Ariel Palanca, MD
Orthopedic Surgery · Escondido
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Arch Health Partners Inc · 141 clinicians in this group
Hospitals listed: Palomar Health Downtown Campus · Palomar Medical Center Poway. 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. Palanca’s office at (760) 743-4789 to ask if they take your plan before you enroll.
California Medical Board record
Licence A114257 · Current
Licensed to practise in California · since 2010 · expires 2026-10-31 · University of Michigan Medical School.
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.
- Palomar Health Downtown CampusEscondido, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency departmentPart of Palomar Health, which runs 3 hospitalsPatients rate it 2 of 5 · 66% would definitely recommend itOverall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.399, Oct 2024 – Sep 2025
- Palomar Medical Center PowayPoway, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency departmentPart of Palomar Health, which runs 3 hospitalsPatients rate it 2 of 5 · 61% would definitely recommend itOverall rating: 4 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for Palomar Health Downtown Campus
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 8 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.
| Clostridium Difficile (C.Diff)Infections | 0.399 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.11 (0.12 to 2.1) · 1,134 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.94 (0.61 to 1.28) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 215.31 (170.28 to 260.35) · 113 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.4 · 32 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 11.3 · 110 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 13.1 · 181 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11.4 · 324 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 16.1 · 635 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 13.6 · 382 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.9 · 4,143 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.2 (0 to 0.39) · 6,632 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.29 (0.09 to 0.48) · 6,431 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 2.65 (0.63 to 4.68) · 1,527 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.44 (0 to 3.04) · 355 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.64 (1.17 to 4.11) · 1,519 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 5.75 (0 to 13.71) · 363 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.13 (2.1 to 10.16) · 328 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 2.28 (0.81 to 3.76) · 277 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.79 (0.16 to 1.42) · 5,775 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.9 · 38 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 1.171 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 1.103 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.66 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 2.122 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 13.7 · 335 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.6 · 552 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 0.6 · 208 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 13.7 · 380 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -4.2 · 664 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.3 · 912 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 4.9 (3.2 to 7.5) · 46 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 9.7 (6.9 to 13.4) · 46 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 46 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 10.5 · 52 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.5 · 182 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13 (9.7 to 17.4) · 102 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.3) · 320 cases | No different | Jan 2024 – Dec 2024 |
What patients said (2,384 patients answered, 16% of those asked)
| Cleanliness | 2 |
| Nurse communication | 2 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 3 |
| Room was "always" clean | 64% |
| Nurses "always" communicated well | 74% |
| Doctors "always" communicated well | 73% |
| Staff "always" explained | 55% |
| Yes, staff "did" give patients this information | 84% |
| Yes, staff "did" give patients information about help after discharge | 83% |
| Doctors "always" explained things so they could understand | 67% |
| Doctors "always" listened carefully | 71% |
| Doctors "always" treated them with courtesy and respect | 80% |
| Patients who gave a rating of "9" or "10" (high) | 66% |
| Staff "always" explained new medications | 69% |
| Nurses "always" explained things so they could understand | 70% |
| Nurses "always" listened carefully | 71% |
| Nurses "always" treated them with courtesy and respect | 81% |
| "Always" quiet at night | 47% |
| "YES", patients would definitely recommend the hospital | 66% |
| Staff "always" explained possible side effects | 41% |
| Yes, staff "did" give patients information about possible symptoms | 85% |
See every measure and the patient survey for Palomar Medical Center Poway
Behind the star rating — Deaths: 1 better, 4 the same, 0 worse of 5 measures. Safety: 0 better, 5 the same, 0 worse of 5 measures. Readmissions: 1 better, 5 the same, 0 worse of 6 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.94 (0 to 1.97) · 412 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.94 (0.53 to 1.36) | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 9.5 · 63 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 9.6 · 145 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 10.9 · 368 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 11.3 · 94 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.7 · 1,392 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.25 (0.03 to 0.48) · 2,455 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.25 (0.04 to 0.46) · 2,500 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.41 (0.97 to 5.84) · 346 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.64 (0 to 3.36) · 98 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.18 (0.5 to 3.85) · 339 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 7.89 (0 to 17.22) · 99 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 4.9 (0.7 to 9.09) · 76 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.72 (0.21 to 3.24) · 113 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.65 (0 to 1.57) · 2,056 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4 · 34 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0 | No different | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.513 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0 | No different | Oct 2024 – Sep 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.6 · 232 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -55.5 · 168 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -19.7 · 405 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17 · 438 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.9 · 43 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 18.8 · 86 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 17.7) · 206 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.3) · 235 cases | No different | Jan 2024 – Dec 2024 |
What patients said (635 patients answered, 18% of those asked)
| Cleanliness | 2 |
| Nurse communication | 3 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 2 |
| Quietness | 1 |
| Recommend hospital | 3 |
| Room was "always" clean | 64% |
| Nurses "always" communicated well | 77% |
| Doctors "always" communicated well | 74% |
| Staff "always" explained | 58% |
| Yes, staff "did" give patients this information | 83% |
| Yes, staff "did" give patients information about help after discharge | 83% |
| Doctors "always" explained things so they could understand | 69% |
| Doctors "always" listened carefully | 73% |
| Doctors "always" treated them with courtesy and respect | 81% |
| Patients who gave a rating of "9" or "10" (high) | 59% |
| Staff "always" explained new medications | 74% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 74% |
| Nurses "always" treated them with courtesy and respect | 85% |
| "Always" quiet at night | 35% |
| "YES", patients would definitely recommend the hospital | 61% |
| Staff "always" explained possible side effects | 42% |
| Yes, staff "did" give patients information about possible symptoms | 84% |
Original Medicare doctor bills
$154,803
Medicare paid this office $154,803 for 404 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 205 | $28,309 | $98 |
| Short return visit (20+ min) | 172 | $18,188 | $70 |
| New patient visit (45+ min) | 94 | $11,384 | $121 |
| X-ray of foot, minimum of 3 views | 210 | $9,142 | $28 |
| Correction of toe joint deformity | 17 | $7,588 | $176 |
See all 16 services
| Return visit (30+ min) | 205 | $28,309 | $98 |
| Short return visit (20+ min) | 172 | $18,188 | $70 |
| New patient visit (45+ min) | 94 | $11,384 | $121 |
| X-ray of foot, minimum of 3 views | 210 | $9,142 | $28 |
| Correction of toe joint deformity | 17 | $7,588 | $176 |
| X-ray of ankle, minimum of 3 views | 122 | $5,168 | $31 |
| Fusion of big toe at joint with foot | 11 | $4,688 | $426 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 17 | $2,380 | $132 |
| Aspiration and/or injection of fluid from small joint | 36 | $2,229 | $45 |
| New patient visit (30+ min) | 27 | $2,080 | $77 |
| Aspiration and/or injection of fluid from medium joint | 29 | $1,745 | $47 |
| Placement of strapping to ankle or foot | 32 | $1,086 | $24 |
| Injection into tendon or ligament | 12 | $659 | $47 |
| X-ray of hip, 2-3 views | 11 | $575 | $34 |
| Injection, methylprednisolone acetate, 1 mg | 52 | $308 | None |
| Injection, methylprednisolone acetate, 40 mg | 24 | $128 | None |
Procedures Medicare counted
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 | None |
| Removal of tissue | 18 | More than 68% of doctors who do this |
| Removal or shaving of skin growth | 1-10 | None |
Who their Medicare patients are
404 Original Medicare patients in 2024. Average age 74 · Under 65 5% · 85 and older 10% · Women 66% · Also on Medicaid 13% · Health risk score 1.13. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.
Conditions among them: High blood pressure 68% · Depression 28% · Diabetes 23% · Chronic kidney disease 19% · Coronary heart disease 17% · Atrial fibrillation 17% · Heart failure 13% · Cancer 12% · COPD 12% · Dementia 6% · Stroke 6%.
The office billed $647,948, Medicare allowed $206,441 and paid $154,803; for 4,764 services of 124 kinds; $436 of it was for drugs given in the office and $154,367 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 | 404 | 4,764 | 74 | 1.13 | $647,948 | $154,803 |
| 2023 | 374 | 1,860 | 73 | 1.09 | $520,935 | $168,093 |
| 2022 | 369 | 1,739 | 73 | 1.13 | $418,993 | $148,374 |
| 2021 | 327 | 1,275 | 73 | 1.22 | $317,586 | $116,028 |
| 2020 | 290 | 1,124 | 74 | 1.31 | $336,339 | $123,757 |
| 2019 | 235 | 502 | 70 | 1.13 | $347,637 | $61,117 |
| 2018 | 232 | 469 | 69 | 1.29 | $430,046 | $57,578 |
| 2017 | 196 | 499 | 68 | 1.37 | $610,031 | $71,434 |
| 2016 | 216 | 386 | 69 | 1.28 | $433,780 | $45,915 |
| 2015 | 118 | 245 | 70 | 1.09 | $84,074 | $17,365 |
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: 15 services
| Return visit (30+ min) | 172 | $25,190 | $102 |
| Short return visit (20+ min) | 195 | $20,322 | $68 |
| New patient visit (45+ min) | 89 | $11,138 | $125 |
| X-ray of foot, minimum of 3 views | 198 | $9,750 | $29 |
| X-ray of ankle, minimum of 3 views | 112 | $5,636 | $32 |
| Fusion of big toe at joint with foot | 11 | $5,137 | $428 |
| Correction of toe joint deformity | 11 | $3,119 | $173 |
| Aspiration and/or injection of fluid from small joint | 44 | $2,996 | $45 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 20 | $2,621 | $131 |
| Aspiration and/or injection of fluid from medium joint | 29 | $1,840 | $44 |
| Telephone medical discussion with physician, 21-30 minutes | 17 | $1,767 | $88 |
| Placement of strapping to ankle or foot | 45 | $1,280 | $24 |
| New patient visit (30+ min) | 13 | $1,049 | $81 |
| Harvest of graft from small bone | 13 | $1,046 | $75 |
| Injection, methylprednisolone acetate, 40 mg | 71 | $831 | None |
2022: 13 services
| Short return visit (20+ min) | 218 | $25,790 | $72 |
| Return visit (30+ min) | 109 | $13,829 | $100 |
| Treatment of broken neck of thigh bone with bone implant | 11 | $11,435 | $1,040 |
| New patient visit (45+ min) | 73 | $9,552 | $131 |
| X-ray of foot, minimum of 3 views | 185 | $9,009 | $29 |
| X-ray of ankle, minimum of 3 views | 123 | $5,618 | $33 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 26 | $4,267 | $164 |
| New patient visit (30+ min) | 37 | $2,951 | $80 |
| Telephone medical discussion with physician, 21-30 minutes | 18 | $2,010 | $100 |
| Aspiration and/or injection of fluid from small joint | 28 | $1,591 | $48 |
| Aspiration and/or injection of fluid from medium joint | 21 | $1,266 | $44 |
| Placement of strapping to ankle or foot | 42 | $1,228 | $24 |
| Injection, methylprednisolone acetate, 40 mg | 55 | $479 | None |
2021: 12 services
| Short return visit (20+ min) | 169 | $21,371 | $76 |
| Return visit (30+ min) | 103 | $12,572 | $104 |
| X-ray of foot, minimum of 3 views | 162 | $6,926 | $29 |
| New patient visit (45+ min) | 49 | $6,255 | $128 |
| New patient visit (30+ min) | 70 | $5,636 | $81 |
| X-ray of ankle, minimum of 3 views | 96 | $4,040 | $31 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 18 | $3,043 | $169 |
| Aspiration and/or injection of fluid from small joint | 21 | $1,210 | $48 |
| Aspiration and/or injection of fluid from medium joint | 17 | $879 | $46 |
| Application of walking cast covering below knee to toe | 11 | $670 | $61 |
| Cast supplies, short leg cast, adult (11 years +), fiberglass | 12 | $518 | $35 |
| Injection, methylprednisolone acetate, 40 mg | 47 | $312 | None |
2020: 13 services
| Return visit (30+ min) | 150 | $17,658 | $88 |
| Treatment of broken neck of thigh bone with bone implant | 13 | $13,848 | $1,065 |
| New patient visit (45+ min) | 80 | $10,109 | $126 |
| X-ray of foot, minimum of 3 views | 137 | $5,609 | $28 |
| Short return visit (20+ min) | 50 | $4,292 | $64 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 26 | $3,160 | $117 |
| X-ray of ankle, minimum of 3 views | 73 | $3,150 | $30 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 14 | $2,421 | $173 |
| Long return visit (40+ min) | 14 | $1,775 | $127 |
| New patient visit (30+ min) | 14 | $1,174 | $84 |
| X-ray of hip, 2-3 views | 14 | $695 | $37 |
| Aspiration and/or injection of fluid from medium joint | 13 | $534 | $38 |
| Injection, methylprednisolone acetate, 40 mg | 31 | $194 | None |
2019: 6 services
| Short return visit (20+ min) | 105 | $6,756 | $48 |
| Return visit (30+ min) | 62 | $5,750 | $83 |
| New patient visit (45+ min) | 36 | $4,831 | $134 |
| New patient visit (30+ min) | 41 | $2,908 | $71 |
| X-ray of foot, minimum of 3 views | 28 | $940 | $27 |
| X-ray of ankle, minimum of 3 views | 19 | $703 | $29 |
2018: 4 services
| Short return visit (20+ min) | 145 | $8,965 | $44 |
| New patient visit (30+ min) | 84 | $5,650 | $67 |
| Return visit (30+ min) | 23 | $1,463 | $64 |
| Imaging guidance for procedure, 60 minutes or less | 18 | $139 | $8 |
2017: 4 services
| Short return visit (20+ min) | 119 | $8,060 | $43 |
| New patient visit (30+ min) | 58 | $3,362 | $58 |
| Return visit (30+ min) | 46 | $3,062 | $64 |
| Imaging guidance for procedure, 60 minutes or less | 21 | $162 | $8 |
2016: 3 services
| New patient visit (30+ min) | 94 | $5,544 | $59 |
| Short return visit (20+ min) | 87 | $5,239 | $39 |
| Return visit (30+ min) | 64 | $4,202 | $66 |
2015: 5 services
| Reconstruction of ankle joint with prosthesis | 20 | $2,894 | $132 |
| Short return visit (20+ min) | 27 | $1,415 | $46 |
| New patient visit (30+ min) | 12 | $817 | $68 |
| Harvest of graft from small bone | 27 | $375 | $13 |
| X-ray of foot, minimum of 3 views | 12 | $358 | $26 |
Medicaid work
$13,242 in 2024
Medicaid paid $13,242 for 176 billed services this clinician did in 2024, up to 21 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) | 24 | $3,707 |
| Short return visit (20+ min) | 42 | $3,522 |
| Return visit (30+ min) | 28 | $3,177 |
| X-RAY EXAM OF ANKLE | 49 | $1,732 |
| X-RAY EXAM OF FOOT | 33 | $1,104 |
| 2024 | 176 | 5 | 21 | $13,242 |
| 2023 | 500 | 5 | 21 | $29,232 |
| 2022 | 372 | 4 | 26 | $17,533 |
| 2021 | 172 | 3 | 20 | $7,774 |
| 2019 | 12 | 1 | 12 | $276 |
| 2018 | 13 | 1 | 13 | $342 |
See the largest Medicaid services in earlier years
2023
| Return visit (30+ min) | 104 | $10,734 |
| Short return visit (20+ min) | 116 | $7,965 |
| New patient visit (45+ min) | 41 | $4,640 |
| X-RAY EXAM OF FOOT | 142 | $3,664 |
| X-RAY EXAM OF ANKLE | 97 | $2,229 |
2022
| Short return visit (20+ min) | 157 | $11,458 |
| X-RAY EXAM OF FOOT | 119 | $2,912 |
| X-RAY EXAM OF ANKLE | 83 | $2,076 |
| New patient visit (45+ min) | 13 | $1,087 |
2021
| Short return visit (20+ min) | 91 | $5,804 |
| X-RAY EXAM OF FOOT | 68 | $1,719 |
| X-RAY EXAM OF ANKLE | 13 | $251 |
2019
| Short return visit (20+ min) | 12 | $276 |
2018
| Short return visit (20+ min) | 13 | $342 |
Drugs they prescribed that Part D paid
$3,233
Pharmacies billed $3,233 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 36% of their Part D prescriptions (135 of 373) in 2024. Above the middle of the specialty; the typical orthopedic surgery clinician is at 31%.
371 generic and fewer than 11 brand-name prescriptions · $3,233 in drug cost · 20 antibiotic prescriptions to 15 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.
| Gabapentin | 171 | $655 | $4 |
| Oxycodone | 101 | $515 | $5 |
| Ibuprofen | 11 | $78 | $7 |
| Tramadol | 17 | $53 | $3 |
Year by year
| 2024 | 373 | 125 | 36% (135) | None | $3,233 |
| 2023 | 421 | 116 | 40% (168) | None | $2,753 |
| 2022 | 395 | 130 | 42% (164) | None | $2,658 |
| 2021 | 189 | 79 | 40% (76) | 0% | $1,349 |
| 2020 | 138 | 75 | 42% (58) | None | $1,278 |
| 2019 | 22 | 12 | None | None | $1,732 |
| 2018 | 23 | 13 | None | None | $502 |
| 2017 | 21 | 13 | None | 0% | $571 |
| 2016 | 13 | None | None | 0% | $120 |
| 2013 | 25 | 18 | 84% (21) | None | $613 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 7 drugs
| Gabapentin | 176 | $836 | $5 |
| Oxycodone | 120 | $812 | $7 |
| Hydrocodone-Acetaminophen | 17 | $174 | $10 |
| Cephalexin | 13 | $115 | $9 |
| Tramadol | 19 | $76 | $4 |
| Ondansetron | 12 | $70 | $6 |
| Ibuprofen | 14 | $43 | $3 |
2022: 4 drugs
| Oxycodone | 114 | $904 | $8 |
| Gabapentin | 159 | $733 | $5 |
| Hydrocodone-Acetaminophen | 29 | $251 | $9 |
| Tramadol | 16 | $59 | $4 |
2021: 4 drugs
| Oxycodone | 54 | $392 | $7 |
| Gabapentin | 67 | $318 | $5 |
| Cephalexin | 11 | $168 | $15 |
| Tramadol | 11 | $34 | $3 |
2020: 4 drugs
| Diclofenac | 13 | $316 | $24 |
| Oxycodone | 33 | $272 | $8 |
| Gabapentin | 36 | $174 | $5 |
| Hydrocodone-Acetaminophen | 12 | $93 | $8 |
2013: 1 drug
| Oxycodone | 12 | $143 | $12 |
Money from drug and device companies
$122,988 in 2025
| 2025 | 12 | 106 | $114,305 | $122,988 |
| 2024 | 16 | 200 | $192,577 | $215,829 |
| 2023 | 9 | 159 | $96,700 | $130,323 |
| 2022 | 11 | 117 | $106,488 | $123,472 |
| 2021 | 9 | 84 | $2,800 | $15,330 |
| 2020 | 8 | 49 | None | $7,379 |
| 2019 | 10 | 65 | $800 | $9,754 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Trilliant Surgical | Arsenal Ankle | $67,686 | 38 payments
|
| MedShape | Dynanail | $21,582 | 28 payments
|
| Acumed | Acumed | $15,588 | 22 payments
|
| Stryker | Ortholoc 2 Lapifuse | $7,282 | 4 payments
|
| Novastep | Nexis | $5,249 | 3 payments
|
| Encore Medical Lp | None | $5,013 | 4 payments
|
See all 106 published payments
| Treace Medical Concepts | Meals · 2025-12-02 | Percuplasty Tray | $111 |
| Trilliant Surgical | Consulting · 2025-11-26 | Arsenal Ankle | $11,550 |
| MedShape | Consulting · 2025-11-19 | Dynanail | $864 |
| Trilliant Surgical | Royalties · 2025-11-19 | None | $7,305 |
| Trilliant Surgical | Royalties · 2025-10-30 | None | $5,185 |
| MedShape | Consulting · 2025-10-22 | Dynanail | $600 |
| Elevate Surgical | Meals · 2025-10-21 | None | $61 |
| MedShape | Meals · 2025-10-20 | Dynanail | $58 |
| Acumed | Meals · 2025-10-14 | Innate Implant | $30 |
| Acumed | Meals · 2025-10-14 | Acumed | $13 |
| Acumed | Meals · 2025-10-14 | Innate Implant | $118 |
| Trilliant Surgical | Consulting · 2025-10-14 | Arsenal Ankle | $8,250 |
| Trilliant Surgical | Travel · 2025-10-14 | Arsenal Sinus Support Plate | $1,205 |
| MedShape | Meals · 2025-10-08 | Dynaclip Bone Fixation System, Quattro, 22mm X 20mm X 20mm | $116 |
| MedShape | Consulting · 2025-10-01 | Dynanail | $2,100 |
| MedShape | Consulting · 2025-10-01 | Morphix | $600 |
| MedShape | Consulting · 2025-10-01 | Dynanail | $11,700 |
| Smith+Nephew | Meals · 2025-09-30 | Evos | $31 |
| Trilliant Surgical | Meals · 2025-09-26 | None | $104 |
| Novastep | Consulting · 2025-09-24 | Nexis | $600 |
| Trilliant Surgical | Consulting · 2025-09-24 | 13mm Star E+ Sliding Core Star Total Ankle | $1,200 |
| Smith+Nephew | Meals · 2025-09-23 | Evos Mini | $29 |
| Arthrex | Meals · 2025-09-12 | None | $46 |
| Acumed | Consulting · 2025-09-11 | Acumed | $5,194 |
| Acumed | Consulting · 2025-09-11 | Acumed | $2,597 |
| Acumed | Travel · 2025-09-11 | Acumed | $49 |
| Acumed | Travel · 2025-09-11 | Acumed | $62 |
| Trilliant Surgical | Meals · 2025-09-11 | 13mm Star E+ Sliding Core Star Total Ankle | $150 |
| Novastep | Meals · 2025-09-06 | Nexis | $149 |
| Trilliant Surgical | Travel · 2025-08-27 | None | $59 |
| MedShape | Meals · 2025-08-26 | Dynanail | $48 |
| MedShape | Meals · 2025-08-26 | Dynanail | $49 |
| Trilliant Surgical | Travel · 2025-08-26 | None | $100 |
| Trilliant Surgical | Meals · 2025-08-26 | None | $60 |
| Trilliant Surgical | Meals · 2025-08-25 | Arsenal Sinus Support Plate | $130 |
| Acumed | Meals · 2025-08-22 | Osteomed | $8 |
| Acumed | Meals · 2025-08-22 | Acumed | $6 |
| Acumed | Meals · 2025-08-22 | Acumed | $168 |
| Acumed | Meals · 2025-08-22 | Acumed | $60 |
| Trilliant Surgical | Travel · 2025-08-22 | None | $220 |
| Acumed | Meals · 2025-08-21 | Acumed | $95 |
| Acumed | Meals · 2025-08-21 | Acumed | $10 |
| Acumed | Travel · 2025-08-21 | Acumed | $588 |
| Acumed | Meals · 2025-08-18 | Acumed | $23 |
| MedShape | Meals · 2025-08-15 | Dynanail | $56 |
| MedShape | Meals · 2025-08-15 | Dynanail | $48 |
| Trilliant Surgical | Meals · 2025-08-15 | 13mm Star E+ Sliding Core Star Total Ankle | $48 |
| Trilliant Surgical | Meals · 2025-08-15 | 13mm Star E+ Sliding Core Star Total Ankle | $22 |
| MedShape | Meals · 2025-08-14 | Dynanail | $42 |
| Trilliant Surgical | Consulting · 2025-08-08 | None | $4,500 |
| Trilliant Surgical | Travel · 2025-08-08 | None | $1,208 |
| Trilliant Surgical | Meals · 2025-08-08 | Tiger | $100 |
| Trilliant Surgical | Royalties · 2025-08-06 | None | $5,732 |
| Acumed | Travel · 2025-08-05 | Acumed | $415 |
| Trilliant Surgical | Consulting · 2025-07-31 | None | $5,175 |
| Trilliant Surgical | Travel · 2025-07-31 | None | $21 |
| MedShape | Meals · 2025-07-27 | None | $34 |
| MedShape | Consulting · 2025-07-24 | Dynanail | $3,900 |
| MedShape | Travel · 2025-07-24 | Dynanail | $31 |
| Trilliant Surgical | Meals · 2025-07-22 | 13mm Star E+ Sliding Core Star Total Ankle | $82 |
| Trilliant Surgical | Consulting · 2025-07-17 | None | $900 |
| Trilliant Surgical | Meals · 2025-07-11 | Arsenal Sinus Support Plate | $55 |
| Novastep | Consulting · 2025-06-18 | Nexis | $4,500 |
| Trilliant Surgical | Consulting · 2025-06-18 | None | $900 |
| Trilliant Surgical | Consulting · 2025-06-18 | Arsenal Sinus Support Plate | $600 |
| Flower Orthopedics Coporation | Meals · 2025-06-12 | None | $184 |
| DePuy Synthes Sales | Meals · 2025-06-11 | Dynatape | $125 |
| Acumed | Meals · 2025-05-28 | Acumed | $115 |
| MedShape | Meals · 2025-05-17 | None | $94 |
| MedShape | Meals · 2025-05-16 | None | $141 |
| Trilliant Surgical | Meals · 2025-05-12 | None | $47 |
| MedShape | Meals · 2025-05-09 | Dynanail | $90 |
| MedShape | Meals · 2025-05-08 | Dynanail | $28 |
| Trilliant Surgical | Royalties · 2025-05-07 | None | $6,289 |
| Trilliant Surgical | Travel · 2025-05-02 | 13mm Star E+ Sliding Core Star Total Ankle | $115 |
| Trilliant Surgical | Meals · 2025-05-02 | 13mm Star E+ Sliding Core Star Total Ankle | $17 |
| MedShape | Meals · 2025-05-01 | Dynanail | $49 |
| MedShape | Meals · 2025-05-01 | Dynanail | $49 |
| Trilliant Surgical | Meals · 2025-05-01 | 13mm Star E+ Sliding Core Star Total Ankle | $6 |
| Trilliant Surgical | Meals · 2025-05-01 | 13mm Star E+ Sliding Core Star Total Ankle | $98 |
| MedShape | Consulting · 2025-04-30 | Dynanail | $600 |
| MedShape | Meals · 2025-04-30 | Dynanail | $48 |
| MedShape | Meals · 2025-04-29 | Dynanail | $15 |
| Trilliant Surgical | Meals · 2025-04-22 | 13mm Star E+ Sliding Core Star Total Ankle | $92 |
| Trilliant Surgical | Meals · 2025-04-21 | 13mm Star E+ Sliding Core Star Total Ankle | $10 |
| Stryker | Meals · 2025-04-10 | Prophecy | $82 |
| Acumed | Paid to speak or teach · 2025-04-10 | Acumed | $2,250 |
| Acumed | Paid to speak or teach · 2025-04-10 | Acumed | $3,600 |
| Trilliant Surgical | Meals · 2025-03-20 | None | $90 |
| MedShape | Meals · 2025-03-18 | Dynanail | $8 |
| Stryker | Travel · 2025-03-14 | Ortholoc 2 Lapifuse | $58 |
| Stryker | Consulting · 2025-03-14 | Ortholoc 2 Lapifuse | $7,000 |
| Stryker | Travel · 2025-03-14 | Ortholoc 2 Lapifuse | $142 |
| Trilliant Surgical | Meals · 2025-03-05 | Arsenal Sinus Support Plate | $111 |
| Trilliant Surgical | Meals · 2025-02-13 | Minimally Invasive Bunion Plate, Left | $135 |
| MedShape | Travel · 2025-02-09 | Dynanail | $154 |
| MedShape | Meals · 2025-02-07 | Dynanail | $41 |
| MedShape | Meals · 2025-01-28 | Dynaclip Bone Fixation System, Quattro, 22mm X 20mm X 20mm | $19 |
| Acumed | Meals · 2025-01-22 | Acumed | $11 |
| Acumed | Meals · 2025-01-22 | Innate Implant | $30 |
| Acumed | Meals · 2025-01-22 | Acumed | $147 |
| Trilliant Surgical | Royalties · 2025-01-22 | None | $5,815 |
| Encore Medical Lp | Consulting · 2025-01-09 | None | $4,800 |
| Encore Medical Lp | Travel · 2025-01-09 | None | $68 |
| Encore Medical Lp | Travel · 2025-01-09 | None | $80 |
| Encore Medical Lp | Travel · 2025-01-09 | None | $65 |
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)
2024: $215,829
| MedShape | Dynanail | $89,488 | 78 payments
|
| Trilliant Surgical | Arsenal Sinus Support Plate | $66,301 | 73 payments
|
| Stryker | Hoffmann | $40,114 | 13 payments
|
| Fusion Orthopedics USA | None | $8,662 | 7 payments
|
| Arthrex | None | $5,000 | 2 payments
|
| Novastep | Nexis | $4,547 | 4 payments
|
| Acumed | Acumed | $685 | 6 payments
|
| Integra LifeSciences | Acell | $250 | 2 payments
|
| Elevate Surgical | None | $227 | 6 payments
|
| Smith+Nephew | Panta 2 | $175 | 2 payments
|
| Exactech | Vantage | $99 | 1 payment
|
| Treace Medical Concepts | Lapiplasty System | $96 | 2 payments
|
| Paragon 28 | Nc Fusion | $81 | 1 payment
|
| Bioventus | Exogen Ultrasound Bone Healing System | $61 | 1 payment
|
| Illuminoss Medical | Photodynamic Bone Stabilization Procedure Pack | $22 | 1 payment
|
| Bone Support | Ceramentbone Void Filler | $19 | 1 payment
|
2023: $130,323
| MedShape | Dynanail Helix, Washer, 15 Mm | $59,426 | 59 payments
|
| Stryker | Gravity | $43,767 | 37 payments
|
| Trilliant Surgical | Arsenal Ankle 10 Hole 1/3 Tubular Plate | $25,557 | 40 payments
|
| DePuy Synthes Sales | Healix Knotless Peek | $623 | 12 payments
|
| Exactech | Vantage | $404 | 4 payments
|
| Elevate Surgical | None | $193 | 3 payments
|
| Smith+Nephew | Evos Mini | $189 | 2 payments
|
| Treace Medical Concepts | Lapiplasty System | $97 | 1 payment
|
| Djo | Aircast | $67 | 1 payment
|
2022: $123,472
| MedShape | Dynanail Helix, Washer, 15 Mm | $55,065 | 28 payments
|
| Stryker | Salvation | $26,375 | 21 payments
|
| Trilliant Surgical | Arsenal Sinus Support Plate | $19,626 | 22 payments
|
| Encore Medical Lp | Djo Surgical | $15,856 | 33 payments
|
| Djo | None | $6,080 | 6 payments
|
| Exactech | Vantage | $159 | 1 payment
|
| Bioventus | Exogen Ultrasound Bone Healing System | $145 | 2 payments
|
| Sanara MedTech | Celleraterx | $67 | 1 payment
|
| Treace Medical Concepts | Lapiplasty System | $45 | 1 payment
|
| Elevate Surgical | None | $42 | 1 payment
|
| DePuy Synthes Sales | Orthovisc | $12 | 1 payment
|
2021: $15,330
| Stryker | Prophecy | $8,631 | 43 payments
|
| Smith+Nephew | Cadence | $1,766 | 10 payments
|
| Djo | Aircast Bracing & Supports | $1,714 | 9 payments
|
| Trilliant Surgical | Trilliant Arsenal Plating System | $1,172 | 1 payment
|
| MedShape | None | $1,087 | 8 payments
|
| Encore Medical Lp | Djo Surgical Star Ankle | $789 | 10 payments
|
| Bioventus | Exogen Ultrasound Bone Healing System | $97 | 1 payment
|
| Orthofix Medical | Ankle Hindfoot Nailing System | $53 | 1 payment
|
| Sanofi-Aventis U.S. | Synvisc-One | $22 | 1 payment
|
2020: $7,379
| Stryker | Variax | $6,508 | 37 payments
|
| Encore Medical Lp | Djo Surgical Turon Modular Shoulder System | $253 | 2 payments
|
| Wright Medical Technology | Augment | $235 | 3 payments
|
| DePuy Synthes Sales | Bme Nitinol Continuous Compression Implants | $125 | 1 payment
|
| Djo | Cmf Ol1000 | $118 | 3 payments
|
| Terumo BCT | Bone Marrow Aspirate Concentrate System | $70 | 1 payment
|
| Bioventus | Exogen | $49 | 1 payment
|
| Integra LifeSciences | Salto Talaris Total Ankle Prosthesis | $21 | 1 payment
|
2019: $9,754
| Stryker | Star | $4,621 | 29 payments
|
| Wright Medical Technology | Infinity | $2,740 | 23 payments
|
| Kci USA | Prevena | $800 | 1 payment
|
| Exactech | Vantage | $541 | 3 payments
|
| Evolution Surgical | None | $502 | 2 payments
|
| DePuy Synthes Sales | Elite | $221 | 2 payments
|
| Paragon 28 | None | $127 | 1 payment
|
| Zimmer Biomet Holdings | Biomet Orthopak | $108 | 2 payments
|
| Crossroads Extremity Systems | None | $52 | 1 payment
|
| Orthofix Medical | Truelok Ring Fixation System | $41 | 1 payment
|
Research money
Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.
| Zimmer Biomet Holdings, Inc. · Kc.Cr.I.Am.16.2, Scp Outcomes in the Footankle · 2019 | Their institution | $8,229 |
| Zimmer Biomet Holdings, Inc. · Wirb · 2019 | Their institution | $71 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 80.2 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1629203971
- Licence
- CA A114257California A114257: Current · expires 2026-10-31
- Trained
- University of Michigan Medical School, 2004
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Orthopedic surgery (207X00000X)
- Mailing address
- 300 Pasteur Dr, Stanford, CA, 94305
- NPI first listed
- 2009-05-15
- NPI last updated
- 2015-09-28
This is when the NPI record was last certified, not a medical board exam.