Gamal Gobraeel, MD
Internal Medicine · San Jose
- 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
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 itOverall 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 itOverall 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 itOverall 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 itOverall 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.
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 2.17 (1.74 to 2.61) | Worse | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 4.5 (3.5 to 5.5) · 1,825 cases | Worse | Jul 2022 – Jun 2024 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.97 (0 to 2.01) · 220 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 12.7 · 93 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 14.6 · 153 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 17.2 · 162 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10 · 53 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 4.8 · 1,035 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.26 (0.03 to 0.49) · 2,041 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.34 (0.13 to 0.55) · 1,988 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.91 (1.45 to 6.36) · 352 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.65 (0 to 3.37) · 163 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.89 (1.19 to 4.59) · 331 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.1 (0 to 17.57) · 172 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.65 (2.46 to 10.85) · 163 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.71 (0.2 to 3.22) · 67 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.4 · 75 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 1.692 | No different | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.676 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0 | No different | Oct 2024 – Sep 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 23.6 · 227 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 78.8 · 147 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -0.2 · 163 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.6 · 217 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.6 (3.5 to 9) · 37 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 9.9 (6.5 to 14.9) · 37 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 53 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 23.5 · 208 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 11.4 (8.6 to 14.9) · 901 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.6 to 1.2) · 365 cases | No different | Jan 2024 – Dec 2024 |
What patients said (331 patients answered, 22% of those asked)
| Cleanliness | 3 |
| Nurse communication | 2 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 2 |
| Overall hospital rating | 2 |
| Quietness | 2 |
| Recommend hospital | 2 |
| Room was "always" clean | 67% |
| Nurses "always" communicated well | 74% |
| Doctors "always" communicated well | 77% |
| Staff "always" explained | 56% |
| Yes, staff "did" give patients this information | 81% |
| Yes, staff "did" give patients information about help after discharge | 83% |
| Doctors "always" explained things so they could understand | 69% |
| Doctors "always" listened carefully | 77% |
| Doctors "always" treated them with courtesy and respect | 84% |
| Patients who gave a rating of "9" or "10" (high) | 58% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 69% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 83% |
| "Always" quiet at night | 44% |
| "YES", patients would definitely recommend the hospital | 59% |
| Staff "always" explained possible side effects | 40% |
| Yes, staff "did" give patients information about possible symptoms | 80% |
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.
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.05 (0 to 2.14) · 37 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.11 (0.63 to 1.59) | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 8.7 · 28 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.2 · 75 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 12.7 · 111 cases | None | Jul 2022 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.3 · 448 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.2 (0 to 0.44) · 803 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.26 (0.05 to 0.48) · 845 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.38 (0.78 to 5.99) · 68 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.32 (0.59 to 4.05) · 60 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 1.06 (0 to 2.23) · 613 cases | No different | Jul 2022 – Jun 2024 |
| Clostridium Difficile (C.Diff)Infections | 0 | No different | Oct 2024 – Sep 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.2 · 127 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 5.2 · 85 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -42 · 125 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 15.9 · 167 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.2 (3.4 to 7.9) · 48 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 11 (7.8 to 15.3) · 48 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 18.7 · 43 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.4 (9 to 16.6) · 239 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 65 cases | No different | Jan 2024 – Dec 2024 |
What patients said (302 patients answered, 24% of those asked)
| Cleanliness | 5 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 3 |
| Recommend hospital | 4 |
| Room was "always" clean | 80% |
| Nurses "always" communicated well | 82% |
| Doctors "always" communicated well | 81% |
| Staff "always" explained | 61% |
| Yes, staff "did" give patients this information | 89% |
| Yes, staff "did" give patients information about help after discharge | 87% |
| Doctors "always" explained things so they could understand | 76% |
| Doctors "always" listened carefully | 80% |
| Doctors "always" treated them with courtesy and respect | 88% |
| Patients who gave a rating of "9" or "10" (high) | 74% |
| Staff "always" explained new medications | 75% |
| Nurses "always" explained things so they could understand | 79% |
| Nurses "always" listened carefully | 78% |
| Nurses "always" treated them with courtesy and respect | 89% |
| "Always" quiet at night | 55% |
| "YES", patients would definitely recommend the hospital | 71% |
| Staff "always" explained possible side effects | 46% |
| Yes, staff "did" give patients information about possible symptoms | 91% |
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.
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.02 (0 to 2.09) · 151 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.93 (0.46 to 1.4) | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 9.9 · 27 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11.5 · 46 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 18.1 · 107 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.6 · 44 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 4.3 · 675 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.2 (0 to 0.44) · 842 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.27 (0.05 to 0.48) · 837 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.33 (0.75 to 5.91) · 101 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.28 (0.57 to 4) · 100 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.72 (0.21 to 3.24) · 38 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.45 (0 to 1.6) · 745 cases | No different | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.959 | No different | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.312 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0 | No different | Oct 2024 – Sep 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.3 · 107 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 19.5 · 50 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 40.2 · 107 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.9 · 235 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.8 · 82 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.3 (9.2 to 16.3) · 509 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.5) · 105 cases | No different | Jan 2024 – Dec 2024 |
What patients said (425 patients answered, 25% of those asked)
| Cleanliness | 3 |
| Nurse communication | 4 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 3 |
| Room was "always" clean | 67% |
| Nurses "always" communicated well | 78% |
| Doctors "always" communicated well | 77% |
| Staff "always" explained | 61% |
| Yes, staff "did" give patients this information | 87% |
| Yes, staff "did" give patients information about help after discharge | 86% |
| Doctors "always" explained things so they could understand | 73% |
| Doctors "always" listened carefully | 75% |
| Doctors "always" treated them with courtesy and respect | 84% |
| Patients who gave a rating of "9" or "10" (high) | 67% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 74% |
| Nurses "always" listened carefully | 75% |
| Nurses "always" treated them with courtesy and respect | 86% |
| "Always" quiet at night | 45% |
| "YES", patients would definitely recommend the hospital | 65% |
| Staff "always" explained possible side effects | 51% |
| Yes, staff "did" give patients information about possible symptoms | 87% |
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.
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.05 (0 to 2.15) · 36 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.97 (0.47 to 1.47) | No different | Jul 2022 – Jun 2024 |
| Death rate for heart failure patientsComplications and deaths | 10.2 · 54 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 12.5 · 119 cases | None | Jul 2022 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 4 · 388 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.21 (0 to 0.44) · 603 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.27 (0.05 to 0.48) · 593 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.48 (0.84 to 6.12) · 25 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.33 (0.6 to 4.07) · 26 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.55 (0 to 1.81) · 517 cases | No different | Jul 2022 – Jun 2024 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 21.4 · 84 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 54.7 · 56 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 2.9 · 130 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.6 · 176 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.6 · 54 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13 (9.7 to 17.6) · 226 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1.1 (0.8 to 1.5) · 134 cases | No different | Jan 2024 – Dec 2024 |
What patients said (188 patients answered, 27% of those asked)
| Cleanliness | 3 |
| Nurse communication | 4 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 4 |
| Recommend hospital | 4 |
| Room was "always" clean | 67% |
| Nurses "always" communicated well | 80% |
| Doctors "always" communicated well | 77% |
| Staff "always" explained | 64% |
| Yes, staff "did" give patients this information | 87% |
| Yes, staff "did" give patients information about help after discharge | 88% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 73% |
| Doctors "always" treated them with courtesy and respect | 86% |
| Patients who gave a rating of "9" or "10" (high) | 73% |
| Staff "always" explained new medications | 79% |
| Nurses "always" explained things so they could understand | 76% |
| Nurses "always" listened carefully | 76% |
| Nurses "always" treated them with courtesy and respect | 89% |
| "Always" quiet at night | 62% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 49% |
| Yes, staff "did" give patients information about possible symptoms | 86% |
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.
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 73 | $14,784 | $94 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 89 | $14,286 | $63 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 95 | $12,951 | $132 |
| Hospital discharge day management, more than 30 minutes | 67 | $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
| 2024 | 225 | 575 | 76 | 2.09 | $290,561 | $49,941 |
| 2023 | 61 | 179 | 77 | 2.05 | $57,076 | $12,850 |
| 2022 | 163 | 362 | 77 | 3.28 | $127,314 | $33,541 |
| 2021 | 270 | 435 | 75 | 2.51 | $163,608 | $43,020 |
| 2020 | 330 | 407 | 73 | 2.39 | $168,470 | $51,048 |
| 2019 | 447 | 553 | 75 | 3.03 | $273,688 | $75,570 |
| 2018 | 506 | 564 | 74 | 2.79 | $305,951 | $85,096 |
| 2017 | 158 | 477 | 72 | 2.56 | $79,266 | $36,086 |
| 2016 | 122 | 159 | 76 | 2.40 | $48,116 | $19,221 |
| 2015 | 448 | 1,351 | 74 | 2.55 | $277,638 | $111,782 |
| 2014 | 419 | 1,092 | 75 | 2.07 | $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
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 46 | $6,944 | $61 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 13 | $1,941 | $92 |
| Hospital discharge day management, 30 minutes or less | 30 | $1,883 | $63 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 13 | $1,751 | $135 |
2022: 6 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 77 | $12,551 | $161 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 41 | $6,687 | $83 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 49 | $6,118 | $57 |
| Hospital discharge day management, more than 30 minutes | 40 | $3,310 | $83 |
| Initial hospital observation care per day, typically 70 minutes | 14 | $2,037 | $145 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 13 | $583 | $31 |
2021: 6 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 120 | $17,894 | $147 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 50 | $8,524 | $84 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 32 | $3,839 | $58 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 45 | $3,738 | $83 |
| Hospital discharge day management, more than 30 minutes | 41 | $3,531 | $86 |
| Initial hospital observation care per day, typically 70 minutes | 16 | $2,353 | $147 |
2020: 5 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 230 | $37,719 | $157 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 38 | $3,829 | $57 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 31 | $3,389 | $109 |
| Initial hospital observation care per day, typically 70 minutes | 16 | $2,167 | $135 |
| Hospital discharge day management, more than 30 minutes | 18 | $1,549 | $86 |
2019: 5 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 378 | $64,835 | $158 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 37 | $3,898 | $55 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 20 | $1,960 | $98 |
| Hospital discharge day management, more than 30 minutes | 24 | $1,829 | $76 |
| Initial hospital observation care per day, typically 70 minutes | 12 | $1,776 | $148 |
2018: 3 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 433 | $75,041 | $158 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 44 | $4,763 | $108 |
| Initial hospital observation care per day, typically 70 minutes | 23 | $3,393 | $148 |
2017: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 84 | $10,890 | $54 |
| Hospital discharge day management, more than 30 minutes | 78 | $6,664 | $78 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 48 | $4,933 | $76 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 25 | $3,623 | $145 |
| Hospital observation care on day of discharge | 25 | $1,356 | $54 |
2016: 5 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 53 | $9,003 | $167 |
| Initial hospital observation care per day, typically 70 minutes | 21 | $3,110 | $148 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 15 | $1,782 | $111 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 16 | $1,616 | $56 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 11 | $1,121 | $80 |
2015: 11 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 170 | $26,068 | $146 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 141 | $24,134 | $77 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 191 | $23,681 | $54 |
| Hospital discharge day management, more than 30 minutes | 152 | $12,385 | $78 |
| Critical care, first 30-74 minutes | 25 | $8,443 | $166 |
| Initial hospital observation care per day, typically 70 minutes | 52 | $6,907 | $133 |
| Hospital observation care on day of discharge | 54 | $2,992 | $54 |
| Follow-up observation care per day, typically 25 minutes | 25 | $1,604 | $55 |
| Follow-up observation care per day, typically 35 minutes | 16 | $1,401 | $78 |
| Hospital discharge day management, 30 minutes or less | 22 | $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 and | 11 | $459 | $42 |
2014: 7 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 207 | $33,384 | $157 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 157 | $21,181 | $55 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 139 | $18,231 | $80 |
| Hospital discharge day management, more than 30 minutes | 133 | $11,388 | $83 |
| Critical care, first 30-74 minutes | 14 | $4,157 | $173 |
| Initial hospital observation care per day, typically 70 minutes | 25 | $3,595 | $144 |
| Hospital observation care on day of discharge | 13 | $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.
| 1ST HOSP IP/OBS HIGH 75 | 22 | $1,890 |
| Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 22 | $0 |
| Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 27 | $0 |
| 2024 | 71 | 3 | 25 | $1,890 |
| 2022 | 89 | 2 | 34 | $5,156 |
| 2021 | 117 | 4 | 19 | $5,668 |
| 2020 | 161 | 1 | 31 | $5,198 |
| 2019 | 356 | 1 | 47 | $29,154 |
| 2018 | 249 | 1 | 30 | $12,396 |
See the largest Medicaid services in earlier years
2022
| 1ST HOSP IP/OBS HIGH 75 | 50 | $3,540 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 39 | $1,617 |
2021
| 1ST HOSP IP/OBS HIGH 75 | 49 | $3,218 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 41 | $1,375 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 14 | $559 |
| 1ST HOSP IP/OBS SF/LOW 40 | 13 | $516 |
2020
| 1ST HOSP IP/OBS HIGH 75 | 161 | $5,198 |
2019
| 1ST HOSP IP/OBS HIGH 75 | 356 | $29,154 |
2018
| 1ST HOSP IP/OBS HIGH 75 | 249 | $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.
| Cefdinir | 20 | $234 | $12 |
| Metoprolol | 12 | $64 | $5 |
Year by year
| 2024 | 209 | 76 | 6% (13) | 11% | $11,325 |
| 2023 | 116 | 35 | None | None | $3,070 |
| 2022 | 333 | 102 | 5% (17) | None | $21,524 |
| 2021 | 118 | 38 | None | 17% | $9,835 |
| 2020 | 72 | 29 | None | None | $1,488 |
| 2019 | 44 | 14 | None | None | $2,358 |
| 2017 | 402 | 122 | None | 22% | $24,555 |
| 2016 | 44 | 19 | None | None | $3,413 |
| 2015 | 366 | 111 | 6% (21) | None | $21,662 |
| 2014 | 157 | 62 | None | None | $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
| Metoprolol | 15 | $193 | $13 |
| Spironolactone | 12 | $166 | $14 |
| Lisinopril | 15 | $94 | $6 |
2022: 7 drugs
| Cefdinir | 20 | $238 | $12 |
| Atorvastatin | 15 | $90 | $6 |
| Furosemide | 20 | $70 | $3 |
| Pantoprazole | 13 | $63 | $5 |
| Prednisone | 17 | $49 | $3 |
| Metoprolol | 11 | $48 | $4 |
| Lisinopril | 15 | $42 | $3 |
2017: 11 drugs
| Eliquis | 12 | $4,382 | $365 |
| Cefpodoxime Proxetil | 15 | $1,061 | $71 |
| Azithromycin | 19 | $178 | $9 |
| Furosemide | 54 | $120 | $2 |
| Pantoprazole | 13 | $107 | $8 |
| Amoxicillin-Clavulanate Potass | 12 | $95 | $8 |
| Prednisone | 21 | $93 | $4 |
| Levofloxacin | 15 | $86 | $6 |
| Warfarin | 13 | $83 | $6 |
| Lisinopril | 15 | $70 | $5 |
| Metoprolol | 15 | $56 | $4 |
2015: 4 drugs
| Levofloxacin | 38 | $293 | $8 |
| Prednisone | 13 | $85 | $7 |
| Lisinopril | 16 | $67 | $4 |
| Furosemide | 11 | $31 | $3 |
2014: 2 drugs
| Levofloxacin | 21 | $171 | $8 |
| Prednisone | 11 | $65 | $6 |
Money from drug and device companies
$23 in 2025
| 2025 | 1 | 1 | None | $23 |
| 2024 | 1 | 2 | None | $43 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Takeda Pharmaceuticals U.S.A. | Ninlaro | $23 | 1 payment
|
See the published payment
| Takeda Pharmaceuticals U.S.A. | Meals · 2025-03-19 | Ninlaro | $23 |
See earlier years (2024)
2024: $43
| Janssen Pharmaceuticals | Xarelto | $43 | 2 payments
|
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.