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Richard A Biama, MD

Orthopedic Surgery · Placentia

NPI 1649366345

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3
Since medical school
46 years
University of Texas Southwestern Medical School at Dallas, 1980

Offices

3 locations · Newport Care Medical Group Inc · 20 clinicians in this group

Looking this up.

Hospitals listed: St Bernardine Medical Center. 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. Biama’s office at (949) 491-9991 to ask if they take your plan before you enroll.

California Medical Board record

Licence C39905 · Current

Licensed to practise in California · since 1981 · expires 2027-03-31 · University of Texas Southwestern Medical School at Dallas.

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

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Orthopaedic Surgery - Orthopaedic Surgery

Hospitals they work in

1 hospital

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

  • St Bernardine Medical CenterSan Bernardino, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.206, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0, Oct 2024 – Sep 2025
See every measure and the patient survey for St Bernardine Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 3 better, 4 the same, 0 worse of 7 measures. Readmissions: 0 better, 7 the same, 1 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at St Bernardine Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.206BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.91 (0 to 1.93) · 600 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.03 (0.67 to 1.39)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths176.87 (123.76 to 229.99) · 58 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.7 · 47 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.4 · 64 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.4 · 118 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.8 · 115 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.8 · 184 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.1 · 244 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.4 · 2,365 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.4) · 3,217 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.32 (0.11 to 0.52) · 3,508 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.69 (2.37 to 7.01) · 729 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.55 (0 to 3.22) · 261 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.49 (0.91 to 4.07) · 705 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths12.03 (4.38 to 19.69) · 292 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.35 (0.39 to 8.31) · 270 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.68 (0.18 to 3.18) · 147 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.46 (0 to 1.24) · 2,739 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5 · 49 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections1.553No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.7 · 498 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21 · 532 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits49.3 · 123 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits59.1 · 147 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits71.7 · 206 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 505 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 50 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 176 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.9 · 222 casesNoneJul 2023 – Jun 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 85 casesNo differentJan 2024 – Dec 2024

What patients said (539 patients answered, 11% of those asked)

Patient survey stars by topic at St Bernardine Medical Center
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at St Bernardine Medical Center
Room was "always" clean67%
Nurses "always" communicated well76%
Doctors "always" communicated well73%
Staff "always" explained60%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully72%
Doctors "always" treated them with courtesy and respect79%
Patients who gave a rating of "9" or "10" (high)69%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night49%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$22,876

Medicare paid this office $22,876 for 53 people.

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

Largest Original Medicare bills
Short return visit (20+ min)17$1,281$61
New patient visit (30+ min)11$804$73
X-ray of knee, 1-2 views12$474$25

Procedures Medicare counted

Procedure volume Medicare published
Hip replacement1-10None
Knee replacement1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Replacement of thigh bone and hip joint with prosthesis–14––––

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

53 Original Medicare patients in 2024. Average age 74 · Women 64% · Also on Medicaid 53% · Health risk score 1.51. Above the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 57% · Chronic kidney disease 36% · Depression 30% · Coronary heart disease 26% · COPD 25% · Atrial fibrillation 21%.

The office billed $112,506, Medicare allowed $30,398 and paid $22,876; for 143 services of 39 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
202453143741.51$112,506$22,876
202348178742.02$193,126$31,283
202271166751.39$101,166$42,306
2021121282741.25$88,827$42,177
2020184356711.60$256,169$85,144
2019182690721.40$249,755$81,572
2018213874721.30$358,446$98,457
2017237976721.45$370,677$110,302
20162711,062711.42$390,249$117,570
2015198720731.43$298,763$84,524
20142781,015731.36$387,600$114,377
20133231,457731.55$604,657$178,215

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: 2 services

Original Medicare services billed in 2023
Short return visit (20+ min)20$2,307$74
X-ray of pelvis, 1-2 views15$436$22

2022: 3 services

Original Medicare services billed in 2022
Short return visit (20+ min)34$3,309$70
Return visit (30+ min)20$2,866$106
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes14$980$70

2021: 4 services

Original Medicare services billed in 2021
Short return visit (20+ min)80$7,477$69
Return visit (30+ min)22$2,301$100
New patient visit (30+ min)19$1,597$84
X-ray of hip, 2-3 views17$733$41

2020: 4 services

Original Medicare services billed in 2020
Replacement of thigh bone and hip joint with prosthesis13$16,446$1,175
Short return visit (20+ min)103$8,052$59
New patient visit (30+ min)59$5,264$89
Short return visit14$509$36

2019: 11 services

Original Medicare services billed in 2019
Short return visit (20+ min)104$8,119$58
Return visit (30+ min)43$4,109$82
New patient visit (45+ min)15$2,025$135
X-ray of knee, 1-2 views49$1,861$24
X-ray of both knees while standing53$1,843$28
New patient visit (30+ min)18$1,451$81
X-ray of shoulder, minimum of 2 views36$1,221$23
Short return visit23$1,119$35
X-ray of hip, 2-3 views27$1,055$34
X-ray of pelvis, 1-2 views26$698$27
X-ray of lower and sacral spine, 2-3 views18$525$28

2018: 12 services

Original Medicare services billed in 2018
Replacement of knee joint, both sides of knee14$15,926$1,062
Return visit (30+ min)72$7,919$80
Short return visit (20+ min)85$5,596$51
New patient visit (45+ min)41$4,814$117
X-ray of knee, 1-2 views71$2,464$23
X-ray of both knees while standing75$2,282$26
X-ray of shoulder, minimum of 2 views48$1,695$21
Short return visit36$1,637$32
New patient visit (30+ min)18$1,465$81
X-ray of pelvis, 1-2 views45$1,149$24
X-ray of hip, 2-3 views30$1,123$29
X-ray of lower and sacral spine, 2-3 views16$421$26

2017: 13 services

Original Medicare services billed in 2017
Replacement of knee joint, both sides of knee18$19,871$1,046
Replacement of thigh bone and hip joint with prosthesis12$13,777$1,060
Return visit (30+ min)79$8,209$81
Short return visit (20+ min)92$7,095$53
New patient visit (45+ min)38$4,482$118
New patient visit (30+ min)34$2,764$81
X-ray of knee, 1-2 views67$2,377$24
X-ray of both knees while standing66$2,163$27
X-ray of shoulder, minimum of 2 views64$2,021$22
Short return visit32$1,505$34
X-ray of hip, 2-3 views35$1,420$32
X-ray of pelvis, 1-2 views47$1,162$24
X-ray of lower and sacral spine, 2-3 views12$339$28

2016: 15 services

Original Medicare services billed in 2016
Replacement of knee joint, both sides of knee19$21,447$1,072
Replacement of thigh bone and hip joint with prosthesis13$14,922$1,066
Short return visit (20+ min)135$11,236$55
New patient visit (30+ min)82$6,064$74
Return visit (30+ min)68$5,870$78
New patient visit (45+ min)21$2,684$128
X-ray of pelvis, 1-2 views81$1,932$23
X-ray of knee, 3 views48$1,670$25
X-ray of knee, 1-2 views48$1,435$24
X-ray of hip, 2-3 views43$1,362$28
X-ray of both knees while standing45$1,217$27
X-ray of shoulder, minimum of 2 views47$1,210$20
Short return visit21$1,195$35
New patient visit (15+ min)11$541$49
X-ray of lower and sacral spine, minimum of 4 views14$500$36

2015: 13 services

Original Medicare services billed in 2015
Replacement of knee joint, both sides of knee12$13,950$1,073
Replacement of thigh bone and hip joint with prosthesis12$13,081$1,090
Short return visit (20+ min)111$8,040$53
New patient visit (30+ min)50$3,812$76
X-ray of pelvis, 1-2 views90$2,152$21
X-ray of knee, 1-2 views64$2,084$22
Return visit (30+ min)18$1,662$83
New patient visit (45+ min)11$1,023$93
X-ray of hip on one side of body, 1 view33$749$20
X-ray of shoulder, minimum of 2 views24$733$22
X-ray of knee, 3 views18$627$27
X-ray of ribs of one side of body, minimum of 2 views16$522$29
X-ray of lower and sacral spine, 2-3 views14$402$27

2014: 13 services

Original Medicare services billed in 2014
Replacement of knee joint, both sides of knee21$22,476$1,070
Short return visit (20+ min)120$9,623$55
New patient visit (45+ min)77$9,387$122
Return visit (30+ min)78$6,649$76
X-ray of pelvis, 1-2 views137$3,765$24
X-ray of knee, 1-2 views76$2,579$26
New patient visit (30+ min)26$2,072$80
X-ray of hip on one side of body, 1 view52$1,396$21
X-ray of shoulder, minimum of 2 views42$1,364$25
X-ray of lower and sacral spine, 2-3 views44$1,318$29
X-ray of knee, 3 views25$1,052$31
X-ray of both knees while standing16$514$30
X-ray of ribs of one side of body, minimum of 2 views11$402$34

2013: 16 services

Original Medicare services billed in 2013
Replacement of knee joint, both sides of knee21$27,855$1,211
Return visit (30+ min)150$17,117$78
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose33$13,936None
Replacement of thigh bone and hip joint with prosthesis11$13,654$1,138
New patient visit (45+ min)108$12,705$118
Aspiration and/or injection of fluid from large joint38$4,738$46
X-ray of pelvis, 1-2 views148$4,347$24
Short return visit (20+ min)59$3,844$57
X-ray of knee, 1-2 views96$3,637$25
X-ray of shoulder, minimum of 2 views46$2,145$26
X-ray of both knees while standing49$1,656$30
X-ray of hip on one side of body, 1 view47$1,357$22
X-ray of lower and sacral spine, 2-3 views45$1,352$29
X-ray of knee, 3 views24$1,108$32
New patient visit (30+ min)11$965$88
X-ray of ribs of one side of body, minimum of 2 views15$549$32

Medicaid work

$1,862 in 2024

Medicaid paid $1,862 for 16 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.

Largest Medicaid services in 2024
New patient visit (30+ min)16$1,862
Medicaid work by year
202416116$1,862
202122121$1,463
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
Short return visit (20+ min)22$1,463

Drugs they prescribed that Part D paid

$837

Pharmacies billed $837 in 2024.

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

28 generic and 0 brand-name prescriptions · $837 in drug cost · 19 antibiotic prescriptions.

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 prescribing by year
20242815None0%$837
2023903641% (37)0%$2,880
20221357068% (92)None$2,099
20211296051% (66)None$19,107
20202619647% (122)5%$9,439
201928611347% (134)None$7,600
20182389746% (109)6%$11,000
201723111048% (111)9%$8,157
201629213552% (152)4%$7,217
201549719963% (313)5%$17,847
201472626566% (481)2%$18,565
201364022759% (380)5%$16,706

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

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Cephalexin14$273$20
Tramadol37$156$4
Celecoxib15$126$8

2022: 1 drug

Part D drugs prescribed in 2022
Tramadol89$316$4

2021: 3 drugs

Part D drugs prescribed in 2021
Tramadol61$242$4
Sulfamethoxazole-Trimethoprim20$203$10
Cephalexin13$74$6

2020: 4 drugs

Part D drugs prescribed in 2020
Cefazolin12$849$71
Tramadol115$444$4
Sulfamethoxazole-Trimethoprim28$375$13
Meloxicam22$56$3

2019: 5 drugs

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen47$501$11
Tramadol83$470$6
Sulfamethoxazole-Trimethoprim27$303$11
Meloxicam49$132$3
Naproxen12$123$10

2018: 5 drugs

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen87$1,159$13
Warfarin37$210$6
Tramadol20$193$10
Sulfamethoxazole-Trimethoprim12$142$12
Cephalexin15$114$8

2017: 4 drugs

Part D drugs prescribed in 2017
Lyrica13$5,242$403
Hydrocodone-Acetaminophen102$1,481$15
Warfarin39$225$6
Cephalexin23$120$5

2016: 3 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen126$2,996$24
Warfarin65$351$5
Tramadol23$142$6

2015: 4 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen252$6,202$25
Warfarin93$576$6
Tramadol51$335$7
Cephalexin13$50$4

2014: 5 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen450$9,452$21
Warfarin132$741$6
Ibuprofen18$231$13
Tramadol23$219$10
Cephalexin16$100$6

2013: 4 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen369$6,846$19
Warfarin147$881$6
Ibuprofen29$297$10
Cephalexin22$122$6

Money from drug and device companies

$40 in 2023

Industry payments by year
202311None$40
202212None$210
201912None$201

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

  • Radlink, Inc

    Published ownership

    $250,000

    Held by this doctor · 2019 · Terms of Interest = .17% · amount invested $75,000

Published ownership or investment in a drug or device company. This is not proof that care is biased.

A payment is not proof that care is biased.

Payments by company
Globus MedicalAnkle Fracture System$40
1 payment
  • Meals for Ankle Fracture System · 2023-06-06 · $40
See the published payment
Every published payment
Globus MedicalMeals · 2023-06-06Ankle Fracture System$40
See earlier years (2022, 2019)

2022: $210

Payments by company in 2022
Medacta USAGmk Sphere$210
2 payments
  • Meals for Gmk Sphere · 2022-11-16 · $127
  • Meals for Gmk Sphere · 2022-11-03 · $83

2019: $201

Payments by company in 2019
Medacta USAPrimary Shoulder$201
2 payments
  • Meals for Amistem · 2019-12-07 · $84
  • Meals for Primary Shoulder · 2019-06-19 · $117

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
75.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1649366345
Licence
CA C39905California C39905: Current · expires 2027-03-31
Trained
University of Texas Southwestern Medical School at Dallas, 1980 · 46 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Orthopedic surgery (207X00000X)
Mailing address
399 E 21st St, San Bernardino, CA, 92404
NPI first listed
2006-10-04
NPI last updated
2020-02-10
NPI record certified
2020-02-10

This is when the NPI record was last certified, not a medical board exam.