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Holupathirage K Caldera, MD

Family Practice · Fresno

NPI 1467915082

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
16 years
Graduated 2010

Offices

1 location · Saint Agnes Medical Foundation · 161 clinicians in this group

Looking this up.

Hospitals listed: Saint Agnes 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. Caldera’s office at (559) 450-2630 to ask if they take your plan before you enroll.

California Medical Board record

Licence A179254 · Current

Licensed to practise in California · since 2022 · expires 2028-08-31 · University of Melbourne Faculty of Medicine.

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

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Family Medicine - Family Medicine
  • American Board of Family Medicine - Sports Medicine

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
72.7 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

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.

  • Saint Agnes Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Trinity Health, which runs 105 hospitals in 16 statesPatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.274, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.312, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.141, Oct 2024 – Sep 2025
See every measure and the patient survey for Saint Agnes Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 6 the same, 0 worse of 8 measures. Readmissions: 0 better, 6 the same, 3 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 Saint Agnes Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.274BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.312BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.141BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.18 to 1.94) · 2,342 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.27)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths197.82 (152.64 to 243.01) · 103 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.9 · 105 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.3 · 300 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.9 · 295 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.8 · 768 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.8 · 969 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.2 · 304 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 4,305 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.06 to 0.42) · 11,641 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.07 to 0.43) · 12,213 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.76 (2.91 to 6.61) · 2,466 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.09 (0 to 2.49) · 864 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.61 (0.26 to 2.96) · 2,362 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.1 (5.39 to 14.81) · 900 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.4 (1.2 to 7.59) · 882 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.84 (0.41 to 3.27) · 541 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.67 (0.14 to 1.19) · 9,626 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.9 · 58 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.835No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.182No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.004No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 412 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.6 · 1,002 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits28.8 · 296 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits25.5 · 894 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits17.8 · 981 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 1,061 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5 · 56 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits13.4 · 150 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 412 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.6 to 15.9) · 1,324 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 863 casesNo differentJan 2024 – Dec 2024

What patients said (812 patients answered, 32% of those asked)

Patient survey stars by topic at Saint Agnes Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Saint Agnes Medical Center
Room was "always" clean73%
Nurses "always" communicated well73%
Doctors "always" communicated well74%
Staff "always" explained61%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$32,128

Medicare paid this office $32,128 for 159 people.

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

Largest Original Medicare bills
Return visit (30+ min)95$12,913$102
New patient visit (45+ min)54$6,899$128
Short return visit (20+ min)40$3,020$72
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit21$2,776$132
Aspiration and/or injection of fluid from large joint25$1,863$58
See all 8 services
Every Original Medicare service billed
Return visit (30+ min)95$12,913$102
New patient visit (45+ min)54$6,899$128
Short return visit (20+ min)40$3,020$72
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit21$2,776$132
Aspiration and/or injection of fluid from large joint25$1,863$58
Influenza vaccine split virus, preservative free12$982$82
Administration of influenza virus vaccine12$395$33
Injection, triamcinolone acetonide, not otherwise specified, 10 mg23$173None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure202220232024
Aspiration and/or injection of fluid from large joint184732

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

159 Original Medicare patients in 2024. Average age 74 · Under 65 11% · 85 and older 14% · Women 67% · Also on Medicaid 30% · Health risk score 1.14. Above the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 35% · Coronary heart disease 35% · Depression 26% · Chronic kidney disease 25% · Cancer 21% · Atrial fibrillation 16% · Heart failure 15% · COPD 14% · Dementia 8%.

The office billed $81,206, Medicare allowed $39,501 and paid $32,128; for 1,128 services of 33 kinds; $2,794 of it was for drugs given in the office and $29,334 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
20241591,128741.14$81,206$32,128
2023274906731.28$96,810$30,914
202280277751.17$24,182$9,909

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: 10 services

Original Medicare services billed in 2023
Short return visit (20+ min)153$10,604$56
Return visit (30+ min)62$6,672$83
New patient visit (45+ min)63$5,785$92
Aspiration and/or injection of fluid from large joint38$2,045$44
New patient visit (30+ min)20$1,444$72
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus15$519$35
Injection, triamcinolone acetonide, not otherwise specified, 10 mg35$225None
Insertion of needle into vein for collection of blood sample15$126$8
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count12$91$8
Urinalysis, manual test21$72$3

2022: 5 services

Original Medicare services billed in 2022
New patient visit (45+ min)22$2,989$136
Short return visit (20+ min)39$2,861$70
Return visit (30+ min)15$1,618$101
Aspiration and/or injection of fluid from large joint17$957$53
Injection, triamcinolone acetonide, not otherwise specified, 10 mg16$113None

Medicaid work

$0 in 2024

Medicaid paid $0 for 108 billed services this clinician did in 2024, up to 27 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
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)32$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)13$0
Short return visit (20+ min)15$0
Return visit (30+ min)48$0
Medicaid work by year
2024108427$0
20231,4829167$3,992
2022229671$515
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Short return visit (20+ min)744$1,413
New patient visit (45+ min)161$1,148
New patient visit (30+ min)89$870
Return visit (30+ min)115$276
SARSCOV CORONAVIRUS AG IA107$247
Arthrocentesis and injection of knee joint90$21
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A73$17
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count12$0
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza91$0

2022

Largest Medicaid services in 2022
Short return visit (20+ min)95$227
New patient visit (45+ min)42$128
New patient visit (30+ min)14$116
Injection, triamcinolone acetonide, not otherwise specified, 10 mg32$44
Arthrocentesis and injection of knee joint31$0
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza15$0

Drugs they prescribed that Part D paid

$25,681

Pharmacies billed $25,681 in 2024.

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

Opioids were 6% of their Part D prescriptions (18 of 316) in 2024. Above the middle of the specialty; the typical family practice clinician is at 2%.

270 generic and fewer than 11 brand-name prescriptions · $25,681 in drug cost · 24 antibiotic prescriptions to 22 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
Levothyroxine17$799$47
Gabapentin23$404$18
Amlodipine Besylate11$39$4

Year by year

Part D prescribing by year
20243161246% (18)None$25,681
202316296NoneNone$7,057
202216645NoneNone$15,281
2021135190% (0)13%$12,717
202088140% (0)17%$9,177
201924None0% (0)54%$6,726

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
Ipratropium18$525$29
Diclofenac14$433$31
Fluticasone Propionate16$170$11

2022: 3 drugs

Part D drugs prescribed in 2022
Levothyroxine19$278$15
Atorvastatin18$180$10
Fluticasone Propionate11$116$11

2021: 3 drugs

Part D drugs prescribed in 2021
Atorvastatin16$196$12
Lisinopril11$62$6
Amlodipine Besylate15$30$2

Money from drug and device companies

$589 in 2025

Industry payments by year
20251033None$589
2024712None$255

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
AstraZeneca Pharmaceuticals LPFarxiga$226
11 payments
  • Meals for Farxiga · 2025-11-13 · $20
  • Meals for Airsupra · 2025-11-06 · $17
  • Meals for Farxiga · 2025-09-17 · $29
  • Meals for Airsupra · 2025-08-27 · $20
  • Meals for Farxiga · 2025-07-16 · $19
  • Meals for Farxiga · 2025-05-15 · $16
  • Meals for Farxiga · 2025-04-16 · $29
  • Meals for Airsupra · 2025-04-02 · $16
  • Meals for Farxiga · 2025-03-13 · $16
  • Meals for Breztri · 2025-03-06 · $28
  • Meals for Breztri · 2025-03-05 · $15
Lilly USAJardiance$91
4 payments
  • Meals for Jardiance · 2025-08-05 · $24
  • Meals for Jardiance · 2025-07-01 · $20
  • Meals for Jardiance · 2025-06-05 · $24
  • Meals for Jardiance · 2025-05-07 · $24
Novo NordiskWegovy$66
3 payments
  • Meals for Wegovy · 2025-07-30 · $24
  • Meals for Wegovy · 2025-05-21 · $25
  • Meals for Wegovy · 2025-03-17 · $17
GlaxoSmithKlineTrelegy Ellipta$56
3 payments
  • Meals for Trelegy Ellipta · 2025-11-03 · $18
  • Meals for Trelegy Ellipta · 2025-10-02 · $20
  • Meals for Trelegy Ellipta · 2025-07-15 · $18
Boehringer Ingelheim PharmaceuticalsJardiance$38
2 payments
  • Meals for Jardiance · 2025-10-30 · $19
  • Meals for Jardiance · 2025-08-20 · $19
Exact SciencesCologuard Collection Kit$35
1 payment
  • Meals for Cologuard Collection Kit · 2025-01-23 · $35
See all 28 published payments
Every published payment
AstraZeneca Pharmaceuticals LPMeals · 2025-11-13Farxiga$20
AstraZeneca Pharmaceuticals LPMeals · 2025-11-06Airsupra$17
GlaxoSmithKlineMeals · 2025-11-03Trelegy Ellipta$18
Boehringer Ingelheim PharmaceuticalsMeals · 2025-10-30Jardiance$19
AbbvieMeals · 2025-10-23Qulipta$22
GlaxoSmithKlineMeals · 2025-10-02Trelegy Ellipta$20
AstraZeneca Pharmaceuticals LPMeals · 2025-09-17Farxiga$29
AstraZeneca Pharmaceuticals LPMeals · 2025-08-27Airsupra$20
Boehringer Ingelheim PharmaceuticalsMeals · 2025-08-20Jardiance$19
Trice MedicalMeals · 2025-08-19None$14
Lilly USAMeals · 2025-08-05Jardiance$24
Novo NordiskMeals · 2025-07-30Wegovy$24
AstraZeneca Pharmaceuticals LPMeals · 2025-07-16Farxiga$19
GlaxoSmithKlineMeals · 2025-07-15Trelegy Ellipta$18
Lilly USAMeals · 2025-07-01Jardiance$20
Lilly USAMeals · 2025-06-05Jardiance$24
Novo NordiskMeals · 2025-05-21Wegovy$25
AstraZeneca Pharmaceuticals LPMeals · 2025-05-15Farxiga$16
Lilly USAMeals · 2025-05-07Jardiance$24
Radius HealthMeals · 2025-04-23None$19
AstraZeneca Pharmaceuticals LPMeals · 2025-04-16Farxiga$29
AstraZeneca Pharmaceuticals LPMeals · 2025-04-02Airsupra$16
Novo NordiskMeals · 2025-03-17Wegovy$17
AstraZeneca Pharmaceuticals LPMeals · 2025-03-13Farxiga$16
AstraZeneca Pharmaceuticals LPMeals · 2025-03-06Breztri$28
AstraZeneca Pharmaceuticals LPMeals · 2025-03-05Breztri$15
Esperion TherapeuticsMeals · 2025-02-19Nexletol$22
Exact SciencesMeals · 2025-01-23Cologuard Collection Kit$35
See earlier years (2024)

2024: $255

Payments by company in 2024
AstraZeneca Pharmaceuticals LPFarxiga$80
4 payments
  • Meals for Farxiga · 2024-12-17 · $16
  • Meals for Farxiga · 2024-10-22 · $24
  • Meals for Breztri · 2024-10-02 · $25
  • Meals for Farxiga · 2024-09-25 · $15
Lilly USAJardiance$45
2 payments
  • Meals for Mounjaro · 2024-07-10 · $21
  • Meals for Jardiance · 2024-04-30 · $23
Boehringer Ingelheim PharmaceuticalsJardiance$42
2 payments
  • Meals for Jardiance · 2024-09-18 · $20
  • Meals for Jardiance · 2024-08-14 · $23
Esperion TherapeuticsNexletol$24
1 payment
  • Meals for Nexletol · 2024-11-07 · $24
Ironwood PharmaceuticalsLinzess$22
1 payment
  • Meals for Linzess · 2024-12-12 · $22
Novo NordiskOzempic$22
1 payment
  • Meals for Ozempic · 2024-08-07 · $22
GlaxoSmithKlineShingrix$19
1 payment
  • Meals for Shingrix · 2024-11-07 · $19

Professional record

NPI
1467915082
Licence
CA A179254California A179254: Current · expires 2028-08-31
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207QS0010X (207QS0010X); Family medicine (207Q00000X)
Mailing address
1111 E Spruce Ave Ste 431, Fresno, CA, 93720
NPI first listed
2019-04-10
NPI last updated
2025-06-02
NPI record certified
2025-06-02

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

Extra NPI addresses: 1510 E Herndon Ave Ste 230, Fresno, CA, 93720