Mohammed Abo Khamis, MD
Pulmonary Disease · Modesto
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 9
- 1 carrier
- Offices
- 2
Offices
2 locations · Pulmonary and Critical Care Associates of Modesto Inc · First Choice Physician Partners
Looking this up.
Hospitals listed: Adventist Health Sonora · Doctors Hospital of Manteca · Doctors Medical Center · Emanuel Medical Center · Mercy Medical Center. That is not proof they admit you there this week.
Plans that list them
9 plans · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Khamis’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
Hospitals they work in
5 hospitals
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Adventist Health SonoraSonora, CAAcute Care Hospital · Voluntary non-profit - Church · No emergency department · Birthing-friendlyPart of Adventist Health, which runs 28 hospitals in 3 statesPatients rate it 3 of 5 · 64% would definitely recommend itOverall rating: 3 of 5 starsWorse than the national rate — Postoperative wound dehiscence rate: 3.5 (2.04 to 4.96) · 288 cases, Jul 2022 – Jun 2024Worse than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 1.3 (1 to 1.6) · 1,004 cases, Jan 2024 – Dec 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.185, Oct 2024 – Sep 2025
- Doctors Hospital of MantecaManteca, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency departmentPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 2 of 5 · 55% would definitely recommend itOverall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.165, Oct 2024 – Sep 2025
- Doctors Medical CenterModesto, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 2 of 5 · 59% would definitely recommend itOverall rating: 1 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.36 (1.02 to 1.71), Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 1.35 (0.81 to 1.9) · 6,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.281, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.326, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.183, Oct 2024 – Sep 2025
- Emanuel Medical CenterTurlock, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 2 of 5 · 58% would definitely recommend itOverall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.231, Oct 2024 – Sep 2025
- Mercy Medical CenterMerced, 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 · 59% would definitely recommend itOverall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.168, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.364, Oct 2024 – Sep 2025
See every measure and the patient survey for Adventist Health Sonora
Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 0 better, 4 the same, 0 worse of 4 measures. Readmissions: 1 better, 7 the same, 1 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Postoperative wound dehiscence rateComplications and deaths | 3.5 (2.04 to 4.96) · 288 cases | Worse | Jul 2022 – Jun 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1.3 (1 to 1.6) · 1,004 cases | Worse | Jan 2024 – Dec 2024 |
| Clostridium Difficile (C.Diff)Infections | 0.185 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.15 (0.14 to 2.16) · 582 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.87 (0.5 to 1.24) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 182.91 (123.44 to 242.37) · 38 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 7.9 · 118 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 9 · 125 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11.7 · 236 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 15 · 433 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12 · 72 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.9 · 1,364 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.18 (0 to 0.39) · 3,671 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.28 (0.07 to 0.48) · 3,602 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.41 (1.24 to 5.59) · 803 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.57 (0 to 3.24) · 310 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.59 (0.98 to 4.2) · 754 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 7.97 (0 to 16.16) · 306 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.72 (1.85 to 9.58) · 277 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 1.06) · 2,750 cases | No different | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.614 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 13.6 · 105 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 19.6 · 209 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 12.6 · 119 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -23.8 · 255 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -13.4 · 455 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.3 · 381 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 6 (4.3 to 8.1) · 328 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 11.7 (9.1 to 14.7) · 328 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.3 · 106 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.8 (10 to 16.3) · 1,835 cases | No different | Jan 2022 – Dec 2024 |
What patients said (326 patients answered, 21% of those asked)
| Cleanliness | 3 |
| Nurse communication | 4 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 3 |
| Room was "always" clean | 69% |
| Nurses "always" communicated well | 80% |
| Doctors "always" communicated well | 77% |
| Staff "always" explained | 61% |
| Yes, staff "did" give patients this information | 89% |
| Yes, staff "did" give patients information about help after discharge | 86% |
| Doctors "always" explained things so they could understand | 72% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 85% |
| Patients who gave a rating of "9" or "10" (high) | 64% |
| Staff "always" explained new medications | 73% |
| Nurses "always" explained things so they could understand | 75% |
| Nurses "always" listened carefully | 76% |
| Nurses "always" treated them with courtesy and respect | 89% |
| "Always" quiet at night | 44% |
| "YES", patients would definitely recommend the hospital | 64% |
| Staff "always" explained possible side effects | 50% |
| Yes, staff "did" give patients information about possible symptoms | 93% |
See every measure and the patient survey for Doctors Hospital of Manteca
Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 2 the same, 0 worse of 2 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.
| Clostridium Difficile (C.Diff)Infections | 0.165 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.01 (0 to 2.09) · 230 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.96 (0.49 to 1.42) | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 8.6 · 30 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11.5 · 110 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 15.6 · 172 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.7 · 81 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.5 · 700 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.33 (0.1 to 0.56) · 1,428 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.26 (0.05 to 0.47) · 1,462 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.82 (1.24 to 6.39) · 137 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.28 (0.57 to 4) · 130 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.75 (0.23 to 3.28) · 58 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.41 (0 to 1.49) · 1,152 cases | No different | Jul 2022 – Jun 2024 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 21.4 · 173 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 67.3 · 110 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 60 · 183 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 19.4 · 250 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.8 · 48 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.5 (9.2 to 16.8) · 379 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.5) · 52 cases | No different | Jan 2024 – Dec 2024 |
What patients said (339 patients answered, 15% of those asked)
| Cleanliness | 3 |
| Nurse communication | 1 |
| Doctor communication | 1 |
| Communication about medicines | 2 |
| Discharge information | 2 |
| Overall hospital rating | 2 |
| Quietness | 1 |
| Recommend hospital | 2 |
| Room was "always" clean | 68% |
| Nurses "always" communicated well | 69% |
| Doctors "always" communicated well | 68% |
| Staff "always" explained | 56% |
| Yes, staff "did" give patients this information | 81% |
| Yes, staff "did" give patients information about help after discharge | 77% |
| Doctors "always" explained things so they could understand | 62% |
| Doctors "always" listened carefully | 65% |
| Doctors "always" treated them with courtesy and respect | 76% |
| Patients who gave a rating of "9" or "10" (high) | 56% |
| Staff "always" explained new medications | 69% |
| Nurses "always" explained things so they could understand | 62% |
| Nurses "always" listened carefully | 65% |
| Nurses "always" treated them with courtesy and respect | 79% |
| "Always" quiet at night | 39% |
| "YES", patients would definitely recommend the hospital | 55% |
| Staff "always" explained possible side effects | 42% |
| Yes, staff "did" give patients information about possible symptoms | 85% |
See every measure and the patient survey for Doctors Medical Center
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 3 the same, 1 worse of 6 measures. Readmissions: 0 better, 5 the same, 3 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.36 (1.02 to 1.71) | Worse | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 1.35 (0.81 to 1.9) · 6,296 cases | Worse | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.281 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.326 | Better | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.183 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.27 (0.31 to 2.23) · 1,396 cases | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 183.31 (147.26 to 219.36) · 127 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 4.1 · 135 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 10.1 · 95 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 15.2 · 276 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 12.8 · 321 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 16.2 · 364 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.9 · 767 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 4.6 · 3,719 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.18 (0 to 0.37) · 7,050 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.24 (0.05 to 0.43) · 7,169 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.12 (2.19 to 6.06) · 1,622 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.6 (0 to 3.3) · 48 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.63 (1.23 to 4.04) · 1,601 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 14.79 (5.73 to 23.85) · 51 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 4.99 (0.75 to 9.23) · 51 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.65 (0.17 to 3.13) · 242 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 5.9 · 67 cases | None | Apr 2023 – Mar 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.484 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.582 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15.3 · 424 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 24 · 682 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 36.6 · 326 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 70.5 · 378 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 20.8 · 366 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 19.2 · 564 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 6.1 · 70 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 14.7 · 120 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.1 · 189 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.5 (9.4 to 16.4) · 573 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1.3 (1 to 1.7) · 303 cases | No different | Jan 2024 – Dec 2024 |
What patients said (1,045 patients answered, 15% of those asked)
| Cleanliness | 2 |
| Nurse communication | 2 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 2 |
| Quietness | 1 |
| Recommend hospital | 2 |
| Room was "always" clean | 63% |
| Nurses "always" communicated well | 72% |
| Doctors "always" communicated well | 71% |
| Staff "always" explained | 56% |
| Yes, staff "did" give patients this information | 83% |
| Yes, staff "did" give patients information about help after discharge | 81% |
| Doctors "always" explained things so they could understand | 67% |
| Doctors "always" listened carefully | 69% |
| Doctors "always" treated them with courtesy and respect | 78% |
| Patients who gave a rating of "9" or "10" (high) | 57% |
| Staff "always" explained new medications | 70% |
| Nurses "always" explained things so they could understand | 67% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 36% |
| "YES", patients would definitely recommend the hospital | 59% |
| Staff "always" explained possible side effects | 42% |
| Yes, staff "did" give patients information about possible symptoms | 86% |
See every measure and the patient survey for Emanuel Medical Center
Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 7 the same, 3 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Clostridium Difficile (C.Diff)Infections | 0.231 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.92 (0 to 1.94) · 622 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.86 (0.46 to 1.27) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 185.82 (131.99 to 239.65) · 55 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 10.8 · 72 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.9 · 287 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 12 · 365 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 15.9 · 443 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.3 · 102 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 4.2 · 1,680 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.17 (0 to 0.39) · 4,160 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.24 (0.03 to 0.44) · 4,151 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.53 (1.2 to 5.87) · 700 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.84 (1.24 to 4.43) · 734 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.7 (0.19 to 3.2) · 146 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 1.04) · 3,326 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.2 · 45 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.908 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.836 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.997 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.2 · 307 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 21.2 · 461 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | -12.8 · 290 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -3.8 · 417 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 37.9 · 472 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 20.1 · 524 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.5 (3.9 to 7.6) · 264 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 9.7 (7.4 to 12.8) · 264 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 6 · 40 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 21.6 · 111 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 14.2 (10.5 to 19.3) · 257 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.6 to 1.2) · 289 cases | No different | Jan 2024 – Dec 2024 |
What patients said (704 patients answered, 14% of those asked)
| Cleanliness | 4 |
| Nurse communication | 2 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 2 |
| Overall hospital rating | 2 |
| Quietness | 2 |
| Recommend hospital | 2 |
| Room was "always" clean | 74% |
| Nurses "always" communicated well | 74% |
| Doctors "always" communicated well | 73% |
| Staff "always" explained | 55% |
| Yes, staff "did" give patients this information | 83% |
| Yes, staff "did" give patients information about help after discharge | 79% |
| Doctors "always" explained things so they could understand | 67% |
| Doctors "always" listened carefully | 71% |
| Doctors "always" treated them with courtesy and respect | 83% |
| Patients who gave a rating of "9" or "10" (high) | 60% |
| Staff "always" explained new medications | 70% |
| Nurses "always" explained things so they could understand | 68% |
| Nurses "always" listened carefully | 71% |
| Nurses "always" treated them with courtesy and respect | 83% |
| "Always" quiet at night | 39% |
| "YES", patients would definitely recommend the hospital | 58% |
| Staff "always" explained possible side effects | 40% |
| Yes, staff "did" give patients information about possible symptoms | 86% |
See every measure and the patient survey for Mercy Medical Center
Behind the star rating — Deaths: 0 better, 5 the same, 1 worse of 6 measures. Safety: 3 better, 3 the same, 0 worse of 6 measures. Readmissions: 0 better, 7 the same, 2 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0 | Better | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.168 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.364 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.1 (0.11 to 2.09) · 798 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.74 (0.37 to 1.11) | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 7.7 · 165 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.7 · 69 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11.3 · 449 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 17.5 · 544 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 11 · 206 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.6 · 1,843 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.16 (0 to 0.37) · 5,594 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.23 (0.03 to 0.43) · 5,647 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 2.53 (0.28 to 4.78) · 763 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.64 (0 to 3.35) · 161 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 1.96 (0.37 to 3.55) · 791 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 7.67 (0 to 16.88) · 163 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 4.84 (0.67 to 9.02) · 115 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.92 (0.46 to 3.38) · 273 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.16 (0 to 0.85) · 4,979 cases | No different | Jul 2022 – Jun 2024 |
| MRSA BacteremiaInfections | 0 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.764 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14 · 31 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 21.5 · 477 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 62.8 · 511 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 43.6 · 554 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 18.8 · 462 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.7 (3.8 to 8.2) · 152 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 10.7 (8 to 14.1) · 152 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.9 · 196 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.9 (10.2 to 19) · 70 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.8 to 1.4) · 413 cases | No different | Jan 2024 – Dec 2024 |
What patients said (394 patients answered, 11% of those asked)
| Cleanliness | 4 |
| Nurse communication | 3 |
| Doctor communication | 2 |
| Communication about medicines | 3 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 3 |
| Recommend hospital | 2 |
| Room was "always" clean | 73% |
| Nurses "always" communicated well | 78% |
| Doctors "always" communicated well | 75% |
| Staff "always" explained | 61% |
| Yes, staff "did" give patients this information | 85% |
| Yes, staff "did" give patients information about help after discharge | 83% |
| Doctors "always" explained things so they could understand | 73% |
| Doctors "always" listened carefully | 72% |
| Doctors "always" treated them with courtesy and respect | 80% |
| Patients who gave a rating of "9" or "10" (high) | 64% |
| Staff "always" explained new medications | 74% |
| Nurses "always" explained things so they could understand | 74% |
| Nurses "always" listened carefully | 75% |
| Nurses "always" treated them with courtesy and respect | 85% |
| "Always" quiet at night | 49% |
| "YES", patients would definitely recommend the hospital | 59% |
| Staff "always" explained possible side effects | 49% |
| Yes, staff "did" give patients information about possible symptoms | 86% |
Original Medicare doctor bills
$159,486
Medicare paid this office $159,486 for 428 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Critical care, first 30-74 minutes | 234 | $88,480 | $157 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 236 | $37,724 | $90 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 114 | $14,524 | $125 |
| Manual attempt to restore blood circulation and breathing | 19 | $2,602 | $137 |
| Hospital discharge day management, more than 30 minutes | 28 | $2,490 | $89 |
See all 12 services
| Critical care, first 30-74 minutes | 234 | $88,480 | $157 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 236 | $37,724 | $90 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 114 | $14,524 | $125 |
| Manual attempt to restore blood circulation and breathing | 19 | $2,602 | $137 |
| Hospital discharge day management, more than 30 minutes | 28 | $2,490 | $89 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 17 | $1,902 | $100 |
| Aspiration of initial secretion of lung airway using an endoscope | 12 | $1,556 | $111 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 12 | $1,339 | $61 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 19 | $1,200 | $63 |
| Irrigation and suction of lung airways to obtain cells using an endoscope | 13 | $1,020 | $73 |
| Insertion of artery tube for blood sampling or infusion through skin | 12 | $345 | $29 |
| Ultrasonic guidance for blood vessel access | 11 | $115 | $10 |
Who their Medicare patients are
428 Original Medicare patients in 2024. Average age 74 · Under 65 11% · 85 and older 15% · Women 47% · Also on Medicaid 55% · Health risk score 2.71. Above the middle of the specialty; the typical pulmonary disease clinician is at 2.13.
Conditions among them: High blood pressure 75% · Heart failure 63% · Diabetes 60% · Coronary heart disease 56% · Atrial fibrillation 52% · Chronic kidney disease 51% · COPD 42% · Stroke 38% · Depression 32% · Dementia 20% · Cancer 18%.
The office billed $559,053, Medicare allowed $206,191 and paid $159,486; for 1,338 services of 41 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
| 2024 | 428 | 1,338 | 74 | 2.71 | $559,053 | $159,486 |
| 2023 | 428 | 1,224 | 73 | 2.48 | $501,388 | $157,051 |
| 2022 | 384 | 1,043 | 73 | 2.56 | $393,200 | $131,417 |
| 2021 | 403 | 1,050 | 72 | 2.65 | $414,334 | $137,418 |
| 2020 | 167 | 453 | 72 | 2.96 | $176,508 | $61,386 |
| 2019 | 246 | 929 | 73 | 2.60 | $176,449 | $83,118 |
| 2018 | 453 | 2,099 | 73 | 2.57 | $361,874 | $171,349 |
| 2017 | 409 | 1,824 | 74 | 2.30 | $306,570 | $143,666 |
| 2016 | 402 | 1,552 | 74 | 2.47 | $232,225 | $111,013 |
| 2015 | 411 | 1,688 | 73 | 2.48 | $254,889 | $132,809 |
| 2014 | 474 | 1,961 | 72 | 2.45 | $303,909 | $168,675 |
| 2013 | 259 | 1,207 | 71 | 2.30 | $163,565 | $84,959 |
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: 8 services
| Critical care, first 30-74 minutes | 227 | $87,995 | $166 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 242 | $40,194 | $93 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 127 | $16,991 | $132 |
| Manual attempt to restore blood circulation and breathing | 15 | $2,145 | $143 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 16 | $1,747 | $109 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 18 | $1,244 | $65 |
| Hospital discharge day management, more than 30 minutes | 11 | $1,008 | $92 |
| Ultrasonic guidance for blood vessel access | 11 | $121 | $11 |
2022: 9 services
| Critical care, first 30-74 minutes | 160 | $67,223 | $173 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 225 | $30,411 | $81 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 141 | $21,777 | $153 |
| Manual attempt to restore blood circulation and breathing | 16 | $2,354 | $147 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 16 | $1,796 | $112 |
| Aspiration of initial secretion of lung airway using an endoscope | 14 | $1,595 | $114 |
| Hospital discharge day management, more than 30 minutes | 18 | $1,527 | $85 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 19 | $1,278 | $67 |
| Ultrasonic guidance for blood vessel access | 18 | $200 | $11 |
2021: 7 services
| Critical care, first 30-74 minutes | 171 | $69,740 | $177 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 233 | $31,563 | $83 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 139 | $22,342 | $157 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 25 | $2,979 | $115 |
| Manual attempt to restore blood circulation and breathing | 16 | $2,405 | $150 |
| Irrigation and suction of lung airways to obtain cells using an endoscope | 15 | $1,650 | $110 |
| Hospital discharge day management, more than 30 minutes | 18 | $1,565 | $87 |
2020: 4 services
| Critical care, first 30-74 minutes | 77 | $31,979 | $185 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 98 | $15,616 | $86 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 43 | $7,305 | $170 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 12 | $1,558 | $120 |
2019: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 121 | $38,157 | $82 |
| Critical care, first 30-74 minutes | 56 | $19,611 | $171 |
| Return visit (30+ min) | 90 | $10,020 | $63 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 43 | $6,960 | $155 |
| Hospital discharge day management, more than 30 minutes | 12 | $1,011 | $84 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 11 | $977 | $57 |
2018: 13 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 267 | $78,674 | $76 |
| Critical care, first 30-74 minutes | 94 | $34,111 | $161 |
| Return visit (30+ min) | 134 | $24,380 | $66 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 113 | $17,649 | $143 |
| Initial hospital observation care per day, typically 70 minutes | 22 | $2,846 | $124 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 25 | $1,351 | $52 |
| Hospital discharge day management, more than 30 minutes | 15 | $1,105 | $74 |
| Influenza vaccine, quadrivalent derived from cell cultures | 34 | $759 | $22 |
| Administration of influenza virus vaccine | 34 | $656 | $19 |
| Short return visit (20+ min) | 11 | $534 | $41 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 13 | $510 | $39 |
| Test to examine how well the lungs exchange gases | 14 | $497 | $36 |
| Test to determine lung volumes using gas dilution or washout | 14 | $404 | $29 |
2017: 12 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 222 | $65,016 | $76 |
| Critical care, first 30-74 minutes | 72 | $25,921 | $168 |
| Return visit (30+ min) | 138 | $19,388 | $64 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 98 | $15,226 | $144 |
| Short return visit (20+ min) | 44 | $3,028 | $38 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 31 | $2,461 | $52 |
| Test to examine how well the lungs exchange gases | 22 | $825 | $38 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 20 | $798 | $40 |
| Hospital discharge day management, 30 minutes or less | 13 | $736 | $53 |
| Administration of influenza virus vaccine | 30 | $713 | $24 |
| Test to determine lung volumes using gas dilution or washout | 22 | $621 | $28 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 30 | $524 | $17 |
2016: 16 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 175 | $37,151 | $76 |
| Return visit (30+ min) | 167 | $26,291 | $67 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 88 | $13,286 | $144 |
| Critical care, first 30-74 minutes | 45 | $13,155 | $167 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 34 | $5,940 | $54 |
| Short return visit (20+ min) | 42 | $2,177 | $48 |
| New patient visit (45+ min) | 13 | $1,347 | $104 |
| Hospital discharge day management, 30 minutes or less | 17 | $909 | $53 |
| Administration of influenza virus vaccine | 37 | $842 | $23 |
| Test to examine how well the lungs exchange gases | 17 | $617 | $36 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 14 | $605 | $43 |
| Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 37 | $574 | $16 |
| Test to determine lung volumes using gas dilution or washout | 17 | $481 | $28 |
| Office for the evaluation and management of established patient that may not require presence of healthcare professional | 11 | $392 | $13 |
| Blood test, clotting time | 15 | $194 | $5 |
| Injection, methylprednisolone acetate, 20 mg | 11 | $45 | None |
2015: 14 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 188 | $46,059 | $80 |
| Return visit (30+ min) | 157 | $26,662 | $72 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 115 | $19,684 | $154 |
| Critical care, first 30-74 minutes | 42 | $13,049 | $174 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 67 | $12,438 | $56 |
| New patient visit (45+ min) | 23 | $2,459 | $107 |
| Hospital discharge day management, 30 minutes or less | 34 | $1,970 | $56 |
| Short return visit (20+ min) | 18 | $901 | $45 |
| Initial hospital observation care per day, typically 30 minutes | 12 | $857 | $61 |
| Test to examine how well the lungs exchange gases | 16 | $644 | $40 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 15 | $642 | $43 |
| Administration of influenza virus vaccine | 27 | $607 | $22 |
| Test to determine lung volumes using gas dilution or washout | 16 | $502 | $31 |
| Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 27 | $403 | $15 |
2014: 15 services
| Critical care, first 30-74 minutes | 103 | $42,503 | $173 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 193 | $40,591 | $80 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 92 | $25,556 | $56 |
| Return visit (30+ min) | 159 | $22,259 | $72 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 112 | $19,366 | $157 |
| New patient visit (45+ min) | 31 | $3,597 | $116 |
| Initial hospital observation care per day, typically 70 minutes | 18 | $2,588 | $144 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 12 | $2,117 | $53 |
| Hospital discharge day management, 30 minutes or less | 31 | $1,735 | $54 |
| Short return visit (20+ min) | 13 | $830 | $55 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 16 | $671 | $42 |
| Test to examine how well the lungs exchange gases | 17 | $640 | $38 |
| Test to determine lung volumes using gas dilution or washout | 17 | $500 | $29 |
| Administration of influenza virus vaccine | 21 | $487 | $21 |
| Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 20 | $316 | $14 |
2013: 10 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 121 | $29,396 | $74 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 80 | $15,735 | $50 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 72 | $11,693 | $146 |
| Return visit (30+ min) | 89 | $10,414 | $73 |
| Critical care, first 30-74 minutes | 27 | $6,293 | $161 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 12 | $1,978 | $49 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 16 | $900 | $28 |
| Hospital discharge day management, 30 minutes or less | 13 | $777 | $52 |
| Administration of influenza virus vaccine | 20 | $480 | $24 |
| Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 20 | $273 | $14 |
Medicaid work
$125,715 in 2024
Medicaid paid $125,715 for 1,345 billed services this clinician did in 2024, up to 44 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.
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 731 | $88,711 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 542 | $30,844 |
| 1ST HOSP IP/OBS HIGH 75 | 72 | $6,160 |
| 2024 | 1,345 | 3 | 44 | $125,715 |
| 2023 | 1,592 | 3 | 42 | $128,860 |
| 2022 | 1,353 | 3 | 39 | $101,685 |
| 2021 | 1,401 | 3 | 37 | $116,505 |
| 2020 | 323 | 2 | 25 | $25,305 |
| 2019 | 316 | 2 | 22 | $6,365 |
| 2018 | 1,018 | 3 | 31 | $18,369 |
See the largest Medicaid services in earlier years
2023
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 813 | $87,962 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 620 | $29,330 |
| 1ST HOSP IP/OBS HIGH 75 | 159 | $11,568 |
2022
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 615 | $61,603 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 588 | $26,569 |
| 1ST HOSP IP/OBS HIGH 75 | 150 | $13,514 |
2021
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 693 | $79,596 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 594 | $27,878 |
| 1ST HOSP IP/OBS HIGH 75 | 114 | $9,030 |
2020
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 178 | $19,531 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 145 | $5,774 |
2019
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 245 | $4,111 |
| Return visit (30+ min) | 71 | $2,254 |
2018
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 797 | $10,983 |
| Return visit (30+ min) | 204 | $6,857 |
| 1ST HOSP IP/OBS HIGH 75 | 17 | $529 |
Money from drug and device companies
$81 in 2025
| 2025 | 3 | 3 | None | $81 |
| 2024 | 4 | 8 | None | $260 |
| 2023 | 3 | 3 | None | $108 |
| 2022 | 5 | 8 | None | $468 |
| 2021 | 3 | 3 | None | $47 |
| 2020 | 4 | 8 | None | $147 |
| 2019 | 4 | 8 | None | $132 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Abbott Laboratories | Amplatzer Amulet | $34 | 1 payment
|
| Penumbra | Indigo System | $26 | 1 payment
|
| Astellas Pharma US | Cresemba | $22 | 1 payment
|
See all 3 published payments
| Penumbra | Meals · 2025-08-20 | Indigo System | $26 |
| Astellas Pharma US | Meals · 2025-02-05 | Cresemba | $22 |
| Abbott Laboratories | Meals · 2025-02-04 | Amplatzer Amulet | $34 |
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)
2024: $260
| Astellas Pharma US | Cresemba | $190 | 4 payments
|
| AstraZeneca Pharmaceuticals LP | Andexxa | $41 | 2 payments
|
| Novartis Pharmaceuticals | Entresto | $22 | 1 payment
|
| Intuitive Surgical | Da Vinci Surgical System | $7 | 1 payment
|
2023: $108
| Astellas Pharma US | None | $80 | 1 payment
|
| Novartis Pharmaceuticals | Entresto | $14 | 1 payment
|
| Scpharmaceuticals | Furoscix | $13 | 1 payment
|
2022: $468
| Intuitive Surgical | Da Vinci Surgical System | $360 | 2 payments
|
| AstraZeneca Pharmaceuticals LP | Lokelma | $63 | 3 payments
|
| Pfizer | Eliquis | $20 | 1 payment
|
| Novartis Pharmaceuticals | Entresto | $13 | 1 payment
|
| Xeris Pharmaceuticals | Gvoke Pfs | $12 | 1 payment
|
2021: $47
| Ucb | Briviact | $19 | 1 payment
|
| AstraZeneca Pharmaceuticals LP | Lokelma | $14 | 1 payment
|
| Gilead Sciences | None | $14 | 1 payment
|
2020: $147
| Merck Sharp & Dohme | Zerbaxa | $68 | 4 payments
|
| Nabriva Therapeutics plc | Xenleta | $37 | 2 payments
|
| Janssen Pharmaceuticals | Xarelto | $25 | 1 payment
|
| Philips Electronics North America | (8874) Incourage | $18 | 1 payment
|
2019: $132
| AstraZeneca Pharmaceuticals LP | Lokelma | $55 | 3 payments
|
| Merck Sharp & Dohme | Zerbaxa | $37 | 2 payments
|
| Pfizer | Eliquis | $28 | 2 payments
|
| Janssen Pharmaceuticals | Xarelto | $13 | 1 payment
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 80.7 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1508098419
- Licence
- OH 35. 099625
- Group
- Pulmonary and Critical Care Associates of Modesto Inc · First Choice Physician Partners
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 207RP1001X (207RP1001X); Federal specialty code 207RC0200X (207RC0200X)
- Mailing address
- 570 Parkhill Dr, Apt.14, Fairlawn, OH, 44333
- NPI first listed
- 2009-08-12
- NPI last updated
- 2025-06-06
- NPI record certified
- 2025-06-06
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 91 5th St Se, Barberton, OH, 44203