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Vinaykumar R Panchal, MD

Internal Medicine · Chico

NPI 1548643489

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Offices
3

Offices

3 locations · North State Medical Primary Care Inc · Enloe Medical Center · County of Santa Clara

Looking this up.

Hospitals listed: Adventist Health Clearlake · Enloe Health · Oroville Hospital. That is not proof they admit you there this week.

Plans that list them

1 plan · 1 carrier

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

Plans whose provider directory lists this clinician
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A153124 · Current

Licensed to practise in California · since 2017 · expires 2027-01-31 · Gujarat University, B. J. Medical College.

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

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
91.9 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Hospitals they work in

3 hospitals

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

  • Adventist Health ClearlakeClearlake, CACritical Access Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Adventist Health, which runs 28 hospitals in 3 statesPatients rate it 4 of 5 · 67% would definitely recommend it
    Overall rating: 2 of 5 starsNo measure marked better or worse than the national rate
  • Enloe HealthChico, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Enloe Medical CenterPatients rate it 3 of 5 · 73% would definitely recommend it
    Overall rating: 3 of 5 starsWorse than the national rate — Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy: 6.9 (5.5 to 8.6) · 730 cases, Jan 2024 – Dec 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.185, Oct 2024 – Sep 2025
  • Oroville HospitalOroville, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of OroHealth CorporationPatients rate it 1 of 5 · 35% would definitely recommend it
    Overall rating: 1 of 5 starsWorse than the national rate — Postoperative respiratory failure rate: 16.04 (9.53 to 22.55) · 404 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.7 (11.1 to 19.4) · 136 cases, Jan 2024 – Dec 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.262, Oct 2024 – Sep 2025
See every measure and the patient survey for Adventist Health Clearlake

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

Every scored measure at Adventist Health Clearlake
Death rate for COPD patientsComplications and deaths8.5 · 41 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths12.6 · 74 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.1 · 132 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.7 · 52 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.2 · 358 casesNoneJul 2024 – Jun 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.497No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.7 · 79 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-34.6 · 78 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits0.7 · 130 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.4 · 127 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.4 · 49 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14.4 (10.8 to 19) · 488 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.5) · 35 casesNo differentJan 2024 – Dec 2024

What patients said (179 patients answered, 19% of those asked)

Patient survey stars by topic at Adventist Health Clearlake
Cleanliness5
Nurse communication4
Doctor communication2
Communication about medicines3
Discharge information5
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at Adventist Health Clearlake
Room was "always" clean84%
Nurses "always" communicated well82%
Doctors "always" communicated well70%
Staff "always" explained63%
Yes, staff "did" give patients this information91%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect73%
Patients who gave a rating of "9" or "10" (high)65%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand81%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect89%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects54%
Yes, staff "did" give patients information about possible symptoms93%
See every measure and the patient survey for Enloe Health

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 4 better, 3 the same, 0 worse of 7 measures. Readmissions: 0 better, 9 the same, 2 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 Enloe Health
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.9 (5.5 to 8.6) · 730 casesWorseJan 2024 – Dec 2024
Clostridium Difficile (C.Diff)Infections0.185BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.79 (0.96 to 2.62) · 2,849 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.99 (0.74 to 1.24)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths203.04 (164.55 to 241.54) · 191 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 117 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths9.8 · 377 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.4 · 377 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.2 · 1,088 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.2 · 1,160 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.2 · 375 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 4,102 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.22 (0.05 to 0.39) · 14,875 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.17 (0 to 0.34) · 15,303 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.75 (2.11 to 5.39) · 3,517 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.14 (0.71 to 3.56) · 1,262 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.89 (1.62 to 4.17) · 3,062 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.91 (1.48 to 12.34) · 1,287 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.79 (1.66 to 7.91) · 1,219 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.04 (0.64 to 3.43) · 643 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.71 (0.24 to 1.18) · 11,884 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.3 · 150 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.739No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.481No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.381No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.344No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.1 · 328 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.7 · 1,020 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-4.9 · 400 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits9.3 · 1,292 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits13.3 · 1,204 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 1,055 casesNoneJul 2023 – Jun 2025
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.4 (10.4 to 14.7) · 730 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 102 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.5 · 90 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.6 · 304 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14.9 (12.1 to 18.1) · 3,626 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 1,340 casesNo differentJan 2024 – Dec 2024

What patients said (1,476 patients answered, 21% of those asked)

Patient survey stars by topic at Enloe Health
Cleanliness2
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Enloe Health
Room was "always" clean57%
Nurses "always" communicated well79%
Doctors "always" communicated well77%
Staff "always" explained59%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)69%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night40%
"YES", patients would definitely recommend the hospital73%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms87%
See every measure and the patient survey for Oroville Hospital

Behind the star rating — Deaths: 3 better, 4 the same, 0 worse of 7 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 0 better, 6 the same, 4 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Oroville Hospital
Postoperative respiratory failure rateComplications and deaths16.04 (9.53 to 22.55) · 404 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.7 (11.1 to 19.4) · 136 casesWorseJan 2024 – Dec 2024
Clostridium Difficile (C.Diff)Infections0.262BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.07 (0.1 to 2.04) · 1,061 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.94 (0.64 to 1.23)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths161.51 (102.1 to 220.92) · 64 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths5.3 · 82 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.6 · 69 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.6 · 205 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.8 · 749 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths19.1 · 141 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 1,984 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.14 (0 to 0.33) · 7,583 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.31 (0.12 to 0.5) · 7,702 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.75 (0.69 to 4.81) · 1,113 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.44 (0 to 3.05) · 384 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.71 (0.23 to 3.2) · 1,061 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.47 (1.06 to 7.88) · 340 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.07) · 214 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.11 (0 to 0.69) · 4,910 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 161 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.497No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.451No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.1 · 39 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits26.7 · 239 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-24 · 54 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits66.7 · 254 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits60.8 · 898 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits25.5 · 851 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.4 (2.9 to 6.6) · 136 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits7.8 · 176 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits22.8 · 96 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14 (10.8 to 17.9) · 1,050 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.8 to 1.5) · 285 casesNo differentJan 2024 – Dec 2024

What patients said (769 patients answered, 12% of those asked)

Patient survey stars by topic at Oroville Hospital
Cleanliness1
Nurse communication1
Doctor communication2
Communication about medicines1
Discharge information1
Overall hospital rating1
Quietness1
Recommend hospital1
Share of patients giving the best answer at Oroville Hospital
Room was "always" clean43%
Nurses "always" communicated well64%
Doctors "always" communicated well66%
Staff "always" explained45%
Yes, staff "did" give patients this information77%
Yes, staff "did" give patients information about help after discharge74%
Doctors "always" explained things so they could understand60%
Doctors "always" listened carefully63%
Doctors "always" treated them with courtesy and respect75%
Patients who gave a rating of "9" or "10" (high)35%
Staff "always" explained new medications57%
Nurses "always" explained things so they could understand59%
Nurses "always" listened carefully60%
Nurses "always" treated them with courtesy and respect73%
"Always" quiet at night29%
"YES", patients would definitely recommend the hospital35%
Staff "always" explained possible side effects33%
Yes, staff "did" give patients information about possible symptoms80%

Original Medicare doctor bills

$194,416

Medicare paid this office $194,416 for 680 people.

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

Largest Original Medicare bills
Initial hospital care with moderate level of medical decision making at least 75 minutes363$50,325$133
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes342$48,003$61
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes258$44,177$92
Hospital discharge day management, more than 30 minutes372$34,576$89
Critical care, first 30-74 minutes64$15,347$163

Who their Medicare patients are

680 Original Medicare patients in 2024. Average age 76 · Under 65 9% · 85 and older 19% · Women 51% · Also on Medicaid 37% · Health risk score 2.33. At or below the middle of the specialty; the typical hospitalist clinician is at 2.49.

Conditions among them: High blood pressure 75% · Coronary heart disease 47% · Heart failure 43% · Chronic kidney disease 40% · Atrial fibrillation 40% · COPD 39% · Diabetes 38% · Depression 35% · Stroke 26% · Cancer 22% · Dementia 22%.

The office billed $557,192, Medicare allowed $245,789 and paid $194,416; for 2,147 services of 13 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
20246802,147762.33$557,192$194,416
20236902,499762.51$541,182$216,707
20228422,601762.22$511,242$224,184
20217782,453762.32$477,777$212,368
20207262,239752.42$452,805$201,510
20198042,419742.46$464,795$213,148
20183401,127752.05$190,373$94,059

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: 7 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes427$68,838$63
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes324$53,634$94
Hospital discharge day management, more than 30 minutes399$38,844$91
Initial hospital care with moderate level of medical decision making at least 75 minutes258$36,264$136
Critical care, first 30-74 minutes55$14,539$169
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,241$103
Hospital discharge day management, 30 minutes or less11$722$60

2022: 8 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes436$53,529$56
Initial hospital care with moderate level of medical decision making at least 75 minutes320$51,364$157
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes369$50,300$81
Hospital discharge day management, more than 30 minutes394$34,272$85
Critical care, first 30-74 minutes53$13,615$175
Initial hospital observation care per day, typically 70 minutes89$12,555$141
Hospital observation care on day of discharge64$3,631$57
Follow-up observation care per day, typically 25 minutes14$1,370$57

2021: 8 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes397$55,972$58
Initial hospital care with moderate level of medical decision making at least 75 minutes286$47,084$160
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes323$45,505$83
Hospital discharge day management, more than 30 minutes362$32,482$86
Critical care, first 30-74 minutes45$12,998$178
Initial hospital observation care per day, typically 70 minutes72$10,370$144
Hospital observation care on day of discharge47$2,681$57
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,228$102

2020: 9 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes384$49,714$59
Initial hospital care with moderate level of medical decision making at least 75 minutes272$45,676$164
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes292$40,296$85
Hospital discharge day management, more than 30 minutes363$32,858$88
Critical care, first 30-74 minutes48$14,867$179
Initial hospital observation care per day, typically 70 minutes59$8,960$152
Hospital observation care on day of discharge41$2,459$60
Follow-up observation care per day, typically 25 minutes17$1,258$60
Hospital discharge day management, 30 minutes or less14$860$61

2019: 8 services

Original Medicare services billed in 2019
Initial hospital care with moderate level of medical decision making at least 75 minutes375$61,384$161
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes394$55,077$59
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes303$40,484$84
Hospital discharge day management, more than 30 minutes384$35,035$87
Initial hospital observation care per day, typically 70 minutes46$6,739$147
Critical care, first 30-74 minutes32$6,232$178
Hospital observation care on day of discharge35$2,068$59
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,685$105

2018: 5 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes211$31,324$59
Initial hospital care with moderate level of medical decision making at least 75 minutes131$21,518$162
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes146$18,970$84
Hospital discharge day management, more than 30 minutes187$16,600$88
Critical care, first 30-74 minutes13$2,858$179

Medicaid work

$32,150 in 2024

Medicaid paid $32,150 for 1,228 billed services this clinician did in 2024, up to 34 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
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES507$10,369
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter249$7,542
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES302$7,304
1ST HOSP IP/OBS HIGH 75170$6,935
Medicaid work by year
20241,228434$32,150
2023828427$27,194
2022549424$20,225
2021712426$25,533
2020578419$18,040
2019456421$15,162
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES421$11,951
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter174$6,744
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES192$6,641
1ST HOSP IP/OBS HIGH 7541$1,858

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES261$7,623
1ST HOSP IP/OBS HIGH 7588$5,390
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES117$3,866
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter83$3,347

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES317$8,732
1ST HOSP IP/OBS HIGH 75120$7,407
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES154$5,047
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter121$4,347

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES326$8,264
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES133$4,287
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter81$3,038
1ST HOSP IP/OBS HIGH 7538$2,451

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES232$6,086
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter114$4,307
1ST HOSP IP/OBS HIGH 7572$3,703
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES38$1,067

Drugs they prescribed that Part D paid

$41,699

Pharmacies billed $41,699 in 2024.

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

Opioids were 3% of their Part D prescriptions (25 of 769) in 2024. At or below the middle of the specialty; the typical hospitalist clinician is at 4%.

682 generic and fewer than 11 brand-name prescriptions · $41,699 in drug cost · 174 antibiotic prescriptions to 117 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
Eliquis16$10,407$650
Ceftriaxone15$1,014$68
Cefpodoxime Proxetil22$681$31
Cefuroxime18$291$16
Atorvastatin44$205$5
See all 21 drugs
Every Part D drug this clinician prescribed
Eliquis16$10,407$650
Ceftriaxone15$1,014$68
Cefpodoxime Proxetil22$681$31
Cefuroxime18$291$16
Atorvastatin44$205$5
Metoprolol27$186$7
Famotidine36$184$5
Amlodipine Besylate40$162$4
Pantoprazole27$133$5
Potassium Chloride15$128$9
Ondansetron Odt14$128$9
Doxycycline Monohydrate11$113$10
Carvedilol18$83$5
Metronidazole16$74$5
Cephalexin14$61$4
Furosemide31$59$2
Ciprofloxacin13$49$4
Azithromycin14$41$3
Clopidogrel11$38$3
Prednisone28$36$1
Spironolactone21$32$2

Year by year

Part D prescribing by year
20247692773% (25)None$41,699
20236672643% (17)None$31,545
20226252645% (32)None$48,234
20216792594% (26)None$35,664
20205252014% (20)None$33,806
20195882265% (32)None$24,713
201820777NoneNone$8,838

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

See the drugs prescribed each year

2023: 17 drugs

Part D drugs prescribed in 2023
Eliquis15$8,712$581
Linezolid12$2,473$206
Atorvastatin55$505$9
Cefuroxime23$389$17
Pantoprazole33$351$11
Amiodarone14$322$23
Amoxicillin-Clavulanate Potass21$281$13
Amlodipine Besylate41$266$6
Ondansetron Odt15$214$14
Famotidine20$186$9
Furosemide38$162$4
Metronidazole19$136$7
Metoprolol18$133$7
Cephalexin22$116$5
Prednisone36$104$3
Spironolactone12$61$5
Hydrocodone-Acetaminophen11$45$4

2022: 13 drugs

Part D drugs prescribed in 2022
Eliquis17$9,638$567
Metoprolol22$257$12
Pantoprazole31$249$8
Atorvastatin30$241$8
Furosemide39$193$5
Cephalexin21$144$7
Amlodipine Besylate28$134$5
Amoxicillin-Clavulanate Potass14$124$9
Metronidazole19$121$6
Prednisone37$68$2
Ciprofloxacin13$60$5
Hydrocodone-Acetaminophen17$59$3
Carvedilol11$52$5

2021: 20 drugs

Part D drugs prescribed in 2021
Eliquis12$7,201$600
Cefuroxime21$634$30
Midodrine12$612$51
Amiodarone13$378$29
Pantoprazole39$355$9
Dexamethasone18$234$13
Levofloxacin14$194$14
Doxycycline Monohydrate19$173$9
Metronidazole18$140$8
Metoprolol21$139$7
Furosemide45$135$3
Atorvastatin24$135$6
Cephalexin21$127$6
Potassium Chloride11$122$11
Clopidogrel13$107$8
Ciprofloxacin18$99$5
Amlodipine Besylate18$88$5
Prednisone37$87$2
Hydrocodone-Acetaminophen17$87$5
Carvedilol12$76$6

2020: 13 drugs

Part D drugs prescribed in 2020
Eliquis11$5,933$539
Basaglar Kwikpen U-10016$2,280$142
Cefuroxime19$507$27
Atorvastatin23$166$7
Pantoprazole29$158$5
Clopidogrel16$101$6
Metoprolol13$94$7
Furosemide23$83$4
Cephalexin21$79$4
Prednisone25$77$3
Amlodipine Besylate14$57$4
Hydrocodone-Acetaminophen13$44$3
Carvedilol11$34$3

2019: 15 drugs

Part D drugs prescribed in 2019
Ondansetron Odt20$247$12
Pantoprazole25$246$10
Levofloxacin31$229$7
Metoprolol19$226$12
Furosemide35$181$5
Metronidazole12$165$14
Atorvastatin11$95$9
Clopidogrel13$92$7
Cephalexin19$84$4
Spironolactone11$84$8
Prednisone32$84$3
Azithromycin14$82$6
Famotidine13$67$5
Hydrocodone-Acetaminophen18$64$4
Amlodipine Besylate14$62$4

2018: 1 drug

Part D drugs prescribed in 2018
Furosemide11$39$4

Professional record

NPI
1548643489
Licence
CA A153124California A153124: Current · expires 2027-01-31
Group
North State Medical Primary Care Inc · Enloe Medical Center · County of Santa Clara
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X)
Mailing address
1209 Esplanade Ste 2, Chico, CA, 95926
NPI first listed
2015-07-08
NPI last updated
2020-09-15
NPI record certified
2020-09-15

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