Skip to main content
UniHealth

Doctor search

Priyanka Barua, MD

Hematology/Oncology · Wilkes Barre

NPI 1649698440

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
13
2 carriers
Offices
2

Offices

2 locations · Geisinger Clinic · County of Santa Clara

Looking this up.

Hospitals listed: Geisinger Community Medical Center · Geisinger Medical Center · Geisinger Wyoming Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

13 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Barua’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

13 of 13 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Hospitals they work in

3 hospitals

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

  • Geisinger Medical CenterDanville, PAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Geisinger, which runs 9 hospitalsPatients rate it 4 of 5 · 72% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 13.4 (11.4 to 15.7) · 748 cases, Jan 2024 – Dec 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.547, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.525, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.6 to 0.9) · 1,370 cases, Jan 2024 – Dec 2024
  • Geisinger Wyoming Valley Medical CenterWilkes Barre, PAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Geisinger, which runs 9 hospitalsPatients rate it 2 of 5 · 63% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 13.8 (11.1 to 17.1) · 426 cases, Jan 2024 – Dec 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.524, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.581, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.5 to 0.8) · 1,231 cases, Jan 2024 – Dec 2024
  • Geisinger-Community Medical CenterScranton, PAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Geisinger, which runs 9 hospitalsPatients rate it 3 of 5 · 61% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.272, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.306, Oct 2024 – Sep 2025
See every measure and the patient survey for Geisinger Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 3 better, 4 the same, 1 worse of 8 measures. Readmissions: 0 better, 9 the same, 2 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Geisinger Medical Center
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (11.4 to 15.7) · 748 casesWorseJan 2024 – Dec 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.547BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.525BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 0.9) · 1,370 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.82 (1.05 to 2.59) · 2,867 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.97 (0.75 to 1.18)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths208.1 (171.05 to 245.16) · 243 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.5 · 121 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.2 · 147 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.7 · 280 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.2 · 491 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.6 · 500 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.5 · 577 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 6,518 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0.02 to 0.37) · 11,450 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.03 to 0.38) · 11,860 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.81 (1.26 to 4.36) · 3,644 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.89 (0 to 2.16) · 1,657 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.25 (0.13 to 2.37) · 3,418 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.37 (4.5 to 12.24) · 1,638 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.36 (1.85 to 6.87) · 1,597 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.51 (0.22 to 2.81) · 907 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.97 (0.53 to 1.41) · 9,906 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.9 · 69 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.786No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.65No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.537No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.015No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.5 · 640 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23.7 · 993 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits16 · 356 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits40.8 · 572 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits44.5 · 548 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.9 · 913 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.6 (3.5 to 6) · 748 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.6 · 67 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.5 · 164 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.6 · 356 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.6 (10.8 to 16.9) · 2,820 casesNo differentJan 2022 – Dec 2024

What patients said (2,760 patients answered, 27% of those asked)

Patient survey stars by topic at Geisinger Medical Center
Cleanliness4
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital4
Share of patients giving the best answer at Geisinger Medical Center
Room was "always" clean74%
Nurses "always" communicated well82%
Doctors "always" communicated well79%
Staff "always" explained62%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand75%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)73%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand78%
Nurses "always" listened carefully80%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital72%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms89%
See every measure and the patient survey for Geisinger Wyoming Valley Medical Center

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 1 better, 9 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.

Every scored measure at Geisinger Wyoming Valley Medical Center
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.8 (11.1 to 17.1) · 426 casesWorseJan 2024 – Dec 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.524BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.581BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.5 to 0.8) · 1,231 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.91 (0.01 to 1.8) · 1,628 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.98 (0.72 to 1.24)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths170.97 (128.63 to 213.31) · 144 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.3 · 47 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.4 · 185 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.1 · 160 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.8 · 579 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths11.9 · 637 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.8 · 507 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,835 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.28 (0.1 to 0.46) · 9,458 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.07 to 0.43) · 9,682 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.6 (2.78 to 6.42) · 2,086 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.43 (0.02 to 2.84) · 867 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.17 (0.84 to 3.51) · 1,965 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.07 (4.74 to 15.4) · 846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.7 (2.42 to 8.97) · 827 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.82 (0.4 to 3.24) · 370 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.31 (0 to 0.82) · 8,252 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.7 · 26 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.573No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.64No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.744No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.6 · 233 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23.2 · 944 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-30.1 · 165 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.6 · 668 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits27.4 · 659 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.6 · 1,004 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.2 (3 to 6) · 426 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.9 · 27 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.6 · 67 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 370 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.4 (10.2 to 17.5) · 1,042 casesNo differentJan 2022 – Dec 2024

What patients said (1,592 patients answered, 21% of those asked)

Patient survey stars by topic at Geisinger Wyoming Valley Medical Center
Cleanliness2
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Geisinger Wyoming Valley Medical Center
Room was "always" clean63%
Nurses "always" communicated well77%
Doctors "always" communicated well75%
Staff "always" explained56%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)62%
Staff "always" explained new medications70%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night42%
"YES", patients would definitely recommend the hospital63%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Geisinger-Community Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 4 the same, 1 worse of 7 measures. Readmissions: 1 better, 8 the same, 2 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Geisinger-Community Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.272BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.306BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.21 (0.35 to 2.08) · 1,907 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1 (0.72 to 1.27)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths184.42 (136.36 to 232.47) · 130 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.5 · 81 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.7 · 216 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.4 · 159 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.6 · 463 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.5 · 690 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.5 · 322 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 4,346 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.35 (0.16 to 0.54) · 8,906 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.23 (0.05 to 0.42) · 9,143 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.12 (2.25 to 6) · 1,927 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.26 (0 to 2.77) · 675 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.95 (0.55 to 3.34) · 1,826 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.95 (2.76 to 15.15) · 672 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.34 (2.9 to 9.79) · 637 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.75 (0.35 to 3.14) · 439 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.44 (0 to 0.97) · 7,749 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5 · 63 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.572No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.162No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.951No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 209 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24.2 · 741 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-9.8 · 166 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits19.9 · 528 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits31.4 · 739 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19 · 983 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5 (3.5 to 7.2) · 162 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.8 (8.4 to 14) · 162 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.5 · 65 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.5 · 93 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.6 · 374 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12 (8.8 to 15.9) · 242 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.2) · 650 casesNo differentJan 2024 – Dec 2024

What patients said (1,416 patients answered, 24% of those asked)

Patient survey stars by topic at Geisinger-Community Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Geisinger-Community Medical Center
Room was "always" clean63%
Nurses "always" communicated well78%
Doctors "always" communicated well77%
Staff "always" explained57%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)60%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night37%
"YES", patients would definitely recommend the hospital61%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$32,261

Medicare paid this office $32,261 for 198 people.

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

Largest Original Medicare bills
Return visit (30+ min)112$16,403$71
New patient visit (60+ min)29$3,874$134
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$2,658$98
Long return visit (40+ min)22$2,539$106
Short return visit (20+ min)37$2,293$50
See all 7 services
Every Original Medicare service billed
Return visit (30+ min)112$16,403$71
New patient visit (60+ min)29$3,874$134
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$2,658$98
Long return visit (40+ min)22$2,539$106
Short return visit (20+ min)37$2,293$50
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's87$1,886$12
New patient visit (45+ min)11$1,111$101

Who their Medicare patients are

198 Original Medicare patients in 2024. Average age 72 · Under 65 18% · 85 and older 11% · Women 66% · Also on Medicaid 19% · Health risk score 2.10. At or below the middle of the specialty; the typical medical oncology clinician is at 2.11.

Conditions among them: High blood pressure 75% · Cancer 68% · Chronic kidney disease 38% · Diabetes 33% · Coronary heart disease 32% · Depression 30% · Heart failure 25% · COPD 25% · Atrial fibrillation 20% · Stroke 8% · Dementia 6%.

The office billed $138,291, Medicare allowed $40,651 and paid $32,261; for 550 services of 13 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
2024198550722.10$138,291$32,261
2023204493722.22$124,884$27,880
202282127711.61$40,964$10,373
2019148458742.81$127,216$31,148
2018259893752.59$254,993$67,090

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: 6 services

Original Medicare services billed in 2023
Short return visit (20+ min)120$13,763$46
Return visit (30+ min)59$4,794$68
New patient visit (45+ min)47$4,271$91
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$1,698$100
Long return visit (40+ min)11$917$83
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes13$829$64

2022: 6 services

Original Medicare services billed in 2022
New patient visit (60+ min)14$1,896$135
Long return visit (40+ min)16$1,832$108
Return visit (30+ min)22$1,774$77
Short return visit (20+ min)23$1,597$52
New patient visit (45+ min)15$1,595$106
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$861$78

2019: 6 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes117$16,716$62
Initial hospital care with moderate level of medical decision making at least 75 minutes27$4,642$172
Hospital discharge day management, 30 minutes or less60$3,939$65
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes28$2,188$35
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$1,874$99
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,602$94

2018: 7 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes188$34,673$66
Initial hospital care with moderate level of medical decision making at least 75 minutes50$9,809$185
Hospital discharge day management, 30 minutes or less113$7,825$66
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes44$5,910$123
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes33$3,117$36
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes21$2,345$94
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes19$2,275$95

Medicaid work

$12,323 in 2024

Medicaid paid $12,323 for 644 billed services this clinician did in 2024, up to 25 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
Return visit (30+ min)154$6,073
Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour60$2,199
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug17$1,347
COMPREHENSIVE METABOLIC PANEL148$1,270
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count169$735
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)82$608
Administration of influenza virus vaccine14$91
Medicaid work by year
2024644725$12,323
20231,023839$19,970
2022150526$4,478
2019187325$3,629
2018180216$3,176
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug97$7,112
Short return visit (20+ min)209$4,809
Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour105$3,423
COMPREHENSIVE METABOLIC PANEL292$2,390
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count256$1,006
Return visit (30+ min)30$988
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular17$150
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)17$92

2022

Largest Medicaid services in 2022
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug37$3,216
Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour13$387
COMPREHENSIVE METABOLIC PANEL44$365
Short return visit (20+ min)13$330
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count43$181

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES128$2,749
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter28$544
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES31$335

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES165$2,926
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter15$250

Drugs they prescribed that Part D paid

$2,930,587

Pharmacies billed $2,930,587 in 2024.

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

428 generic and 207 brand-name prescriptions · $2,930,587 in drug cost.

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
Ibrance37$571,856$15,456
Lenvima12$299,791$24,983
Mekinist17$263,435$15,496
Verzenio17$253,658$14,921
Lorbrena13$245,575$18,890
See all 19 drugs
Every Part D drug this clinician prescribed
Ibrance37$571,856$15,456
Lenvima12$299,791$24,983
Mekinist17$263,435$15,496
Verzenio17$253,658$14,921
Lorbrena13$245,575$18,890
Tafinlar17$242,286$14,252
Piqray12$233,901$19,492
Tagrisso12$206,969$17,247
Nubeqa12$156,287$13,024
Abiraterone Acetate54$150,425$2,786
Eliquis30$23,028$768
Anastrozole103$1,964$19
Letrozole50$1,003$20
Prochlorperazine Maleate20$492$25
Prednisone46$321$7
Dexamethasone24$283$12
Ondansetron25$210$8
Ondansetron Odt12$164$14
Famotidine11$47$4

Year by year

Part D prescribing by year
2024635122None33%$2,930,587
2023522113None27%$1,970,914
202215246None20%$373,945
202111423None29%$597,803
20208924None15%$108,654
20195422NoneNone$219,374
201825130% (0)None$3,024
201730None0% (0)None$230
201676160% (0)17%$5,188
201593320% (0)28%$4,927
201410526None17%$5,922

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

See the drugs prescribed each year

2023: 13 drugs

Part D drugs prescribed in 2023
Ibrance21$316,527$15,073
Verzenio14$208,300$14,879
Abiraterone Acetate45$128,666$2,859
Eliquis21$14,475$689
Exemestane12$3,228$269
Anastrozole66$1,256$19
Letrozole38$814$21
Ondansetron36$393$11
Prochlorperazine Maleate14$357$26
Dexamethasone16$320$20
Duloxetine20$316$16
Prednisone37$189$5
Gabapentin19$188$10

2022: 3 drugs

Part D drugs prescribed in 2022
Abiraterone Acetate11$45,944$4,177
Anastrozole27$525$19
Prednisone12$94$8

2021: 3 drugs

Part D drugs prescribed in 2021
Revlimid12$198,262$16,522
Anastrozole19$463$24
Prednisone12$107$9

2020: 2 drugs

Part D drugs prescribed in 2020
Anastrozole24$476$20
Hydroxyurea13$130$10

Money from drug and device companies

$162 in 2025

Industry payments by year
202538None$162
202422None$42
202333None$212

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

A payment is not proof that care is biased.

Payments by company
CelgeneReblozyl$85
5 payments
  • Meals for Reblozyl · 2025-12-02 · $17
  • Meals for Reblozyl · 2025-11-04 · $17
  • Meals for Reblozyl · 2025-05-09 · $17
  • Meals for Reblozyl · 2025-04-02 · $18
  • Meals for Reblozyl · 2025-02-28 · $17
E.R. Squibb & Sons L.L.C.Breyanzi$48
2 payments
  • Meals · 2025-07-16 · $22
  • Meals for Breyanzi · 2025-06-11 · $26
SobiVonjo$29
1 payment
  • Meals for Vonjo · 2025-09-15 · $29
See all 8 published payments
Every published payment
CelgeneMeals · 2025-12-02Reblozyl$17
CelgeneMeals · 2025-11-04Reblozyl$17
SobiMeals · 2025-09-15Vonjo$29
E.R. Squibb & Sons L.L.C.Meals · 2025-07-16None$22
E.R. Squibb & Sons L.L.C.Meals · 2025-06-11Breyanzi$26
CelgeneMeals · 2025-05-09Reblozyl$17
CelgeneMeals · 2025-04-02Reblozyl$18
CelgeneMeals · 2025-02-28Reblozyl$17
See earlier years (2024, 2023)

2024: $42

Payments by company in 2024
E.R. Squibb & Sons L.L.C.Opdivo$24
1 payment
  • Meals for Opdivo · 2024-11-12 · $24
CelgeneReblozyl$18
1 payment
  • Meals for Reblozyl · 2024-04-29 · $18

2023: $212

Payments by company in 2023
GlaxoSmithKlineJemperli$97
1 payment
  • Meals for Jemperli · 2023-10-18 · $97
Bayer Healthcare PharmaceuticalsXofigo$96
1 payment
  • Meals for Xofigo · 2023-05-26 · $96
E.R. Squibb & Sons L.L.C.Opdivo$19
1 payment
  • Meals for Opdivo · 2023-04-06 · $19

Professional record

NPI
1649698440
Licence
PA MD478493
Group
Geisinger Clinic · County of Santa Clara
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RH0003X (207RH0003X); Student in a training program (390200000X)
Mailing address
100 N Academy Ave, Danville, PA, 17822
NPI first listed
2014-03-31
NPI last updated
2022-08-26
NPI record certified
2022-08-26

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