Sara Q Bughio, MD

1 location · John Muir Physician Network · 488 clinicians in this group

Hospitals listed: John Muir Medical Center - Concord Campus · John Muir Medical Center - Walnut Creek Campus · 056238 · 555684. That is not proof they admit you there this week.

7 plans · 2 carriers

Licence A152300 · Current

Licensed to practise in California · since 2017 · expires 2027-02-28 · Liaquat University of Medical and Health Sciences.

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

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

• American Board of Family Medicine - Geriatric Medicine
• American Board of Internal Medicine - Internal Medicine

Medicare did not publish checkup rates for this clinician.

2 hospitals

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

• John Muir Medical Center - Concord CampusConcord, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of John Muir Health, which runs 3 hospitalsPatients rate it 3 of 5 · 77% would definitely recommend it
  Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.235, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.675, Oct 2024 – Sep 2025
• John Muir Medical Center - Walnut Creek CampusWalnut Creek, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of John Muir Health, which runs 3 hospitalsPatients rate it 3 of 5 · 77% would definitely recommend it
  Overall rating: 2 of 5 starsWorse than the national rate — Abdominopelvic accidental puncture or laceration rate: 2.01 (1.17 to 2.85) · 2,206 cases, Jul 2022 – Jun 2024Worse than the national rate — Death rate among surgical inpatients with serious treatable complications: 222.42 (177.82 to 267.02) · 120 cases, Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 1.4 (0.91 to 1.9) · 9,764 cases, Jul 2022 – Jun 2024Worse than the national rate — SSI - Colon Surgery: 2.734, Oct 2024 – Sep 2025Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.536, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.341, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.455, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.245, Oct 2024 – Sep 2025

$127,550

Medicare paid this office $127,550 for 372 people.

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

Who their Medicare patients are

372 Original Medicare patients in 2024. Average age 76 · Under 65 12% · 85 and older 20% · Women 54% · Also on Medicaid 53% · Health risk score 3.10. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Chronic kidney disease 57% · Diabetes 55% · Heart failure 48% · Coronary heart disease 43% · Depression 42% · Atrial fibrillation 37% · COPD 31% · Dementia 27% · Stroke 23% · Cancer 21%.

The office billed $397,504, Medicare allowed $162,005 and paid $127,550; for 1,499 services of 16 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 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.

$10,082 in 2024

Medicaid paid $10,082 for 193 billed services this clinician did in 2024, up to 19 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.

$259,097

Pharmacies billed $259,097 in 2024.

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

Opioids were 6% of their Part D prescriptions (134 of 2,181) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%. Long-acting opioids: 27% of their opioid prescriptions.

1,750 generic and fewer than 11 brand-name prescriptions · $259,097 in drug cost · 104 antibiotic prescriptions to 65 people · 66 antipsychotic prescriptions to people over 65.

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.

Year by year

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

NPI

1578818787

Licence

CA A152300, NY 281346-1California A152300: Current · expires 2027-02-28

Group

John Muir Physician Network

Gender

Female