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John A Ambrose, MD

Cardiovascular Disease (Cardiology) · Fresno

NPI 1598795429

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
2
Since medical school
54 years
Graduated 1972

Offices

2 locations · Central California Faculty Medical Group Inc · Fresno Community Hospital and Medical Center

Looking this up.

Hospitals listed: Adventist Health Hanford · Clovis Community Medical Center · Community Regional Medical Center · Kaweah Health Medical Center · Saint Agnes Medical Center. 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. Ambrose’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence G87536 · Current

Licensed to practise in California · since 2005 · expires 2028-09-30 · New York Medical College.

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

School, training and certification

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 Internal Medicine - Cardiovascular Disease
  • American Board of Internal Medicine - Internal Medicine

Hospitals they work in

5 hospitals

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

  • Adventist Health HanfordHanford, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Adventist Health, which runs 28 hospitals in 3 statesPatients rate it 3 of 5 · 65% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.277, Oct 2024 – Sep 2025
  • Clovis Community Medical CenterClovis, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 80% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.7 (12.1 to 17.7) · 421 cases, Jan 2024 – Dec 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.692, Oct 2024 – Sep 2025
  • Community Regional Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 1 of 5 starsWorse than the national rate — Death rate among surgical inpatients with serious treatable complications: 211.21 (174.88 to 247.54) · 239 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.705, Oct 2024 – Sep 2025
  • Kaweah Health Medical CenterVisalia, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of Kaweah Delta Health Care DistrictPatients rate it 3 of 5 · 67% would definitely recommend it
    Overall rating: 3 of 5 starsWorse than the national rate — Death rate among surgical inpatients with serious treatable complications: 239.86 (194.11 to 285.6) · 104 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025
  • Saint Agnes Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Trinity Health, which runs 105 hospitals in 16 statesPatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.274, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.312, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.141, Oct 2024 – Sep 2025
See every measure and the patient survey for Adventist Health Hanford

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 0 better, 5 the same, 2 worse of 7 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 Hanford
Clostridium Difficile (C.Diff)Infections0.277BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.9 (0 to 1.91) · 614 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.76 (0.38 to 1.15)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths190.5 (130.11 to 250.89) · 29 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.2 · 101 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.4 · 43 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths13.5 · 269 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.8 · 376 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.2 · 145 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.1 · 1,486 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.4) · 3,684 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.08 to 0.49) · 3,819 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.67 (0.36 to 4.98) · 613 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.61 (0 to 3.32) · 154 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.65 (1.02 to 4.28) · 598 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.24 (0 to 16.19) · 160 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.85 (0.67 to 9.03) · 147 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.69 (0.19 to 3.19) · 146 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.21 (0 to 1) · 3,186 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.418No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.574No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.484No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.182No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.8 · 38 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.9 · 328 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits14.5 · 302 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits22 · 380 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.7 · 407 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.9 · 113 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (10 to 17) · 896 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.3) · 228 casesNo differentJan 2024 – Dec 2024

What patients said (947 patients answered, 13% of those asked)

Patient survey stars by topic at Adventist Health Hanford
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness3
Recommend hospital3
Share of patients giving the best answer at Adventist Health Hanford
Room was "always" clean80%
Nurses "always" communicated well76%
Doctors "always" communicated well73%
Staff "always" explained58%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand69%
Doctors "always" listened carefully71%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night52%
"YES", patients would definitely recommend the hospital65%
Staff "always" explained possible side effects45%
Yes, staff "did" give patients information about possible symptoms87%
See every measure and the patient survey for Clovis Community Medical Center

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 0 better, 6 the same, 1 worse of 7 measures. Readmissions: 1 better, 9 the same, 1 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 Clovis Community Medical Center
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.7 (12.1 to 17.7) · 421 casesWorseJan 2024 – Dec 2024
Clostridium Difficile (C.Diff)Infections0.692BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.97 (0.04 to 1.89) · 1,840 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.16 (0.86 to 1.45)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths217.06 (167.45 to 266.67) · 84 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 69 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths9.1 · 165 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.4 · 161 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths14 · 507 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.6 · 798 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 336 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 3,771 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.39) · 8,649 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.08 to 0.46) · 9,146 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.46 (1.47 to 5.45) · 1,654 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.19 (0.61 to 3.78) · 387 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.18 (0.7 to 3.66) · 1,578 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths13.47 (7.08 to 19.87) · 374 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.99 (1.37 to 8.61) · 379 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.58 (0.13 to 3.04) · 405 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.8 (0.23 to 1.38) · 8,198 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.2 · 90 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.651No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.922No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.449No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.509No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.3 · 210 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23 · 702 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-1.5 · 152 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits58.4 · 556 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18 · 769 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.8 · 802 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.5 (4 to 7.4) · 421 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.2 · 91 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 93 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 200 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.8 to 15.6) · 2,398 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1.1) · 720 casesNo differentJan 2024 – Dec 2024

What patients said (441 patients answered, 26% of those asked)

Patient survey stars by topic at Clovis Community Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Clovis Community Medical Center
Room was "always" clean80%
Nurses "always" communicated well75%
Doctors "always" communicated well75%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand69%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)72%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night52%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Community Regional Medical Center

Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 0 better, 7 the same, 0 worse of 7 measures. Readmissions: 0 better, 7 the same, 3 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 Community Regional Medical Center
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths211.21 (174.88 to 247.54) · 239 casesWorseJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.705BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.13 (0.29 to 1.96) · 2,304 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.09 (0.87 to 1.3)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.2 · 187 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 116 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.7 · 187 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.6 · 445 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.2 · 399 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 582 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 3,744 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.5) · 11,052 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,566 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.33 (1.64 to 5.01) · 3,139 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.08 (0 to 2.3) · 1,423 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.7 (0.52 to 2.88) · 3,084 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.85 (8.11 to 15.6) · 1,481 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.4 (3.81 to 8.98) · 1,404 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.35 (0.95 to 3.76) · 760 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.64 (0.16 to 1.11) · 10,254 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.817No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.031No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.837No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.81No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.853No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 258 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 689 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits37.4 · 202 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits35.2 · 543 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits39.2 · 434 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19.3 · 552 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (3.6 to 7.9) · 169 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.4 (8.3 to 15.4) · 169 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits12.4 · 189 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.6 · 248 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.9 (9.5 to 14.9) · 2,590 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 310 casesNo differentJan 2024 – Dec 2024

What patients said (421 patients answered, 26% of those asked)

Patient survey stars by topic at Community Regional Medical Center
Cleanliness4
Nurse communication2
Doctor communication3
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital3
Share of patients giving the best answer at Community Regional Medical Center
Room was "always" clean74%
Nurses "always" communicated well74%
Doctors "always" communicated well77%
Staff "always" explained55%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications69%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Kaweah Health Medical Center

Behind the star rating — Deaths: 0 better, 5 the same, 3 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 7 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 Kaweah Health Medical Center
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths239.86 (194.11 to 285.6) · 104 casesWorseJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.393BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.22 (0.28 to 2.16) · 1,600 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.81 (0.53 to 1.09)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.4 · 145 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths9.7 · 226 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.3 · 285 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths14.8 · 626 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths18.1 · 741 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.7 · 373 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 3,927 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.27 (0.08 to 0.46) · 9,045 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.19 (0.01 to 0.38) · 9,267 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.72 (1.81 to 5.63) · 2,251 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.07 (0.53 to 3.61) · 768 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.79 (0.45 to 3.13) · 2,231 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.88 (1.1 to 12.66) · 799 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths3.59 (0 to 7.19) · 759 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.08) · 416 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.35 (0 to 0.89) · 8,159 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 43 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.728No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.405No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.023No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.551No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.9 · 344 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.2 · 799 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-17 · 286 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits31.4 · 686 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-6 · 734 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.4 · 776 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.3 (3.6 to 7.6) · 202 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits8.9 (6.6 to 11.9) · 202 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 32 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.6 · 142 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 317 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits10.8 (8.3 to 14) · 1,748 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 680 casesNo differentJan 2024 – Dec 2024

What patients said (435 patients answered, 24% of those asked)

Patient survey stars by topic at Kaweah Health Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at Kaweah Health Medical Center
Room was "always" clean66%
Nurses "always" communicated well75%
Doctors "always" communicated well75%
Staff "always" explained59%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)68%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night48%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms90%
See every measure and the patient survey for Saint Agnes Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 6 the same, 0 worse of 8 measures. Readmissions: 0 better, 6 the same, 3 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 Saint Agnes Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.274BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.312BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.141BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.18 to 1.94) · 2,342 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.27)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths197.82 (152.64 to 243.01) · 103 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.9 · 105 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.3 · 300 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.9 · 295 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.8 · 768 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.8 · 969 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.2 · 304 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 4,305 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.06 to 0.42) · 11,641 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.07 to 0.43) · 12,213 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.76 (2.91 to 6.61) · 2,466 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.09 (0 to 2.49) · 864 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.61 (0.26 to 2.96) · 2,362 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.1 (5.39 to 14.81) · 900 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.4 (1.2 to 7.59) · 882 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.84 (0.41 to 3.27) · 541 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.67 (0.14 to 1.19) · 9,626 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.9 · 58 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.835No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.182No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.004No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 412 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.6 · 1,002 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits28.8 · 296 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits25.5 · 894 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits17.8 · 981 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 1,061 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5 · 56 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits13.4 · 150 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 412 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.6 to 15.9) · 1,324 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 863 casesNo differentJan 2024 – Dec 2024

What patients said (812 patients answered, 32% of those asked)

Patient survey stars by topic at Saint Agnes Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Saint Agnes Medical Center
Room was "always" clean73%
Nurses "always" communicated well73%
Doctors "always" communicated well74%
Staff "always" explained61%
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 carefully73%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$74,494

Medicare paid this office $74,494 for 3,228 people.

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

Largest Original Medicare bills
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3,062$24,601$6
Return visit (30+ min)102$15,607$96
Long return visit (40+ min)45$8,396$131
Initial hospital care with moderate level of medical decision making at least 75 minutes56$7,615$136
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes43$6,233$92
See all 10 services
Every Original Medicare service billed
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3,062$24,601$6
Return visit (30+ min)102$15,607$96
Long return visit (40+ min)45$8,396$131
Initial hospital care with moderate level of medical decision making at least 75 minutes56$7,615$136
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes43$6,233$92
New patient visit (60+ min)19$2,710$143
Short return visit (20+ min)37$2,661$68
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes30$2,155$62
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,031$92
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report64$813$11

Who their Medicare patients are

3,228 Original Medicare patients in 2024. Average age 73 · Under 65 14% · 85 and older 13% · Women 51% · Also on Medicaid 52% · Health risk score 2.42. Sicker patients than 9 in 10 peers; the typical cardiology clinician is at 1.71.

Conditions among them: High blood pressure 75% · Diabetes 54% · Coronary heart disease 50% · Chronic kidney disease 47% · Heart failure 42% · Atrial fibrillation 31% · Depression 29% · COPD 25% · Stroke 18% · Cancer 16% · Dementia 16%.

The office billed $611,989, Medicare allowed $99,860 and paid $74,494; for 4,704 services of 24 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
20243,2284,704732.42$611,989$74,494
20233,7515,209732.22$642,383$67,458
20223,6635,382722.16$684,428$85,408
20213,6255,862732.29$737,511$91,143
20204,3847,499722.35$925,601$95,272
20194,1816,836722.43$861,560$93,978
20183,0025,869712.60$786,026$108,440
20172,5274,727712.65$652,618$92,387
20162,3124,366712.58$615,891$96,081
20151,9763,690712.49$566,302$103,883
20141,0042,121712.53$414,679$105,738
20138602,070722.48$357,424$94,306

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: 9 services

Original Medicare services billed in 2023
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3,588$28,813$6
Return visit (30+ min)120$16,684$96
Long return visit (40+ min)33$5,376$138
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes37$4,022$106
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$2,838$65
New patient visit (60+ min)15$2,542$169
Short return visit (20+ min)32$2,030$60
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$1,747$97
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report69$827$11

2022: 12 services

Original Medicare services billed in 2022
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3,463$29,925$6
Return visit (30+ min)119$18,402$96
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes66$7,028$106
Long return visit (40+ min)34$5,525$138
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes45$4,761$82
Short return visit (20+ min)52$4,077$65
New patient visit (60+ min)21$3,377$161
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes28$2,403$57
Initial hospital care with moderate level of medical decision making at least 75 minutes15$2,155$144
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report92$1,178$11
Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional13$304$20
Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring13$106$7

2021: 10 services

Original Medicare services billed in 2021
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3,431$33,237$6
Return visit (30+ min)139$23,077$97
Long return visit (40+ min)42$7,372$147
Short return visit (20+ min)63$4,838$64
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes28$3,729$85
New patient visit (60+ min)19$3,288$173
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes29$3,230$111
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,628$164
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$1,887$59
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report96$1,254$12

2020: 9 services

Original Medicare services billed in 2020
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4,196$44,974$7
Return visit (30+ min)131$14,504$75
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes57$6,231$109
Long return visit (40+ min)54$5,959$99
Short return visit (20+ min)71$5,763$59
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$3,418$60
New patient visit (60+ min)20$3,323$166
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes25$2,623$87
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report93$1,309$12

2019: 9 services

Original Medicare services billed in 2019
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3,979$40,181$7
Return visit (30+ min)148$15,205$74
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes72$7,937$110
Long return visit (40+ min)52$6,747$104
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes58$5,401$59
New patient visit (60+ min)19$2,949$155
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes25$2,518$84
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report98$1,455$13
Short return visit (20+ min)27$1,408$47

2018: 13 services

Original Medicare services billed in 2018
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2,746$32,609$7
Return visit (30+ min)167$18,913$75
Long return visit (40+ min)66$9,302$109
Initial hospital care with moderate level of medical decision making at least 75 minutes49$8,196$164
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes52$6,287$110
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes49$5,914$83
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes53$4,896$58
New patient visit (60+ min)24$3,859$161
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist12$2,492$208
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report101$1,537$13
Short return visit (20+ min)26$1,444$53
Long return visit (40+ min)12$1,167$90
Office for the evaluation and management of established patient that may not require presence of healthcare professional23$452$17

2017: 14 services

Original Medicare services billed in 2017
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2,268$26,068$7
Return visit (30+ min)160$16,365$74
Initial hospital care with moderate level of medical decision making at least 75 minutes63$10,767$158
Long return visit (40+ min)71$9,151$96
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes41$3,560$57
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes29$3,471$108
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist16$3,399$212
New patient visit (60+ min)15$2,407$160
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$2,073$83
Return visit (30+ min)26$1,812$62
Short return visit (20+ min)27$1,537$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report61$684$10
Office for the evaluation and management of established patient that may not require presence of healthcare professional25$397$15
Short return visit (20+ min)11$364$33

2016: 13 services

Original Medicare services billed in 2016
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2,060$23,132$7
Return visit (30+ min)175$20,445$76
Long return visit (40+ min)83$11,996$103
Initial hospital care with moderate level of medical decision making at least 75 minutes50$8,859$164
New patient visit (60+ min)30$4,664$155
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes34$3,765$108
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist12$2,387$199
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report130$2,090$13
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes17$1,685$84
Short return visit (20+ min)17$1,019$57
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$935$58
Short return visit (20+ min)11$414$38
Office for the evaluation and management of established patient that may not require presence of healthcare professional18$332$14

2015: 11 services

Original Medicare services billed in 2015
Return visit (30+ min)175$18,926$80
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,715$18,181$7
Initial hospital care with moderate level of medical decision making at least 75 minutes76$13,292$162
Long return visit (40+ min)81$12,740$110
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist23$5,025$209
New patient visit (60+ min)29$4,823$166
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report167$3,200$13
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,999$111
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes20$2,281$84
Short return visit (20+ min)11$655$60
Office for the evaluation and management of established patient that may not require presence of healthcare professional19$328$16

2014: 11 services

Original Medicare services billed in 2014
Return visit (30+ min)172$18,290$77
Initial hospital care with moderate level of medical decision making at least 75 minutes95$17,865$162
Long return visit (40+ min)107$17,828$108
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only687$6,635$7
New patient visit (60+ min)38$6,016$158
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function25$4,721$182
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist22$4,010$182
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report178$3,395$13
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$3,211$111
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes22$2,851$84
Office for the evaluation and management of established patient that may not require presence of healthcare professional23$365$11

2013: 15 services

Original Medicare services billed in 2013
Return visit (30+ min)177$25,209$81
Initial hospital care with moderate level of medical decision making at least 75 minutes66$12,247$157
Long return visit (40+ min)62$9,747$112
New patient visit (60+ min)38$6,027$159
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only578$5,210$6
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist18$4,114$217
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report173$3,558$14
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function18$3,009$158
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,470$107
Office for the evaluation and management of established patient that may not require presence of healthcare professional45$1,642$15
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$1,641$82
Short return visit (20+ min)27$1,331$46
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician18$955$50
Programming of dual lead pacemaker system11$674$45
Blood test, clotting time17$442$5

Medicaid work

$54,462 in 2024

Medicaid paid $54,462 for 6,669 billed services this clinician did in 2024, up to 507 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
Clinic visit/encounter, all-inclusive121$44,142
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only6,414$9,905
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES27$280
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES12$134
Return visit (30+ min)95$0
Medicaid work by year
20246,6695507$54,462
20238,5847560$34,898
20226,6593456$35,434
20214,1414242$55,328
20202,9042123$28,012
20192,8843125$57,941
20187,1966405$41,114
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive67$23,541
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only8,369$10,667
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES15$352
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES14$189
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES16$82
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES19$34
Return visit (30+ min)84$34

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive101$30,642
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only6,519$4,792
Return visit (30+ min)39$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive139$41,832
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only3,926$12,957
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES25$539
Return visit (30+ min)51$0

2020

Largest Medicaid services in 2020
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only2,873$18,958
Clinic visit/encounter, all-inclusive31$9,054

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive183$42,208
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only2,674$15,732
Short return visit (20+ min)27$0

2018

Largest Medicaid services in 2018
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only6,204$25,125
Clinic visit/encounter, all-inclusive53$11,652
Long return visit (40+ min)880$3,491
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES15$465
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES19$212
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES25$169

Drugs they prescribed that Part D paid

$151,710

Pharmacies billed $151,710 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 1,168) in 2024. At or below the middle of the specialty; the typical cardiology clinician is at 0%.

980 generic and 188 brand-name prescriptions · $151,710 in drug cost.

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
Eliquis47$39,721$845
Entresto25$34,536$1,381
Jardiance41$31,293$763
Xarelto16$18,539$1,159
Vascepa11$4,851$441
See all 24 drugs
Every Part D drug this clinician prescribed
Eliquis47$39,721$845
Entresto25$34,536$1,381
Jardiance41$31,293$763
Xarelto16$18,539$1,159
Vascepa11$4,851$441
Metoprolol84$1,553$18
Atorvastatin131$1,536$12
Rosuvastatin112$1,397$12
Ezetimibe48$1,148$24
Nifedipine Er27$815$30
Spironolactone59$640$11
Losartan45$457$10
Benazepril19$370$19
Carvedilol53$355$7
Clopidogrel19$348$18
Amlodipine Besylate42$297$7
Metoprolol43$284$7
Nitroglycerin18$257$14
Lisinopril48$223$5
Furosemide63$210$3
Simvastatin24$188$8
Isosorbide Mononitrate Er21$172$8
Hydrochlorothiazide58$99$2
Losartan-Hydrochlorothiazide11$95$9

Year by year

Part D prescribing by year
20241,1682140% (0)16%$151,710
20231,3192300% (0)11%$167,678
20221,3122330% (0)11%$145,216
20211,6372580% (0)13%$159,888
20201,466249None14%$127,838
20191,8232530% (0)14%$131,772
20182,053263None14%$108,621
20171,7332360% (0)17%$83,809
20162,2062380% (0)19%$108,479
20152,379232None19%$100,209
20142,8652520% (0)23%$123,301
20132,763271NoneNone$133,763

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

See the drugs prescribed each year

2023: 23 drugs

Part D drugs prescribed in 2023
Eliquis62$53,584$864
Xarelto24$25,706$1,071
Entresto13$24,449$1,881
Jardiance14$22,011$1,572
Icosapent Ethyl12$5,786$482
Atorvastatin195$3,806$20
Ezetimibe57$3,297$58
Rosuvastatin110$2,567$23
Metoprolol108$2,234$21
Eplerenone14$2,029$145
Nifedipine Er28$1,860$66
Lisinopril72$1,124$16
Losartan73$878$12
Spironolactone69$876$13
Carvedilol60$747$12
Metoprolol45$745$17
Clopidogrel38$716$19
Amlodipine Besylate38$627$16
Furosemide56$489$9
Isosorbide Mononitrate Er29$408$14
Benazepril20$367$18
Hydrochlorothiazide60$213$4
Losartan-Hydrochlorothiazide15$93$6

2022: 25 drugs

Part D drugs prescribed in 2022
Eliquis51$40,370$792
Xarelto30$32,686$1,090
Entresto13$11,468$882
Jardiance12$8,568$714
Rosuvastatin96$5,842$61
Ezetimibe57$5,431$95
Icosapent Ethyl12$2,914$243
Atorvastatin187$2,478$13
Metoprolol99$2,038$21
Eplerenone11$1,802$164
Nifedipine Er33$1,450$44
Losartan75$990$13
Amlodipine Besylate56$797$14
Lisinopril86$764$9
Carvedilol33$445$13
Furosemide68$423$6
Clopidogrel31$407$13
Bumetanide14$374$27
Metoprolol46$297$6
Spironolactone48$281$6
Isosorbide Mononitrate Er23$272$12
Amiodarone11$234$21
Benazepril25$216$9
Hydrochlorothiazide58$209$4
Chlorthalidone16$198$12

2021: 26 drugs

Part D drugs prescribed in 2021
Eliquis66$59,340$899
Xarelto27$27,545$1,020
Entresto32$24,550$767
Metoprolol149$4,542$30
Ezetimibe49$4,070$83
Atorvastatin241$3,691$15
Rosuvastatin118$3,278$28
Nifedipine Er68$1,902$28
Losartan85$1,495$18
Lisinopril95$939$10
Bumetanide21$890$42
Metoprolol52$589$11
Furosemide105$561$5
Amlodipine Besylate74$551$7
Carvedilol43$533$12
Spironolactone70$422$6
Isosorbide Mononitrate Er29$408$14
Fenofibrate11$355$32
Clopidogrel22$333$15
Warfarin13$316$24
Nitroglycerin23$310$13
Losartan-Hydrochlorothiazide15$308$21
Hydrochlorothiazide63$264$4
Benazepril34$217$6
Lisinopril-Hydrochlorothiazide21$133$6
Simvastatin13$118$9

2020: 27 drugs

Part D drugs prescribed in 2020
Eliquis49$35,981$734
Entresto28$21,541$769
Xarelto31$21,348$689
Metoprolol164$4,803$29
Atorvastatin228$4,456$20
Ezetimibe27$3,892$144
Rosuvastatin92$3,635$40
Bystolic11$1,741$158
Nifedipine Er53$1,666$31
Losartan67$1,162$17
Bumetanide12$913$76
Isosorbide Mononitrate Er42$837$20
Valsartan12$731$61
Metoprolol60$702$12
Losartan-Hydrochlorothiazide12$694$58
Lisinopril95$598$6
Carvedilol52$527$10
Potassium Chloride16$453$28
Clopidogrel25$425$17
Furosemide57$384$7
Amlodipine Besylate70$379$5
Hydrochlorothiazide58$280$5
Benazepril37$264$7
Spironolactone21$180$9
Nitroglycerin14$165$12
Ramipril11$96$9
Simvastatin15$88$6

2019: 29 drugs

Part D drugs prescribed in 2019
Eliquis105$55,446$528
Xarelto33$25,323$767
Metoprolol140$5,359$38
Rosuvastatin98$5,105$52
Atorvastatin261$4,939$19
Brilinta11$4,719$429
Nifedipine Er58$2,046$35
Omega-3 Acid Ethyl Esters12$1,823$152
Losartan151$1,731$11
Isosorbide Mononitrate Er45$1,349$30
Bumetanide19$1,034$54
Carvedilol85$941$11
Metoprolol118$824$7
Valsartan12$781$65
Ezetimibe16$753$47
Lisinopril99$627$6
Clopidogrel45$601$13
Amlodipine Besylate80$562$7
Hydrochlorothiazide91$536$6
Warfarin21$519$25
Potassium Chloride19$462$24
Furosemide63$430$7
Nitroglycerin15$301$20
Losartan-Hydrochlorothiazide19$290$15
Spironolactone36$255$7
Ramipril12$236$20
Benazepril33$227$7
Lisinopril-Hydrochlorothiazide15$162$11
Simvastatin14$136$10

2018: 30 drugs

Part D drugs prescribed in 2018
Eliquis55$29,544$537
Xarelto45$24,488$544
Pradaxa17$10,312$607
Metoprolol160$7,113$44
Atorvastatin259$4,630$18
Rosuvastatin79$4,047$51
Nifedipine Er58$2,352$41
Losartan131$1,392$11
Digoxin34$1,262$37
Warfarin44$1,121$25
Bumetanide19$1,060$56
Metoprolol137$1,010$7
Amlodipine Besylate120$878$7
Potassium Chloride27$874$32
Isosorbide Mononitrate Er48$818$17
Lisinopril146$815$6
Carvedilol96$736$8
Valsartan19$731$38
Clopidogrel29$586$20
Digox11$493$45
Hydrochlorothiazide101$475$5
Furosemide75$438$6
Losartan-Hydrochlorothiazide32$318$10
Ramipril20$316$16
Spironolactone50$311$6
Sotalol12$305$25
Benazepril48$301$6
Nitroglycerin15$241$16
Lisinopril-Hydrochlorothiazide27$201$7
Simvastatin29$166$6

2017: 30 drugs

Part D drugs prescribed in 2017
Xarelto36$19,216$534
Eliquis20$11,454$573
Brilinta13$5,003$385
Rosuvastatin64$4,896$76
Metoprolol137$4,723$34
Atorvastatin155$3,394$22
Nifedipine Er53$2,088$39
Digoxin27$1,483$55
Valsartan24$1,401$58
Warfarin58$1,247$21
Metoprolol176$1,080$6
Bumetanide14$820$59
Losartan73$817$11
Isosorbide Mononitrate Er29$787$27
Potassium Chloride16$784$49
Lisinopril144$654$5
Digox11$593$54
Carvedilol79$544$7
Clopidogrel36$466$13
Hydrochlorothiazide115$437$4
Pravastatin13$432$33
Furosemide87$414$5
Ramipril25$406$16
Benazepril46$344$7
Sotalol12$291$24
Losartan-Hydrochlorothiazide23$261$11
Amlodipine Besylate62$232$4
Simvastatin31$179$6
Spironolactone15$144$10
Diltiazem 24hr Er11$109$10

2016: 37 drugs

Part D drugs prescribed in 2016
Crestor48$20,062$418
Xarelto47$17,249$367
Pradaxa21$9,413$448
Metoprolol174$5,691$33
Eliquis14$5,632$402
Atorvastatin174$3,709$21
Nifedipine Er84$2,916$35
Rosuvastatin30$2,671$89
Digoxin48$2,044$43
Omega-3 Acid Ethyl Esters12$1,457$121
Digox27$1,386$51
Warfarin83$1,349$16
Isosorbide Mononitrate Er43$1,089$25
Metoprolol171$1,088$6
Valsartan29$1,088$38
Losartan114$1,007$9
Potassium Chloride29$983$34
Lisinopril181$834$5
Toprol Xl11$812$74
Carvedilol114$746$7
Clopidogrel60$715$12
Nifedical Xl25$614$25
Telmisartan11$569$52
Bumetanide11$526$48
Furosemide116$511$4
Enalapril Maleate11$498$45
Diltiazem 24hr Er19$489$26
Hydrochlorothiazide120$437$4
Sotalol15$410$27
Chlorthalidone14$396$28
Losartan-Hydrochlorothiazide30$384$13
Simvastatin56$371$7
Levothyroxine15$321$21
Amlodipine Besylate49$271$6
Benazepril30$261$9
Ramipril16$248$16
Spironolactone16$179$11

2015: 35 drugs

Part D drugs prescribed in 2015
Crestor61$20,863$342
Xarelto30$9,864$329
Pradaxa23$9,309$405
Metoprolol229$8,707$38
Effient16$5,180$324
Atorvastatin224$4,089$18
Omega-3 Acid Ethyl Esters15$2,851$190
Nifedipine Er99$2,676$27
Digox65$2,224$34
Digoxin44$1,839$42
Clopidogrel77$1,770$23
Warfarin95$1,760$19
Potassium Chloride36$1,169$32
Isosorbide Mononitrate Er69$1,136$16
Losartan118$1,057$9
Metoprolol181$1,041$6
Digitek17$1,022$60
Nifedical Xl32$992$31
Toprol Xl12$834$69
Valsartan15$808$54
Lisinopril142$758$5
Carvedilol85$754$9
Furosemide143$693$5
Enalapril Maleate12$606$50
Hydrochlorothiazide111$580$5
Levothyroxine28$544$19
Simvastatin71$452$6
Nitrostat25$438$18
Valsartan-Hydrochlorothiazide18$410$23
Amlodipine Besylate73$371$5
Losartan-Hydrochlorothiazide25$356$14
Spironolactone18$165$9
Ramipril16$154$10
Amiodarone13$136$10
Benazepril18$121$7

2014: 38 drugs

Part D drugs prescribed in 2014
Crestor95$24,309$256
Metoprolol294$11,657$40
Pradaxa30$9,907$330
Xarelto32$9,280$290
Ranexa19$7,305$384
Zetia20$6,398$320
Atorvastatin261$5,589$21
Diovan25$4,414$177
Lovaza17$2,792$164
Nifedipine Er95$2,757$29
Digoxin40$2,352$59
Digox52$2,007$39
Isosorbide Mononitrate Er103$1,801$17
Clopidogrel78$1,567$20
Warfarin91$1,365$15
Metoprolol207$1,364$7
Losartan87$1,324$15
Nifedical Xl53$1,290$24
Valsartan-Hydrochlorothiazide11$1,275$116
Lisinopril189$1,174$6
Eplerenone13$1,157$89
Carvedilol121$1,117$9
Toprol Xl13$968$74
Amlodipine Besylate124$832$7
Simvastatin75$830$11
Hydrochlorothiazide153$758$5
Furosemide144$736$5
Potassium Chloride22$666$30
Pravastatin16$557$35
Klor-Con 1022$553$25
Ramipril33$519$16
Levothyroxine37$491$13
Nitrostat24$489$20
Amiodarone11$416$38
Losartan-Hydrochlorothiazide28$397$14
Lisinopril-Hydrochlorothiazide30$216$7
Spironolactone21$190$9
Benazepril23$132$6

2013: 39 drugs

Part D drugs prescribed in 2013
Crestor111$24,076$217
Metoprolol347$14,809$43
Diovan61$10,715$176
Pradaxa33$10,157$308
Atorvastatin189$6,552$35
Niaspan14$5,174$370
Lovaza28$4,856$173
Zetia18$4,536$252
Clopidogrel65$4,229$65
Xarelto15$3,974$265
Nifedipine Er128$3,747$29
Ranexa12$3,529$294
Valsartan-Hydrochlorothiazide15$2,697$180
Nifedical Xl56$1,911$34
Isosorbide Mononitrate Er76$1,723$23
Metoprolol166$1,424$9
Losartan66$1,420$22
Lisinopril203$1,397$7
Warfarin80$1,340$17
Carvedilol106$1,291$12
Eplerenone12$1,059$88
Simvastatin108$1,018$9
Amlodipine Besylate106$981$9
Hydrochlorothiazide125$796$6
Digox54$750$14
Klor-Con 1018$568$32
Nitrostat19$421$22
Losartan-Hydrochlorothiazide20$419$21
Furosemide106$410$4
Lisinopril-Hydrochlorothiazide36$350$10
Benazepril28$349$12
Spironolactone27$323$12
Digoxin17$285$17
Levothyroxine28$260$9
Ramipril20$249$12
Diltiazem 24hr Er11$202$18
Clonidine14$171$12
Isosorbide Dinitrate13$81$6
Bumetanide12$80$7

Money from drug and device companies

$132 in 2025

Industry payments by year
202512None$132
202445None$78
2023716None$418
2022813$1,000$1,250
202168$2,000$2,130
202024$2,000$2,025
201946None$201

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
MedtronicCorevalve Evolut R$132
2 payments
  • Meals for Azure Xt Dr Mri Surescan · 2025-08-06 · $16
  • Meals for Corevalve Evolut R · 2025-04-28 · $116
See all 2 published payments
Every published payment
MedtronicMeals · 2025-08-06Azure Xt Dr Mri Surescan$16
MedtronicMeals · 2025-04-28Corevalve Evolut R$116
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $78

Payments by company in 2024
AmgenRepatha$23
1 payment
  • Meals for Repatha · 2024-01-08 · $23
Boehringer Ingelheim PharmaceuticalsJardiance$22
1 payment
  • Meals for Jardiance · 2024-10-31 · $22
Novo NordiskNone$18
1 payment
  • Meals · 2024-01-24 · $18
MedtronicAzure Xt Dr Mri Surescan$15
1 payment
  • Meals for Azure Xt Dr Mri Surescan · 2024-07-12 · $15

2023: $418

Payments by company in 2023
AbiomedImpella$131
1 payment
  • Meals for Impella · 2023-12-16 · $131
Boehringer Ingelheim PharmaceuticalsJardiance$77
4 payments
  • Meals for Jardiance · 2023-09-06 · $20
  • Meals for Jardiance · 2023-07-20 · $27
  • Meals for Jardiance · 2023-05-23 · $16
  • Meals for Jardiance · 2023-01-24 · $13
Novartis PharmaceuticalsLeqvio$68
4 payments
  • Meals for Leqvio · 2023-06-07 · $19
  • Meals for Leqvio · 2023-04-12 · $18
  • Meals for Leqvio · 2023-03-01 · $16
  • Meals for Leqvio · 2023-01-11 · $15
Kiniksa PharmaceuticalsArcalyst$61
2 payments
  • Meals for Arcalyst · 2023-09-06 · $34
  • Meals for Arcalyst · 2023-08-08 · $26
Abbott LaboratoriesOptis$45
3 payments
  • Meals for Optis · 2023-08-01 · $17
  • Meals for Xience Skypoint · 2023-06-30 · $14
  • Meals for Coroflow · 2023-04-25 · $14
Bayer Healthcare PharmaceuticalsKerendia$19
1 payment
  • Meals for Kerendia · 2023-10-18 · $19
Novo NordiskNone$16
1 payment
  • Meals · 2023-02-08 · $16

2022: $1,250

Payments by company in 2022
Abbott LaboratoriesPortico$1,000
1 payment
  • Consulting for Portico · 2022-05-11 · $1,000
Boehringer Ingelheim PharmaceuticalsJardiance$113
5 payments
  • Meals for Jardiance · 2022-12-13 · $22
  • Meals for Jardiance · 2022-10-11 · $18
  • Meals for Jardiance · 2022-08-16 · $25
  • Meals for Jardiance · 2022-03-15 · $23
  • Meals for Jardiance · 2022-02-10 · $25
Novartis PharmaceuticalsLeqvio$44
2 payments
  • Meals for Leqvio · 2022-08-29 · $24
  • Meals for Leqvio · 2022-02-08 · $20
PfizerVyndaqel$23
1 payment
  • Meals for Vyndaqel · 2022-10-14 · $23
Shockwave MedicalShockwave Ivl System With the Shockwave C2 Coronary Ivl Catheter$21
1 payment
  • Meals for Shockwave Ivl System With the Shockwave C2 Coronary Ivl Catheter · 2022-11-16 · $21
Merck Sharp & DohmeVerquvo$17
1 payment
  • Meals for Verquvo · 2022-06-06 · $17
Kiniksa PharmaceuticalsArcalyst$16
1 payment
  • Meals for Arcalyst · 2022-05-10 · $16
Janssen PharmaceuticalsXarelto$16
1 payment
  • Meals for Xarelto · 2022-11-29 · $16

2021: $2,130

Payments by company in 2021
Abbott LaboratoriesXience V Coronary Stent System$2,000
2 payments
  • Consulting for Xience V Coronary Stent System · 2021-07-06 · $1,000
  • Consulting for Xience V Coronary Stent System · 2021-05-06 · $1,000
Novartis PharmaceuticalsEntresto$39
2 payments
  • Meals for Entresto · 2021-11-01 · $24
  • Meals for Entresto · 2021-06-03 · $15
Shockwave MedicalVascular Lithotripsy$32
1 payment
  • Meals for Vascular Lithotripsy · 2021-11-29 · $32
Janssen PharmaceuticalsXarelto$21
1 payment
  • Meals for Xarelto · 2021-02-23 · $21
Merck Sharp & DohmeVerquvo$19
1 payment
  • Meals for Verquvo · 2021-04-21 · $19
Boehringer Ingelheim PharmaceuticalsJardiance$18
1 payment
  • Meals for Jardiance · 2021-12-07 · $18

2020: $2,025

Payments by company in 2020
Abbott LaboratoriesXience V Coronary Stent System$2,000
2 payments
  • Consulting for Xience V Coronary Stent System · 2020-11-04 · $1,000
  • Consulting for Tricuspid Valve Repair System · 2020-02-26 · $1,000
Medtronic VascularAzure$25
2 payments
  • Meals for Azure · 2020-08-18 · $11
  • Meals for Azure · 2020-02-14 · $13

2019: $201

Payments by company in 2019
AbiomedImpella$103
1 payment
  • Meals for Impella · 2019-07-25 · $103
AmgenRepatha$62
2 payments
  • Meals for Repatha · 2019-09-09 · $34
  • Meals for Repatha · 2019-08-02 · $28
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$24
2 payments
  • Meals for Lifevest · 2019-12-04 · $10
  • Meals for Lifevest · 2019-09-09 · $14
Chiesi USAKengreal$12
1 payment
  • Education for Kengreal · 2019-03-04 · $12

Research money

Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.

Research payments by company and study
Medtronic Vascular, Inc. · Spyral Htn-Off Med · 2020Their institution$4,250
Medtronic Vascular, Inc. · Onyx One · 2019Their institution$3,000
Medtronic, Inc. · Spyral Htn-on Med · 2021Their institution$2,250
Medtronic Vascular, Inc. · Onyx One Clear · 2020Their institution$2,000
Medtronic Vascular, Inc. · Spyral Htn-on Med · 2019Their institution$1,500
Medtronic Vascular, Inc. · Onyx One Clear · 2019Their institution$1,000
Medtronic, Inc. · Spyral Htn-on Med · 2023Their institution$1,000
Medtronic, Inc. · Spyral Dystal · 2023Their institution$1,000
Medtronic, Inc. · Spyral Dystal · 2022Their institution$1,000
Medtronic, Inc. · Spyral Htn-on Med · 2022Their institution$1,000

Professional record

NPI
1598795429
Licence
CA G87536California G87536: Current · expires 2028-09-30
Group
Central California Faculty Medical Group Inc · Fresno Community Hospital and Medical Center
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA OOG875360
Taxonomy
Cardiology (207RC0000X)
Mailing address
2625 E Divisadero St, Fresno, CA, 93721
NPI first listed
2006-07-04
NPI last updated
2024-12-23
NPI record certified
2024-12-23

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