: $317

Payments by company in 2023
Zimmer Biomet HoldingsPersona$317
1 payment
  • Education for Persona · 2023-09-19 · $317

2022: $21

Payments by company in 2022
Smith+NephewLarge Qwix$21
1 payment
  • Meals for Large Qwix · 2022-02-10 · $21

2021: $186

Payments by company in 2021
Zimmer Biomet HoldingsPersona Revision$87
1 payment
  • Meals for Persona Revision · 2021-11-12 · $87
Smith+NephewUni-Cp$56
1 payment
  • Meals for Uni-Cp · 2021-06-10 · $56
Baudax BioAnjeso$24
1 payment
  • Meals for Anjeso · 2021-04-29 · $24
Janssen PharmaceuticalsXarelto$20
1 payment
  • Meals for Xarelto · 2021-01-28 · $20

2020: $269

Payments by company in 2020
StrykerSurg - System 8$67
2 payments
  • Meals · 2020-10-15 · $36
  • Meals for Surg - System 8 · 2020-02-20 · $31
Smith+NephewRegeneten Shoulder$42
1 payment
  • Meals for Regeneten Shoulder · 2020-02-07 · $42
IBSA PharmaLicart$35
1 payment
  • Meals for Licart · 2020-11-25 · $35
Medtronic USAPlasmablade$34
1 payment
  • Meals for Plasmablade · 2020-02-12 · $34
Ethicon USDermabond Portfolio$31
1 payment
  • Meals for Dermabond Portfolio · 2020-11-12 · $31
FX Shoulder USANone$31
1 payment
  • Meals · 2020-01-16 · $31
Pacira PharmaceuticalsExparel$29
1 payment
  • Meals for Exparel · 2020-06-02 · $29

2019: $2,399

Payments by company in 2019
ArthrexNone$1,486
6 payments
  • Meals · 2019-04-01 · $67
  • Meals · 2019-04-01 · $59
  • Meals · 2019-04-01 · $55
  • Meals · 2019-03-31 · $25
  • Education · 2019-03-29 · $1,242
  • Meals · 2019-03-29 · $38
StrykerMako$197
2 payments
  • Meals for Mako · 2019-11-06 · $150
  • Meals for Gamma · 2019-05-31 · $46
Zimmer Biomet HoldingsRosa$130
1 payment
  • Meals for Rosa · 2019-03-25 · $130
Wright Medical TechnologyPerform Glenoid$123
1 payment
  • Meals for Perform Glenoid · 2019-10-08 · $123
Evolution SurgicalNone$96
2 payments
  • Meals · 2019-09-19 · $30
  • Meals · 2019-05-02 · $67
Electronic Waveform LabNone$93
4 payments
  • Meals · 2019-05-24 · $43
  • Meals · 2019-03-14 · $18
  • Meals · 2019-03-14 · $7
  • Meals · 2019-03-09 · $24
Smith+NephewNavio Surgical System$83
1 payment
  • Meals for Navio Surgical System · 2019-10-16 · $83
FX Shoulder USANone$50
1 payment
  • Meals · 2019-11-21 · $50
BioventusDurolane$38
1 payment
  • Meals for Durolane · 2019-07-17 · $38
Boston ScientificWatchman$34
2 payments
  • Meals for Watchman · 2019-05-24 · $19
  • Meals for Watchman · 2019-04-23 · $16
AbbVieHumira$33
2 payments
  • Meals for Humira · 2019-10-10 · $22
  • Meals for Humira · 2019-04-11 · $11
Janssen PharmaceuticalsXarelto$20
1 payment
  • Meals for Xarelto · 2019-03-22 · $20
RelypsaVeltassa$18
1 payment
  • Meals for Veltassa · 2019-02-14 · $18

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
79.2 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1467548008
Licence
CA G84190California G84190: Current · expires 2027-02-28
Trained
Stanford University School of Medicine, 1989 · 37 years ago
Group
Southwest Medical Associates, LLC · Sonora Community Hospital
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Orthopedic surgery (207X00000X)
Mailing address
100 S San Mateo Dr, Suite 424, San Mateo, CA, 94401
NPI first listed
2006-10-04
NPI last updated
2025-08-22
NPI record certified
2025-08-22

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

Extra NPI addresses: 100 S San Mateo Dr, San Mateo, CA, 94401