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California Medical Board record
Licence A96933 · Delinquent
Licence status: Delinquent · since 2006 · expires 2026-01-31 · Saint Petersburg State I.P. Pavlov Medical University.
License renewal fee has not been paid. No practice is permitted.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$66,285
Medicare paid this office $66,285 for 250 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
169
$29,320
$70
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
91
$16,184
$106
Hospital discharge day management, more than 30 minutes
130
$13,759
$103
Initial hospital care with moderate level of medical decision making at least 75 minutes
40
$6,178
$154
Who their Medicare patients are
250 Original Medicare patients in 2024. Average age 78 · Under 65 10% · 85 and older 30% · Women 51% · Also on Medicaid 72% · Health risk score 2.59. Above the middle of the specialty; the typical hospitalist clinician is at 2.49.
The office billed $266,048, Medicare allowed $83,349 and paid $66,285; for 754 services of 7 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
Original Medicare by year
2024
250
754
78
2.59
$266,048
$66,285
2023
283
808
77
2.38
$268,196
$70,513
2022
250
735
77
2.55
$266,258
$70,456
2021
275
815
75
2.43
$307,844
$79,341
2020
271
869
75
2.89
$303,817
$85,002
2019
343
914
74
2.57
$399,130
$82,068
2018
320
902
74
3.02
$313,908
$80,181
2017
365
1,098
73
2.68
$333,252
$96,597
2016
196
548
73
2.38
$139,657
$47,837
2015
329
801
72
2.89
$199,238
$68,355
2014
458
1,140
73
2.30
$349,978
$99,804
2013
489
1,206
73
2.27
$383,675
$106,718
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: 5 services
Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
200
$33,497
$71
Hospital discharge day management, more than 30 minutes
140
$14,633
$105
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
67
$13,613
$107
Initial hospital care with moderate level of medical decision making at least 75 minutes
41
$6,385
$156
Hospital discharge day management, 30 minutes or less
20
$1,502
$75
2022: 5 services
Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
186
$46,802
$96
Hospital discharge day management, more than 30 minutes
96
$9,774
$100
Initial hospital care with moderate level of medical decision making at least 75 minutes
29
$5,658
$189
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
36
$4,377
$67
Hospital discharge day management, 30 minutes or less
35
$2,328
$67
2021: 6 services
Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
189
$49,190
$96
Hospital discharge day management, more than 30 minutes
125
$12,797
$101
Initial hospital care with moderate level of medical decision making at least 75 minutes
38
$6,958
$183
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
39
$5,879
$68
Hospital discharge day management, 30 minutes or less
20
$1,392
$70
Hospital observation care on day of discharge
11
$756
$69
2020: 5 services
Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
196
$54,557
$100
Hospital discharge day management, more than 30 minutes
123
$12,831
$103
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
62
$10,102
$71
Initial hospital care with moderate level of medical decision making at least 75 minutes
25
$4,697
$188
Hospital discharge day management, 30 minutes or less
11
$765
$70
2019: 6 services
Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
180
$26,501
$65
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
118
$21,341
$93
Initial hospital care with moderate level of medical decision making at least 75 minutes
78
$14,140
$181
Hospital discharge day management, more than 30 minutes
142
$14,043
$98
Initial hospital observation care per day, typically 70 minutes
20
$3,327
$166
Hospital discharge day management, 30 minutes or less
12
$867
$67
2018: 6 services
Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
196
$30,917
$65
Initial hospital care with moderate level of medical decision making at least 75 minutes
98
$18,084
$179
Hospital discharge day management, more than 30 minutes
149
$15,109
$99
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
72
$11,328
$94
Initial hospital observation care per day, typically 70 minutes
14
$2,343
$167
Hospital observation care on day of discharge
15
$1,003
$67
2017: 6 services
Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
231
$38,738
$65
Initial hospital care with moderate level of medical decision making at least 75 minutes
123
$22,916
$179
Hospital discharge day management, more than 30 minutes
152
$15,416
$98
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
84
$13,742
$93
Initial hospital observation care per day, typically 70 minutes
13
$2,166
$167
Hospital observation care on day of discharge
15
$995
$66
2016: 5 services
Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
124
$18,529
$64
Initial hospital care with moderate level of medical decision making at least 75 minutes
57
$10,455
$180
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
43
$7,873
$92
Hospital discharge day management, more than 30 minutes
77
$7,491
$96
Hospital observation care on day of discharge
14
$922
$66
2015: 7 services
Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
190
$29,324
$63
Initial hospital care with moderate level of medical decision making at least 75 minutes
96
$17,027
$172
Hospital discharge day management, more than 30 minutes
117
$11,418
$95
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
28
$3,256
$90
Initial hospital observation care per day, typically 70 minutes
17
$2,642
$155
Hospital observation care on day of discharge
26
$1,441
$55
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes
11
$1,295
$118
2014: 9 services
Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
249
$36,047
$63
Initial hospital care with moderate level of medical decision making at least 75 minutes
131
$23,101
$170
Hospital discharge day management, more than 30 minutes
150
$14,384
$93
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
73
$12,690
$91
Initial hospital observation care per day, typically 70 minutes
31
$4,921
$159
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes
30
$3,658
$118
Initial hospital observation care per day, typically 50 minutes
15
$1,585
$106
Hospital observation care on day of discharge
21
$1,300
$62
Follow-up observation care per day, typically 25 minutes
17
$1,164
$58
2013: 8 services
Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes
152
$28,523
$88
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
217
$25,375
$62
Initial hospital care with moderate level of medical decision making at least 75 minutes
129
$22,156
$165
Hospital discharge day management, more than 30 minutes
183
$17,268
$92
Initial hospital observation care per day, typically 70 minutes
41
$5,992
$143
Hospital observation care on day of discharge
43
$2,587
$60
Follow-up observation care per day, typically 25 minutes
20
$1,249
$59
Initial hospital observation care per day, typically 50 minutes
11
$1,092
$99
Medicaid work
$11,193 in 2024
Medicaid paid $11,193 for 686 billed services this clinician did in 2024, up to 31 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
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES
533
$7,952
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter
135
$3,071
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES
18
$169
Medicaid work by year
2024
686
3
31
$11,193
2023
1,029
3
50
$14,329
2022
846
2
35
$15,685
2021
869
3
32
$19,860
2020
785
3
44
$15,682
2019
678
4
33
$15,149
2018
720
3
28
$19,907
See the largest Medicaid services in earlier years
2023
Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES
757
$9,617
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter
187
$3,064
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES
85
$1,649
2022
Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES
729
$13,066
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter
117
$2,619
2021
Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES
709
$14,947
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter
132
$3,718
1ST HOSP IP/OBS HIGH 75
28
$1,196
2020
Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES
633
$12,462
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter
129
$2,799
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES
23
$420
2019
Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES
407
$8,943
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter
134
$3,540
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES
124
$2,290
1ST HOSP IP/OBS HIGH 75
13
$376
2018
Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES
504
$11,648
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter
133
$4,237
1ST HOSP IP/OBS HIGH 75
83
$4,022
Drugs they prescribed that Part D paid
$19,415
Pharmacies billed $19,415 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
311 generic and fewer than 11 brand-name prescriptions · $19,415 in drug cost · 71 antibiotic prescriptions to 60 people.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
Largest Part D drug costs
Eliquis
16
$8,720
$545
Albuterol Sulfate Hfa
11
$190
$17
Cefdinir
18
$150
$8
Clopidogrel
15
$113
$8
Pantoprazole
12
$94
$8
See all 12 drugs
Every Part D drug this clinician prescribed
Eliquis
16
$8,720
$545
Albuterol Sulfate Hfa
11
$190
$17
Cefdinir
18
$150
$8
Clopidogrel
15
$113
$8
Pantoprazole
12
$94
$8
Losartan
15
$70
$5
Amlodipine Besylate
14
$52
$4
Atorvastatin
17
$48
$3
Prednisone
19
$40
$2
Furosemide
12
$31
$3
Cephalexin
12
$30
$3
Metoprolol
14
$28
$2
Year by year
Part D prescribing by year
2024
353
145
—None
—None
$19,415
2023
327
143
—None
—None
$17,578
2022
256
123
—None
—None
$12,987
2021
231
113
—None
10%
$17,093
2020
280
118
—None
—None
$17,848
2019
253
122
—None
—None
$13,921
2018
232
102
5% (12)
15%
$8,851
2017
238
103
—None
21%
$16,007
2016
178
53
—None
17%
$11,194
2015
245
89
7% (17)
—None
$13,702
2014
249
95
5% (12)
—None
$10,649
2013
237
93
6% (14)
19%
$7,455
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.