Mark Morishige, MD
Orthopedic Surgery · Los Altos
- 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
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
| Advantage Care (HMO) | Align Senior Care | Listed | Oct 1, 2026 |
| Premier Care (HMO I-SNP) | Align Senior Care | Listed | Oct 1, 2026 |
| Senior Care (HMO I-SNP) | Align Senior Care | Listed | Oct 1, 2026 |
| Alignment Health Advantage PPO (PPO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
| Astiva Health C-SNP WOW - NorCal (HMO C-SNP) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Premier Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Savings Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Blue Shield Inspire (HMO) | Blue Shield of California | Listed | Aug 26, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 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 itOverall 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 itOverall 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.
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.291 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.393 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.96 (0.12 to 1.79) · 2,340 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.02 (0.76 to 1.28) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 167.38 (125.03 to 209.73) · 96 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.6 · 68 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 7.1 · 185 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.8 · 200 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.9 · 814 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 13 · 842 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 9.6 · 361 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 2.6 · 4,633 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.16 (0 to 0.34) · 11,474 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.27 (0.1 to 0.45) · 11,626 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.14 (1.39 to 4.9) · 2,814 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 2 (0.61 to 3.39) · 1,327 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.8 to 3.43) · 2,641 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 9.39 (4.18 to 14.6) · 1,287 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.57 (3.47 to 9.68) · 1,308 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 2.14 (0.71 to 3.57) · 827 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.6 (0.05 to 1.15) · 9,460 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.5 · 122 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.993 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 0.706 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 1.376 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15.5 · 218 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 19.5 · 962 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 3.8 · 200 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -17 · 922 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 18.6 · 860 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 18.7 · 827 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 6.1 (4.5 to 8.2) · 313 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 13.4 (10.6 to 16.5) · 313 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 6.1 · 144 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 10.3 · 80 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.7 · 237 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.8 (10 to 16.1) · 1,639 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.8 to 1.1) · 1,619 cases | No different | Jan 2024 – Dec 2024 |
What patients said (1,535 patients answered, 22% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 3 |
| Overall hospital rating | 4 |
| Quietness | 2 |
| Recommend hospital | 5 |
| Room was "always" clean | 75% |
| Nurses "always" communicated well | 79% |
| Doctors "always" communicated well | 81% |
| Staff "always" explained | 61% |
| Yes, staff "did" give patients this information | 86% |
| Yes, staff "did" give patients information about help after discharge | 86% |
| Doctors "always" explained things so they could understand | 76% |
| Doctors "always" listened carefully | 80% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 76% |
| Staff "always" explained new medications | 76% |
| Nurses "always" explained things so they could understand | 75% |
| Nurses "always" listened carefully | 76% |
| Nurses "always" treated them with courtesy and respect | 87% |
| "Always" quiet at night | 47% |
| "YES", patients would definitely recommend the hospital | 80% |
| Staff "always" explained possible side effects | 46% |
| Yes, staff "did" give patients information about possible symptoms | 86% |
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.
| SSI - Colon SurgeryInfections | 2.572 | Worse | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.563 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.256 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.369 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.25 (0.3 to 2.2) · 1,535 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.07 (0.76 to 1.38) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 214.59 (167.38 to 261.8) · 108 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.8 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6 · 141 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.2 · 124 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.3 · 501 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.9 · 653 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 348 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3 · 4,502 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.24 (0.04 to 0.43) · 9,014 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.34 (0.15 to 0.52) · 9,216 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.54 (2.51 to 6.58) · 1,421 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.54 (0 to 3.2) · 288 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.66 to 3.56) · 1,446 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.61 (4.09 to 19.14) · 294 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.29 (3.39 to 11.2) · 299 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.9 (0.45 to 3.36) · 333 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 0.78) · 7,538 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 5.4 · 94 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.735 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 2.573 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.6 · 185 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.1 · 951 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 56.3 · 128 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 6.4 · 644 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 1.3 · 699 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.3 · 921 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.7 (3.9 to 8.1) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 12.6 (9.4 to 16.5) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 94 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.4 · 54 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.3 · 242 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.2 (9.9 to 17.4) · 702 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 195 cases | No different | Jan 2024 – Dec 2024 |
What patients said (4,032 patients answered, 29% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 70% |
| Nurses "always" communicated well | 73% |
| Doctors "always" communicated well | 76% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 82% |
| Yes, staff "did" give patients information about help after discharge | 82% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 82% |
| Patients who gave a rating of "9" or "10" (high) | 67% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 83% |
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.
| 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 joint | 43 | $5,080 | $63 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 28 | $4,173 | $149 |
| Short return visit (20+ min) | 16 | $1,759 | $76 |
See all 7 services
| 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 joint | 43 | $5,080 | $63 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 28 | $4,173 | $149 |
| Short return visit (20+ min) | 16 | $1,759 | $76 |
| X-ray of wrist, minimum of 3 views | 13 | $977 | $41 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 17 | $60 | None |
Procedures Medicare counted
| Knee replacement | 1-10 | None |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 14 | More than 86% of doctors who do this |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 15 | More 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
| 2024 | 168 | 1,025 | 78 | 1.27 | $349,708 | $84,561 |
| 2023 | 173 | 1,940 | 81 | 1.48 | $507,175 | $102,985 |
| 2022 | 112 | 1,360 | 78 | 1.28 | $300,120 | $71,999 |
| 2021 | 65 | 602 | 74 | 1.49 | $46,570 | $27,065 |
| 2020 | 25 | 129 | 68 | 0.96 | $22,410 | $4,791 |
| 2019 | 30 | 250 | 69 | 1.36 | $35,758 | $8,338 |
| 2018 | 70 | 329 | 70 | 1.22 | $62,657 | $18,133 |
| 2017 | 173 | 1,137 | 71 | 1.14 | $262,536 | $82,539 |
| 2016 | 318 | 1,744 | 77 | 1.25 | $395,860 | $115,086 |
| 2015 | 325 | 1,722 | 75 | 1.05 | $585,058 | $125,458 |
| 2014 | 249 | 1,346 | 71 | 0.88 | $654,137 | $124,787 |
| 2013 | 90 | 351 | 71 | 0.82 | $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
| 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 minutes | 54 | $8,595 | $156 |
| Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 13 | $7,154 | None |
| Aspiration and/or injection of fluid from large joint | 22 | $3,855 | $60 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 12 | $1,715 | $107 |
| Computer-assisted, fluoroscopic image-guided musculoskeletal surgical navigational orthopedic operation | 18 | $1,541 | $86 |
| X-ray of hip, 2-3 views | 15 | $1,472 | $49 |
| X-ray of knee, 4 or more views | 15 | $1,242 | $48 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 21 | $271 | None |
2022: 7 services
| 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 minutes | 25 | $4,641 | $179 |
| Aspiration and/or injection of fluid from large joint | 28 | $3,389 | $62 |
| X-ray of knee, 4 or more views | 18 | $1,606 | $50 |
| X-ray of hip, 2-3 views | 12 | $764 | $40 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 19 | $231 | None |
2021: 5 services
| 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 joint | 14 | $1,574 | $58 |
| Imaging guidance for procedure, 60 minutes or less | 16 | $1,017 | $44 |
| Injection, methylprednisolone acetate, 40 mg | 12 | $147 | None |
2020: 1 service
| Short return visit (20+ min) | 11 | $478 | $40 |
2019: 3 services
| 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 joint | 11 | $480 | $44 |
2018: 5 services
| 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 joint | 18 | $803 | $45 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 17 | $178 | None |
2017: 9 services
| 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 joint | 51 | $3,359 | $52 |
| Short return visit (20+ min) | 23 | $1,385 | $58 |
| X-ray of shoulder, minimum of 2 views | 41 | $1,133 | $23 |
| X-ray of knee, 4 or more views | 28 | $1,053 | $31 |
| X-ray of knee, 3 views | 28 | $978 | $28 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 47 | $678 | None |
| X-ray of hip, 2-3 views | 16 | $601 | $25 |
2016: 17 services
| Prosthetic repair of shoulder joint, total shoulder | 14 | $15,412 | $1,101 |
| Short return visit (20+ min) | 138 | $11,454 | $53 |
| Repair of shoulder rotator cuff using an endoscope | 11 | $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 joint | 94 | $5,701 | $44 |
| Release of tendon connecting biceps muscle and shoulder using an endoscope | 13 | $5,444 | $419 |
| Replacement of knee joint, both sides of knee | 12 | $2,129 | $177 |
| Partial removal of collar bone at shoulder using an endoscope | 13 | $2,041 | $157 |
| Shaving of part of shoulder bone and repair of ligament using an endoscope | 13 | $1,903 | $146 |
| X-ray of shoulder, minimum of 2 views | 54 | $1,408 | $19 |
| X-ray of knee, 4 or more views | 43 | $1,143 | $27 |
| X-ray of hip, 2-3 views | 14 | $915 | $30 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 102 | $708 | None |
| X-ray of wrist, 2 views | 11 | $546 | $20 |
| X-ray of wrist, minimum of 3 views | 11 | $325 | $25 |
| X-ray of hip, 1 view | 13 | $303 | $22 |
2015: 17 services
| Repair of shoulder rotator cuff using an endoscope | 18 | $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 endoscope | 15 | $7,754 | $517 |
| Return visit (30+ min) | 73 | $7,378 | $84 |
| Aspiration and/or injection of fluid from large joint | 107 | $7,172 | $45 |
| Release of tendon connecting biceps muscle and shoulder using an endoscope | 15 | $5,913 | $394 |
| Replacement of knee joint, both sides of knee | 19 | $4,633 | $232 |
| Shaving of part of shoulder bone and repair of ligament using an endoscope | 18 | $2,795 | $155 |
| Partial removal of collar bone at shoulder using an endoscope | 16 | $2,523 | $158 |
| X-ray of knee, 4 or more views | 77 | $2,228 | $29 |
| New patient visit (45+ min) | 15 | $1,776 | $118 |
| X-ray of shoulder, minimum of 2 views | 55 | $1,580 | $21 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 108 | $732 | None |
| X-ray of ribs of one side of body, minimum of 2 views | 13 | $510 | $28 |
| X-ray of pelvis, 1-2 views | 18 | $410 | $21 |
| X-ray of hip on one side of body, 1 view | 11 | $210 | $19 |
2014: 12 services
| Repair of shoulder rotator cuff using an endoscope | 20 | $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 endoscope | 16 | $7,367 | $460 |
| Aspiration and/or injection of fluid from large joint | 77 | $7,308 | $49 |
| Partial removal of collar bone at shoulder using an endoscope | 17 | $3,742 | $220 |
| Shaving of part of shoulder bone and repair of ligament using an endoscope | 20 | $3,405 | $170 |
| X-ray of shoulder, minimum of 2 views | 66 | $2,665 | $26 |
| X-ray of knee, 4 or more views | 64 | $2,365 | $35 |
| X-ray of ribs of one side of body, minimum of 2 views | 26 | $1,323 | $32 |
| X-ray of wrist, minimum of 3 views | 14 | $887 | $28 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 80 | $307 | None |
2013: 7 services
| 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 joint | 15 | $1,446 | $54 |
| X-ray of knee, 4 or more views | 21 | $863 | $39 |
| X-ray of ribs of one side of body, minimum of 2 views | 17 | $791 | $34 |
| X-ray of shoulder, minimum of 2 views | 19 | $589 | $28 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 19 | $52 | None |
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.
| New patient visit (45+ min) | 43 | $69 |
| Return visit (30+ min) | 68 | $0 |
| 2024 | 111 | 2 | 18 | $69 |
| 2019 | 60 | 1 | 26 | $6,489 |
| 2018 | 114 | 4 | 29 | $7,272 |
See the largest Medicaid services in earlier years
2019
| Hospital outpatient clinic visit for assessment and management of a patient | 60 | $6,489 |
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 joint | 15 | $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.
| Meloxicam | 105 | $367 | $3 |
| Oxycodone-Acetaminophen | 12 | $147 | $12 |
Year by year
| 2024 | 139 | 83 | 13% (18) | 0% | $723 |
| 2023 | 129 | 76 | 12% (16) | 0% | $1,875 |
| 2022 | 90 | 47 | 13% (12) | 0% | $835 |
| 2021 | 30 | 15 | 37% (11) | 0% | $214 |
| 2019 | 63 | 24 | 51% (32) | 0% | $296 |
| 2018 | 47 | 25 | 43% (20) | None | $394 |
| 2017 | 68 | 45 | 50% (34) | None | $762 |
| 2016 | 146 | 72 | 43% (62) | None | $2,430 |
| 2015 | 140 | 84 | 37% (52) | None | $1,900 |
| 2014 | 177 | 61 | 46% (81) | 7% | $3,593 |
| 2013 | 54 | 25 | 61% (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
| Meloxicam | 94 | $444 | $5 |
2022: 1 drug
| Meloxicam | 60 | $254 | $4 |
2021: 1 drug
| Meloxicam | 14 | $65 | $5 |
2019: 2 drugs
| Pantoprazole | 11 | $69 | $6 |
| Tramadol | 18 | $53 | $3 |
2017: 3 drugs
| Hydrocodone-Acetaminophen | 20 | $220 | $11 |
| Oxycodone-Acetaminophen | 11 | $117 | $11 |
| Meloxicam | 17 | $63 | $4 |
2016: 6 drugs
| Oxycodone-Acetaminophen | 36 | $833 | $23 |
| Meloxicam | 31 | $200 | $6 |
| Hydrocodone-Acetaminophen | 12 | $171 | $14 |
| Ondansetron Odt | 18 | $112 | $6 |
| Tramadol | 11 | $69 | $6 |
| Hydroxyzine Pamoate | 13 | $52 | $4 |
2015: 4 drugs
| Oxycodone-Acetaminophen | 23 | $712 | $31 |
| Meloxicam | 61 | $307 | $5 |
| Hydrocodone-Acetaminophen | 15 | $160 | $11 |
| Tramadol | 14 | $60 | $4 |
2014: 4 drugs
| Hydrocodone-Acetaminophen | 34 | $396 | $12 |
| Oxycodone-Acetaminophen | 30 | $359 | $12 |
| Meloxicam | 35 | $178 | $5 |
| Ondansetron Odt | 23 | $165 | $7 |
2013: 1 drug
| Hydrocodone-Acetaminophen | 19 | $111 | $6 |
Money from drug and device companies
$15 in 2025
| 2025 | 1 | 1 | None | $15 |
| 2024 | 1 | 1 | None | $55 |
| 2023 | 3 | 4 | None | $3,165 |
| 2022 | 2 | 12 | None | $1,431 |
| 2019 | 1 | 2 | None | $255 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Orthofix Medical | Physio-Stim | $15 | 1 payment
|
See the published payment
| Orthofix Medical | Meals · 2025-11-06 | Physio-Stim | $15 |
See earlier years (2024, 2023, 2022, 2019)
2024: $55
| Smith+Nephew | None | $55 | 1 payment
|
2023: $3,165
| FX Shoulder USA | None | $2,454 | 1 payment
|
| Stryker | Mako | $508 | 1 payment
|
| DePuy Synthes Sales | Na | $203 | 2 payments
|
2022: $1,431
| Stryker | Mako | $1,284 | 11 payments
|
| Smith+Nephew | Bioinductive Implant With Arthroscopic Delivery System - Medium | $147 | 1 payment
|
2019: $255
| Smith+Nephew | Regeneten | $255 | 2 payments
|
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.