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Jiwu Sun, MD

Internal Medicine · Hollister

NPI 1619104270

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

Offices

2 locations · Hazel Hawkins Memorial Hospital · Arya Medical Group Corp

Looking this up.

Hospitals listed: 053142 · 057695 · 059796 · Good Samaritan Hospital · Hazel Hawkins Memorial Hospital · Memorial Hospital Los Banos. 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. Sun’s office at (559) 675-2575 to ask if they take your plan before you enroll.

California Medical Board record

Licence A106681 · Current

Licensed to practise in California · since 2009 · expires 2027-02-28 · The Third Military Medical University.

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

Hospitals they work in

3 hospitals

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

  • Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
  • Hazel Hawkins Memorial HospitalHollister, CACritical Access Hospital · Government - Hospital District or Authority · Has an emergency department
    No overall ratingNo measure marked better or worse than the national rate
  • Memorial Hospital Los BanosLos Banos, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 3 of 5 · 59% would definitely recommend it
    Overall rating: 3 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for Good Samaritan Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 1 worse of 8 measures. Readmissions: 0 better, 5 the same, 4 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 Good Samaritan Hospital
Clostridium Difficile (C.Diff)Infections0.337BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.75 (0 to 1.67) · 1,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.84 (0.54 to 1.14)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths143.59 (98.7 to 188.49) · 98 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.7 · 45 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.7 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 573 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.6 · 820 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.5 · 482 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 3,711 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.12 (0 to 0.3) · 8,866 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.01 to 0.38) · 9,051 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.65 (0.74 to 4.56) · 1,929 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.8 (0.21 to 3.39) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.33 (0.88 to 3.78) · 1,836 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.73 (0 to 13.46) · 669 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.58 (3.96 to 11.19) · 654 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.59 (0.13 to 3.04) · 496 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.27 (0 to 0.87) · 7,373 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.1 · 152 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.08No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.542No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.484No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.565No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 327 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24.2 · 703 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits61.1 · 289 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits36.3 · 665 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits25.4 · 856 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19 · 978 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.3 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.3 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.2 · 135 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.8 (10.1 to 18.6) · 129 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 531 casesNo differentJan 2024 – Dec 2024

What patients said (704 patients answered, 24% of those asked)

Patient survey stars by topic at Good Samaritan Hospital
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Good Samaritan Hospital
Room was "always" clean66%
Nurses "always" communicated well75%
Doctors "always" communicated well71%
Staff "always" explained54%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night38%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Hazel Hawkins Memorial Hospital

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

Every scored measure at Hazel Hawkins Memorial Hospital
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (9.6 to 17.1) · 409 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 43 casesNo differentJan 2024 – Dec 2024
See every measure and the patient survey for Memorial Hospital Los Banos

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: 0 better, 3 the same, 0 worse of 3 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Memorial Hospital Los Banos
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.04 (0 to 2.13) · 48 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.94 (0.46 to 1.43)No differentJul 2022 – Jun 2024
Death rate for heart failure patientsComplications and deaths14.5 · 47 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.4 · 72 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.5 · 33 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.6 · 324 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.44) · 797 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.05 to 0.48) · 753 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.36 (0.77 to 5.95) · 105 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.31 (0.58 to 4.03) · 100 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.76 (0.23 to 3.29) · 31 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.49 (0 to 1.69) · 573 casesNo differentJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.9 · 56 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits20.3 · 47 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits34.5 · 80 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18 · 86 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.5 (9.8 to 18.5) · 59 casesNo differentJan 2022 – Dec 2024

What patients said (172 patients answered, 12% of those asked)

Patient survey stars by topic at Memorial Hospital Los Banos
Cleanliness5
Nurse communication4
Doctor communication2
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at Memorial Hospital Los Banos
Room was "always" clean81%
Nurses "always" communicated well80%
Doctors "always" communicated well76%
Staff "always" explained64%
Yes, staff "did" give patients this information80%
Yes, staff "did" give patients information about help after discharge75%
Doctors "always" explained things so they could understand73%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect81%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications82%
Nurses "always" explained things so they could understand78%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night48%
"YES", patients would definitely recommend the hospital59%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$104,275

Medicare paid this office $104,275 for 378 people.

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

Largest Original Medicare bills
Initial hospital care with moderate level of medical decision making at least 75 minutes274$44,570$141
Hospital discharge day management, more than 30 minutes145$16,428$100
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes89$16,177$103
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes86$11,549$66
Critical care, first 30-74 minutes26$4,855$143
See all 9 services
Every Original Medicare service billed
Initial hospital care with moderate level of medical decision making at least 75 minutes274$44,570$141
Hospital discharge day management, more than 30 minutes145$16,428$100
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes89$16,177$103
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes86$11,549$66
Critical care, first 30-74 minutes26$4,855$143
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes21$3,354$160
Hospital discharge day management, 30 minutes or less37$2,476$67
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day at least 70 minutes18$2,329$116
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$1,964$98

Who their Medicare patients are

378 Original Medicare patients in 2024. Average age 77 · Under 65 8% · 85 and older 25% · Women 61% · Also on Medicaid 49% · Health risk score 1.99. At or below the middle of the specialty; the typical hospitalist clinician is at 2.49.

Conditions among them: High blood pressure 75% · Diabetes 54% · Chronic kidney disease 40% · Heart failure 39% · Depression 38% · Coronary heart disease 36% · Atrial fibrillation 33% · COPD 29% · Dementia 26% · Stroke 24% · Cancer 17%.

The office billed $764,528, Medicare allowed $134,560 and paid $104,275; for 956 services of 13 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024378956771.99$764,528$104,275
2023280790772.25$336,329$84,366
20225031,720781.70$720,611$186,468
20217813,581771.78$1,434,118$378,792
20205942,125772.06$1,017,811$221,603
20196351,813772.18$892,445$185,329
20186631,992772.21$710,554$203,772
20177402,091772.03$612,791$213,579
20167402,036762.27$572,702$209,982
20156321,646751.95$377,875$169,275
20144741,146751.80$256,385$115,949
2013440908771.74$219,181$85,794

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 7 services

Original Medicare services billed in 2023
Initial hospital care with moderate level of medical decision making at least 75 minutes209$33,077$148
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes96$18,168$72
Hospital discharge day management, more than 30 minutes107$12,037$105
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes52$7,350$104
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes39$4,438$114
Hospital discharge day management, 30 minutes or less47$3,638$74
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes19$3,588$189

2022: 10 services

Original Medicare services billed in 2022
Initial hospital care with moderate level of medical decision making at least 75 minutes325$61,295$171
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes205$54,188$91
Hospital discharge day management, more than 30 minutes236$25,424$95
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes80$10,796$64
Initial hospital observation care per day, typically 70 minutes63$9,759$152
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes77$9,258$112
Hospital discharge day management, 30 minutes or less61$4,210$66
Hospital observation care on day of discharge62$4,048$63
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes14$2,869$191
Initial hospital observation care per day, typically 50 minutes18$2,139$113

2021: 13 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes374$103,302$92
Initial hospital care with moderate level of medical decision making at least 75 minutes461$100,878$176
Hospital discharge day management, more than 30 minutes372$45,732$96
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes227$39,462$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes195$27,031$121
Critical care, first 30-74 minutes46$17,419$196
Initial hospital observation care per day, typically 70 minutes86$13,900$154
Hospital discharge day management, 30 minutes or less190$13,668$66
Hospital observation care on day of discharge88$5,943$66
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes28$5,385$192
Initial hospital observation care per day, typically 50 minutes30$3,570$119
Short return visit (20+ min)15$1,044$61
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes11$484$35

2020: 11 services

Original Medicare services billed in 2020
Initial hospital care with moderate level of medical decision making at least 75 minutes298$64,060$180
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes291$62,354$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes170$24,485$67
Hospital discharge day management, more than 30 minutes187$21,140$99
Hospital discharge day management, 30 minutes or less171$12,781$68
Initial hospital observation care per day, typically 70 minutes59$10,062$162
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes56$6,805$119
Hospital observation care on day of discharge89$6,107$66
Initial hospital observation care per day, typically 50 minutes28$3,569$123
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes23$2,091$91
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes18$1,069$40

2019: 11 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes323$60,390$89
Initial hospital care with moderate level of medical decision making at least 75 minutes305$55,674$171
Hospital discharge day management, more than 30 minutes167$16,018$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes107$12,702$63
Hospital discharge day management, 30 minutes or less147$9,594$64
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes45$8,035$179
Initial hospital observation care per day, typically 70 minutes50$7,923$158
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$4,132$115
Hospital observation care on day of discharge46$2,954$64
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes33$2,887$85
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes23$1,665$35

2018: 9 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes404$78,321$85
Initial hospital care with moderate level of medical decision making at least 75 minutes369$65,795$162
Hospital discharge day management, more than 30 minutes318$31,441$89
Initial hospital observation care per day, typically 70 minutes55$8,463$151
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes54$6,612$59
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes22$3,962$180
Hospital observation care on day of discharge46$2,763$59
Hospital discharge day management, 30 minutes or less30$1,761$59
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,350$112

2017: 9 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes427$84,357$83
Initial hospital care with moderate level of medical decision making at least 75 minutes420$73,086$159
Hospital discharge day management, more than 30 minutes297$27,963$87
Initial hospital observation care per day, typically 70 minutes90$12,561$140
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes24$4,106$171
Hospital observation care on day of discharge62$3,625$58
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$2,722$57
Hospital discharge day management, 30 minutes or less36$2,120$59
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,786$112

2016: 9 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes436$86,534$85
Initial hospital care with moderate level of medical decision making at least 75 minutes355$64,840$164
Hospital discharge day management, more than 30 minutes301$29,083$89
Initial hospital observation care per day, typically 70 minutes74$11,068$144
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes36$6,140$171
Hospital observation care on day of discharge62$3,681$58
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,876$111
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes28$2,698$57
Hospital discharge day management, 30 minutes or less40$2,491$61

2015: 10 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes340$61,859$84
Initial hospital care with moderate level of medical decision making at least 75 minutes270$48,580$161
Hospital discharge day management, more than 30 minutes241$22,479$87
Initial hospital observation care per day, typically 70 minutes97$15,016$146
Critical care, first 30-74 minutes14$5,044$180
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$3,564$58
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes31$3,412$110
Hospital observation care on day of discharge52$3,130$59
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes16$2,824$177
Hospital discharge day management, 30 minutes or less41$2,578$59

2014: 9 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes260$47,235$83
Initial hospital care with moderate level of medical decision making at least 75 minutes184$31,287$160
Hospital discharge day management, more than 30 minutes153$13,780$86
Initial hospital observation care per day, typically 70 minutes46$6,951$148
Critical care, first 30-74 minutes14$5,194$179
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$3,024$58
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,879$111
Hospital observation care on day of discharge31$1,795$58
Hospital discharge day management, 30 minutes or less13$764$59

2013: 11 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes165$30,187$81
Initial hospital care with moderate level of medical decision making at least 75 minutes136$22,719$157
Hospital discharge day management, more than 30 minutes82$7,211$85
New patient visit (45+ min)41$4,625$113
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes51$3,493$56
Initial hospital observation care per day, typically 70 minutes22$3,192$145
Short return visit (20+ min)44$2,831$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,059$108
Return visit (30+ min)14$1,279$85
Hospital observation care on day of discharge18$1,029$57
Hospital discharge day management, 30 minutes or less13$745$57

Medicaid work

$265,535 in 2024

Medicaid paid $265,535 for 2,803 billed services this clinician did in 2024, up to 103 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-inclusive1,641$246,049
1ST HOSP IP/OBS HIGH 75136$10,818
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter83$4,810
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES82$3,858
Short return visit44$0
Short return visit (20+ min)769$0
Return visit (30+ min)48$0
Medicaid work by year
20242,8037103$265,535
20232,98110131$263,374
20223,33213139$251,074
20213,66914117$257,951
20202,1011695$155,670
2019525352$57,408
2018568468$50,886
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive1,665$260,441
1ST HOSP IP/OBS HIGH 7526$1,159
COMPREHENSIVE METABOLIC PANEL72$764
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count59$456
Thyroid stimulating hormone (TSH)12$262
Hemoglobin A1C level12$151
Measurement of free thyroxine12$140
New patient visit (30+ min)49$0
Short return visit115$0
Short return visit (20+ min)959$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive1,572$242,803
1ST HOSP IP/OBS HIGH 7555$2,972
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r17$1,325
COMPREHENSIVE METABOLIC PANEL132$1,103
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count131$769
Thyroid stimulating hormone (TSH)32$738
Blood test, lipids (cholesterol and triglycerides)31$569
Hemoglobin A1C level31$413
Measurement of free thyroxine30$383
COLLECTION VENOUS BLOOD VENIPUNCTURE28$0
New patient visit (30+ min)12$0
Short return visit259$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive1,512$231,916
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES278$10,393
1ST HOSP IP/OBS HIGH 75158$8,840
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter82$3,663
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES50$1,595
COMPREHENSIVE METABOLIC PANEL121$584
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count141$562
Blood test, lipids (cholesterol and triglycerides)12$228
Hemoglobin A1C level12$151
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report13$19
COLLECTION VENOUS BLOOD VENIPUNCTURE14$0
New patient visit (30+ min)15$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive930$142,884
1ST HOSP IP/OBS HIGH 7578$5,322
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES115$4,657
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter29$1,418
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter25$780
COMPREHENSIVE METABOLIC PANEL61$254
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count58$165
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES14$75
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report14$54
Radiologic examination, chest; single view14$48
Troponin, quantitative14$14
Service14$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive374$56,875
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES27$533
Short return visit (20+ min)124$0

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive280$41,864
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES178$4,722
1ST HOSP IP/OBS HIGH 7552$2,793
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter58$1,508

Drugs they prescribed that Part D paid

$228,586

Pharmacies billed $228,586 in 2024.

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

Opioids were 1% of their Part D prescriptions (38 of 2,674) in 2024. At or below the middle of the specialty; the typical hospitalist clinician is at 4%.

2,341 generic and 304 brand-name prescriptions · $228,586 in drug cost · 144 antibiotic prescriptions to 126 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Jardiance32$32,871$1,027
Eliquis24$25,526$1,064
Veltassa15$11,947$796
Ozempic13$10,745$827
Basaglar Kwikpen U-10011$3,594$327
See all 57 drugs
Every Part D drug this clinician prescribed
Jardiance32$32,871$1,027
Eliquis24$25,526$1,064
Veltassa15$11,947$796
Ozempic13$10,745$827
Basaglar Kwikpen U-10011$3,594$327
Atorvastatin246$1,820$7
Gabapentin49$1,681$34
Lantus Solostar19$1,513$80
Celecoxib22$1,160$53
Amlodipine Besylate183$1,033$6
Pantoprazole77$1,032$13
Albuterol Sulfate Hfa49$988$20
Lisinopril128$872$7
Omeprazole48$754$16
Famotidine46$632$14
Levothyroxine56$611$11
Pregabalin11$606$55
Losartan65$578$9
Montelukast48$565$12
Simvastatin67$532$8
Tamsulosin33$531$16
Hydralazine33$528$16
Carbamazepine16$442$28
Metformin70$403$6
Metoprolol18$386$21
Carvedilol37$374$10
Clopidogrel30$369$12
Quetiapine17$365$21
Tamoxifen Citrate12$344$29
Spironolactone59$336$6
Azelastine13$331$25
Furosemide71$320$5
Triamcinolone Acetonide24$279$12
Hydroxyzine12$234$20
Fluticasone Propionate15$224$15
Escitalopram17$216$13
Rosuvastatin11$205$19
Oxybutynin Chloride25$193$8
Hydrocodone-Acetaminophen17$179$11
Amoxicillin-Clavulanate Potass26$176$7
Hydrochlorothiazide48$147$3
Cephalexin22$146$7
Alendronate12$139$12
Lovastatin11$137$12
Ondansetron Odt12$136$11
Sertraline12$136$11
Pravastatin12$130$11
Metoprolol25$113$5
Azithromycin27$82$3
Zolpidem16$68$4
Benazepril13$68$5
Sulfamethoxazole-Trimethoprim14$67$5
Ciprofloxacin16$59$4
Glimepiride16$59$4
Potassium Chloride12$58$5
Prednisone16$25$2
Alprazolam11$25$2

Year by year

Part D prescribing by year
20242,6744481% (38)11%$228,586
20231,6493141% (19)10%$155,555
20221,1223003% (35)11%$108,167
20217492282% (16)11%$43,735
20206602412% (12)11%$43,042
20195172123% (16)None$32,187
20184952235% (25)None$17,152
20174901945% (23)None$28,348
20165822366% (34)None$20,114
20156632027% (46)None$36,509
20141,0821905% (55)21%$76,841
20138961667% (64)None$46,693

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

See the drugs prescribed each year

2023: 38 drugs

Part D drugs prescribed in 2023
Jardiance13$23,623$1,817
Lantus11$4,601$418
Atorvastatin108$2,402$22
Amlodipine Besylate106$2,100$20
Gabapentin48$1,862$39
Lisinopril101$1,749$17
Pantoprazole45$1,665$37
Hydralazine27$1,357$50
Albuterol Sulfate Hfa33$1,254$38
Losartan31$1,206$39
Celecoxib19$1,145$60
Pregabalin11$1,116$101
Ventolin Hfa16$1,054$66
Metformin57$984$17
Tamsulosin26$891$34
Omeprazole28$718$26
Simvastatin41$692$17
Pravastatin18$661$37
Quetiapine15$601$40
Famotidine25$555$22
Spironolactone32$531$17
Levothyroxine25$497$20
Furosemide56$412$7
Triamcinolone Acetonide19$409$22
Diclofenac12$383$32
Fluticasone Propionate26$314$12
Montelukast13$250$19
Hydrochlorothiazide42$222$5
Carvedilol14$220$16
Cephalexin23$210$9
Clopidogrel20$192$10
Zolpidem11$170$15
Amoxicillin-Clavulanate Potass14$154$11
Hydrocodone-Acetaminophen11$134$12
Ciprofloxacin13$129$10
Potassium Chloride13$128$10
Metoprolol16$121$8
Azithromycin15$63$4

2022: 27 drugs

Part D drugs prescribed in 2022
Jardiance14$23,290$1,664
Gabapentin25$1,402$56
Albuterol Sulfate Hfa20$967$48
Atorvastatin59$785$13
Ventolin Hfa11$676$61
Amlodipine Besylate76$672$9
Pantoprazole34$610$18
Lisinopril66$608$9
Ondansetron Odt12$503$42
Levothyroxine18$473$26
Simvastatin23$468$20
Losartan26$463$18
Metformin50$414$8
Metoprolol21$394$19
Tamsulosin20$372$19
Hydralazine11$262$24
Omeprazole21$261$12
Cephalexin33$252$8
Hydrocodone-Acetaminophen21$234$11
Amoxicillin-Clavulanate Potass18$172$10
Metoprolol14$152$11
Potassium Chloride13$127$10
Azithromycin18$106$6
Hydrochlorothiazide20$97$5
Ciprofloxacin16$84$5
Furosemide24$71$3
Nitroglycerin Patch11$57$5

2021: 20 drugs

Part D drugs prescribed in 2021
Atorvastatin41$873$21
Albuterol Sulfate Hfa11$435$40
Metformin35$397$11
Levothyroxine18$365$20
Pantoprazole16$352$22
Losartan23$329$14
Quetiapine11$284$26
Amlodipine Besylate50$265$5
Lisinopril35$196$6
Cephalexin27$182$7
Omeprazole12$142$12
Amoxicillin-Clavulanate Potass11$130$12
Hydrochlorothiazide17$121$7
Azithromycin15$119$8
Hydrocodone-Acetaminophen13$84$6
Ciprofloxacin15$78$5
Furosemide28$48$2
Prednisone18$43$2
Metoprolol12$35$3
Atenolol13$21$2

2020: 16 drugs

Part D drugs prescribed in 2020
Atorvastatin35$435$12
Amoxicillin-Clavulanate Potass25$392$16
Levothyroxine20$386$19
Pantoprazole21$344$16
Gabapentin11$277$25
Lisinopril37$185$5
Azithromycin29$159$5
Ciprofloxacin22$123$6
Metformin27$117$4
Amlodipine Besylate19$101$5
Cephalexin20$98$5
Metoprolol13$75$6
Furosemide19$69$4
Levofloxacin12$67$6
Prednisone23$60$3
Atenolol11$16$1

2019: 16 drugs

Part D drugs prescribed in 2019
Levofloxacin21$392$19
Levothyroxine18$311$17
Atorvastatin25$310$12
Gabapentin12$281$23
Pantoprazole11$258$23
Lisinopril35$184$5
Cephalexin18$166$9
Ciprofloxacin17$162$10
Amlodipine Besylate15$141$9
Amiloride11$138$13
Potassium Chloride11$127$12
Metformin22$108$5
Azithromycin15$85$6
Hydrocodone-Acetaminophen14$72$5
Furosemide12$36$3
Atenolol12$17$1

2018: 13 drugs

Part D drugs prescribed in 2018
Azithromycin31$361$12
Amiloride11$324$29
Atorvastatin19$293$15
Levothyroxine19$282$15
Levofloxacin15$174$12
Cephalexin29$173$6
Lisinopril32$124$4
Hydrocodone-Acetaminophen19$100$5
Ciprofloxacin16$91$6
Amlodipine Besylate13$64$5
Prednisone16$55$3
Atenolol11$42$4
Furosemide12$33$3

2017: 14 drugs

Part D drugs prescribed in 2017
Potassium Chloride17$268$16
Levothyroxine12$241$20
Levofloxacin25$219$9
Pantoprazole13$208$16
Cephalexin23$198$9
Azithromycin29$195$7
Hydrocodone-Acetaminophen19$157$8
Atorvastatin13$136$10
Amlodipine Besylate17$95$6
Metformin18$78$4
Furosemide25$69$3
Prednisone16$59$4
Lisinopril15$56$4
Omeprazole11$55$5

2016: 10 drugs

Part D drugs prescribed in 2016
Levofloxacin48$524$11
Atorvastatin27$261$10
Hydrocodone-Acetaminophen20$225$11
Gabapentin11$217$20
Azithromycin38$216$6
Lisinopril33$128$4
Prednisone28$127$5
Furosemide28$83$3
Ciprofloxacin12$82$7
Amlodipine Besylate21$64$3

2015: 18 drugs

Part D drugs prescribed in 2015
Levemir12$3,003$250
Gabapentin20$822$41
Levothyroxine20$469$23
Hydrocodone-Acetaminophen21$370$18
Atorvastatin33$366$11
Levofloxacin28$282$10
Tamsulosin13$254$20
Lisinopril42$206$5
Amlodipine Besylate38$193$5
Azithromycin27$140$5
Metoprolol19$108$6
Clonidine17$97$6
Metformin18$93$5
Ciprofloxacin16$93$6
Benazepril18$82$5
Simvastatin14$54$4
Furosemide11$48$4
Prednisone11$45$4

2014: 30 drugs

Part D drugs prescribed in 2014
Oxycontin11$11,330$1,030
Novolog20$7,482$374
Lantus17$5,676$334
Spiriva16$4,688$293
Diovan20$3,375$169
Atrovent Hfa12$2,907$242
Gabapentin24$1,189$50
Proair Hfa19$898$47
Metformin72$519$7
Metoprolol14$500$36
Levothyroxine32$468$15
Lisinopril83$437$5
Hydrocodone-Acetaminophen23$436$19
Atorvastatin30$312$10
Simvastatin50$301$6
Amlodipine Besylate45$247$5
Levofloxacin18$225$13
Omeprazole21$204$10
Spironolactone12$202$17
Atenolol24$183$8
Potassium Chloride13$182$14
Benazepril19$173$9
Azithromycin19$148$8
Insulin12$139$12
Ibuprofen17$120$7
Ciprofloxacin12$111$9
Furosemide30$89$3
Glimepiride19$87$5
Metoprolol20$84$4
Hydrochlorothiazide15$79$5

2013: 25 drugs

Part D drugs prescribed in 2013
Novolog11$6,222$566
Lantus11$3,322$302
Gabapentin18$916$51
Metoprolol22$872$40
Atorvastatin26$578$22
Lisinopril81$459$6
Amlodipine Besylate54$408$8
Metformin45$404$9
Losartan16$363$23
Omeprazole26$338$13
Simvastatin49$333$7
Hydrocodone-Acetaminophen32$332$10
Benazepril21$210$10
Chlorthalidone13$184$14
Atenolol13$158$12
Digox13$150$12
Levothyroxine16$139$9
Potassium Chloride13$136$10
Azithromycin13$121$9
Furosemide33$116$4
Hydrochlorothiazide16$98$6
Glimepiride16$88$6
Sulfamethoxazole-Trimethoprim12$67$6
Ciprofloxacin13$58$4
Propranolol12$43$4

Money from drug and device companies

$18 in 2023

A payment is not proof that care is biased.

Payments by company
AbbVieVraylar$18
1 payment
  • Meals for Vraylar · 2023-07-21 · $18
See the published payment
Every published payment
AbbVieMeals · 2023-07-21Vraylar$18

Professional record

NPI
1619104270
Licence
CA A106681California A106681: Current · expires 2027-02-28
Group
Hazel Hawkins Memorial Hospital · Arya Medical Group Corp
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Hospitalist (208M00000X); Internal medicine (207R00000X)
Mailing address
1902 Rock St, Apt A, Mountain View, CA, 94043
NPI first listed
2009-06-22
NPI last updated
2018-01-22

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