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California Medical Board record
Licence A52872 · Current
Licensed to practise in California · since 1994 · expires 2027-12-31 · University of Kerala, Kottayam Medical College.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$47,708
Medicare paid this office $47,708 for 329 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Return visit (30+ min)
149
$17,068
$109
Long return visit (40+ min)
69
$11,989
$167
New patient visit (30+ min)
71
$6,258
$88
New patient visit (45+ min)
21
$2,673
$127
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
18
$2,516
$140
See all 12 services
Every Original Medicare service billed
Return visit (30+ min)
149
$17,068
$109
Long return visit (40+ min)
69
$11,989
$167
New patient visit (30+ min)
71
$6,258
$88
New patient visit (45+ min)
21
$2,673
$127
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
18
$2,516
$140
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
16
$1,482
$67
Short return visit (20+ min)
20
$1,424
$71
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
16
$804
$50
Infusion into a vein for hydration, 31-60 minutes
11
$379
$34
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
13
$211
$16
Automated urinalysis test
32
$75
$2
Injection, ceftriaxone sodium, per 250 mg
17
$36
—None
Procedures Medicare counted
Procedure volume Medicare published
Removal of nail tissue
1-10
—None
Who their Medicare patients are
329 Original Medicare patients in 2024. Average age 78 · Women 63% · Also on Medicaid 7% · Health risk score 0.98. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.
The office billed $172,369, Medicare allowed $65,287 and paid $47,708; for 954 services of 40 kinds; $277 of it was for drugs given in the office and $47,431 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
2024
329
954
78
0.98
$172,369
$47,708
2023
354
2,107
78
0.97
$193,492
$55,930
2022
262
1,108
78
0.95
$143,358
$43,468
2021
360
3,374
78
1.05
$215,474
$74,318
2020
269
734
76
0.99
$127,248
$33,960
2019
449
2,063
77
1.08
$244,656
$70,199
2018
457
1,436
77
1.07
$238,224
$68,683
2017
453
2,066
77
1.00
$203,971
$55,100
2016
431
1,905
76
1.04
$168,088
$45,195
2015
389
1,421
76
1.06
$168,700
$53,857
2014
313
2,288
76
1.12
$108,526
$29,354
2013
351
4,110
76
1.09
$156,640
$45,079
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)
163
$19,649
$115
Long return visit (40+ min)
51
$8,851
$170
New patient visit (30+ min)
75
$7,174
$96
New patient visit (45+ min)
22
$3,320
$151
Short return visit (20+ min)
41
$3,084
$75
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
23
$1,207
$50
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
13
$694
$30
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
18
$292
$16
Automated urinalysis test
39
$86
$2
Injection, ceftriaxone sodium, per 250 mg
12
$23
—None
2022: 11 services
Original Medicare services billed in 2022
Return visit (30+ min)
105
$13,150
$122
Long return visit (40+ min)
66
$12,261
$180
Short return visit (20+ min)
46
$3,473
$75
New patient visit (30+ min)
27
$2,611
$97
New patient visit (45+ min)
15
$2,101
$140
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
11
$1,255
$74
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
23
$1,161
$50
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
24
$1,101
$31
Injection of drug or substance under skin or into muscle
15
$318
$14
Automated urinalysis test
46
$102
$2
Injection, ceftriaxone sodium, per 250 mg
12
$35
—None
2021: 13 services
Original Medicare services billed in 2021
Return visit (30+ min)
160
$19,747
$118
Long return visit (40+ min)
86
$15,231
$173
Short return visit (20+ min)
56
$4,562
$81
New patient visit (30+ min)
37
$3,808
$103
New patient visit (45+ min)
17
$2,521
$148
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
16
$1,353
$80
Injection of drug or substance into vein
21
$1,211
$45
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
22
$1,129
$51
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
19
$904
$31
Injection of drug or substance under skin or into muscle
22
$330
$14
Automated urinalysis test
50
$113
$2
Injection, ceftriaxone sodium, per 250 mg
30
$75
—None
Infusion, normal saline solution , 1000 cc
11
$24
—None
2020: 10 services
Original Medicare services billed in 2020
Return visit (30+ min)
161
$16,318
$93
Long return visit (40+ min)
45
$6,103
$136
Short return visit (20+ min)
42
$2,110
$50
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
13
$1,534
$77
Extended office or other outpatient service, first hour
12
$1,500
$125
Injection of drug or substance into vein
23
$984
$43
Injection, ceftriaxone sodium, per 250 mg
28
$91
—None
Automated urinalysis test
36
$83
$2
Blood glucose (sugar) test performed by hand-held instrument
11
$39
$3
Infusion, normal saline solution , 1000 cc
11
$22
—None
2019: 12 services
Original Medicare services billed in 2019
Return visit (30+ min)
245
$24,745
$91
Long return visit (40+ min)
56
$7,036
$123
Short return visit (20+ min)
110
$7,028
$62
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
24
$2,963
$76
New patient visit (30+ min)
27
$2,221
$82
New patient visit (45+ min)
14
$2,031
$145
Infusion into a vein for hydration, 31-60 minutes
20
$797
$40
Injection of drug or substance under skin or into muscle
18
$351
$17
Automated urinalysis test
56
$149
$2
Injection, ceftriaxone sodium, per 250 mg
31
$106
—None
Blood glucose (sugar) test performed by hand-held instrument
17
$55
$3
Infusion, normal saline solution , 1000 cc
20
$38
—None
2018: 14 services
Original Medicare services billed in 2018
Return visit (30+ min)
238
$22,798
$91
Long return visit (40+ min)
86
$10,866
$125
Short return visit (20+ min)
112
$7,595
$62
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
26
$2,467
$75
Extended office or other outpatient service, first hour
17
$2,020
$119
New patient visit (30+ min)
22
$1,642
$75
Infusion into a vein for hydration, 31-60 minutes
23
$1,118
$49
Injection of drug or substance into vein
12
$578
$48
Injection of drug or substance under skin or into muscle
18
$577
$21
Automated urinalysis test
53
$152
$3
Injection, ceftriaxone sodium, per 250 mg
28
$79
—None
Blood glucose (sugar) test performed by hand-held instrument
16
$55
$3
Infusion, normal saline solution , 1000 cc
25
$50
—None
Infusion, normal saline solution, sterile (500 ml = 1 unit)
12
$11
—None
2017: 16 services
Original Medicare services billed in 2017
Return visit (30+ min)
214
$18,536
$84
Short return visit (20+ min)
140
$9,684
$62
Long return visit (40+ min)
73
$8,545
$117
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
35
$2,889
$69
New patient visit (30+ min)
25
$1,688
$68
Infusion into a vein for hydration, 31-60 minutes
29
$1,617
$56
Extended office or other outpatient service, first hour
13
$1,395
$107
Injection of drug or substance into vein
22
$1,251
$57
Injection of drug or substance under skin or into muscle
20
$568
$26
Infusion into a vein for hydration, each additional hour
20
$385
$15
Inhalation treatment for airway obstruction or sputum production
15
$278
$19
Automated urinalysis test
60
$181
$3
Injection, ceftriaxone sodium, per 250 mg
35
$94
—None
Infusion, normal saline solution , 1000 cc
37
$63
—None
Blood glucose (sugar) test performed by hand-held instrument
11
$35
$3
Infusion, normal saline solution, sterile (500 ml = 1 unit)
12
$9
—None
2016: 16 services
Original Medicare services billed in 2016
Return visit (30+ min)
200
$18,104
$87
Short return visit (20+ min)
131
$7,777
$57
Long return visit (40+ min)
46
$5,784
$126
New patient visit (30+ min)
27
$2,148
$80
Extended office or other outpatient service, first hour
20
$1,807
$90
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
20
$1,708
$71
New patient visit (15+ min)
25
$1,319
$53
Infusion into a vein for hydration, 31-60 minutes
21
$1,236
$59
Injection of drug or substance into vein
18
$1,047
$58
Infusion into a vein for hydration, each additional hour
14
$307
$15
Automated urinalysis test
53
$165
$3
Injection, ceftriaxone sodium, per 250 mg
20
$58
—None
Blood glucose (sugar) test performed by hand-held instrument
18
$56
$3
Urinalysis, manual test
14
$48
$3
Infusion, normal saline solution , 1000 cc
21
$43
—None
Infusion, normal saline solution, sterile (500 ml = 1 unit)
15
$12
—None
2015: 12 services
Original Medicare services billed in 2015
Return visit (30+ min)
144
$14,133
$97
Short return visit (20+ min)
149
$9,632
$63
Long return visit (40+ min)
29
$4,022
$139
New patient visit (30+ min)
28
$2,455
$88
New patient visit (15+ min)
27
$1,379
$51
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
19
$1,362
$72
Infusion into a vein for hydration, 31-60 minutes
17
$1,057
$62
Inhalation treatment for airway obstruction or sputum production
12
$249
$19
Urinalysis, manual test
40
$136
$3
Injection, ceftriaxone sodium, per 250 mg
16
$46
—None
Automated urinalysis test
12
$36
$3
Infusion, normal saline solution , 1000 cc
18
$21
—None
2014: 13 services
Original Medicare services billed in 2014
Short return visit (20+ min)
138
$8,463
$57
Return visit (30+ min)
92
$8,394
$90
Long return visit (40+ min)
15
$2,000
$133
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
23
$1,775
$68
New patient visit (15+ min)
34
$1,533
$45
New patient visit (30+ min)
17
$1,409
$83
Injection of drug or substance into vein
21
$1,200
$57
Infusion into a vein for hydration, 31-60 minutes
11
$638
$58
Short return visit
15
$524
$35
Infusion into a vein for hydration, each additional hour
17
$388
$15
Urinalysis, manual test
46
$164
$3
Injection, ceftriaxone sodium, per 250 mg
18
$55
—None
Injection, ondansetron hydrochloride, per 1 mg
11
$3
—None
2013: 12 services
Original Medicare services billed in 2013
Short return visit (20+ min)
191
$13,529
$64
Return visit (30+ min)
71
$6,982
$97
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
40
$3,685
$74
New patient visit (15+ min)
45
$2,570
$57
New patient visit (30+ min)
27
$2,381
$88
Injection of drug or substance into vein
22
$1,404
$56
Infusion into a vein for hydration, 31-60 minutes
17
$999
$59
Injection of drug or substance under skin or into muscle
18
$621
$26
Short return visit
12
$447
$37
Injection, ceftriaxone sodium, per 250 mg
50
$225
—None
Urinalysis, manual test
50
$173
$3
Infusion into a vein for hydration, each additional hour
11
$168
$15
Drugs they prescribed that Part D paid
$2,495
Pharmacies billed $2,495 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
132 generic and fewer than 11 brand-name prescriptions · $2,495 in drug cost · 78 antibiotic prescriptions to 72 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
Cephalexin
31
$145
$4
Doxycycline Monohydrate
12
$72
$6
Paxlovid
12
$0
$0
Year by year
Part D prescribing by year
2024
159
135
—None
—None
$2,495
2023
155
135
—None
10%
$4,717
2022
91
76
0% (0)
—None
$2,106
2021
115
100
—None
—None
$4,324
2020
111
94
—None
12%
$3,973
2019
166
120
—None
—None
$6,646
2018
175
136
9% (15)
16%
$7,805
2017
221
177
14% (30)
19%
$8,860
2016
179
150
14% (25)
16%
$6,033
2015
172
137
11% (18)
17%
$4,075
2014
242
115
11% (27)
22%
$5,281
2013
177
113
10% (18)
—None
$4,096
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 4 drugs
Part D drugs prescribed in 2023
Cephalexin
26
$207
$8
Paxlovid (Eua)
21
$203
$10
Doxycycline Monohydrate
11
$189
$17
Amoxicillin-Clavulanate Potass
18
$186
$10
2022: 1 drug
Part D drugs prescribed in 2022
Cephalexin
22
$194
$9
2021: 2 drugs
Part D drugs prescribed in 2021
Cephalexin
23
$109
$5
Sulfamethoxazole-Trimethoprim
13
$32
$2
2020: 1 drug
Part D drugs prescribed in 2020
Cephalexin
15
$105
$7
2019: 3 drugs
Part D drugs prescribed in 2019
Diclofenac
13
$706
$54
Doxycycline Hyclate
12
$226
$19
Cephalexin
20
$108
$5
2018: 2 drugs
Part D drugs prescribed in 2018
Cephalexin
22
$161
$7
Ciprofloxacin
15
$128
$9
2017: 6 drugs
Part D drugs prescribed in 2017
Doxycycline Hyclate
17
$339
$20
Amoxicillin-Clavulanate Potass
19
$171
$9
Cephalexin
23
$170
$7
Ciprofloxacin
14
$157
$11
Azithromycin
11
$76
$7
Acetaminophen-Codeine
13
$56
$4
2016: 5 drugs
Part D drugs prescribed in 2016
Amoxicillin-Clavulanate Potass
15
$187
$12
Ciprofloxacin
18
$179
$10
Cephalexin
23
$156
$7
Azithromycin
18
$137
$8
Acetaminophen-Codeine
17
$102
$6
2015: 5 drugs
Part D drugs prescribed in 2015
Proair Hfa
14
$713
$51
Cephalexin
22
$150
$7
Azithromycin
18
$141
$8
Ciprofloxacin
13
$112
$9
Acetaminophen-Codeine
12
$69
$6
2014: 3 drugs
Part D drugs prescribed in 2014
Atorvastatin
21
$307
$15
Ciprofloxacin
16
$105
$7
Cephalexin
12
$86
$7
2013: 3 drugs
Part D drugs prescribed in 2013
Cephalexin
19
$199
$10
Hydrocodone-Acetaminophen
16
$97
$6
Ciprofloxacin
12
$92
$8
Professional record
NPI
1649339086
Licence
CA A52872California A52872: Current · expires 2027-12-31