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Mark Morishige, MD

Orthopedic Surgery · Los Altos

NPI 1619197639

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
36
10 carriers
Offices
2

Offices

2 locations · Advanced Surgical Associates · 6 clinicians in this group

Looking this up.

Hospitals listed: El Camino Health · Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

36 plans · 10 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Morishige’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

36 of 36 plans

Plans whose provider directory lists this clinician
Advantage Care (HMO)Align Senior CareListedOct 1, 2026
Premier Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Senior Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence C171216 · Current

Licensed to practise in California · since 2021 · expires 2027-01-31 · University of Chicago, Pritzker School of Medicine.

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

Hospitals they work in

2 hospitals

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

  • El Camino HealthMountain View, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of El Camino Health, which runs 2 hospitalsPatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.291, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for El Camino Health

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 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 El Camino Health
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.291BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.393BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0.12 to 1.79) · 2,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.38 (125.03 to 209.73) · 96 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 68 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 185 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 200 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 814 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 842 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 361 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 4,633 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.34) · 11,474 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,626 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.14 (1.39 to 4.9) · 2,814 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2 (0.61 to 3.39) · 1,327 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.8 to 3.43) · 2,641 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.39 (4.18 to 14.6) · 1,287 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.57 (3.47 to 9.68) · 1,308 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.14 (0.71 to 3.57) · 827 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.6 (0.05 to 1.15) · 9,460 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 122 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.993No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.706No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.376No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.5 · 218 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 962 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits3.8 · 200 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-17 · 922 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18.6 · 860 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.7 · 827 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4.5 to 8.2) · 313 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (10.6 to 16.5) · 313 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.7 · 237 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (10 to 16.1) · 1,639 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.8 to 1.1) · 1,619 casesNo differentJan 2024 – Dec 2024

What patients said (1,535 patients answered, 22% of those asked)

Patient survey stars by topic at El Camino Health
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at El Camino Health
Room was "always" clean75%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 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 Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$84,561

Medicare paid this office $84,561 for 168 people.

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

Largest Original Medicare bills
Return visit (30+ min)83$18,506$118
New patient visit (45+ min)87$13,079$150
Aspiration and/or injection of fluid from large joint43$5,080$63
Initial hospital care with moderate level of medical decision making at least 75 minutes28$4,173$149
Short return visit (20+ min)16$1,759$76
See all 7 services
Every Original Medicare service billed
Return visit (30+ min)83$18,506$118
New patient visit (45+ min)87$13,079$150
Aspiration and/or injection of fluid from large joint43$5,080$63
Initial hospital care with moderate level of medical decision making at least 75 minutes28$4,173$149
Short return visit (20+ min)16$1,759$76
X-ray of wrist, minimum of 3 views13$977$41
Injection, triamcinolone acetonide, not otherwise specified, 10 mg17$60None

Procedures Medicare counted

Procedure volume Medicare published
Knee replacement1-10None
Lower limb (leg) arthroscopy (minimally invasive joint repair)14More than 86% of doctors who do this
Upper limb (arm) arthroscopy (minimally invasive joint repair)15More than 54% of doctors who do this

Who their Medicare patients are

168 Original Medicare patients in 2024. Average age 78 · Women 60% · Also on Medicaid 33% · Health risk score 1.27. Above the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 32% · Chronic kidney disease 23% · Coronary heart disease 21% · Heart failure 21% · Atrial fibrillation 21% · Cancer 14% · Depression 13% · COPD 11% · Dementia 9% · Stroke 9%.

The office billed $349,708, Medicare allowed $108,090 and paid $84,561; for 1,025 services of 63 kinds; $1,975 of it was for drugs given in the office and $82,586 for care.

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
20241681,025781.27$349,708$84,561
20231731,940811.48$507,175$102,985
20221121,360781.28$300,120$71,999
202165602741.49$46,570$27,065
202025129680.96$22,410$4,791
201930250691.36$35,758$8,338
201870329701.22$62,657$18,133
20171731,137711.14$262,536$82,539
20163181,744771.25$395,860$115,086
20153251,722751.05$585,058$125,458
20142491,346710.88$654,137$124,787
201390351710.82$200,539$37,427

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: 10 services

Original Medicare services billed in 2023
Return visit (30+ min)82$18,265$118
New patient visit (45+ min)67$9,719$145
Initial hospital care with moderate level of medical decision making at least 75 minutes54$8,595$156
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg13$7,154None
Aspiration and/or injection of fluid from large joint22$3,855$60
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,715$107
Computer-assisted, fluoroscopic image-guided musculoskeletal surgical navigational orthopedic operation18$1,541$86
X-ray of hip, 2-3 views15$1,472$49
X-ray of knee, 4 or more views15$1,242$48
Injection, triamcinolone acetonide, not otherwise specified, 10 mg21$271None

2022: 7 services

Original Medicare services billed in 2022
Return visit (30+ min)46$10,841$120
New patient visit (45+ min)49$7,752$158
Initial hospital care with moderate level of medical decision making at least 75 minutes25$4,641$179
Aspiration and/or injection of fluid from large joint28$3,389$62
X-ray of knee, 4 or more views18$1,606$50
X-ray of hip, 2-3 views12$764$40
Injection, triamcinolone acetonide, not otherwise specified, 10 mg19$231None

2021: 5 services

Original Medicare services billed in 2021
Return visit (30+ min)43$8,807$109
New patient visit (45+ min)28$4,123$147
Aspiration and/or injection of fluid from large joint14$1,574$58
Imaging guidance for procedure, 60 minutes or less16$1,017$44
Injection, methylprednisolone acetate, 40 mg12$147None

2020: 1 service

Original Medicare services billed in 2020
Short return visit (20+ min)11$478$40

2019: 3 services

Original Medicare services billed in 2019
New patient visit (30+ min)16$1,196$75
Short return visit (20+ min)12$728$56
Aspiration and/or injection of fluid from large joint11$480$44

2018: 5 services

Original Medicare services billed in 2018
New patient visit (45+ min)19$1,785$94
Short return visit (20+ min)26$1,690$44
Return visit (30+ min)21$1,537$70
Aspiration and/or injection of fluid from large joint18$803$45
Injection, triamcinolone acetonide, not otherwise specified, 10 mg17$178None

2017: 9 services

Original Medicare services billed in 2017
New patient visit (45+ min)95$11,940$126
Return visit (30+ min)80$10,043$84
Aspiration and/or injection of fluid from large joint51$3,359$52
Short return visit (20+ min)23$1,385$58
X-ray of shoulder, minimum of 2 views41$1,133$23
X-ray of knee, 4 or more views28$1,053$31
X-ray of knee, 3 views28$978$28
Injection, triamcinolone acetonide, not otherwise specified, 10 mg47$678None
X-ray of hip, 2-3 views16$601$25

2016: 17 services

Original Medicare services billed in 2016
Prosthetic repair of shoulder joint, total shoulder14$15,412$1,101
Short return visit (20+ min)138$11,454$53
Repair of shoulder rotator cuff using an endoscope11$9,232$839
New patient visit (30+ min)131$8,664$66
Return visit (30+ min)93$7,106$68
Aspiration and/or injection of fluid from large joint94$5,701$44
Release of tendon connecting biceps muscle and shoulder using an endoscope13$5,444$419
Replacement of knee joint, both sides of knee12$2,129$177
Partial removal of collar bone at shoulder using an endoscope13$2,041$157
Shaving of part of shoulder bone and repair of ligament using an endoscope13$1,903$146
X-ray of shoulder, minimum of 2 views54$1,408$19
X-ray of knee, 4 or more views43$1,143$27
X-ray of hip, 2-3 views14$915$30
Injection, triamcinolone acetonide, not otherwise specified, 10 mg102$708None
X-ray of wrist, 2 views11$546$20
X-ray of wrist, minimum of 3 views11$325$25
X-ray of hip, 1 view13$303$22

2015: 17 services

Original Medicare services billed in 2015
Repair of shoulder rotator cuff using an endoscope18$15,649$869
New patient visit (30+ min)125$9,401$75
Short return visit (20+ min)119$8,914$49
Repair of knee joint with drilling and or scraping of joint using an endoscope15$7,754$517
Return visit (30+ min)73$7,378$84
Aspiration and/or injection of fluid from large joint107$7,172$45
Release of tendon connecting biceps muscle and shoulder using an endoscope15$5,913$394
Replacement of knee joint, both sides of knee19$4,633$232
Shaving of part of shoulder bone and repair of ligament using an endoscope18$2,795$155
Partial removal of collar bone at shoulder using an endoscope16$2,523$158
X-ray of knee, 4 or more views77$2,228$29
New patient visit (45+ min)15$1,776$118
X-ray of shoulder, minimum of 2 views55$1,580$21
Injection, triamcinolone acetonide, not otherwise specified, 10 mg108$732None
X-ray of ribs of one side of body, minimum of 2 views13$510$28
X-ray of pelvis, 1-2 views18$410$21
X-ray of hip on one side of body, 1 view11$210$19

2014: 12 services

Original Medicare services billed in 2014
Repair of shoulder rotator cuff using an endoscope20$20,307$1,015
Short return visit (20+ min)138$14,621$59
New patient visit (30+ min)146$10,906$75
Release of tendon connecting biceps muscle and shoulder using an endoscope16$7,367$460
Aspiration and/or injection of fluid from large joint77$7,308$49
Partial removal of collar bone at shoulder using an endoscope17$3,742$220
Shaving of part of shoulder bone and repair of ligament using an endoscope20$3,405$170
X-ray of shoulder, minimum of 2 views66$2,665$26
X-ray of knee, 4 or more views64$2,365$35
X-ray of ribs of one side of body, minimum of 2 views26$1,323$32
X-ray of wrist, minimum of 3 views14$887$28
Injection, triamcinolone acetonide, not otherwise specified, 10 mg80$307None

2013: 7 services

Original Medicare services billed in 2013
New patient visit (30+ min)61$5,464$90
Short return visit (20+ min)36$2,717$59
Aspiration and/or injection of fluid from large joint15$1,446$54
X-ray of knee, 4 or more views21$863$39
X-ray of ribs of one side of body, minimum of 2 views17$791$34
X-ray of shoulder, minimum of 2 views19$589$28
Injection, triamcinolone acetonide, not otherwise specified, 10 mg19$52None

Medicaid work

$69 in 2024

Medicaid paid $69 for 111 billed services this clinician did in 2024, up to 18 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
New patient visit (45+ min)43$69
Return visit (30+ min)68$0
Medicaid work by year
2024111218$69
201960126$6,489
2018114429$7,272
See the largest Medicaid services in earlier years

2019

Largest Medicaid services in 2019
Hospital outpatient clinic visit for assessment and management of a patient60$6,489

2018

Largest Medicaid services in 2018
Return visit (30+ min)42$3,036
Short return visit (20+ min)42$1,972
New patient visit (45+ min)15$1,735
Arthrocentesis and injection of knee joint15$529

Drugs they prescribed that Part D paid

$723

Pharmacies billed $723 in 2024.

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

Opioids were 13% of their Part D prescriptions (18 of 139) in 2024. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 31%.

139 generic and 0 brand-name prescriptions · $723 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
Meloxicam105$367$3
Oxycodone-Acetaminophen12$147$12

Year by year

Part D prescribing by year
20241398313% (18)0%$723
20231297612% (16)0%$1,875
2022904713% (12)0%$835
2021301537% (11)0%$214
2019632451% (32)0%$296
2018472543% (20)None$394
2017684550% (34)None$762
20161467243% (62)None$2,430
20151408437% (52)None$1,900
20141776146% (81)7%$3,593
2013542561% (33)None$2,030

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Meloxicam94$444$5

2022: 1 drug

Part D drugs prescribed in 2022
Meloxicam60$254$4

2021: 1 drug

Part D drugs prescribed in 2021
Meloxicam14$65$5

2019: 2 drugs

Part D drugs prescribed in 2019
Pantoprazole11$69$6
Tramadol18$53$3

2017: 3 drugs

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen20$220$11
Oxycodone-Acetaminophen11$117$11
Meloxicam17$63$4

2016: 6 drugs

Part D drugs prescribed in 2016
Oxycodone-Acetaminophen36$833$23
Meloxicam31$200$6
Hydrocodone-Acetaminophen12$171$14
Ondansetron Odt18$112$6
Tramadol11$69$6
Hydroxyzine Pamoate13$52$4

2015: 4 drugs

Part D drugs prescribed in 2015
Oxycodone-Acetaminophen23$712$31
Meloxicam61$307$5
Hydrocodone-Acetaminophen15$160$11
Tramadol14$60$4

2014: 4 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen34$396$12
Oxycodone-Acetaminophen30$359$12
Meloxicam35$178$5
Ondansetron Odt23$165$7

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen19$111$6

Money from drug and device companies

$15 in 2025

Industry payments by year
202511None$15
202411None$55
202334None$3,165
2022212None$1,431
201912None$255

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
Orthofix MedicalPhysio-Stim$15
1 payment
  • Meals for Physio-Stim · 2025-11-06 · $15
See the published payment
Every published payment
Orthofix MedicalMeals · 2025-11-06Physio-Stim$15
See earlier years (2024, 2023, 2022, 2019)

2024: $55

Payments by company in 2024
Smith+NephewNone$55
1 payment
  • Meals · 2024-11-06 · $55

2023: $3,165

Payments by company in 2023
FX Shoulder USANone$2,454
1 payment
  • Travel · 2023-04-29 · $2,454
StrykerMako$508
1 payment
  • Travel for Mako · 2023-01-06 · $508
DePuy Synthes SalesNa$203
2 payments
  • Meals for Na · 2023-10-19 · $75
  • Meals for Na · 2023-02-22 · $128

2022: $1,431

Payments by company in 2022
StrykerMako$1,284
11 payments
  • Travel for Mako · 2022-12-22 · $225
  • Travel for Mako · 2022-12-22 · $250
  • Meals for Mako · 2022-12-03 · $35
  • Meals for Mako · 2022-12-03 · $37
  • Meals for Mako · 2022-12-02 · $154
  • Meals for Triathlon · 2022-12-02 · $33
  • Meals for Mako · 2022-12-02 · $36
  • Meals for Mako · 2022-12-02 · $37
  • Meals for Mako · 2022-12-01 · $134
  • Travel for Mako · 2022-11-11 · $156
  • Travel for Mako · 2022-11-11 · $187
Smith+NephewBioinductive Implant With Arthroscopic Delivery System - Medium$147
1 payment
  • Meals for Bioinductive Implant With Arthroscopic Delivery System - Medium · 2022-05-12 · $147

2019: $255

Payments by company in 2019
Smith+NephewRegeneten$255
2 payments
  • Meals for Regeneten · 2019-12-16 · $149
  • Meals for Regeneten · 2019-10-15 · $105

Professional record

NPI
1619197639
Licence
CA C171216, IA 38793, MN 64840California C171216: Current · expires 2027-01-31
Trained
University of Chicago, Pritzker School of Medicine, 2003
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Orthopedic surgery (207X00000X); Federal specialty code 207XX0005X (207XX0005X)
Mailing address
763 Altos Oaks Dr Ste 2, Los Altos, CA, 94024
NPI first listed
2007-05-01
NPI last updated
2023-03-29
NPI record certified
2023-03-29

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