Michael Alexander Spinner, MD

5 locations · UCSF Medical Group Business Services · University of California San Francisco · Regents of the University of California

Hospitals listed: UCSF Medical Center. That is not proof they admit you there this week.

12 plans · 2 carriers

Licence A140983 · Current

Licensed to practise in California · since 2016 · expires 2027-12-31 · Vanderbilt University School of Medicine.

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

1 hospital

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

• UCSF Medical CenterSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of UCSF Helen Diller Family Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 81% would definitely recommend it
  Overall rating: 4 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 4.9 (3.79 to 6.02) · 7,590 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 12.8 (11.3 to 14.4) · 2,019 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 139.4 (110.22 to 168.58) · 452 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.622, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.626, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.491, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.7 to 1) · 2,336 cases, Jan 2024 – Dec 2024

$61,998

Medicare paid this office $61,998 for 172 people. Most of that is long return visits and Botox.

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

Who their Medicare patients are

172 Original Medicare patients in 2024. Average age 73 · Under 65 8% · 85 and older 8% · Women 48% · Also on Medicaid 21% · Health risk score 2.26. Above the middle of the specialty; the typical hematology-oncology clinician is at 2.04.

Conditions among them: High blood pressure 55% · Chronic kidney disease 22% · Atrial fibrillation 21% · Coronary heart disease 20% · Cancer 19% · Depression 18% · Diabetes 14% · COPD 13% · Heart failure 10%.

The office billed $509,290, Medicare allowed $82,117 and paid $61,998; for 980 services of 23 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 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.

$6,815 in 2024

Medicaid paid $6,815 for 51 billed services this clinician did in 2024, up to 16 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.

$2,601,158

Pharmacies billed $2,601,158 in 2024.

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

300 generic and fewer than 11 brand-name prescriptions · $2,601,158 in drug cost · 38 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.

Year by year

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

$6,208 in 2025

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

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.

Medicare did not publish checkup rates for this clinician.

NPI

1639589567

Licence

CA A140983California A140983: Current · expires 2027-12-31

Trained

Vanderbilt University School of Medicine, 2014

Group

UCSF Medical Group Business Services · University of California San Francisco · Regents of the University of California

Video visits

Lists video visits

Gender

Male