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William E Franklin, DO

Emergency Medicine · Los Gatos

NPI 1497702492

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

Offices

1 location · Cep America - California · 1,278 clinicians in this group

Looking this up.

Hospitals listed: Adventist Health Bakersfield · Adventist Health Delano · Mercy Hospital. 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. Franklin’s office at (408) 378-6131 to ask if they take your plan before you enroll.

State licence records

2 licences

  • Texas Q2896Physician License · since 2015 · expires 2028-02-28
    ActiveNo board action on this licenceCheck it with the state
  • Illinois 036109864Licensed Physician And Surgeon · since 2003 · expires 2014-07-31
    InactiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Hospitals they work in

3 hospitals

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

  • Adventist Health BakersfieldBakersfield, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Adventist Health, which runs 28 hospitals in 3 statesPatients rate it 3 of 5 · 68% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.146, Oct 2024 – Sep 2025
  • Adventist Health DelanoDelano, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Adventist Health, which runs 28 hospitals in 3 statesPatients rate it 3 of 5 · 62% would definitely recommend it
    Overall rating: 2 of 5 starsNo measure marked better or worse than the national rate
  • Mercy HospitalBakersfield, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.161, Oct 2024 – Sep 2025
See every measure and the patient survey for Adventist Health Bakersfield

Behind the star rating — Deaths: 0 better, 5 the same, 2 worse of 7 measures. Safety: 1 better, 5 the same, 0 worse of 6 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 Adventist Health Bakersfield
Clostridium Difficile (C.Diff)Infections0.146BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.08 (0.1 to 2.06) · 1,228 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.82 (0.48 to 1.17)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths190.57 (143.33 to 237.81) · 109 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.4 · 35 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths10.1 · 89 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.7 · 220 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths14.1 · 308 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths18.7 · 462 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.8 · 387 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.4 · 3,695 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.15 (0 to 0.36) · 5,306 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.07 to 0.47) · 5,505 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.32 (1.18 to 5.46) · 1,081 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.99 (0.32 to 3.66) · 215 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.39 (0.84 to 3.93) · 1,043 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.06 (0 to 16.24) · 219 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.3 (1.28 to 9.31) · 212 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.67 (0.18 to 3.16) · 263 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.15 (0 to 0.81) · 4,389 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.9 · 87 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.306No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.102No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.409No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.699No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.9 · 452 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.7 · 730 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits14 · 235 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-2 · 367 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits26.1 · 504 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.5 · 920 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.3 (4.5 to 8.7) · 216 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.4 (8.6 to 14.7) · 216 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.6 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.4 · 67 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.5 · 204 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.9 to 17.8) · 170 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 406 casesNo differentJan 2024 – Dec 2024

What patients said (1,099 patients answered, 17% of those asked)

Patient survey stars by topic at Adventist Health Bakersfield
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at Adventist Health Bakersfield
Room was "always" clean70%
Nurses "always" communicated well74%
Doctors "always" communicated well73%
Staff "always" explained57%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully71%
Doctors "always" treated them with courtesy and respect81%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital68%
Staff "always" explained possible side effects42%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Adventist Health Delano

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

Every scored measure at Adventist Health Delano
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.05 (0 to 2.14) · 66 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.55 to 1.5)No differentJul 2022 – Jun 2024
Death rate for heart failure patientsComplications and deaths9.8 · 44 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.3 · 105 casesNoneJul 2022 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.1 · 230 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.27 (0.04 to 0.51) · 712 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.05 to 0.48) · 732 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.44 (0.82 to 6.06) · 66 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.67 (0 to 3.41) · 30 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.32 (0.59 to 4.04) · 66 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths12.02 (1.95 to 22.09) · 31 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.24 (0.89 to 9.58) · 28 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.47 (0 to 1.63) · 510 casesNo differentJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.5 · 52 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-11.6 · 51 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits86.6 · 97 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.1 · 101 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.6 to 17.9) · 60 casesNo differentJan 2022 – Dec 2024

What patients said (148 patients answered, 11% of those asked)

Patient survey stars by topic at Adventist Health Delano
Cleanliness5
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Adventist Health Delano
Room was "always" clean86%
Nurses "always" communicated well78%
Doctors "always" communicated well72%
Staff "always" explained57%
Yes, staff "did" give patients this information84%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully70%
Doctors "always" treated them with courtesy and respect79%
Patients who gave a rating of "9" or "10" (high)58%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital62%
Staff "always" explained possible side effects38%
Yes, staff "did" give patients information about possible symptoms82%
See every measure and the patient survey for Mercy Hospital

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 3 better, 4 the same, 0 worse of 7 measures. Readmissions: 0 better, 4 the same, 2 worse of 6 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Mercy Hospital
Clostridium Difficile (C.Diff)Infections0.161BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.82 (0 to 1.78) · 851 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.09 (0.72 to 1.47)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths181.24 (125 to 237.47) · 39 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths9.7 · 104 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.2 · 35 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 174 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.5 · 329 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths13.5 · 161 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4 · 1,890 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.02 to 0.46) · 3,882 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.03 to 0.45) · 3,839 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.25 (1.02 to 5.49) · 702 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.61 (0 to 3.3) · 196 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.32 (0.7 to 3.93) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths17.54 (8.81 to 26.27) · 206 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.99 (2.01 to 9.98) · 168 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.6 (0.14 to 3.07) · 278 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.21 (0 to 0.98) · 3,352 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.5 · 32 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.297No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.966No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.381No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.7 · 258 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits13.5 · 198 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits27 · 358 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.8 · 446 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 28 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 149 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.7 (8.8 to 15.7) · 448 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.4) · 305 casesNo differentJan 2024 – Dec 2024

What patients said (444 patients answered, 11% of those asked)

Patient survey stars by topic at Mercy Hospital
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating3
Quietness1
Recommend hospital3
Share of patients giving the best answer at Mercy Hospital
Room was "always" clean66%
Nurses "always" communicated well78%
Doctors "always" communicated well70%
Staff "always" explained61%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge80%
Doctors "always" explained things so they could understand67%
Doctors "always" listened carefully68%
Doctors "always" treated them with courtesy and respect76%
Patients who gave a rating of "9" or "10" (high)65%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night41%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects49%
Yes, staff "did" give patients information about possible symptoms85%

Original Medicare doctor bills

$49,027

Medicare paid this office $49,027 for 344 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making216$29,094$133
Critical care, first 30-74 minutes71$11,904$168
Emergency department visit with moderate level of medical decision making50$4,829$93
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only125$860$6

Who their Medicare patients are

344 Original Medicare patients in 2024. Average age 73 · Under 65 17% · 85 and older 17% · Women 57% · Also on Medicaid 67% · Health risk score 2.71. Sicker patients than 9 in 10 peers; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Diabetes 57% · Coronary heart disease 45% · Chronic kidney disease 42% · COPD 42% · Heart failure 40% · Depression 35% · Atrial fibrillation 25% · Stroke 23% · Dementia 20% · Cancer 16%.

The office billed $647,787, Medicare allowed $62,817 and paid $49,027; for 507 services of 20 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024344507732.71$647,787$49,027
2023188283702.17$368,690$30,211
2022328494712.12$617,984$56,140
2021324502722.11$599,617$56,576
2020332540692.46$501,293$51,051
2019387618702.06$466,219$51,706
2018567963712.46$424,508$82,653
20176951,311732.40$538,910$158,826
20167231,268712.35$501,039$104,419
20158671,518732.29$561,594$119,577
20147261,197692.48$515,058$98,298
2013515836692.55$407,040$70,823

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: 4 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making105$14,735$138
Critical care, first 30-74 minutes48$8,476$177
Emergency department visit with moderate level of medical decision making34$3,241$95
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only56$387$6

2022: 7 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making171$26,541$151
Critical care, first 30-74 minutes89$18,188$202
Emergency department visit with moderate level of medical decision making46$4,371$95
Critical care, each additional 30 minutes13$1,438$96
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only92$663$7
Emergency department visit with low level of medical decision making13$655$50
Electrocardiogram (ecg) 1 to 3 leads with review by physician only14$85$5

2021: 5 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making154$24,836$158
Critical care, first 30-74 minutes93$19,671$205
Emergency department visit with moderate level of medical decision making48$4,738$97
Initial hospital observation care per day, typically 70 minutes16$2,614$163
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only135$944$7

2020: 6 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making168$24,783$146
Critical care, first 30-74 minutes58$11,520$195
Emergency department visit with moderate level of medical decision making54$5,115$95
Initial hospital observation care per day, typically 70 minutes24$3,909$163
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only170$1,283$7
Emergency department visit with low level of medical decision making14$811$54

2019: 5 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making202$27,835$136
Critical care, first 30-74 minutes61$11,074$179
Emergency department visit with moderate level of medical decision making64$5,795$91
Emergency department visit with low level of medical decision making48$1,870$38
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only184$1,349$7

2018: 5 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making286$44,116$149
Emergency department visit with moderate level of medical decision making148$14,450$96
Critical care, first 30-74 minutes59$12,504$202
Emergency department visit with low level of medical decision making86$4,792$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only279$2,374$8

2017: 6 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making487$104,313$197
Critical care, first 30-74 minutes96$25,892$262
Emergency department visit with moderate level of medical decision making91$12,030$128
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only415$4,741$10
Emergency department visit with low level of medical decision making58$4,188$68
Emergent insertion of breathing tube into windpipe using an endoscope11$1,839$167

2016: 6 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making457$66,037$135
Critical care, first 30-74 minutes78$13,879$178
Emergency department visit with moderate level of medical decision making121$10,217$81
Emergency department visit with low level of medical decision making92$4,492$44
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only351$2,633$7
Emergent insertion of breathing tube into windpipe using an endoscope20$1,781$89

2015: 8 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making552$77,790$136
Emergency department visit with moderate level of medical decision making176$16,231$89
Critical care, first 30-74 minutes68$12,197$179
Emergency department visit with low level of medical decision making82$3,723$45
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only448$3,301$7
Critical care, each additional 30 minutes11$1,356$90
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less12$414$35
X-ray of chest, 1 view, front17$128$8

2014: 5 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making478$66,337$135
Emergency department visit with moderate level of medical decision making125$11,322$90
Critical care, first 30-74 minutes54$10,029$179
Emergency department visit with low level of medical decision making74$3,752$48
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only365$2,673$7

2013: 6 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making311$42,322$132
Critical care, first 30-74 minutes61$10,838$175
Emergency department visit with moderate level of medical decision making102$9,000$88
Emergency department visit with low level of medical decision making54$2,462$44
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only222$1,518$7
Emergent insertion of breathing tube into windpipe using an endoscope13$1,206$86

Medicaid work

$124,475 in 2024

Medicaid paid $124,475 for 1,858 billed services this clinician did in 2024, up to 118 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
EMERGENCY DEPARTMENT VISIT HIGH MDM668$58,697
EMERGENCY DEPT VISIT MOD MDM842$58,205
Service98$3,649
EMERGENCY DEPT VISIT LOW MDM30$2,255
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only156$1,210
COMPREHENSIVE METABOLIC PANEL32$271
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count32$188
Medicaid work by year
20241,8587118$124,475
20231,3601173$75,105
20222,0531170$113,525
20216,7003977$305,235
20204,7842698$244,691
20193,3992668$102,226
20185,19026195$117,589
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPARTMENT VISIT HIGH MDM365$28,457
EMERGENCY DEPT VISIT MOD MDM433$26,970
EMERGENCY DEPT VISIT LOW MDM48$6,277
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes79$5,726
Service150$5,720
COMPREHENSIVE METABOLIC PANEL69$683
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count71$529
Service66$484
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only54$138
ASSAY OF LIPASE12$78
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy13$43

2022

Largest Medicaid services in 2022
EMERGENCY DEPARTMENT VISIT HIGH MDM592$48,442
EMERGENCY DEPT VISIT MOD MDM499$32,252
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes167$15,566
Service204$7,769
EMERGENCY DEPT VISIT LOW MDM130$6,239
COMPREHENSIVE METABOLIC PANEL117$864
Service76$712
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count127$707
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug14$600
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only114$356
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy13$18

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM939$180,628
EMERGENCY DEPT VISIT MOD MDM652$43,273
Service58$20,800
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes213$20,397
EMERGENCY DEPT VISIT LOW MDM292$16,528
Service275$10,418
Computed tomography, head or brain; without contrast material28$1,652
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only322$1,454
COMPREHENSIVE METABOLIC PANEL504$1,417
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count542$1,190
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report221$1,124
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL48$1,044

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM856$141,123
EMERGENCY DEPT VISIT MOD MDM730$50,227
EMERGENCY DEPT VISIT LOW MDM448$25,286
Service303$11,514
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes75$6,854
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only278$2,825
COMPREHENSIVE METABOLIC PANEL371$1,370
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count399$1,184
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug111$697
Service88$651
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report92$571
Infusion, normal saline solution , 1000 cc215$569

2019

Largest Medicaid services in 2019
EMERGENCY DEPARTMENT VISIT HIGH MDM353$63,910
EMERGENCY DEPT VISIT LOW MDM524$15,341
EMERGENCY DEPT VISIT MOD MDM233$13,381
Service136$5,313
COMPREHENSIVE METABOLIC PANEL459$960
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count516$777
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only73$612
Service68$453
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug27$276
Computed tomography, head or brain; without contrast material12$235
Troponin, quantitative137$232
ASSAY OF LIPASE125$155

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT LOW MDM1,812$40,275
EMERGENCY DEPT VISIT MOD MDM915$26,456
EMERGENCY DEPARTMENT VISIT HIGH MDM489$18,632
Service280$10,382
Service186$10,315
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"126$2,325
Return visit (30+ min)104$1,625
COMPREHENSIVE METABOLIC PANEL225$1,539
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only137$1,278
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count213$1,216
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report35$496
Radiologic examination, chest; 2 views39$456

Drugs they prescribed that Part D paid

$2,037

Pharmacies billed $2,037 in 2024.

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

Opioids were 11% of their Part D prescriptions (29 of 260) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

255 generic and fewer than 11 brand-name prescriptions · $2,037 in drug cost · 71 antibiotic prescriptions to 69 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
Naloxone13$502$39
Cephalexin37$198$5
Ibuprofen43$151$4
Ondansetron Odt19$91$5
Pantoprazole17$89$5
See all 7 drugs
Every Part D drug this clinician prescribed
Naloxone13$502$39
Cephalexin37$198$5
Ibuprofen43$151$4
Ondansetron Odt19$91$5
Pantoprazole17$89$5
Hydrocodone-Acetaminophen18$51$3
Azithromycin13$43$3

Year by year

Part D prescribing by year
202426018411% (29)None$2,037
20231088213% (14)None$2,849
202219013621% (39)None$2,944
20211318418% (23)None$1,828
20201239317% (21)None$1,100
201914210922% (31)None$1,402
201821615919% (41)None$2,054
201726419015% (40)4%$2,641
201628520318% (51)6%$2,834
201520813621% (43)6%$2,057
201423615923% (53)None$3,231
201317912727% (49)None$2,112

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

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Cephalexin16$98$6
Ibuprofen14$66$5

2022: 4 drugs

Part D drugs prescribed in 2022
Hydrocodone-Acetaminophen26$151$6
Cephalexin22$147$7
Ibuprofen28$136$5
Ondansetron Odt14$104$7

2021: 3 drugs

Part D drugs prescribed in 2021
Cephalexin19$116$6
Ondansetron Odt12$96$8
Hydrocodone-Acetaminophen15$67$4

2020: 3 drugs

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen18$96$5
Ibuprofen22$94$4
Cephalexin12$53$4

2019: 3 drugs

Part D drugs prescribed in 2019
Cephalexin23$153$7
Hydrocodone-Acetaminophen25$138$6
Ibuprofen17$61$4

2018: 5 drugs

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen31$172$6
Azithromycin23$156$7
Cephalexin21$107$5
Ibuprofen21$81$4
Ibu20$57$3

2017: 8 drugs

Part D drugs prescribed in 2017
Cephalexin26$189$7
Hydrocodone-Acetaminophen31$151$5
Meclizine11$97$9
Azithromycin18$86$5
Omeprazole11$76$7
Ibuprofen17$56$3
Ibu15$48$3
Prednisone11$38$3

2016: 6 drugs

Part D drugs prescribed in 2016
Ibuprofen57$239$4
Hydrocodone-Acetaminophen37$229$6
Cephalexin37$222$6
Azithromycin25$156$6
Clindamycin13$130$10
Omeprazole11$54$5

2015: 4 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen37$211$6
Ibuprofen30$129$4
Azithromycin21$128$6
Cephalexin18$70$4

2014: 6 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen40$278$7
Ibuprofen28$150$5
Azithromycin16$143$9
Cephalexin18$120$7
Omeprazole14$114$8
Prednisone11$51$5

2013: 4 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen37$260$7
Omeprazole15$214$14
Levofloxacin12$112$9
Ibuprofen20$99$5

Money from drug and device companies

$47 in 2025

Industry payments by year
202522None$47
202413None$71
202328None$244
202111None$20

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
AbbvieEmblaveo$32
1 payment
  • Meals for Emblaveo · 2025-10-22 · $32
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$14
1 payment
  • Meals for Lifevest · 2025-04-03 · $14
See all 2 published payments
Every published payment
AbbvieMeals · 2025-10-22Emblaveo$32
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Meals · 2025-04-03Lifevest$14
See earlier years (2024, 2023, 2021)

2024: $71

Payments by company in 2024
AbbvieDalvance$71
3 payments
  • Meals for Dalvance · 2024-09-30 · $17
  • Meals for Dalvance · 2024-09-09 · $27
  • Meals for Dalvance · 2024-06-03 · $27

2023: $244

Payments by company in 2023
AbbvieDalvance$185
7 payments
  • Meals for Dalvance · 2023-10-19 · $11
  • Meals for Dalvance · 2023-06-23 · $13
  • Meals for Dalvance · 2023-06-22 · $7
  • Meals for Dalvance · 2023-05-28 · $3
  • Meals for Dalvance · 2023-05-25 · $18
  • Meals for Dalvance · 2023-05-16 · $12
  • Meals · 2023-05-16 · $121
Merz North AmericaXeomin$59
1 payment
  • Meals for Xeomin · 2023-01-31 · $59

2021: $20

Payments by company in 2021
Merz North AmericaNone$20
1 payment
  • Meals · 2021-11-11 · $20

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
89.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1497702492
Licence
CA 20A10997, IL 036109864, TX Q2896Texas Q2896: ActiveIllinois 036109864: Inactive
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
WI 32546100
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
12203 Parkerhill Dr, Bakersfield, CA, 93311
NPI first listed
2006-05-27
NPI last updated
2020-02-06
NPI record certified
2020-02-06

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