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Gamal Gobraeel, MD

Internal Medicine · San Jose

NPI 1578988374

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations · Quantum Bay Area Hospitalist Medical Group Inc · Nicholas H Noyes Memorial Hospital · Columbia Memorial Hospital

Looking this up.

Hospitals listed: Columbia Memorial Hospital · Jones Memorial Hospital · Nicholas H Noyes Memorial Hospital · St James Hospital. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Gobraeel’s office to ask if they take your plan before you enroll.

State licence records

1 licence

  • Virginia 0101256034Physician · since 2014 · expires 2028-03-31Told the state board they are board certified.
    Current ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

School, training and certification

1 placement

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.

Residency and fellowship

  • Jamaica Hospital Medical Center, Internal MedicineJamaica, Queens, New York · 2013

Hospitals they work in

4 hospitals

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

  • Columbia Memorial HospitalHudson, NYAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Columbia Memorial HealthPatients rate it 2 of 5 · 59% would definitely recommend it
    Overall rating: 1 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 2.17 (1.74 to 2.61), Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 4.5 (3.5 to 5.5) · 1,825 cases, Jul 2022 – Jun 2024
  • Jones Memorial HospitalWellsville, NYAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of University of Rochester Medical Center, which runs 6 hospitalsPatients rate it 4 of 5 · 71% would definitely recommend it
    Overall rating: 4 of 5 starsNo measure marked better or worse than the national rate
  • Nicholas H Noyes Memorial HospitalDansville, NYAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of University of Rochester Medical Center, which runs 6 hospitalsPatients rate it 3 of 5 · 65% would definitely recommend it
    Overall rating: 3 of 5 starsNo measure marked better or worse than the national rate
  • St James HospitalHornell, NYAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of University of Rochester Medical Center, which runs 6 hospitalsPatients rate it 4 of 5 · 70% would definitely recommend it
    Overall rating: 3 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for Columbia Memorial Hospital

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 5 the same, 1 worse of 6 measures. Readmissions: 0 better, 7 the same, 2 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 Columbia Memorial Hospital
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths2.17 (1.74 to 2.61)WorseJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths4.5 (3.5 to 5.5) · 1,825 casesWorseJul 2022 – Jun 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.97 (0 to 2.01) · 220 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths12.7 · 93 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths14.6 · 153 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.2 · 162 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10 · 53 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.8 · 1,035 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.26 (0.03 to 0.49) · 2,041 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.13 to 0.55) · 1,988 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.91 (1.45 to 6.36) · 352 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.65 (0 to 3.37) · 163 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.89 (1.19 to 4.59) · 331 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.1 (0 to 17.57) · 172 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.65 (2.46 to 10.85) · 163 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.71 (0.2 to 3.22) · 67 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.4 · 75 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.692No differentOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.676No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23.6 · 227 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits78.8 · 147 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-0.2 · 163 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.6 · 217 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.6 (3.5 to 9) · 37 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.9 (6.5 to 14.9) · 37 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 53 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits23.5 · 208 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.4 (8.6 to 14.9) · 901 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.6 to 1.2) · 365 casesNo differentJan 2024 – Dec 2024

What patients said (331 patients answered, 22% of those asked)

Patient survey stars by topic at Columbia Memorial Hospital
Cleanliness3
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating2
Quietness2
Recommend hospital2
Share of patients giving the best answer at Columbia Memorial Hospital
Room was "always" clean67%
Nurses "always" communicated well74%
Doctors "always" communicated well77%
Staff "always" explained56%
Yes, staff "did" give patients this information81%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand69%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)58%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night44%
"YES", patients would definitely recommend the hospital59%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms80%
See every measure and the patient survey for Jones Memorial Hospital

Behind the star rating — Deaths: 0 better, 4 the same, 0 worse of 4 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 1 better, 7 the same, 0 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Jones Memorial Hospital
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.05 (0 to 2.14) · 37 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.11 (0.63 to 1.59)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.7 · 28 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.2 · 75 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.7 · 111 casesNoneJul 2022 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 448 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.44) · 803 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 845 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.38 (0.78 to 5.99) · 68 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.32 (0.59 to 4.05) · 60 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths1.06 (0 to 2.23) · 613 casesNo differentJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.2 · 127 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits5.2 · 85 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-42 · 125 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.9 · 167 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.4 to 7.9) · 48 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11 (7.8 to 15.3) · 48 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.7 · 43 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9 to 16.6) · 239 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 65 casesNo differentJan 2024 – Dec 2024

What patients said (302 patients answered, 24% of those asked)

Patient survey stars by topic at Jones Memorial Hospital
Cleanliness5
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Jones Memorial Hospital
Room was "always" clean80%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect88%
Patients who gave a rating of "9" or "10" (high)74%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand79%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect89%
"Always" quiet at night55%
"YES", patients would definitely recommend the hospital71%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms91%
See every measure and the patient survey for Nicholas H Noyes Memorial Hospital

Behind the star rating — Deaths: 0 better, 4 the same, 0 worse of 4 measures. Safety: 0 better, 5 the same, 0 worse of 5 measures. Readmissions: 0 better, 5 the same, 1 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 Nicholas H Noyes Memorial Hospital
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.02 (0 to 2.09) · 151 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.93 (0.46 to 1.4)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths9.9 · 27 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.5 · 46 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths18.1 · 107 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.6 · 44 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.3 · 675 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.44) · 842 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.05 to 0.48) · 837 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.33 (0.75 to 5.91) · 101 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.28 (0.57 to 4) · 100 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.72 (0.21 to 3.24) · 38 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.45 (0 to 1.6) · 745 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.959No differentOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.312No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.3 · 107 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits19.5 · 50 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits40.2 · 107 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.9 · 235 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.8 · 82 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.2 to 16.3) · 509 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.5) · 105 casesNo differentJan 2024 – Dec 2024

What patients said (425 patients answered, 25% of those asked)

Patient survey stars by topic at Nicholas H Noyes Memorial Hospital
Cleanliness3
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at Nicholas H Noyes Memorial Hospital
Room was "always" clean67%
Nurses "always" communicated well78%
Doctors "always" communicated well77%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand73%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night45%
"YES", patients would definitely recommend the hospital65%
Staff "always" explained possible side effects51%
Yes, staff "did" give patients information about possible symptoms87%
See every measure and the patient survey for St James Hospital

Behind the star rating — Deaths: 0 better, 4 the same, 0 worse of 4 measures. Safety: 0 better, 1 the same, 0 worse of 1 measures. Readmissions: 0 better, 4 the same, 2 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 St James Hospital
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.05 (0 to 2.15) · 36 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.97 (0.47 to 1.47)No differentJul 2022 – Jun 2024
Death rate for heart failure patientsComplications and deaths10.2 · 54 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.5 · 119 casesNoneJul 2022 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4 · 388 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.44) · 603 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.05 to 0.48) · 593 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.48 (0.84 to 6.12) · 25 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.33 (0.6 to 4.07) · 26 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.55 (0 to 1.81) · 517 casesNo differentJul 2022 – Jun 2024
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.4 · 84 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits54.7 · 56 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits2.9 · 130 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.6 · 176 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 54 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.7 to 17.6) · 226 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.8 to 1.5) · 134 casesNo differentJan 2024 – Dec 2024

What patients said (188 patients answered, 27% of those asked)

Patient survey stars by topic at St James Hospital
Cleanliness3
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness4
Recommend hospital4
Share of patients giving the best answer at St James Hospital
Room was "always" clean67%
Nurses "always" communicated well80%
Doctors "always" communicated well77%
Staff "always" explained64%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)73%
Staff "always" explained new medications79%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect89%
"Always" quiet at night62%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects49%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$49,941

Medicare paid this office $49,941 for 225 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes73$14,784$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes89$14,286$63
Initial hospital care with moderate level of medical decision making at least 75 minutes95$12,951$132
Hospital discharge day management, more than 30 minutes67$6,198$91

Who their Medicare patients are

225 Original Medicare patients in 2024. Average age 76 · Under 65 12% · 85 and older 24% · Women 56% · Also on Medicaid 36% · Health risk score 2.09. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 52% · Coronary heart disease 48% · Heart failure 48% · Chronic kidney disease 48% · Depression 45% · COPD 43% · Atrial fibrillation 39% · Dementia 32% · Stroke 28% · Cancer 19%.

The office billed $290,561, Medicare allowed $62,765 and paid $49,941; for 575 services of 8 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
2024225575762.09$290,561$49,941
202361179772.05$57,076$12,850
2022163362773.28$127,314$33,541
2021270435752.51$163,608$43,020
2020330407732.39$168,470$51,048
2019447553753.03$273,688$75,570
2018506564742.79$305,951$85,096
2017158477722.56$79,266$36,086
2016122159762.40$48,116$19,221
20154481,351742.55$277,638$111,782
20144191,092752.07$244,570$96,698

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: 4 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes46$6,944$61
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$1,941$92
Hospital discharge day management, 30 minutes or less30$1,883$63
Initial hospital care with moderate level of medical decision making at least 75 minutes13$1,751$135

2022: 6 services

Original Medicare services billed in 2022
Initial hospital care with moderate level of medical decision making at least 75 minutes77$12,551$161
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes41$6,687$83
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes49$6,118$57
Hospital discharge day management, more than 30 minutes40$3,310$83
Initial hospital observation care per day, typically 70 minutes14$2,037$145
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$583$31

2021: 6 services

Original Medicare services billed in 2021
Initial hospital care with moderate level of medical decision making at least 75 minutes120$17,894$147
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes50$8,524$84
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$3,839$58
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes45$3,738$83
Hospital discharge day management, more than 30 minutes41$3,531$86
Initial hospital observation care per day, typically 70 minutes16$2,353$147

2020: 5 services

Original Medicare services billed in 2020
Initial hospital care with moderate level of medical decision making at least 75 minutes230$37,719$157
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes38$3,829$57
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes31$3,389$109
Initial hospital observation care per day, typically 70 minutes16$2,167$135
Hospital discharge day management, more than 30 minutes18$1,549$86

2019: 5 services

Original Medicare services billed in 2019
Initial hospital care with moderate level of medical decision making at least 75 minutes378$64,835$158
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes37$3,898$55
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$1,960$98
Hospital discharge day management, more than 30 minutes24$1,829$76
Initial hospital observation care per day, typically 70 minutes12$1,776$148

2018: 3 services

Original Medicare services billed in 2018
Initial hospital care with moderate level of medical decision making at least 75 minutes433$75,041$158
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes44$4,763$108
Initial hospital observation care per day, typically 70 minutes23$3,393$148

2017: 5 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes84$10,890$54
Hospital discharge day management, more than 30 minutes78$6,664$78
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes48$4,933$76
Initial hospital care with moderate level of medical decision making at least 75 minutes25$3,623$145
Hospital observation care on day of discharge25$1,356$54

2016: 5 services

Original Medicare services billed in 2016
Initial hospital care with moderate level of medical decision making at least 75 minutes53$9,003$167
Initial hospital observation care per day, typically 70 minutes21$3,110$148
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,782$111
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,616$56
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,121$80

2015: 11 services

Original Medicare services billed in 2015
Initial hospital care with moderate level of medical decision making at least 75 minutes170$26,068$146
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes141$24,134$77
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes191$23,681$54
Hospital discharge day management, more than 30 minutes152$12,385$78
Critical care, first 30-74 minutes25$8,443$166
Initial hospital observation care per day, typically 70 minutes52$6,907$133
Hospital observation care on day of discharge54$2,992$54
Follow-up observation care per day, typically 25 minutes25$1,604$55
Follow-up observation care per day, typically 35 minutes16$1,401$78
Hospital discharge day management, 30 minutes or less22$1,207$55
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 and11$459$42

2014: 7 services

Original Medicare services billed in 2014
Initial hospital care with moderate level of medical decision making at least 75 minutes207$33,384$157
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes157$21,181$55
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes139$18,231$80
Hospital discharge day management, more than 30 minutes133$11,388$83
Critical care, first 30-74 minutes14$4,157$173
Initial hospital observation care per day, typically 70 minutes25$3,595$144
Hospital observation care on day of discharge13$730$56

Medicaid work

$1,890 in 2024

Medicaid paid $1,890 for 71 billed services this clinician did in 2024, up to 25 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
1ST HOSP IP/OBS HIGH 7522$1,890
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications22$0
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety27$0
Medicaid work by year
202471325$1,890
202289234$5,156
2021117419$5,668
2020161131$5,198
2019356147$29,154
2018249130$12,396
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
1ST HOSP IP/OBS HIGH 7550$3,540
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES39$1,617

2021

Largest Medicaid services in 2021
1ST HOSP IP/OBS HIGH 7549$3,218
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES41$1,375
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter14$559
1ST HOSP IP/OBS SF/LOW 4013$516

2020

Largest Medicaid services in 2020
1ST HOSP IP/OBS HIGH 75161$5,198

2019

Largest Medicaid services in 2019
1ST HOSP IP/OBS HIGH 75356$29,154

2018

Largest Medicaid services in 2018
1ST HOSP IP/OBS HIGH 75249$12,396

Drugs they prescribed that Part D paid

$11,325

Pharmacies billed $11,325 in 2024.

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

Opioids were 6% of their Part D prescriptions (13 of 209) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.

185 generic and 24 brand-name prescriptions · $11,325 in drug cost · 48 antibiotic prescriptions to 36 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
Cefdinir20$234$12
Metoprolol12$64$5

Year by year

Part D prescribing by year
2024209766% (13)11%$11,325
202311635NoneNone$3,070
20223331025% (17)None$21,524
202111838None17%$9,835
20207229NoneNone$1,488
20194414NoneNone$2,358
2017402122None22%$24,555
20164419NoneNone$3,413
20153661116% (21)None$21,662
201415762NoneNone$6,229

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

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Metoprolol15$193$13
Spironolactone12$166$14
Lisinopril15$94$6

2022: 7 drugs

Part D drugs prescribed in 2022
Cefdinir20$238$12
Atorvastatin15$90$6
Furosemide20$70$3
Pantoprazole13$63$5
Prednisone17$49$3
Metoprolol11$48$4
Lisinopril15$42$3

2017: 11 drugs

Part D drugs prescribed in 2017
Eliquis12$4,382$365
Cefpodoxime Proxetil15$1,061$71
Azithromycin19$178$9
Furosemide54$120$2
Pantoprazole13$107$8
Amoxicillin-Clavulanate Potass12$95$8
Prednisone21$93$4
Levofloxacin15$86$6
Warfarin13$83$6
Lisinopril15$70$5
Metoprolol15$56$4

2015: 4 drugs

Part D drugs prescribed in 2015
Levofloxacin38$293$8
Prednisone13$85$7
Lisinopril16$67$4
Furosemide11$31$3

2014: 2 drugs

Part D drugs prescribed in 2014
Levofloxacin21$171$8
Prednisone11$65$6

Money from drug and device companies

$23 in 2025

Industry payments by year
202511None$23
202412None$43

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
Takeda Pharmaceuticals U.S.A.Ninlaro$23
1 payment
  • Meals for Ninlaro · 2025-03-19 · $23
See the published payment
Every published payment
Takeda Pharmaceuticals U.S.A.Meals · 2025-03-19Ninlaro$23
See earlier years (2024)

2024: $43

Payments by company in 2024
Janssen PharmaceuticalsXarelto$43
2 payments
  • Meals for Xarelto · 2024-07-25 · $20
  • Meals for Xarelto · 2024-04-15 · $23

Professional record

NPI
1578988374
Licence
NY 273506, VA 101256034Virginia 0101256034: Current Active
Group
Quantum Bay Area Hospitalist Medical Group Inc · Nicholas H Noyes Memorial Hospital · Columbia Memorial Hospital
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
VA 1578988374
Taxonomy
Internal medicine (207R00000X)
Mailing address
1840 Amherst St, Winchester, VA, 22601
NPI first listed
2014-03-03
NPI last updated
2017-03-07

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