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California Medical Board record
Licence A92997 · Current
Licensed to practise in California · since 2005 · expires 2027-10-31 · University of California, Irvine College of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$9,295
Medicare paid this office $9,295 for 155 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Emergency department visit with low level of medical decision making
96
$5,408
$52
Emergency department visit with moderate level of medical decision making
28
$2,632
$94
Emergency department visit with straightforward medical decision making
38
$1,200
$31
Who their Medicare patients are
155 Original Medicare patients in 2024. Average age 72 · Under 65 13% · 85 and older 8% · Women 66% · Also on Medicaid 60% · Health risk score 1.56. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.
The office billed $97,812, Medicare allowed $12,251 and paid $9,295; for 181 services of 5 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
Original Medicare by year
2024
155
181
72
1.56
$97,812
$9,295
2023
120
134
70
1.16
$71,043
$6,930
2022
119
147
68
1.19
$68,421
$7,286
2021
123
152
70
1.55
$70,330
$7,883
2020
172
229
70
1.74
$114,493
$12,220
2019
182
250
69
1.65
$117,329
$12,073
2018
137
157
68
1.71
$84,680
$8,961
2017
151
187
72
1.92
$81,811
$10,308
2016
143
202
70
1.71
$52,581
$10,355
2015
60
75
67
1.64
$22,604
$4,474
2014
53
63
72
1.43
$19,390
$4,291
2013
24
24
70
1.48
$7,935
$1,718
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: 3 services
Original Medicare services billed in 2023
Emergency department visit with low level of medical decision making
87
$4,702
$53
Emergency department visit with moderate level of medical decision making
13
$1,237
$95
Emergency department visit with straightforward medical decision making
26
$824
$32
2022: 4 services
Original Medicare services billed in 2022
Emergency department visit with low level of medical decision making
69
$3,773
$52
Emergency department visit with moderate level of medical decision making
20
$1,866
$89
Emergency department visit with straightforward medical decision making
32
$982
$31
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
13
$78
$6
2021: 4 services
Original Medicare services billed in 2021
Emergency department visit with low level of medical decision making
78
$4,239
$53
Emergency department visit with moderate level of medical decision making
24
$2,395
$100
Emergency department visit with straightforward medical decision making
23
$724
$31
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
19
$131
$7
2020: 4 services
Original Medicare services billed in 2020
Emergency department visit with moderate level of medical decision making
54
$4,783
$89
Emergency department visit with low level of medical decision making
86
$4,360
$49
Emergency department visit with straightforward medical decision making
35
$1,139
$31
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
33
$226
$7
2019: 4 services
Original Medicare services billed in 2019
Emergency department visit with low level of medical decision making
106
$5,064
$44
Emergency department visit with moderate level of medical decision making
51
$4,680
$92
Emergency department visit with straightforward medical decision making
29
$963
$33
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
42
$283
$7
2018: 4 services
Original Medicare services billed in 2018
Emergency department visit with moderate level of medical decision making
52
$4,437
$85
Emergency department visit with low level of medical decision making
67
$2,976
$44
Emergency department visit with straightforward medical decision making
11
$265
$24
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
13
$87
$7
2017: 4 services
Original Medicare services billed in 2017
Emergency department visit with low level of medical decision making
92
$4,533
$48
Emergency department visit with moderate level of medical decision making
48
$4,454
$91
Emergency department visit with straightforward medical decision making
13
$366
$28
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
18
$127
$7
2016: 4 services
Original Medicare services billed in 2016
Emergency department visit with moderate level of medical decision making
53
$4,470
$81
Emergency department visit with low level of medical decision making
76
$3,624
$45
Emergency department visit with straightforward medical decision making
13
$440
$31
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
34
$217
$6
2015: 2 services
Original Medicare services billed in 2015
Emergency department visit with moderate level of medical decision making
24
$2,338
$94
Emergency department visit with low level of medical decision making
33
$1,573
$48
2014: 2 services
Original Medicare services billed in 2014
Emergency department visit with moderate level of medical decision making
24
$2,206
$92
Emergency department visit with low level of medical decision making
22
$1,059
$48
2013: 1 service
Original Medicare services billed in 2013
Emergency department visit with moderate level of medical decision making
13
$974
$75
Medicaid work
$65,920 in 2022
Medicaid paid $65,920 for 104 billed services this clinician did in 2022, up to 33 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 2022
Telehealth originating site facility fee
104
$65,920
Medicaid work by year
2022
104
1
33
$65,920
2021
40
1
15
$20,760
2020
74
1
17
$35,446
See the largest Medicaid services in earlier years
2021
Largest Medicaid services in 2021
Telehealth originating site facility fee
40
$20,760
2020
Largest Medicaid services in 2020
Telehealth originating site facility fee
74
$35,446
Drugs they prescribed that Part D paid
$3,176
Pharmacies billed $3,176 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 151) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.
86 generic and fewer than 11 brand-name prescriptions · $3,176 in drug cost · 52 antibiotic prescriptions to 38 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
Lactated Ringers
24
$207
$8
Cephalexin
15
$102
$7
Ondansetron
11
$31
$3
Year by year
Part D prescribing by year
2024
151
91
0% (0)
—None
$3,176
2023
165
96
—None
—None
$1,626
2022
138
71
0% (0)
—None
$4,171
2021
117
65
0% (0)
—None
$2,010
2020
241
114
—None
—None
$2,422
2019
245
115
—None
—None
$16,970
2018
185
89
—None
—None
$16,784
2017
224
94
—None
—None
$2,068
2016
208
85
5% (11)
—None
$2,911
2015
75
37
—None
33%
$923
2014
75
37
—None
—None
$628
2013
27
13
—None
—None
$183
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 4 drugs
Part D drugs prescribed in 2023
Lactated Ringers
25
$188
$8
Cephalexin
15
$81
$5
Ondansetron
12
$41
$3
Lidocaine Hcl Viscous
14
$41
$3
2022: 2 drugs
Part D drugs prescribed in 2022
Lactated Ringers
23
$182
$8
Cephalexin
13
$108
$8
2021: 1 drug
Part D drugs prescribed in 2021
Lactated Ringers
23
$155
$7
2020: 4 drugs
Part D drugs prescribed in 2020
Sodium Chloride
42
$254
$6
Lactated Ringers
29
$227
$8
Ondansetron
25
$112
$4
Lidocaine Hcl Viscous
21
$71
$3
2019: 3 drugs
Part D drugs prescribed in 2019
Sodium Chloride
91
$518
$6
Ondansetron
22
$82
$4
Lidocaine Hcl Viscous
19
$45
$2
2018: 4 drugs
Part D drugs prescribed in 2018
Sodium Chloride
58
$322
$6
Ceftriaxone
15
$83
$6
Ondansetron
17
$80
$5
Lidocaine Hcl Viscous
11
$44
$4
2017: 4 drugs
Part D drugs prescribed in 2017
Sodium Chloride
66
$385
$6
Ceftriaxone
13
$112
$9
Ondansetron
23
$101
$4
Lidocaine Hcl Viscous
15
$57
$4
2016: 4 drugs
Part D drugs prescribed in 2016
Sodium Chloride
63
$376
$6
Vancomycin
11
$192
$17
Ceftriaxone
11
$81
$7
Hydrocodone-Acetaminophen
11
$40
$4
2015: 1 drug
Part D drugs prescribed in 2015
Sodium Chloride
14
$98
$7
2014: 1 drug
Part D drugs prescribed in 2014
Sodium Chloride
22
$109
$5
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
Medicare’s overall office score
73.1 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
NPI
1548332018
Licence
CA A92997California A92997: Current · expires 2027-10-31
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
5170 Keane Dr, Carmichael, CA, 95608
NPI first listed
2006-11-14
NPI last updated
2014-05-30
This is when the NPI record was last certified, not a medical board exam.