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Xavier Joseph Caro, MD

Rheumatology · Northridge

NPI 1477656353

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
53 years
University of California, San Francisco School of Medicine, 1973

Offices

1 location

Looking this up.

Hospitals listed: Northridge Hospital 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. Caro’s office at (818) 993-1025 to ask if they take your plan before you enroll.

California Medical Board record

Licence G28544 · Current

Licensed to practise in California · since 1974 · expires 2027-05-31 · University of California San Francisco School of Medicine.

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.

  • Northridge Hospital Medical CenterNorthridge, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 3 of 5 · 66% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.11, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.147, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.173, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
See every measure and the patient survey for Northridge Hospital Medical Center

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 3 better, 4 the same, 0 worse of 7 measures. Readmissions: 0 better, 8 the same, 2 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Northridge Hospital Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.11BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.147BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.173BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.13 (0.13 to 2.13) · 1,012 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.78 (0.44 to 1.11)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths143.43 (96.43 to 190.42) · 88 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.2 · 40 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.2 · 92 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.4 · 216 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8 · 457 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.4 · 384 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.4 · 315 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 3,091 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.25 (0.05 to 0.44) · 6,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.02 to 0.41) · 6,139 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.59 (0.47 to 4.71) · 1,225 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.57 (0 to 3.24) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.81 (0.28 to 3.34) · 1,193 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.26 (0 to 15.07) · 333 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.14 (2.11 to 10.16) · 302 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.65 (0.17 to 3.14) · 163 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.14 (0 to 0.76) · 5,578 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.2 · 139 casesNoneApr 2023 – Mar 2025
SSI - Colon SurgeryInfections1.041No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.1 · 368 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.6 · 674 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits27.2 · 214 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits26.2 · 563 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits23.8 · 438 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17 · 484 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.9 (3.1 to 7.4) · 44 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.9 (6.8 to 13.8) · 44 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5 · 166 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits14.9 · 57 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.8 · 141 casesNoneJul 2023 – Jun 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 165 casesNo differentJan 2024 – Dec 2024

What patients said (621 patients answered, 15% of those asked)

Patient survey stars by topic at Northridge Hospital Medical Center
Cleanliness3
Nurse communication2
Doctor communication2
Communication about medicines3
Discharge information3
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at Northridge Hospital Medical Center
Room was "always" clean69%
Nurses "always" communicated well74%
Doctors "always" communicated well72%
Staff "always" explained60%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge84%
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)67%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night39%
"YES", patients would definitely recommend the hospital66%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$789,768

Medicare paid this office $789,768 for 66 people.

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

Largest Original Medicare bills
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg22$368,625None
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg13$99,109None
Long return visit (40+ min)60$47,839$149
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less34$29,865$56
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour34$27,171$18
See all 15 services
Every Original Medicare service billed
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg22$368,625None
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg13$99,109None
Long return visit (40+ min)60$47,839$149
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less34$29,865$56
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour34$27,171$18
Injection, infliximab, excludes biosimilar, 10 mg12$18,507None
Administration of chemotherapy into vein, 1 hour or less20$12,272$113
Administration of chemotherapy into vein, each additional hour20$7,010$24
Injection of drug or substance under skin or into muscle36$3,198$12
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg32$2,392None
New patient visit (60+ min)13$2,356$181
Infusion, normal saline solution, 250 cc40$328None
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg15$72None
Urinalysis, manual test11$68$3
Injection, ketorolac tromethamine, per 15 mg14$59None

Procedures Medicare counted

Procedure volume Medicare published
Skin biopsy14More than 61% of doctors who do this

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Punch biopsy, each additional skin growth22––2838–
Punch biopsy, first skin growth11––1418–

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

66 Original Medicare patients in 2024. Average age 71 · Women 59% · Also on Medicaid 33% · Health risk score 2.34. Sicker patients than 9 in 10 peers; the typical rheumatology clinician is at 1.38.

Conditions among them: High blood pressure 75% · Diabetes 65% · Coronary heart disease 39% · Depression 29% · Chronic kidney disease 23% · Heart failure 21% · COPD 20%.

The office billed $3,002,195, Medicare allowed $995,236 and paid $789,768; for 28,152 services of 29 kinds; $657,898 of it was for drugs given in the office and $131,870 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
20246628,152712.34$3,002,195$789,768
20236448,771692.26$5,892,575$1,699,312
20226122,559702.07$2,679,833$858,503
20216713,721702.02$1,409,616$458,270
20207214,310692.07$1,515,112$452,950
20197319,142702.14$1,435,423$458,890
20187272,011712.51$4,478,628$1,409,684
20176791,949692.24$5,513,682$1,596,235
201688135,500722.06$7,773,787$2,374,949
201599150,688702.07$7,956,272$2,387,377
201491166,826711.64$6,237,391$1,922,264
2013103104,471701.66$6,809,263$2,196,591

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: 18 services

Original Medicare services billed in 2023
Injection, immune globulin (bivigam), 500 mg15$822,110None
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg23$256,270None
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg17$92,088None
Injection, tocilizumab, 1 mg11$57,385None
Long return visit (40+ min)58$54,393$146
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less33$36,220$58
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour33$24,528$18
Administration of chemotherapy into vein, 1 hour or less25$10,997$120
Injection of drug or substance under skin or into muscle38$5,286$12
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg36$3,796None
Administration of chemotherapy into vein, each additional hour21$3,722$25
New patient visit (60+ min)17$3,026$178
Punch biopsy, first skin growth17$2,064$115
Punch biopsy, each additional skin growth18$2,038$54
Infusion, normal saline solution, 250 cc36$207None
Urinalysis, manual test20$198$3
Injection, ketorolac tromethamine, per 15 mg25$183None
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg21$177None

2022: 15 services

Original Medicare services billed in 2022
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg19$175,791None
Long return visit (40+ min)59$53,755$137
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less29$36,041$62
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour29$28,874$19
Injection of drug or substance under skin or into muscle41$6,425$12
Administration of chemotherapy into vein, 1 hour or less12$4,980$128
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg38$3,913None
New patient visit (60+ min)14$2,459$176
Administration of chemotherapy into vein, each additional hour11$2,134$27
Punch biopsy, first skin growth13$1,650$118
Punch biopsy, each additional skin growth13$1,533$55
Infusion, normal saline solution, 250 cc30$255None
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg22$212None
Urinalysis, manual test15$210$3
Injection, ketorolac tromethamine, per 15 mg20$170None

2021: 14 services

Original Medicare services billed in 2021
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg16$126,138None
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg15$83,060None
Long return visit (40+ min)64$57,870$129
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less27$32,703$68
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour26$26,375$20
Administration of chemotherapy into vein, 1 hour or less16$8,928$133
Injection of drug or substance under skin or into muscle45$5,499$12
Administration of chemotherapy into vein, each additional hour15$4,071$28
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg41$3,531None
New patient visit (60+ min)13$2,108$162
Urinalysis, manual test21$386$3
Infusion, normal saline solution, 250 cc32$297None
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg28$210None
Injection, ketorolac tromethamine, per 15 mg19$112None

2020: 16 services

Original Medicare services billed in 2020
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg14$159,270None
Long return visit (40+ min)66$43,588$110
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less25$27,863$65
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour23$22,239$20
Administration of chemotherapy into vein, 1 hour or less11$6,305$131
Injection of drug or substance under skin or into muscle54$5,276$12
New patient visit (60+ min)25$4,222$162
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg48$3,661None
Administration of chemotherapy into vein, each additional hour11$2,893$28
Measurement of hydrogen in breath to test for stomach and bowel symptoms17$2,537$70
Return visit (30+ min)16$2,433$81
Office for the evaluation and management of established patient that may not require presence of healthcare professional27$834$20
Urinalysis, manual test19$283$3
Infusion, normal saline solution, 250 cc28$239None
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg31$158None
Injection, ketorolac tromethamine, per 15 mg24$102None

2019: 22 services

Original Medicare services billed in 2019
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg11$109,844None
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg11$70,876None
Long return visit (40+ min)58$41,505$123
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less26$28,519$64
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour20$18,742$19
Measurement of hydrogen in breath to test for stomach and bowel symptoms44$10,277$66
Injection of drug or substance under skin or into muscle54$8,709$14
Administration of chemotherapy into vein, 1 hour or less11$7,274$130
Return visit (30+ min)26$4,363$89
New patient visit (60+ min)24$3,930$164
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg48$3,010None
Administration of chemotherapy into vein, each additional hour11$2,845$28
Office for the evaluation and management of established patient that may not require presence of healthcare professional43$1,331$18
Punch biopsy, first skin growth11$1,237$112
Punch biopsy, each additional skin growth11$1,211$55
Urinalysis, manual test27$740$3
Injection, methylprednisolone acetate, 80 mg28$575None
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg31$247None
Injection, ketorolac tromethamine, per 15 mg31$183None
Infusion, normal saline solution, 250 cc29$171None
Insertion of needle into vein for collection of blood sample16$129$3
Injection, lidocaine hcl for intravenous infusion, 10 mg13$51None

2018: 24 services

Original Medicare services billed in 2018
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg13$409,930None
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg17$297,871None
Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg11$63,239None
Long return visit (40+ min)61$40,607$125
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less32$40,546$66
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour25$19,980$19
Return visit (30+ min)45$13,784$87
Injection of drug or substance under skin or into muscle57$12,479$18
Measurement of hydrogen in breath to test for stomach and bowel symptoms43$12,243$65
Administration of chemotherapy into vein, 1 hour or less14$11,221$129
Administration of chemotherapy into vein, each additional hour14$4,182$28
New patient visit (60+ min)20$3,573$179
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg47$3,041None
Extended office or other outpatient service, first hour17$2,347$112
Biopsy of single growth of skin and/or tissue16$1,588$88
Office for the evaluation and management of established patient that may not require presence of healthcare professional41$1,447$18
Urinalysis, manual test33$1,020$3
Biopsy of each additional growth of skin and/or tissue16$854$27
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg46$430None
Insertion of needle into vein for collection of blood sample24$279$3
Injection, ketorolac tromethamine, per 15 mg29$242None
Infusion, normal saline solution, 250 cc32$124None
Red blood cell sedimentation rate, to detect inflammation, non-automated19$107$4
Injection, lidocaine hcl for intravenous infusion, 10 mg17$39None

2017: 23 services

Original Medicare services billed in 2017
Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg14$657,854None
Injection, infliximab, excludes biosimilar, 10 mg11$197,300None
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less32$45,529$62
Long return visit (40+ min)56$31,297$121
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour24$28,289$17
Return visit (30+ min)46$19,881$91
Injection of drug or substance under skin or into muscle58$15,947$23
Administration of chemotherapy into vein, 1 hour or less14$12,145$125
Measurement of hydrogen in breath to test for stomach and bowel symptoms44$11,870$67
Neuropsychological testing, interpretation, and report by psychologist or physician per hour12$5,380$79
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg50$3,580None
Administration of chemotherapy into vein, each additional hour14$3,437$25
Biopsy of single growth of skin and/or tissue21$2,404$92
Office for the evaluation and management of established patient that may not require presence of healthcare professional44$1,387$17
Biopsy of each additional growth of skin and/or tissue21$1,371$29
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg46$788None
Urinalysis, manual test30$758$3
Red blood cell sedimentation rate, to detect inflammation, non-automated29$730$5
Insertion of needle into vein for collection of blood sample31$480$3
Manual urinalysis test with examination using microscope, non-automated30$358$4
Infusion, normal saline solution, 250 cc35$325None
Injection, ketorolac tromethamine, per 15 mg21$206None
Injection, lidocaine hcl for intravenous infusion, 10 mg12$32None

2016: 34 services

Original Medicare services billed in 2016
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg19$990,590None
Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg15$398,268None
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)15$273,025None
Injection, tocilizumab, 1 mg11$205,600None
Injection, infliximab, excludes biosimilar, 10 mg12$160,503None
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less36$66,686$62
Long return visit (40+ min)74$39,652$119
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour24$36,925$17
Return visit (30+ min)61$27,311$88
Injection of drug or substance under skin or into muscle71$22,919$22
Measurement of hydrogen in breath to test for stomach and bowel symptoms59$13,988$70
Neuropsychological testing, interpretation, and report by psychologist or physician per hour14$6,406$81
Administration of chemotherapy into vein, 1 hour or less13$6,260$112
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg66$4,308None
Extended office or other outpatient service, first hour35$4,113$82
New patient visit (60+ min)21$3,688$176
Biopsy of single growth of skin and/or tissue25$2,600$90
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count52$2,356$10
Manual urinalysis test with examination using microscope, non-automated64$2,178$4
Administration of chemotherapy into vein, each additional hour12$1,828$25
Red blood cell sedimentation rate, to detect inflammation, non-automated56$1,646$5
Biopsy of each additional growth of skin and/or tissue25$1,543$27
Office for the evaluation and management of established patient that may not require presence of healthcare professional54$1,486$17
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg55$1,172None
Insertion of needle into vein for collection of blood sample56$932$3
X-ray of knee, 4 or more views12$840$35
X-ray of foot, minimum of 3 views14$694$26
X-ray of hand, 2 views13$602$23
X-ray of lower and sacral spine, 2-3 views17$529$31
Injection, ketorolac tromethamine, per 15 mg39$445None
X-ray of upper spine, 2-3 views15$442$29
Infusion, normal saline solution, 250 cc41$421None
X-ray of pelvis, 1-2 views12$340$28
Injection, lidocaine hcl for intravenous infusion, 10 mg14$31None

2015: 26 services

Original Medicare services billed in 2015
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg23$1,394,524None
Injection, tocilizumab, 1 mg15$236,367None
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)18$187,285None
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less45$67,066$62
Long return visit (40+ min)83$40,216$120
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour33$39,621$17
Return visit (30+ min)69$29,752$89
Injection of drug or substance under skin or into muscle78$20,960$22
Neuropsychological testing, interpretation, and report by psychologist or physician per hour18$9,130$83
Administration of chemotherapy into vein, 1 hour or less11$8,104$116
Biopsy of single growth of skin and/or tissue41$4,081$89
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg72$3,975None
Extended office or other outpatient service, first hour30$3,749$85
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count72$3,204$10
New patient visit (60+ min)17$2,798$165
Manual urinalysis test with examination using microscope, non-automated79$2,519$4
Biopsy of each additional growth of skin and/or tissue40$2,443$27
Measurement of hydrogen in breath to test for stomach and bowel symptoms15$2,233$74
Administration of chemotherapy into vein, each additional hour11$2,081$25
Red blood cell sedimentation rate, to detect inflammation, non-automated75$1,562$5
Insertion of needle into vein for collection of blood sample79$1,020$3
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg47$829None
Injection, ketorolac tromethamine, per 15 mg42$359None
Infusion, normal saline solution, 250 cc51$353None
Office for the evaluation and management of established patient that may not require presence of healthcare professional15$288$17
Injection, lidocaine hcl for intravenous infusion, 10 mg14$47None

2014: 30 services

Original Medicare services billed in 2014
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg12$463,812None
Injection, tocilizumab, 1 mg27$335,346None
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg18$308,254None
Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg12$260,555None
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less43$48,883$61
Long return visit (40+ min)84$42,937$120
Return visit (30+ min)71$30,289$87
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour25$28,757$16
Administration of chemotherapy into vein, 1 hour or less36$17,163$111
Injection of drug or substance under skin or into muscle81$14,727$22
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count86$6,011$10
Extended office or other outpatient service, first hour27$4,542$84
Biopsy of single growth of skin and/or tissue38$3,746$89
New patient visit (60+ min)21$3,401$162
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg75$3,386None
Administration of chemotherapy into vein, each additional hour11$3,364$25
Manual urinalysis test with examination using microscope, non-automated84$2,931$4
Red blood cell sedimentation rate, to detect inflammation, non-automated86$2,669$5
Biopsy of each additional growth of skin and/or tissue38$2,329$28
Insertion of needle into vein for collection of blood sample85$1,849$3
X-ray of knee, 4 or more views11$862$39
X-ray of foot, minimum of 3 views12$684$29
X-ray of hand, 2 views13$649$25
X-ray of lower and sacral spine, 2-3 views16$550$32
X-ray of chest, 2 views, front and side14$383$27
X-ray of upper spine, 2-3 views11$356$32
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg30$307None
Office for the evaluation and management of established patient that may not require presence of healthcare professional12$263$18
Infusion, normal saline solution, 250 cc50$243None
Injection, ketorolac tromethamine, per 15 mg40$189None

2013: 40 services

Original Medicare services billed in 2013
Unclassified biologics11$529,145None
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg13$509,121None
Injection, infliximab, excludes biosimilar, 10 mg14$306,615None
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)19$229,290None
Injection, tocilizumab, 1 mg18$141,512None
Long return visit (40+ min)91$48,648$118
Administration of chemotherapy into vein, 1 hour or less44$47,957$126
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less18$38,358$67
Return visit (30+ min)77$35,675$86
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour18$35,381$19
Injection of drug or substance under skin or into muscle88$16,512$22
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count99$8,257$11
Extended office or other outpatient service, first hour41$6,654$81
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg87$6,173None
Administration of chemotherapy into vein, each additional hour19$5,323$27
Red blood cell sedimentation rate, to detect inflammation, non-automated100$3,906$5
Biopsy of single growth of skin and/or tissue34$3,438$90
Manual urinalysis test with examination using microscope, non-automated100$3,399$4
New patient visit (60+ min)19$3,143$165
Insertion of needle into vein for collection of blood sample99$2,562$3
Biopsy of each additional growth of skin and/or tissue34$2,060$27
X-ray of knee, 4 or more views28$2,016$40
X-ray of foot, minimum of 3 views30$1,650$29
Short return visit (20+ min)14$1,442$63
X-ray of hand, 2 views30$1,416$24
Pneumococcal vaccine, 23-valent13$1,124$70
X-ray of shoulder, minimum of 2 views21$1,120$28
X-ray of lower and sacral spine, 2-3 views27$879$33
X-ray of chest, 2 views, front and side31$818$26
X-ray of upper spine, 2-3 views22$709$32
X-ray of pelvis, 1-2 views23$602$26
Administration of pneumococcal vaccine13$456$28
Office for the evaluation and management of established patient that may not require presence of healthcare professional17$394$18
Administration of influenza virus vaccine13$372$29
Injection, ketorolac tromethamine, per 15 mg39$227None
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)13$186$14
Infusion, normal saline solution, 250 cc42$181None
5% dextrose/water (500 ml = 1 unit)24$126None
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg21$115None
Skin test for tuberculosis11$80$7

Medicaid work

$0 in 2024

Medicaid paid $0 for 33 billed services this clinician did in 2024, up to 17 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
PSYCHOTHERAPY W/PATIENT 30 MINUTES33$0
Medicaid work by year
202433117$0

Drugs they prescribed that Part D paid

$3,621,358

Pharmacies billed $3,621,358 in 2024. Most of that is two immune-globulin drugs at $15,000–$18,000 a fill for a small number of people.

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

534 generic and 418 brand-name prescriptions · $3,621,358 in drug cost · 16 antibiotic prescriptions to 13 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
OctagamImmune globulin122$1,852,845$15,187
Gammagard LiquidImmune globulin39$713,775$18,302
RemicadeNone70$293,627$4,195
OrenciaNone49$211,972$4,326
ActemraNone56$174,968$3,124
See all 17 drugs
Every Part D drug this clinician prescribed
OctagamImmune globulin122$1,852,845$15,187
Gammagard LiquidImmune globulin39$713,775$18,302
RemicadeNone70$293,627$4,195
OrenciaNone49$211,972$4,326
ActemraNone56$174,968$3,124
InflectraNone31$122,948$3,966
MethotrexateNone157$2,724$17
IbandronateNone12$1,962$163
AzathioprineNone36$1,409$39
CelecoxibNone20$1,083$54
Hydroxychloroquine SulfateNone33$887$27
PrednisoneNone88$525$6
AlendronateNone28$166$6
AllopurinolNone18$121$7
GabapentinNone11$110$10
DiphenhydramineNone12$34$3
PantoprazoleNone11$33$3

Year by year

Part D prescribing by year
202495262None44%$3,621,358
202371357None32%$1,932,285
202269950NoneNone$2,361,943
202174447None36%$2,860,167
202081852None32%$1,890,709
201985752None43%$2,541,080
201872248NoneNone$658,431
201770846None32%$337,236
201664547NoneNone$309,593
2015748524% (28)None$324,676
2014660534% (24)None$273,694
2013647666% (38)None$110,236

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

See the drugs prescribed each year

2023: 16 drugs

Part D drugs prescribed in 2023
OctagamImmune globulin57$843,380$14,796
Gammagard LiquidImmune globulin21$364,552$17,360
OrenciaNone40$167,180$4,180
ActemraNone34$119,037$3,501
InflectraNone26$112,952$4,344
MethotrexateNone132$4,020$30
Mycophenolate MofetilNone12$1,723$144
PrednisoneNone90$1,242$14
CelecoxibNone12$1,039$87
Hydroxychloroquine SulfateNone26$869$33
AzathioprineNone24$595$25
AlendronateNone35$340$10
AllopurinolNone21$287$14
Methylprednisolone Sodium SuccNone11$285$26
GabapentinNone12$90$8
DiphenhydramineNone13$74$6

2022: 13 drugs

Part D drugs prescribed in 2022
OctagamImmune globulin74$1,501,732$20,294
Gammagard LiquidImmune globulin27$438,198$16,230
OrenciaNone63$251,693$3,995
InflectraNone18$74,975$4,165
ActemraNone22$60,188$2,736
MethotrexateNone81$4,156$51
Mycophenolate MofetilNone16$2,334$146
Hydroxychloroquine SulfateNone34$1,646$48
AzathioprineNone24$1,375$57
PrednisoneNone78$962$12
Methylprednisolone AcetateNone17$792$47
Sodium ChlorideNone52$465$9
AlendronateNone31$157$5

2021: 16 drugs

Part D drugs prescribed in 2021
OctagamImmune globulin76$1,381,654$18,180
Gammagard LiquidImmune globulin40$632,098$15,802
OrenciaNone51$194,421$3,812
InflectraNone22$83,255$3,784
RenflexisNone11$40,135$3,649
MethotrexateNone104$3,452$33
Methylprednisolone Sodium SuccNone29$3,372$116
Mycophenolate MofetilNone16$2,262$141
Hydroxychloroquine SulfateNone38$2,156$57
AzathioprineNone29$1,895$65
CelecoxibNone15$1,473$98
PrednisoneNone97$1,361$14
DiphenhydramineNone17$294$17
LidocaineNone13$172$13
GabapentinNone12$137$11
AlendronateNone33$136$4

2020: 18 drugs

Part D drugs prescribed in 2020
Gammagard LiquidImmune globulin41$634,483$15,475
GammakedImmune globulin23$396,760$17,250
OctagamImmune globulin11$237,838$21,622
InflectraNone19$90,642$4,771
OrenciaNone17$72,185$4,246
RemicadeNone22$66,997$3,045
ActemraNone19$66,390$3,494
XifaxanNone28$59,872$2,138
Evenity (2 Syringes)None12$23,687$1,974
MethotrexateNone168$7,603$45
EliquisNone11$5,363$488
Hydroxychloroquine SulfateNone43$4,564$106
PrednisoneNone143$1,777$12
CevimelineNone12$1,240$103
CelecoxibNone12$630$52
PregabalinNone13$598$46
AlendronateNone56$402$7
GabapentinNone15$171$11

2019: 18 drugs

Part D drugs prescribed in 2019
Gammagard LiquidImmune globulin43$738,876$17,183
PanzygaImmune globulin17$343,912$20,230
GammakedImmune globulin26$340,423$13,093
OrenciaNone44$165,770$3,767
OctagamImmune globulin11$160,499$14,591
RemicadeNone30$159,653$5,322
ActemraNone44$119,153$2,708
XeljanzNone15$69,470$4,631
XifaxanNone28$47,230$1,687
MethotrexateNone128$5,102$40
EliquisNone11$4,942$449
Hydroxychloroquine SulfateNone32$3,427$107
PrednisoneNone146$2,471$17
Sulfasalazine DrNone17$1,589$93
Neomycin SulfateNone19$783$41
CelecoxibNone18$620$34
Amoxicillin-Clavulanate PotassNone17$523$31
AlendronateNone37$290$8

2018: 16 drugs

Part D drugs prescribed in 2018
Xeljanz20$82,506$4,125
Orencia22$81,652$3,711
Actemra42$77,938$1,856
Xifaxan31$50,602$1,632
Methotrexate100$4,869$49
Hydroxychloroquine Sulfate42$4,704$112
Fluconazole11$3,270$297
Potassium Chloride17$2,734$161
Sulfasalazine Dr25$2,290$92
Prednisone124$2,284$18
Neomycin Sulfate25$1,058$42
Celecoxib17$666$39
Azathioprine16$636$40
Amoxicillin-Clavulanate Potass17$471$28
Alendronate16$160$10
Quetiapine14$145$10

2017: 16 drugs

Part D drugs prescribed in 2017
Orencia29$102,816$3,545
Actemra43$69,207$1,609
Xifaxan34$52,898$1,556
Methotrexate88$6,425$73
Hydroxychloroquine Sulfate30$5,338$178
Potassium Chloride19$3,526$186
Fluconazole13$3,274$252
Sulfasalazine Dr30$2,756$92
Prednisone155$2,638$17
Azathioprine22$1,505$68
Neomycin Sulfate30$1,261$42
Erythromycin12$836$70
Metronidazole19$321$17
Celecoxib12$238$20
Alendronate19$148$8
Quetiapine13$132$10

2016: 13 drugs

Part D drugs prescribed in 2016
Orencia37$125,430$3,390
Actemra58$97,819$1,687
Xifaxan27$35,637$1,320
Hydroxychloroquine Sulfate37$8,516$230
Methotrexate99$4,828$49
Prednisone121$2,087$17
Sulfasalazine Dr22$1,973$90
Potassium Chloride13$1,522$117
Celecoxib11$863$78
Azathioprine15$617$41
Alendronate21$130$6
Quetiapine13$125$10
Allopurinol17$65$4

2015: 14 drugs

Part D drugs prescribed in 2015
Actemra72$122,097$1,696
Orencia27$101,863$3,773
Hydroxychloroquine Sulfate27$8,185$303
Methotrexate106$7,429$70
Prednisone127$2,432$19
Sulfasalazine Dr38$2,021$53
Celecoxib13$1,228$94
Azathioprine16$971$61
Allopurinol35$305$9
Ciprofloxacin13$144$11
Alendronate20$141$7
Naproxen11$113$10
Alprazolam14$72$5
Tramadol18$46$3

2014: 12 drugs

Part D drugs prescribed in 2014
Actemra69$111,633$1,618
Methotrexate67$6,414$96
Celebrex15$4,649$310
Prednisone144$2,722$19
Hydroxychloroquine Sulfate33$819$25
Sulfasalazine Dr16$672$42
Ketorolac Tromethamine14$297$21
Alendronate32$193$6
Allopurinol13$123$9
Alprazolam18$120$7
Triamcinolone Acetonide15$105$7
Ondansetron12$100$8

2013: 15 drugs

Part D drugs prescribed in 2013
Actemra27$34,714$1,286
Methotrexate111$7,378$66
Prednisone120$1,612$13
Doxycycline Hyclate14$1,225$87
Hydroxychloroquine Sulfate27$833$31
Sulfazine Ec14$806$58
Azathioprine17$607$36
Alendronate53$475$9
Sulfasalazine Dr11$405$37
Potassium Chloride13$190$15
Triamcinolone Acetonide17$155$9
Levothyroxine12$87$7
Tramadol17$67$4
Hydrocodone-Acetaminophen11$53$5
Sodium Chloride12$33$3

Money from drug and device companies

$862 in 2025

Industry payments by year
2025429None$862
2024113None$218
202323None$203
202212None$57
202122None$144
202011None$14
201924None$69

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
AmgenKrystexxa$564
21 payments
  • Meals for Krystexxa · 2025-11-20 · $30
  • Meals for Krystexxa · 2025-10-28 · $44
  • Meals for Krystexxa · 2025-10-14 · $20
  • Meals for Krystexxa · 2025-09-24 · $122
  • Meals for Krystexxa · 2025-09-23 · $11
  • Meals for Otezla · 2025-09-23 · $33
  • Education for Krystexxa · 2025-07-31 · $1
  • Meals for Krystexxa · 2025-07-31 · $28
  • Meals for Tavneos · 2025-07-29 · $11
  • Meals for Krystexxa · 2025-07-09 · $14
  • Meals for Krystexxa · 2025-06-19 · $30
  • Meals for Krystexxa · 2025-05-15 · $29
  • Meals for Tavneos · 2025-05-08 · $4
  • Meals for Krystexxa · 2025-04-24 · $26
  • Meals for Krystexxa · 2025-04-03 · $31
  • Meals for Otezla · 2025-03-13 · $11
  • Meals for Krystexxa · 2025-03-13 · $32
  • Meals for Krystexxa · 2025-02-20 · $23
  • Meals for Otezla · 2025-02-20 · $28
  • Meals for Krystexxa · 2025-01-30 · $25
  • Meals for Krystexxa · 2025-01-07 · $11
AstraZeneca Pharmaceuticals LPSaphnelo$144
6 payments
  • Meals for Saphnelo · 2025-12-19 · $16
  • Meals for Saphnelo · 2025-11-13 · $34
  • Meals for Saphnelo · 2025-09-26 · $21
  • Meals for Saphnelo · 2025-07-30 · $13
  • Meals for Saphnelo · 2025-07-08 · $25
  • Meals for Saphnelo · 2025-05-15 · $34
GlaxoSmithKlineBenlysta$122
1 payment
  • Meals for Benlysta · 2025-05-28 · $122
InvivydPemgarda$33
1 payment
  • Meals for Pemgarda · 2025-07-10 · $33
See all 29 published payments
Every published payment
AstraZeneca Pharmaceuticals LPMeals · 2025-12-19Saphnelo$16
AmgenMeals · 2025-11-20Krystexxa$30
AstraZeneca Pharmaceuticals LPMeals · 2025-11-13Saphnelo$34
AmgenMeals · 2025-10-28Krystexxa$44
AmgenMeals · 2025-10-14Krystexxa$20
AstraZeneca Pharmaceuticals LPMeals · 2025-09-26Saphnelo$21
AmgenMeals · 2025-09-24Krystexxa$122
AmgenMeals · 2025-09-23Krystexxa$11
AmgenMeals · 2025-09-23Otezla$33
AmgenEducation · 2025-07-31Krystexxa$1
AmgenMeals · 2025-07-31Krystexxa$28
AstraZeneca Pharmaceuticals LPMeals · 2025-07-30Saphnelo$13
AmgenMeals · 2025-07-29Tavneos$11
InvivydMeals · 2025-07-10Pemgarda$33
AmgenMeals · 2025-07-09Krystexxa$14
AstraZeneca Pharmaceuticals LPMeals · 2025-07-08Saphnelo$25
AmgenMeals · 2025-06-19Krystexxa$30
GlaxoSmithKlineMeals · 2025-05-28Benlysta$122
AstraZeneca Pharmaceuticals LPMeals · 2025-05-15Saphnelo$34
AmgenMeals · 2025-05-15Krystexxa$29
AmgenMeals · 2025-05-08Tavneos$4
AmgenMeals · 2025-04-24Krystexxa$26
AmgenMeals · 2025-04-03Krystexxa$31
AmgenMeals · 2025-03-13Otezla$11
AmgenMeals · 2025-03-13Krystexxa$32
AmgenMeals · 2025-02-20Krystexxa$23
AmgenMeals · 2025-02-20Otezla$28
AmgenMeals · 2025-01-30Krystexxa$25
AmgenMeals · 2025-01-07Krystexxa$11
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $218

Payments by company in 2024
AmgenKrystexxa$218
13 payments
  • Meals for Krystexxa · 2024-12-19 · $22
  • Meals for Krystexxa · 2024-12-12 · $20
  • Meals for Otezla · 2024-11-21 · $24
  • Meals for Krystexxa · 2024-11-12 · $22
  • Meals for Otezla · 2024-10-31 · $18
  • Meals for Krystexxa · 2024-10-14 · $21
  • Meals for Otezla · 2024-10-10 · $11
  • Meals for Krystexxa · 2024-09-24 · $11
  • Meals for Krystexxa · 2024-09-13 · $9
  • Meals for Krystexxa · 2024-09-05 · $24
  • Meals for Krystexxa · 2024-08-26 · $6
  • Meals for Otezla · 2024-08-08 · $21
  • Meals for Enbrel · 2024-05-16 · $9

2023: $203

Payments by company in 2023
Horizon Therapeutics plcKrystexxa$123
1 payment
  • Meals for Krystexxa · 2023-06-28 · $123
AmgenTavneos$80
2 payments
  • Meals for Tavneos · 2023-04-29 · $52
  • Meals for Enbrel · 2023-03-28 · $27

2022: $57

Payments by company in 2022
AmgenEnbrel$57
2 payments
  • Meals for Enbrel · 2022-11-17 · $30
  • Meals for Otezla · 2022-08-18 · $27

2021: $144

Payments by company in 2021
AstraZeneca Pharmaceuticals LPSaphnelo$126
1 payment
  • Meals for Saphnelo · 2021-08-25 · $126
PfizerInflectra$18
1 payment
  • Meals for Inflectra · 2021-09-29 · $18

2020: $14

Payments by company in 2020
PfizerXeljanz$14
1 payment
  • Meals for Xeljanz · 2020-03-09 · $14

2019: $69

Payments by company in 2019
PfizerInflectra$47
3 payments
  • Meals for Xeljanz · 2019-10-10 · $20
  • Meals for Inflectra · 2019-08-15 · $17
  • Meals for Inflectra · 2019-02-26 · $11
Janssen BiotechSimponi$21
1 payment
  • Meals for Simponi · 2019-04-02 · $21

Professional record

NPI
1477656353
Licence
CA G28544California G28544: Current · expires 2027-05-31
Trained
University of California, San Francisco School of Medicine, 1973 · 53 years ago
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Medicaid ID
CA 00G285440
Taxonomy
Federal specialty code 174400000X (174400000X)
Mailing address
18350 Roscoe Blvd, Suite 418, Northridge, CA, 91325
NPI first listed
2006-09-06
NPI last updated
2023-06-30
NPI record certified
2023-06-30

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