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Fook Y Wong, MD

Orthopedic Surgery · San Jose

NPI 1528120904

Medicare standing
1 flag on the record
Listed below.
Plans that list them
33
9 carriers
Office
1

On the public record

  • 1 Medical Board action on record

Offices

1 location

Looking this up.

Hospitals listed: 059237 · 059620 · 557754 · Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

33 plans · 9 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Wong’s office at (408) 258-6566 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

33 of 33 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
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
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence G66621 · Current

Licensed to practise in California · since 1989 · expires 2027-02-28 · Stanford University School of Medicine. Board flags: Public Reprimand.

Public record actions

Actions the Medical Board of California publishes for this licence
2018-11-16Board disciplineDisciplinePublic reprimand. · 8002015014242

Surgery centers they own

  • Forest Surgery Center LPAmbulatory Surgery Center · San Jose, CAOwner · accredited by JC
    Accreditation Renewed1 inspection, 1 with deficiencies · last 2012-09-18: Requirements Met

Hospitals they work in

1 hospital

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

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$247,971

Medicare paid this office $247,971 for 563 people.

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

Largest Original Medicare bills
Return visit (30+ min)394$72,087$100
New patient visit (45+ min)211$26,824$127
Replacement of knee joint, both sides of knee22$25,120$1,005
Short return visit (20+ min)178$20,877$72
Treatment of broken shaft of thigh bone with implant14$14,916$1,065
See all 17 services
Every Original Medicare service billed
Return visit (30+ min)394$72,087$100
New patient visit (45+ min)211$26,824$127
Replacement of knee joint, both sides of knee22$25,120$1,005
Short return visit (20+ min)178$20,877$72
Treatment of broken shaft of thigh bone with implant14$14,916$1,065
Aspiration and/or injection of fluid from medium joint146$11,204$45
Initial hospital care with moderate level of medical decision making at least 75 minutes75$10,692$132
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and110$8,134$44
Removal of tissue from wound, 20.0 sq cm or less39$3,806$89
Removal of both knee cartilages using an endoscope15$3,296$220
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$2,681$61
New patient visit (30+ min)27$2,308$85
Aspiration and/or injection of fluid from medium joint78$1,219$15
Injection into tendon or ligament16$1,059$46
Injection, methylprednisolone acetate, 1 mg127$1,035None
Removal or cutting of full arm or leg cast11$536$49
Injection, methylprednisolone acetate, 40 mg52$535None

Procedures Medicare counted

Procedure volume Medicare published
Hip replacement1-10None
Knee replacement18More than 49% of doctors who do this
Lower limb (leg) arthroscopy (minimally invasive joint repair)83More than 99% of doctors who do this
Removal of tissue73More than 82% of doctors who do this
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10None

Who their Medicare patients are

563 Original Medicare patients in 2024. Average age 78 · Under 65 5% · 85 and older 25% · Women 71% · Also on Medicaid 75% · Health risk score 1.32. Above the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 48% · Chronic kidney disease 29% · Coronary heart disease 21% · Heart failure 15% · Dementia 15% · Atrial fibrillation 14% · COPD 13% · Depression 12% · Cancer 7% · Stroke 7%.

The office billed $657,630, Medicare allowed $329,242 and paid $247,971; for 15,474 services of 62 kinds; $1,570 of it was for drugs given in the office and $246,401 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
202456315,474781.32$657,630$247,971
20236122,987771.33$742,092$310,566
20226053,283771.35$711,533$305,411
20216793,621771.61$824,526$369,926
20206423,012771.72$640,654$262,737
20199164,215771.62$970,594$394,279
20189154,525761.63$994,575$415,012
20179544,507771.70$999,161$418,809
20169414,383761.55$942,405$420,811
20159934,256771.51$905,382$412,572
20141,1575,144761.40$1,120,307$511,636
20131,1525,808761.56$1,297,088$592,317

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 18 services

Original Medicare services billed in 2023
Return visit (30+ min)432$78,180$109
New patient visit (45+ min)243$33,854$139
Short return visit (20+ min)217$28,197$79
Replacement of knee joint, both sides of knee21$24,454$1,112
Treatment of broken shaft of thigh bone with implant14$16,403$1,172
Initial hospital care with moderate level of medical decision making at least 75 minutes85$12,767$148
Aspiration and/or injection of fluid from medium joint147$12,282$50
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and151$11,688$47
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device11$9,541$867
Removal of tissue from wound, 20.0 sq cm or less47$5,274$100
Injection, methylprednisolone acetate, 40 mg169$3,139None
New patient visit (30+ min)31$2,876$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$2,303$68
Injection into tendon or ligament23$1,647$51
Aspiration and/or injection of fluid from medium joint93$1,550$16
Removal or cutting of full arm or leg cast21$1,134$54
Cast supplies, long arm cast, adult (11 years +), fiberglass15$817$27
Application of lower and upper arm splint13$208$16

2022: 18 services

Original Medicare services billed in 2022
Return visit (30+ min)430$77,993$111
Short return visit (20+ min)270$38,097$79
New patient visit (45+ min)224$30,679$137
Replacement of knee joint, both sides of knee15$18,965$1,116
Aspiration and/or injection of fluid from large joint179$17,292$58
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and181$17,197$48
Treatment of broken shaft of thigh bone with implant12$14,183$1,182
Initial hospital care with moderate level of medical decision making at least 75 minutes66$11,819$169
Removal of tissue from wound, 20.0 sq cm or less40$4,459$99
Injection, methylprednisolone acetate, 40 mg195$3,119None
Removal of both knee cartilages using an endoscope11$2,983$271
New patient visit (30+ min)28$2,606$93
Aspiration and/or injection of fluid from large joint75$1,575$20
Injection into tendon or ligament21$1,516$52
Cast supplies, long arm cast, adult (11 years +), fiberglass15$1,408$25
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,164$61
Removal or cutting of full arm or leg cast19$1,102$58
Application of lower and upper arm splint11$206$19

2021: 21 services

Original Medicare services billed in 2021
Return visit (30+ min)430$83,328$114
Short return visit (20+ min)316$45,917$80
New patient visit (45+ min)258$36,282$141
Replacement of knee joint, both sides of knee20$23,925$1,139
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and193$19,991$49
Initial hospital care with moderate level of medical decision making at least 75 minutes105$18,428$174
Aspiration and/or injection of fluid from large joint172$16,800$58
Treatment of broken shaft of thigh bone with implant14$16,747$1,196
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement14$14,939$1,067
New patient visit (30+ min)42$4,163$99
Removal of both knee cartilages using an endoscope14$3,469$248
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,945$118
Injection, methylprednisolone acetate, 40 mg189$2,727None
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$2,371$62
Cast supplies, long arm cast, adult (11 years +), fiberglass23$2,081$24
Aspiration and/or injection of fluid from large joint85$1,831$21
Removal of tissue from wound, 20.0 sq cm or less18$1,803$100
Removal or cutting of full arm or leg cast29$1,682$58
Application of elbow to finger cast15$1,418$83
Injection into tendon or ligament19$1,251$52
Application of nonmoveable forearm to hand splint12$219$18

2020: 16 services

Original Medicare services billed in 2020
Return visit (30+ min)388$52,459$89
Short return visit (20+ min)298$28,057$59
New patient visit (45+ min)199$25,325$127
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and199$16,613$45
Initial hospital care with moderate level of medical decision making at least 75 minutes76$12,964$166
Aspiration and/or injection of fluid from large joint161$12,446$52
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$3,172$60
New patient visit (30+ min)31$2,678$86
Injection, methylprednisolone acetate, 40 mg179$2,193None
Cast supplies, long arm cast, adult (11 years +), fiberglass20$1,866$23
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,697$113
Removal of tissue from wound, 20.0 sq cm or less17$1,626$90
Removal or cutting of full arm or leg cast25$1,549$55
Injection into tendon or ligament22$1,383$46
Aspiration and/or injection of fluid from large joint62$1,218$19
Application of lower and upper arm splint12$203$17

2019: 23 services

Original Medicare services billed in 2019
Return visit (30+ min)596$86,122$87
Short return visit (20+ min)448$49,683$62
New patient visit (45+ min)332$44,210$133
Replacement of knee joint, both sides of knee19$21,245$1,118
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and223$21,205$46
Initial hospital care with moderate level of medical decision making at least 75 minutes126$21,115$165
Aspiration and/or injection of fluid from large joint241$18,678$50
Treatment of broken shaft of thigh bone with implant13$14,462$1,112
Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone16$13,032$814
Removal of joint lining from multiple knee joint compartments using an endoscope15$7,746$484
Partial removal of collar bone16$3,990$249
New patient visit (30+ min)43$3,817$89
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes36$3,085$59
Aspiration and/or injection of fluid from large joint107$2,216$20
Injection into tendon or ligament29$2,080$44
Injection, methylprednisolone acetate, 40 mg267$1,988None
Cast supplies, long arm cast, adult (11 years +), fiberglass21$1,862$24
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,668$111
Removal of both knee cartilages using an endoscope14$1,662$111
Removal or cutting of full arm or leg cast23$1,266$53
Application of shoulder to hand cast11$958$80
Application of lower and upper arm splint16$319$20
Application of nonmoveable forearm to hand splint15$274$17

2018: 23 services

Original Medicare services billed in 2018
Return visit (30+ min)601$94,267$91
Short return visit (20+ min)467$52,626$61
New patient visit (45+ min)326$43,304$133
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and251$25,871$47
Replacement of knee joint, both sides of knee20$23,763$1,132
Aspiration and/or injection of fluid from large joint245$19,836$51
Treatment of broken shaft of thigh bone with implant15$17,981$1,124
Initial hospital care with moderate level of medical decision making at least 75 minutes104$17,773$168
Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone15$12,320$821
Removal of joint lining from multiple knee joint compartments using an endoscope15$8,679$542
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes48$4,398$60
New patient visit (30+ min)46$4,121$90
Partial removal of collar bone15$3,774$252
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes28$3,492$113
Cast supplies, long arm cast, adult (11 years +), fiberglass32$3,179$23
Injection, methylprednisolone acetate, 40 mg274$2,349None
Aspiration and/or injection of fluid from large joint100$2,238$21
Injection into tendon or ligament32$1,917$45
Removal of both knee cartilages using an endoscope15$1,890$126
Removal or cutting of full arm or leg cast28$1,662$57
Application of shoulder to hand cast12$1,135$87
Application of elbow to finger cast14$1,106$79
Application of lower and upper arm splint13$379$25

2017: 21 services

Original Medicare services billed in 2017
Return visit (30+ min)610$105,262$88
Short return visit (20+ min)432$49,357$62
New patient visit (45+ min)281$36,688$131
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and277$24,274$46
Replacement of knee joint, both sides of knee20$22,336$1,117
Aspiration and/or injection of fluid from large joint249$21,102$50
Initial hospital care with moderate level of medical decision making at least 75 minutes110$18,385$164
Treatment of broken shaft of thigh bone with implant14$15,520$1,109
Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone19$15,373$809
Removal of joint lining from multiple knee joint compartments using an endoscope26$13,800$531
New patient visit (30+ min)81$6,776$84
Partial removal of collar bone19$4,709$248
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes42$4,492$59
Removal of both knee cartilages using an endoscope25$3,028$121
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$2,116$111
Injection, methylprednisolone acetate, 40 mg268$2,056None
Aspiration and/or injection of fluid from large joint86$1,835$20
Cast supplies, long arm cast, adult (11 years +), fiberglass15$1,549$23
Injection into tendon or ligament19$1,208$43
Removal or cutting of full arm or leg cast16$1,042$58
Application of nonmoveable forearm to hand splint16$273$17

2016: 21 services

Original Medicare services billed in 2016
Return visit (30+ min)622$117,557$90
New patient visit (45+ min)359$48,713$136
Short return visit (20+ min)315$34,380$63
Replacement of knee joint, both sides of knee19$23,887$1,137
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and279$22,920$46
Initial hospital care with moderate level of medical decision making at least 75 minutes125$21,579$167
Aspiration and/or injection of fluid from large joint248$21,407$51
Treatment of broken shaft of thigh bone with implant17$19,189$1,129
Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone14$11,532$824
Removal of joint lining from multiple knee joint compartments using an endoscope21$10,336$492
Partial removal of collar bone14$3,531$252
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes30$3,053$60
Cast supplies, long arm cast, adult (11 years +), fiberglass27$2,694$22
Removal of both knee cartilages using an endoscope20$2,294$115
New patient visit (30+ min)20$1,811$91
Removal or cutting of full arm or leg cast30$1,768$59
Injection, methylprednisolone acetate, 40 mg264$1,597None
Application of shoulder to hand cast17$1,479$82
Aspiration and/or injection of fluid from large joint71$1,452$20
Application of lower and upper arm splint15$381$25
Application of nonmoveable forearm to hand splint14$278$17

2015: 21 services

Original Medicare services billed in 2015
Return visit (30+ min)679$140,662$91
New patient visit (45+ min)376$52,086$139
Short return visit (20+ min)273$29,074$62
Treatment of broken shaft of thigh bone with implant19$21,384$1,125
Initial hospital care with moderate level of medical decision making at least 75 minutes115$20,621$168
Aspiration and/or injection of fluid from large joint244$19,108$51
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and182$11,578$47
Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone12$9,840$820
Placement of stabilizing device for upper end of broken thigh bone11$9,212$768
Removal of joint lining from multiple knee joint compartments using an endoscope15$7,301$456
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes55$5,760$60
Cast supplies, long arm cast, adult (11 years +), fiberglass32$3,107$23
Partial removal of collar bone11$2,766$251
Removal of both knee cartilages using an endoscope15$1,656$104
Aspiration and/or injection of fluid from large joint64$1,437$21
Removal or cutting of full arm or leg cast24$1,419$59
Injection into tendon or ligament22$1,295$50
Application of shoulder to hand cast15$1,218$81
Injection, methylprednisolone acetate, 40 mg271$1,134None
Application of lower and upper arm splint13$332$26
Application of nonmoveable forearm to hand splint11$207$17

2014: 24 services

Original Medicare services billed in 2014
Return visit (30+ min)805$175,482$91
New patient visit (45+ min)439$61,691$141
Replacement of knee joint, both sides of knee32$37,102$1,159
Short return visit (20+ min)308$31,516$61
Aspiration and/or injection of fluid from large joint313$23,460$51
Treatment of broken shaft of thigh bone with implant19$21,833$1,149
Initial hospital care with moderate level of medical decision making at least 75 minutes124$21,359$171
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and236$13,278$46
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement11$11,302$1,027
Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone13$10,885$837
Removal of joint lining from multiple knee joint compartments using an endoscope19$10,568$528
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes55$7,121$61
Partial removal of collar bone13$3,333$256
Cast supplies, long arm cast, adult (11 years +), fiberglass29$2,999$22
New patient visit (30+ min)36$2,662$74
Removal of both knee cartilages using an endoscope17$2,149$119
Injection into tendon or ligament29$2,057$49
Removal or cutting of full arm or leg cast27$1,645$57
Removal of tissue from wound, 20.0 sq cm or less21$1,518$69
Aspiration and/or injection of fluid from large joint67$1,393$20
Application of shoulder to hand cast11$1,323$88
Injection, methylprednisolone acetate, 40 mg344$1,158None
Application of lower and upper arm splint13$492$33
Application of nonmoveable forearm to hand splint15$264$18

2013: 27 services

Original Medicare services billed in 2013
Return visit (30+ min)908$210,756$94
New patient visit (45+ min)391$55,978$143
Replacement of knee joint, both sides of knee33$45,495$1,300
Aspiration and/or injection of fluid from large joint380$33,054$52
Initial hospital care with moderate level of medical decision making at least 75 minutes152$26,512$167
Short return visit (20+ min)266$22,021$64
Removal of joint lining from multiple knee joint compartments using an endoscope31$15,884$496
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and202$12,599$47
Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone15$12,590$839
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement11$11,229$1,021
New patient visit (30+ min)92$8,713$95
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes65$8,196$59
Partial removal of collar bone15$3,883$259
Removal of both knee cartilages using an endoscope30$3,507$113
Limited removal of abnormal shoulder joint tissue using endoscope11$3,021$275
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$2,922$112
Long return visit (40+ min)21$2,656$126
Cast supplies, long arm cast, adult (11 years +), fiberglass27$2,546$22
Removal of tissue from wound, 20.0 sq cm or less29$2,221$74
Aspiration and/or injection of fluid from large joint97$2,064$21
Removal or cutting of full arm or leg cast28$1,755$61
Injection into tendon or ligament23$1,665$52
Injection, methylprednisolone acetate, 40 mg405$1,458None
Application of shoulder to hand cast15$1,355$90
Application of lower and upper arm splint22$597$26
Partial removal of shoulder joint lining using an endoscope11$337$31
Application of nonmoveable forearm to hand splint18$321$18

Medicaid work

$17,814 in 2024

Medicaid paid $17,814 for 1,705 billed services this clinician did in 2024, up to 54 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
Return visit (30+ min)651$9,998
New patient visit (45+ min)421$5,499
Short return visit (20+ min)463$1,262
Arthrocentesis and injection of knee joint106$929
Injection, methylprednisolone acetate, 40 mg27$120
Injection, methylprednisolone acetate, 1 mg18$7
Injection, triamcinolone acetonide, not otherwise specified, 10 mg19$0
Medicaid work by year
20241,705754$17,814
20234,10912108$28,488
20223,90610102$21,400
20213,97210122$9,482
20202,820990$5,795
20192,8939100$5,503
20183,1588108$1,680
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)1,140$13,119
New patient visit (45+ min)689$8,612
Arthrocentesis and injection of knee joint298$3,173
Short return visit (20+ min)1,015$1,586
Injection, methylprednisolone acetate, 40 mg389$908
1ST HOSP IP/OBS HIGH 7539$333
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care29$316
Aspiration of bursa of wrist211$155
New patient visit (30+ min)100$95
REMOVAL/REVISION OF CAST38$87
Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less66$80
Cast supplies, long arm cast, adult (11 years +), fiberglass95$24

2022

Largest Medicaid services in 2022
Return visit (30+ min)1,019$10,282
New patient visit (45+ min)687$5,750
Arthrocentesis and injection of knee joint516$3,931
Injection, methylprednisolone acetate, 40 mg424$866
Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less58$270
Short return visit (20+ min)1,027$206
REMOVAL/REVISION OF CAST44$77
New patient visit (30+ min)52$15
1ST HOSP IP/OBS HIGH 7512$2
Cast supplies, long arm cast, adult (11 years +), fiberglass67$0

2021

Largest Medicaid services in 2021
New patient visit (45+ min)682$3,625
Return visit (30+ min)901$3,269
Arthrocentesis and injection of knee joint565$1,824
Injection, methylprednisolone acetate, 40 mg449$419
Short return visit (20+ min)1,184$240
1ST HOSP IP/OBS HIGH 7513$105
REMOVAL/REVISION OF CAST49$0
Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less26$0
New patient visit (30+ min)42$0
Cast supplies, long arm cast, adult (11 years +), fiberglass61$0

2020

Largest Medicaid services in 2020
Return visit (30+ min)691$2,459
New patient visit (45+ min)436$1,947
Short return visit (20+ min)914$609
Arthrocentesis and injection of knee joint400$466
1ST HOSP IP/OBS HIGH 7527$167
Injection, methylprednisolone acetate, 40 mg275$141
New patient visit (30+ min)50$7
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care12$0
Cast supplies, long arm cast, adult (11 years +), fiberglass15$0

2019

Largest Medicaid services in 2019
New patient visit (45+ min)462$2,298
Return visit (30+ min)685$2,285
Short return visit (20+ min)1,054$545
Arthrocentesis and injection of knee joint380$372
Injection, methylprednisolone acetate, 40 mg82$3
New patient visit (30+ min)146$0
1ST HOSP IP/OBS HIGH 7517$0
Lidocaine injection30$0
Cast supplies, long arm cast, adult (11 years +), fiberglass37$0

2018

Largest Medicaid services in 2018
Return visit (30+ min)721$483
Arthrocentesis and injection of knee joint381$479
Short return visit (20+ min)1,143$362
New patient visit (45+ min)566$258
Injection, methylprednisolone acetate, 40 mg233$100
New patient visit (30+ min)30$0
Lidocaine injection54$0
Cast supplies, long arm cast, adult (11 years +), fiberglass30$0

Drugs they prescribed that Part D paid

$10,746

Pharmacies billed $10,746 in 2024.

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

Opioids were 30% of their Part D prescriptions (280 of 940) in 2024. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 31%.

937 generic and fewer than 11 brand-name prescriptions · $10,746 in drug cost · 54 antibiotic prescriptions to 26 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
Diclofenac348$6,382$18
Celecoxib30$944$31
Ibuprofen166$775$5
Tramadol239$680$3
Hydrocodone-Acetaminophen37$383$10
See all 8 drugs
Every Part D drug this clinician prescribed
Diclofenac348$6,382$18
Celecoxib30$944$31
Ibuprofen166$775$5
Tramadol239$680$3
Hydrocodone-Acetaminophen37$383$10
Cephalexin24$151$6
Naproxen19$91$5
Sulfamethoxazole-Trimethoprim17$51$3

Year by year

Part D prescribing by year
202494041030% (280)None$10,746
20231,22451027% (328)None$24,985
20221,28148829% (367)None$25,512
20211,44653931% (442)None$33,362
20201,35748130% (405)2%$29,435
20191,36351735% (482)21%$31,303
20181,29350133% (422)36%$39,219
20171,30549835% (458)40%$49,766
20161,05044032% (332)37%$72,085
20151,17245334% (393)40%$46,064
20141,37251335% (486)44%$87,883
20131,54954339% (601)41%$85,364

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

See the drugs prescribed each year

2023: 8 drugs

Part D drugs prescribed in 2023
Diclofenac657$19,222$29
Tramadol269$1,606$6
Celecoxib28$982$35
Ibuprofen91$903$10
Hydrocodone-Acetaminophen58$738$13
Cephalexin43$492$11
Naproxen19$203$11
Sulfamethoxazole-Trimethoprim17$73$4

2022: 10 drugs

Part D drugs prescribed in 2022
Diclofenac607$13,697$23
Tramadol297$1,323$4
Celecoxib28$1,222$44
Ibuprofen96$838$9
Hydrocodone-Acetaminophen65$685$11
Cephalexin41$293$7
Methylprednisolone12$152$13
Naproxen13$114$9
Sulfamethoxazole-Trimethoprim12$43$4
Meloxicam11$37$3

2021: 8 drugs

Part D drugs prescribed in 2021
Diclofenac776$19,391$25
Tramadol358$1,371$4
Hydrocodone-Acetaminophen82$824$10
Celecoxib14$543$39
Ibuprofen68$497$7
Cephalexin28$180$6
Methylprednisolone13$131$10
Naproxen12$104$9

2020: 6 drugs

Part D drugs prescribed in 2020
Diclofenac756$21,415$28
Tramadol339$1,337$4
Celecoxib37$970$26
Hydrocodone-Acetaminophen64$682$11
Ibuprofen57$322$6
Cephalexin22$128$6

2019: 8 drugs

Part D drugs prescribed in 2019
Voltaren257$14,438$56
Diclofenac430$12,158$28
Tramadol378$1,288$3
Hydrocodone-Acetaminophen96$947$10
Ibuprofen64$326$5
Celecoxib20$243$12
Cephalexin29$204$7
Meloxicam18$44$2

2018: 13 drugs

Part D drugs prescribed in 2018
Voltaren383$22,124$58
Diclofenac234$8,259$35
Hydrocodone-Acetaminophen184$2,981$16
Tramadol223$1,146$5
Celecoxib12$970$81
Lidocaine13$936$72
Ibuprofen84$480$6
Methylprednisolone18$266$15
Acetaminophen-Codeine13$146$11
Cyclobenzaprine17$142$8
Ibu14$105$7
Cephalexin11$94$9
Meloxicam17$64$4

2017: 12 drugs

Part D drugs prescribed in 2017
Voltaren479$27,043$56
Lidocaine18$6,259$348
Diclofenac126$4,926$39
Hydrocodone-Acetaminophen197$2,561$13
Cyclobenzaprine17$1,606$94
Baclofen22$1,580$72
Tramadol246$988$4
Ibuprofen66$371$6
Cephalexin26$180$7
Acetaminophen-Codeine14$143$10
Levofloxacin15$104$7
Meloxicam26$90$3

2016: 9 drugs

Part D drugs prescribed in 2016
Lidocaine62$29,905$482
Voltaren376$20,737$55
Hydrocodone-Acetaminophen192$3,479$18
Diclofenac63$2,568$41
Celecoxib13$833$64
Tramadol137$713$5
Ibuprofen88$582$7
Cephalexin27$191$7
Glipizide13$114$9

2015: 13 drugs

Part D drugs prescribed in 2015
Voltaren449$30,878$69
Hydrocodone-Acetaminophen224$4,111$18
Celecoxib21$2,472$118
Ibuprofen127$865$7
Tramadol157$762$5
Diclofenac14$381$27
Glipizide16$222$14
Levofloxacin21$212$10
Acetaminophen-Codeine11$173$16
Amoxicillin-Clavulanate Potass14$153$11
Cephalexin16$101$6
Cyclobenzaprine14$43$3
Meloxicam20$41$2

2014: 13 drugs

Part D drugs prescribed in 2014
Voltaren496$51,270$103
Lidoderm59$15,719$266
Celebrex30$6,140$205
Hydrocodone-Acetaminophen347$4,916$14
Lidocaine15$3,228$215
Ibuprofen136$807$6
Tramadol125$750$6
Cephalexin30$234$8
Diclofenac15$176$12
Levofloxacin14$162$12
Acetaminophen-Codeine13$97$7
Sulfamethoxazole-Trimethoprim16$87$5
Meloxicam11$47$4

2013: 12 drugs

Part D drugs prescribed in 2013
Voltaren470$45,939$98
Lidoderm60$16,157$269
Celebrex45$7,921$176
Hydrocodone-Acetaminophen468$3,777$8
Vimovo16$1,873$117
Ibuprofen169$904$5
Tramadol106$729$7
Meloxicam35$231$7
Cephalexin26$221$8
Acetaminophen-Codeine16$147$9
Naproxen11$80$7
Cyclobenzaprine17$77$5

Money from drug and device companies

$96 in 2025

Industry payments by year
202535None$96
202424None$151
202311None$64
202259None$552
2021210None$451
202023None$103
201926None$235

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
AmgenKrystexxa$43
2 payments
  • Meals for Krystexxa · 2025-06-04 · $18
  • Meals for Krystexxa · 2025-01-17 · $26
IBSA PharmaTirosint$41
2 payments
  • Meals for Tirosint · 2025-06-23 · $21
  • Meals for Tirosint · 2025-02-03 · $21
Orthofix MedicalPhysio-Stim$12
1 payment
  • Meals for Physio-Stim · 2025-12-01 · $12
See all 5 published payments
Every published payment
Orthofix MedicalMeals · 2025-12-01Physio-Stim$12
IBSA PharmaMeals · 2025-06-23Tirosint$21
AmgenMeals · 2025-06-04Krystexxa$18
IBSA PharmaMeals · 2025-02-03Tirosint$21
AmgenMeals · 2025-01-17Krystexxa$26
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $151

Payments by company in 2024
DePuy Synthes SalesTruespan Orthocord$94
1 payment
  • Meals for Truespan Orthocord · 2024-01-04 · $94
IBSA PharmaTirosint$57
3 payments
  • Meals for Tirosint · 2024-11-26 · $15
  • Meals for Tirosint · 2024-05-06 · $20
  • Meals for Tirosint · 2024-04-26 · $22

2023: $64

Payments by company in 2023
DePuy Synthes SalesTruespan Orthocord$64
1 payment
  • Meals for Truespan Orthocord · 2023-10-17 · $64

2022: $552

Payments by company in 2022
DePuy Synthes SalesTfn-Advance$185
2 payments
  • Meals for Tfn-Advance · 2022-11-01 · $116
  • Meals for Tfn-Advance · 2022-05-26 · $69
Heron TherapeuticsZynrelef$159
3 payments
  • Meals for Zynrelef · 2022-03-02 · $118
  • Meals for Zynrelef · 2022-03-01 · $17
  • Meals for Zynrelef · 2022-02-08 · $23
DavolNone$149
1 payment
  • Meals · 2022-01-19 · $149
Hikma Pharmaceuticals USAKloxxado$39
2 payments
  • Meals for Kloxxado · 2022-02-28 · $18
  • Education for Kloxxado · 2022-02-28 · $21
Alfasigma USANone$21
1 payment
  • Meals · 2022-01-05 · $21

2021: $451

Payments by company in 2021
StrykerAequalis$377
8 payments
  • Meals for Axsos · 2021-09-19 · $57
  • Meals for Ortholoc 3di · 2021-09-08 · $32
  • Meals for Hoffmann · 2021-09-05 · $50
  • Meals for Aequalis · 2021-06-13 · $75
  • Meals for Fixos · 2021-04-18 · $49
  • Meals for Stryker Adapt · 2021-03-21 · $47
  • Meals for Variax · 2021-03-01 · $20
  • Meals for Variax · 2021-02-14 · $47
Zimmer Biomet HoldingsPersona$74
2 payments
  • Meals for Persona · 2021-08-07 · $32
  • Meals for Persona · 2021-07-31 · $42

2020: $103

Payments by company in 2020
StrykerAdapt$76
2 payments
  • Meals for Axsos · 2020-10-18 · $33
  • Meals for Adapt · 2020-03-02 · $43
AcellNone$27
1 payment
  • Meals · 2020-11-09 · $27

2019: $235

Payments by company in 2019
StrykerHoffmann$202
4 payments
  • Meals for Adapt · 2019-10-26 · $12
  • Meals for Hoffmann · 2019-10-25 · $46
  • Meals for Hoffmann · 2019-03-20 · $85
  • Meals for Axsos · 2019-02-23 · $60
Zyla Life SciencesZorvolex$32
2 payments
  • Meals for Zorvolex · 2019-05-21 · $21
  • Meals for Sprix · 2019-03-26 · $11

Checkups this office reported

1 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

Medicare’s overall office score
13.8 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Checkup rates this office reported to Medicare
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)As Medicare defines this measure0%None

Professional record

NPI
1528120904
Licence
CA G66621California G66621: Current · expires 2027-02-28
Trained
Stanford University School of Medicine, 1988
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Orthopedic surgery (207X00000X)
Mailing address
175 N Jackson Ave, Suite 104, San Jose, CA, 95116
NPI first listed
2006-12-14
NPI last updated
2007-07-09

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