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Brad A Zwahlen, MD

Orthopedic Surgery · Berkeley

NPI 1508878406

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
10
2 carriers
Offices
5

Offices

5 locations · Sutter Bay Medical Foundation · California Sports and Orthopaedic

Looking this up.

Hospitals listed: Alta Bates Summit Medical Center · Alta Bates Summit Medical Center - Alta Bates Camp. That is not proof they admit you there this week.

Plans that list them

10 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Zwahlen’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

10 of 10 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025

California Medical Board record

Licence A78633 · Current

Licensed to practise in California · since 2002 · expires 2027-09-30 · Baylor College of Medicine.

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

Surgery centers they own

  • The Surgery Center of Alta Bates Summit Medical CenterAmbulatory Surgery Center · Oakland, CAOwner · accredited by JC
    Initial Accreditation4 inspections, 4 with deficiencies · last 2017-07-27: Requirements Met

Hospitals they work in

2 hospitals

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

  • Alta Bates Summit Medical CenterOakland, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 3 of 5 · 78% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Death rate among surgical inpatients with serious treatable complications: 130.09 (87.72 to 172.46) · 109 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.274, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.227, Oct 2024 – Sep 2025
  • Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.298, Oct 2024 – Sep 2025
See every measure and the patient survey for Alta Bates Summit Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 4 better, 3 the same, 0 worse of 7 measures. Readmissions: 3 better, 6 the same, 0 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 Alta Bates Summit Medical Center
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths130.09 (87.72 to 172.46) · 109 casesBetterJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.274BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.227BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0.06 to 1.94) · 1,209 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.88 (0.6 to 1.16)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2 · 89 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.9 · 105 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.8 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 447 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.7 · 341 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.2 · 381 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 2,811 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.31) · 7,167 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,659 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.93 (0.92 to 4.94) · 1,668 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.25 (0 to 2.75) · 580 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.67 (1.19 to 4.15) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.17 (0.33 to 12.02) · 633 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths8.11 (4.67 to 11.55) · 619 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.07) · 309 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.39 (0 to 0.96) · 6,085 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.8 · 217 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.724No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.425No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.716No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits12.7 · 416 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.6 · 606 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-30.4 · 359 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-31.8 · 555 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-14.4 · 358 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16 · 382 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.1 (3.2 to 8.2) · 25 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.8 (7.3 to 16) · 25 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.5 · 232 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.9 · 56 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 152 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14.8 (11.1 to 20) · 251 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 579 casesNo differentJan 2024 – Dec 2024

What patients said (535 patients answered, 18% of those asked)

Patient survey stars by topic at Alta Bates Summit Medical Center
Cleanliness4
Nurse communication3
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Alta Bates Summit Medical Center
Room was "always" clean73%
Nurses "always" communicated well75%
Doctors "always" communicated well81%
Staff "always" explained58%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Alta Bates Summit Medical Center - Alta Bates Camp

Behind the star rating — Deaths: 2 better, 5 the same, 0 worse of 7 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 6 the same, 1 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Alta Bates Summit Medical Center - Alta Bates Camp
Clostridium Difficile (C.Diff)Infections0.298BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.18 (0.16 to 2.2) · 730 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.87 (0.51 to 1.23)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths188.12 (132.31 to 243.94) · 50 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.8 · 50 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.4 · 189 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.6 · 184 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 103 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 1,585 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.4) · 3,929 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.31 (0.11 to 0.51) · 3,954 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.15 (0.95 to 5.36) · 754 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.62 (0 to 3.33) · 325 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.99 (0.39 to 3.59) · 717 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.85 (2.27 to 19.44) · 326 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.79 (1.08 to 8.49) · 302 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.68 (0.19 to 3.18) · 184 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.17 (0 to 0.88) · 3,240 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.4 · 161 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.207No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.48No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.785No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.4 · 243 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-58.2 · 194 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-12.3 · 177 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 209 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (3.8 to 7.5) · 215 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.2 (9.4 to 15.5) · 215 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.8 · 150 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.2 · 81 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.4 (10 to 18.1) · 315 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1.2) · 137 casesNo differentJan 2024 – Dec 2024

What patients said (449 patients answered, 15% of those asked)

Patient survey stars by topic at Alta Bates Summit Medical Center - Alta Bates Camp
Cleanliness2
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Alta Bates Summit Medical Center - Alta Bates Camp
Room was "always" clean62%
Nurses "always" communicated well72%
Doctors "always" communicated well75%
Staff "always" explained53%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)58%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night49%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects38%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$144,185

Medicare paid this office $144,185 for 394 people.

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

Largest Original Medicare bills
Return visit (30+ min)207$30,820$112
New patient visit (45+ min)110$15,657$142
Short return visit (20+ min)131$14,481$81
Replacement of knee joint, both sides of knee12$13,957$1,163
Aspiration and/or injection of fluid large joint using ultrasound guidance60$10,952$105
See all 14 services
Every Original Medicare service billed
Return visit (30+ min)207$30,820$112
New patient visit (45+ min)110$15,657$142
Short return visit (20+ min)131$14,481$81
Replacement of knee joint, both sides of knee12$13,957$1,163
Aspiration and/or injection of fluid large joint using ultrasound guidance60$10,952$105
Removal of both knee cartilages using an endoscope14$7,488$535
New patient visit (30+ min)33$3,410$103
X-ray of knee, 1-2 views38$1,753$33
X-ray of shoulder, minimum of 2 views35$1,334$37
X-ray of both knees while standing24$960$40
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes22$613$28
X-ray of knee, 3 views13$569$44
X-ray of hip, 1 view15$488$33
Injection, triamcinolone acetonide, not otherwise specified, 10 mg53$249None

Procedures Medicare counted

Procedure volume Medicare published
Hip replacement1-10None
Knee replacement16More than 46% of doctors who do this
Lower limb (leg) arthroscopy (minimally invasive joint repair)15More than 88% of doctors who do this
Upper limb (arm) arthroscopy (minimally invasive joint repair)24More than 68% of doctors who do this

Who their Medicare patients are

394 Original Medicare patients in 2024. Average age 75 · Women 62% · Also on Medicaid 4% · Health risk score 0.87. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 54% · Depression 16% · Cancer 15% · Chronic kidney disease 14% · Diabetes 13% · Atrial fibrillation 12% · Coronary heart disease 9% · Heart failure 6% · COPD 6% · Stroke 5% · Dementia 3%.

The office billed $443,934, Medicare allowed $188,883 and paid $144,185; for 5,647 services of 61 kinds; $6,891 of it was for drugs given in the office and $137,294 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
20243945,647750.87$443,934$144,185
20234415,462750.85$452,298$155,194
20222133,634750.84$252,502$82,798
20212414,668740.78$319,058$103,171
202027311,863750.98$367,206$128,602
201927910,891740.94$356,446$124,250
201826811,985750.94$439,954$144,545
20172055,580740.92$444,754$144,720
20162463,094740.95$479,778$150,377
20152721,543740.89$506,443$156,572
20143091,528730.77$537,292$163,241
20132651,690730.90$512,599$172,460

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: 12 services

Original Medicare services billed in 2023
Return visit (30+ min)224$34,627$111
New patient visit (45+ min)125$18,763$150
Short return visit (20+ min)137$14,933$79
Aspiration and/or injection of fluid large joint using ultrasound guidance68$14,246$105
New patient visit (30+ min)68$5,979$88
X-ray of shoulder, minimum of 2 views41$1,840$36
X-ray of knee, 1-2 views42$1,807$32
X-ray of both knees while standing31$1,284$40
X-ray of hip, 1 view20$651$33
X-ray of knee, 3 views14$597$43
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes21$568$26
Injection, triamcinolone acetonide, not otherwise specified, 10 mg59$391None

2022: 8 services

Original Medicare services billed in 2022
Return visit (30+ min)104$15,847$114
Short return visit (20+ min)92$9,596$75
Aspiration and/or injection of fluid large joint using ultrasound guidance25$5,484$108
New patient visit (45+ min)37$5,427$147
New patient visit (30+ min)29$2,515$87
X-ray of knee, 1-2 views21$918$31
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes28$783$27
Injection, triamcinolone acetonide, not otherwise specified, 10 mg20$151None

2021: 8 services

Original Medicare services billed in 2021
Return visit (30+ min)114$17,419$112
Replacement of knee joint, both sides of knee12$14,064$1,172
Short return visit (20+ min)110$11,316$74
Aspiration and/or injection of fluid large joint using ultrasound guidance50$10,764$94
New patient visit (30+ min)42$3,794$90
New patient visit (45+ min)24$3,292$137
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15$429$29
Injection, triamcinolone acetonide, not otherwise specified, 10 mg44$248None

2020: 9 services

Original Medicare services billed in 2020
Return visit (30+ min)156$21,930$93
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg16$18,245None
Aspiration and/or injection of fluid large joint using ultrasound guidance79$17,919$98
Short return visit (20+ min)103$8,408$67
New patient visit (45+ min)46$6,953$151
New patient visit (30+ min)34$3,163$93
Short return visit16$1,072$41
Injection, triamcinolone acetonide, not otherwise specified, 10 mg60$491None
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15$450$30

2019: 11 services

Original Medicare services billed in 2019
Return visit (30+ min)147$21,047$93
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg11$17,575None
Aspiration and/or injection of fluid large joint using ultrasound guidance69$15,878$91
Short return visit (20+ min)92$8,180$66
Removal of joint lining from multiple knee joint compartments using an endoscope12$7,204$600
New patient visit (45+ min)50$6,775$135
New patient visit (30+ min)57$5,394$95
Short return visit24$2,447$41
Training for self-care or home management, each 15 minutes28$936$32
Injection, methylprednisolone acetate, 80 mg40$474None
Injection, triamcinolone acetonide, not otherwise specified, 10 mg17$116None

2018: 15 services

Original Medicare services billed in 2018
Return visit (30+ min)185$25,574$88
Aspiration and/or injection of fluid large joint using ultrasound guidance64$15,112$89
New patient visit (45+ min)80$10,784$135
Removal of joint lining from multiple knee joint compartments using an endoscope11$6,342$577
Short return visit (20+ min)42$4,708$64
Short return visit23$2,218$40
New patient visit (30+ min)13$1,241$95
Training for self-care or home management, each 15 minutes39$1,163$30
Mri scan of leg joint without contrast17$952$56
Mri scan of arm joint without contrast14$779$56
Injection, methylprednisolone acetate, 80 mg36$508None
Injection, triamcinolone acetonide, not otherwise specified, 10 mg19$192None
X-ray of knee, 3 views15$172$10
X-ray of hip, 2-3 views16$156$10
Injection, methylprednisolone acetate, 40 mg12$101None

2017: 14 services

Original Medicare services billed in 2017
Return visit (30+ min)180$32,524$92
Replacement of knee joint, both sides of knee13$16,721$1,194
Complete ultrasound scan of joint49$10,620$112
Aspiration and/or injection of fluid large joint using ultrasound guidance53$10,257$84
New patient visit (45+ min)38$5,456$144
Training for self-care or home management, each 15 minutes43$1,405$33
Mri scan of leg joint without contrast22$1,187$54
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16$400$25
Injection, triamcinolone acetonide, not otherwise specified, 10 mg25$238None
Injection, methylprednisolone acetate, 40 mg27$204None
X-ray of hip, 2-3 views16$160$10
X-ray of knee, 3 views17$152$8
X-ray of knee, 4 or more views11$110$10
Injection, ketorolac tromethamine, per 15 mg11$12None

2016: 16 services

Original Medicare services billed in 2016
Return visit (30+ min)169$28,801$93
Replacement of knee joint, both sides of knee16$19,988$1,176
Aspiration and/or injection of fluid large joint using ultrasound guidance70$11,503$79
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose11$7,729None
Removal of joint lining from multiple knee joint compartments using an endoscope11$6,184$562
Short return visit (20+ min)76$6,028$62
New patient visit (45+ min)43$5,815$135
Complete ultrasound scan of joint27$4,297$110
Mri scan of leg joint without contrast32$1,922$58
Long return visit (40+ min)14$1,746$125
New patient visit (30+ min)11$955$87
Training for self-care or home management, each 15 minutes11$353$32
Injection, methylprednisolone acetate, 80 mg37$277None
Measurement of range of motion in arm, leg or each spine section16$276$15
Injection, methylprednisolone acetate, 40 mg34$195None
Injection, ketorolac tromethamine, per 15 mg12$7None

2015: 17 services

Original Medicare services billed in 2015
Replacement of knee joint, both sides of knee19$23,583$1,179
Return visit (30+ min)143$18,745$91
Aspiration and/or injection of fluid large joint using ultrasound guidance81$14,509$89
Short return visit (20+ min)131$12,832$63
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose16$9,009None
Long return visit (40+ min)46$6,896$128
Removal of joint lining from multiple knee joint compartments using an endoscope12$6,607$551
Complete ultrasound scan of joint33$5,045$112
New patient visit (45+ min)34$4,725$139
New patient visit (30+ min)23$1,934$84
Mri scan of leg joint without contrast30$1,744$58
Mri scan of arm joint without contrast20$1,354$59
Measurement of range of motion in arm, leg or each spine section44$916$16
Mri scan of pelvis without contrast11$704$64
Injection, methylprednisolone acetate, 80 mg46$290None
Injection, triamcinolone acetonide, not otherwise specified, 10 mg15$151None
Injection, methylprednisolone acetate, 40 mg22$68None

2014: 20 services

Original Medicare services billed in 2014
Replacement of knee joint, both sides of knee20$24,680$1,175
Return visit (30+ min)131$15,694$91
Short return visit (20+ min)150$13,983$62
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose24$12,758None
Repair of shoulder rotator cuff using an endoscope12$11,222$935
Aspiration and/or injection of fluid from large joint103$10,204$58
Ultrasonic guidance for needle placement89$10,175$68
New patient visit (45+ min)65$8,646$133
New patient visit (60+ min)26$4,293$165
Long return visit (40+ min)28$3,846$124
New patient visit (30+ min)27$2,393$89
Shaving of part of shoulder bone and repair of ligament using an endoscope12$1,803$150
Complete ultrasound scan of joint13$1,769$111
Mri scan of leg joint without contrast19$1,191$60
Measurement of range of motion in arm, leg or each spine section54$1,175$15
Short return visit23$1,068$37
Mri scan of arm joint without contrast16$1,013$60
Limited ultrasound scan of joint or other extremity structure except blood vessels12$372$29
Injection, methylprednisolone acetate, 80 mg50$259None
Injection, methylprednisolone acetate, 40 mg38$99None

2013: 16 services

Original Medicare services billed in 2013
Ultrasonic guidance for needle placement66$33,837$201
Return visit (30+ min)111$13,114$90
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose23$12,306None
Short return visit (20+ min)117$11,019$61
New patient visit (45+ min)66$9,528$144
Aspiration and/or injection of fluid from large joint77$9,385$48
New patient visit (60+ min)35$5,915$169
Removal of both knee cartilages using an endoscope11$5,467$497
Limited ultrasound scan of joint or other extremity structure except blood vessels45$3,140$30
Long return visit (40+ min)18$2,259$119
Short return visit26$1,879$38
Mri scan of leg joint without contrast18$1,046$55
Measurement of range of motion in arm, leg or each spine section46$924$16
Mri scan of arm joint without contrast15$852$57
Injection, methylprednisolone acetate, 40 mg35$104None
Injection, methylprednisolone acetate, 80 mg16$82None

Drugs they prescribed that Part D paid

$4,410

Pharmacies billed $4,410 in 2024.

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

Opioids were 46% of their Part D prescriptions (92 of 200) in 2024. Above the middle of the specialty; the typical orthopedic surgery clinician is at 31%.

197 generic and fewer than 11 brand-name prescriptions · $4,410 in drug cost · 43 antibiotic prescriptions to 18 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
Hydrocodone-Acetaminophen81$719$9
Celecoxib21$550$26
Cephalexin13$78$6
Ondansetron15$61$4
Amoxicillin30$58$2

Year by year

Part D prescribing by year
20242008346% (92)None$4,410
20231878253% (99)0%$2,213
2022763840% (30)None$2,218
2021934128% (26)0%$2,107
20201284619% (24)None$2,720
20191537543% (66)None$2,255
201823410154% (127)5%$7,215
20172459849% (120)7%$7,060
201625910852% (134)11%$13,318
201532711258% (189)14%$13,027
20142369150% (117)15%$11,814
20132599352% (135)13%$11,359

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

See the drugs prescribed each year

2023: 5 drugs

Part D drugs prescribed in 2023
Celecoxib22$700$32
Diclofenac12$460$38
Hydrocodone-Acetaminophen60$435$7
Oxycodone-Acetaminophen26$222$9
Amoxicillin17$19$1

2022: 4 drugs

Part D drugs prescribed in 2022
Celecoxib12$1,093$91
Diclofenac11$764$69
Hydrocodone-Acetaminophen15$98$7
Oxycodone-Acetaminophen12$66$5

2021: 3 drugs

Part D drugs prescribed in 2021
Diclofenac17$949$56
Celecoxib19$698$37
Hydrocodone-Acetaminophen21$172$8

2020: 4 drugs

Part D drugs prescribed in 2020
Diclofenac25$737$29
Celecoxib12$641$53
Meloxicam15$182$12
Amoxicillin11$29$3

2019: 4 drugs

Part D drugs prescribed in 2019
Diclofenac19$664$35
Hydrocodone-Acetaminophen47$316$7
Oxycodone-Acetaminophen12$97$8
Amoxicillin12$35$3

2018: 6 drugs

Part D drugs prescribed in 2018
Celecoxib12$1,071$89
Hydrocodone-Acetaminophen87$867$10
Oxycodone-Acetaminophen21$329$16
Meloxicam24$77$3
Tramadol12$53$4
Amoxicillin16$53$3

2017: 6 drugs

Part D drugs prescribed in 2017
Celecoxib20$2,200$110
Oxycodone-Acetaminophen55$1,105$20
Diclofenac15$535$36
Hydrocodone-Acetaminophen46$469$10
Meloxicam20$140$7
Amoxicillin21$78$4

2016: 7 drugs

Part D drugs prescribed in 2016
Celecoxib21$3,692$176
Xarelto16$2,761$173
Oxycodone-Acetaminophen48$1,381$29
Hydrocodone-Acetaminophen41$795$19
Tramadol29$171$6
Meloxicam31$146$5
Amoxicillin15$48$3

2015: 8 drugs

Part D drugs prescribed in 2015
Celecoxib18$3,600$200
Oxycodone-Acetaminophen52$2,064$40
Xarelto15$1,990$133
Hydrocodone-Acetaminophen52$1,113$21
Oxycodone22$274$12
Tramadol46$210$5
Amoxicillin21$60$3
Meloxicam16$38$2

2014: 8 drugs

Part D drugs prescribed in 2014
Celebrex16$5,450$341
Xarelto13$1,791$138
Hydrocodone-Acetaminophen51$838$16
Oxycodone-Acetaminophen15$416$28
Oxycodone23$335$15
Cephalexin14$219$16
Tramadol19$134$7
Meloxicam17$48$3

2013: 10 drugs

Part D drugs prescribed in 2013
Celebrex15$6,111$407
Xarelto13$1,519$117
Hydrocodone-Acetaminophen62$927$15
Oxycodone28$434$15
Levofloxacin12$322$27
Cephalexin17$209$12
Oxycodone-Acetaminophen15$139$9
Tramadol19$126$7
Naproxen12$87$7
Meloxicam12$77$6

Money from drug and device companies

$184 in 2022

Industry payments by year
202238$148$184
2021229$677$1,916
2020121$267$267
201945$8,024$9,370

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
DjoProcare$148
6 payments
  • Paid to speak or teach for Procare · 2022-06-14 · $38
  • Paid to speak or teach for Procare · 2022-05-12 · $38
  • Paid to speak or teach for Procare · 2022-04-21 · $38
  • Paid to speak or teach for Procare · 2022-03-30 · $11
  • Paid to speak or teach for Procare · 2022-02-23 · $11
  • Paid to speak or teach for Procare · 2022-01-26 · $11
Smith+NephewStravix$24
1 payment
  • Meals for Stravix · 2022-09-19 · $24
Pacira PharmaceuticalsIovera$12
1 payment
  • Meals for Iovera · 2022-05-20 · $12
See all 8 published payments
Every published payment
Smith+NephewMeals · 2022-09-19Stravix$24
DjoPaid to speak or teach · 2022-06-14Procare$38
Pacira PharmaceuticalsMeals · 2022-05-20Iovera$12
DjoPaid to speak or teach · 2022-05-12Procare$38
DjoPaid to speak or teach · 2022-04-21Procare$38
DjoPaid to speak or teach · 2022-03-30Procare$11
DjoPaid to speak or teach · 2022-02-23Procare$11
DjoPaid to speak or teach · 2022-01-26Procare$11
See earlier years (2021, 2020, 2019)

2021: $1,916

Payments by company in 2021
Evolution SurgicalNone$1,239
2 payments
  • Education · 2021-08-28 · $1,200
  • Meals · 2021-08-28 · $39
DjoProcare Bracing & Supports$677
27 payments
  • Paid to speak or teach for Procare Bracing & Supports · 2021-12-21 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-12-21 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-12-02 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-12-02 · $27
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-10-28 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-10-28 · $27
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-09-23 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-09-23 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-09-03 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-09-03 · $27
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-07-14 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-07-14 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-06-24 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-06-24 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-05-20 · $11
  • Paid to speak or teach for Procare Bracing & Supports · 2021-05-20 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-04-29 · $11
  • Paid to speak or teach for Procare Bracing & Supports · 2021-04-29 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-03-18 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-03-18 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-02-18 · $11
  • Paid to speak or teach for Procare Bracing & Supports · 2021-02-18 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-01-26 · $11
  • Paid to speak or teach for Procare Bracing & Supports · 2021-01-26 · $27
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-01-07 · $11
  • Paid to speak or teach for Procare Bracing & Supports · 2021-01-07 · $182
  • Paid to speak or teach for Procare Bracing & Supports · 2021-01-07 · $27

2020: $267

Payments by company in 2020
DjoNone$267
21 payments
  • Paid to speak or teach · 2020-12-08 · $11
  • Paid to speak or teach · 2020-12-08 · $13
  • Paid to speak or teach · 2020-11-06 · $11
  • Paid to speak or teach · 2020-11-06 · $13
  • Paid to speak or teach · 2020-09-24 · $11
  • Paid to speak or teach · 2020-09-24 · $13
  • Paid to speak or teach · 2020-08-13 · $11
  • Paid to speak or teach · 2020-08-13 · $13
  • Paid to speak or teach · 2020-07-16 · $11
  • Paid to speak or teach · 2020-07-16 · $13
  • Paid to speak or teach · 2020-07-01 · $11
  • Paid to speak or teach · 2020-07-01 · $13
  • Paid to speak or teach · 2020-05-22 · $11
  • Paid to speak or teach · 2020-05-22 · $13
  • Paid to speak or teach · 2020-04-21 · $11
  • Paid to speak or teach · 2020-04-21 · $13
  • Paid to speak or teach · 2020-04-10 · $26
  • Paid to speak or teach · 2020-04-09 · $11
  • Paid to speak or teach · 2020-04-09 · $13
  • Paid to speak or teach · 2020-03-31 · $11
  • Paid to speak or teach · 2020-03-31 · $13

2019: $9,370

Payments by company in 2019
Think SurgicalTsolution One Surgical System$8,000
1 payment
  • Consulting for Tsolution One Surgical System · 2019-03-18 · $8,000
Evolution SurgicalNone$1,316
1 payment
  • Education · 2019-10-19 · $1,316
DePuy Synthes SalesMonovisc$30
1 payment
  • Meals for Monovisc · 2019-08-14 · $30
DjoNone$24
2 payments
  • Paid to speak or teach · 2019-11-26 · $13
  • Paid to speak or teach · 2019-11-26 · $11

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
84.9 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1508878406
Licence
CA A78633California A78633: Current · expires 2027-09-30
Trained
Baylor College of Medicine, 1997
Group
Sutter Bay Medical Foundation · California Sports and Orthopaedic
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A786330
Taxonomy
Federal specialty code 174400000X (174400000X)
Mailing address
2999 Regent St, #225, Berkeley, CA, 94705
NPI first listed
2006-08-12
NPI last updated
2014-01-08

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