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California Medical Board record
Licence A64585 · Current
Licensed to practise in California · since 1998 · expires 2028-03-31 · Harvard Medical School.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$86,535
Medicare paid this office $86,535 for 706 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Return visit (30+ min)
609
$60,947
$92
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
73
$10,344
$140
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
66
$3,419
$50
Long return visit (40+ min)
21
$2,962
$141
Short return visit (20+ min)
43
$2,562
$60
See all 12 services
Every Original Medicare service billed
Return visit (30+ min)
609
$60,947
$92
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
73
$10,344
$140
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
66
$3,419
$50
Long return visit (40+ min)
21
$2,962
$141
Short return visit (20+ min)
43
$2,562
$60
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
58
$928
$16
Injection of drug or substance under skin or into muscle
39
$461
$12
Removal of impacted ear wax by washing
19
$271
$14
Automated urinalysis test
91
$213
$2
Injection, ceftriaxone sodium, per 250 mg
33
$44
—None
Blood glucose (sugar) test performed by hand-held instrument
12
$39
$3
Injection, ketorolac tromethamine, per 15 mg
11
$11
—None
Who their Medicare patients are
706 Original Medicare patients in 2024. Average age 74 · Under 65 5% · 85 and older 10% · Women 62% · Also on Medicaid 11% · Health risk score 1.04. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.
The office billed $325,887, Medicare allowed $123,102 and paid $86,535; for 1,333 services of 42 kinds; $297 of it was for drugs given in the office and $86,238 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
706
1,333
74
1.04
$325,887
$86,535
2023
406
813
73
0.98
$175,675
$54,106
2022
549
841
73
0.96
$151,299
$45,060
2021
498
984
72
1.06
$205,061
$72,621
2020
862
1,623
72
0.92
$255,771
$74,807
2019
1,045
2,353
73
1.01
$352,014
$94,408
2018
787
1,893
72
1.07
$299,553
$77,395
2017
586
4,349
72
1.04
$233,990
$54,523
2016
326
1,722
73
1.01
$106,319
$28,380
2015
17
21
66
1.27
$2,948
$787
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: 9 services
Original Medicare services billed in 2023
Return visit (30+ min)
349
$38,664
$105
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
51
$7,129
$140
Short return visit (20+ min)
33
$2,514
$76
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
26
$1,408
$50
Detection test by immunoassay with direct visual observation for influenza virus
37
$649
$16
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
37
$599
$16
Injection of drug or substance under skin or into muscle
31
$384
$12
Automated urinalysis test
54
$123
$2
Injection, ceftriaxone sodium, per 250 mg
22
$34
—None
2022: 10 services
Original Medicare services billed in 2022
Return visit (30+ min)
294
$32,129
$105
Long return visit (40+ min)
20
$3,288
$164
Short return visit (20+ min)
40
$2,890
$72
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
73
$1,259
$16
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
23
$1,166
$51
Office for the evaluation and management of established patient that may not require presence of healthcare professional
35
$932
$27
Detection test by immunoassay with direct visual observation for influenza virus
31
$507
$16
Automated urinalysis test
163
$383
$2
Injection of drug or substance under skin or into muscle
16
$155
$10
Blood glucose (sugar) test performed by hand-held instrument
19
$62
$3
2021: 12 services
Original Medicare services billed in 2021
Return visit (30+ min)
287
$33,577
$113
Long return visit (40+ min)
120
$20,885
$170
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
106
$5,901
$51
Short return visit (20+ min)
40
$2,942
$74
Influenza vaccine split virus, preservative free
43
$2,806
$65
Administration of influenza virus vaccine
47
$900
$19
Detection test by immunoassay with direct visual observation for influenza virus
34
$579
$17
Injection of drug or substance under skin or into muscle
32
$368
$11
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
21
$364
$17
Automated urinalysis test
56
$125
$2
Injection, ceftriaxone sodium, per 250 mg
15
$28
—None
Injection, ketorolac tromethamine, per 15 mg
15
$8
—None
2020: 15 services
Original Medicare services billed in 2020
Return visit (30+ min)
319
$26,317
$79
Influenza vaccine split virus, preservative free
260
$15,965
$60
Short return visit (20+ min)
205
$13,544
$64
Long return visit (40+ min)
64
$5,755
$90
Administration of influenza virus vaccine
280
$5,024
$18
Detection test by immunoassay with direct visual observation for influenza virus
44
$764
$16
Injection of drug or substance under skin or into muscle
42
$466
$11
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage
23
$448
$19
Inhalation treatment for airway obstruction or sputum production
22
$268
$12
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
13
$227
$16
Automated urinalysis test
57
$129
$2
Removal of impacted ear wax by washing
11
$112
$9
Injection, ceftriaxone sodium, per 250 mg
26
$44
—None
Injection, ketorolac tromethamine, per 15 mg
15
$11
—None
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
21
$2
—None
2019: 15 services
Original Medicare services billed in 2019
Return visit (30+ min)
411
$32,787
$75
Influenza vaccine split virus, preservative free
339
$18,246
$54
Long return visit (40+ min)
149
$14,998
$98
Short return visit (20+ min)
133
$7,277
$52
Administration of influenza virus vaccine
352
$6,101
$17
New patient visit (45+ min)
39
$3,790
$97
Inhalation treatment for airway obstruction or sputum production
90
$1,436
$14
Detection test by immunoassay with direct visual observation for influenza virus
71
$1,217
$16
Injection of drug or substance under skin or into muscle
63
$868
$13
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
50
$818
$16
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage
16
$298
$19
Automated urinalysis test
93
$243
$2
Injection, ceftriaxone sodium, per 250 mg
54
$92
—None
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
98
$11
—None
Injection, ketorolac tromethamine, per 15 mg
13
$9
—None
2018: 16 services
Original Medicare services billed in 2018
Return visit (30+ min)
369
$32,325
$80
Long return visit (40+ min)
160
$17,759
$107
Short return visit (20+ min)
149
$8,188
$53
Influenza vaccine split virus, preservative free
104
$4,545
$44
New patient visit (45+ min)
28
$2,667
$95
Administration of influenza virus vaccine
110
$2,362
$21
Injection of drug or substance under skin or into muscle
83
$1,497
$17
Inhalation treatment for airway obstruction or sputum production
66
$1,138
$16
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
42
$697
$16
Detection test by immunoassay with direct visual observation for influenza virus
29
$470
$16
Automated urinalysis test
113
$331
$3
Removal of impacted ear wax by washing
16
$192
$12
Injection, ceftriaxone sodium, per 250 mg
45
$82
—None
Injection, ketorolac tromethamine, per 15 mg
30
$27
—None
Injection, dexamethasone sodium phosphate, 1 mg
12
$10
—None
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
70
$8
—None
2017: 13 services
Original Medicare services billed in 2017
Return visit (30+ min)
297
$22,592
$72
Long return visit (40+ min)
164
$16,067
$97
Short return visit (20+ min)
104
$4,863
$46
Injection of drug or substance under skin or into muscle
50
$1,871
$21
Influenza vaccine split virus, preservative free
30
$1,323
$44
Administration of influenza virus vaccine
34
$912
$27
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
41
$512
$12
Inhalation treatment for airway obstruction or sputum production
32
$508
$15
Automated urinalysis test
76
$245
$3
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
14
$179
$13
Injection, ceftriaxone sodium, per 250 mg
26
$50
—None
Injection, ketorolac tromethamine, per 15 mg
12
$11
—None
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
29
$4
—None
2016: 9 services
Original Medicare services billed in 2016
Short return visit (20+ min)
186
$8,782
$43
Return visit (30+ min)
84
$7,535
$87
Long return visit (40+ min)
35
$4,091
$117
Injection of drug or substance under skin or into muscle
15
$424
$21
Short return visit
13
$348
$27
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
23
$296
$13
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
19
$248
$12
Automated urinalysis test
42
$132
$3
Injection, ketorolac tromethamine, per 15 mg
13
$10
—None
Medicaid work
$4,856 in 2024
Medicaid paid $4,856 for 218 billed services this clinician did in 2024, up to 44 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)
218
$4,856
Medicaid work by year
2024
218
1
44
$4,856
2023
133
2
25
$7,185
2022
645
3
45
$13,946
2021
944
5
54
$22,681
2020
446
3
52
$4,633
2019
382
5
35
$3,795
2018
50
1
14
$731
See the largest Medicaid services in earlier years
2023
Largest Medicaid services in 2023
Return visit (30+ min)
121
$6,773
Short return visit (20+ min)
12
$412
2022
Largest Medicaid services in 2022
Return visit (30+ min)
340
$9,792
Short return visit (20+ min)
218
$2,595
OFF/OP EST MAY X REQ PHY/QHP
87
$1,559
2021
Largest Medicaid services in 2021
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique
201
$10,015
Return visit (30+ min)
396
$7,549
Short return visit (20+ min)
321
$4,416
Long return visit (40+ min)
14
$578
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A
12
$123
2020
Largest Medicaid services in 2020
Return visit (30+ min)
227
$2,397
Short return visit (20+ min)
200
$1,935
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use
19
$301
2019
Largest Medicaid services in 2019
Return visit (30+ min)
271
$2,906
Short return visit (20+ min)
72
$587
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use
12
$222
Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided)
14
$52
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A
13
$28
2018
Largest Medicaid services in 2018
Return visit (30+ min)
50
$731
Drugs they prescribed that Part D paid
$15,936
Pharmacies billed $15,936 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
998 generic and fewer than 11 brand-name prescriptions · $15,936 in drug cost · 513 antibiotic prescriptions to 414 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
Albuterol Sulfate Hfa
100
$2,574
$25
Ofloxacin
58
$1,743
$29
Paxlovid
15
$1,429
$95
Doxycycline Hyclate
120
$774
$6
Cephalexin
95
$523
$5
See all 14 drugs
Every Part D drug this clinician prescribed
Albuterol Sulfate Hfa
100
$2,574
$25
Ofloxacin
58
$1,743
$29
Paxlovid
15
$1,429
$95
Doxycycline Hyclate
120
$774
$6
Cephalexin
95
$523
$5
Azithromycin
110
$469
$4
Mupirocin
64
$436
$7
Amoxicillin
85
$380
$4
Valacyclovir
17
$363
$21
Dexamethasone
111
$276
$2
Prednisone
65
$177
$3
Sulfamethoxazole-Trimethoprim
36
$154
$4
Amoxicillin-Clavulanate Potass
20
$132
$6
Benzonatate
25
$123
$5
Year by year
Part D prescribing by year
2024
1,062
552
—None
—None
$15,936
2023
508
292
—None
—None
$7,305
2022
326
220
—None
5%
$9,547
2021
375
254
—None
9%
$6,678
2020
339
233
4% (12)
—None
$6,169
2019
438
298
—None
13%
$9,601
2018
318
222
—None
15%
$7,827
2017
431
296
6% (27)
16%
$9,433
2016
184
137
7% (12)
—None
$2,979
2015
15
—None
0% (0)
—None
$722
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
Albuterol Sulfate Hfa
39
$1,031
$26
Ofloxacin
21
$1,028
$49
Doxycycline Hyclate
42
$633
$15
Cephalexin
64
$615
$10
Oseltamivir Phosphate
19
$564
$30
Azithromycin
54
$295
$5
Mupirocin
24
$249
$10
Valacyclovir
11
$243
$22
Amoxicillin
30
$199
$7
Amoxicillin-Clavulanate Potass
12
$121
$10
Sulfamethoxazole-Trimethoprim
18
$96
$5
Dexamethasone
46
$89
$2
Prednisone
31
$65
$2
2022: 11 drugs
Part D drugs prescribed in 2022
Ofloxacin
18
$839
$47
Cephalexin
60
$490
$8
Albuterol Sulfate Hfa
14
$480
$34
Doxycycline Hyclate
29
$446
$15
Mupirocin
21
$202
$10
Sulfamethoxazole-Trimethoprim
22
$130
$6
Amoxicillin-Clavulanate Potass
13
$106
$8
Paxlovid (Eua)
11
$99
$9
Azithromycin
14
$85
$6
Prednisone
23
$72
$3
Dexamethasone
17
$54
$3
2021: 11 drugs
Part D drugs prescribed in 2021
Albuterol Sulfate Hfa
29
$1,239
$43
Doxycycline Hyclate
37
$651
$18
Ofloxacin
12
$443
$37
Cephalexin
38
$283
$7
Mupirocin
22
$214
$10
Sulfamethoxazole-Trimethoprim
42
$210
$5
Amoxicillin-Clavulanate Potass
24
$173
$7
Azithromycin
27
$153
$6
Amoxicillin
12
$60
$5
Prednisone
26
$53
$2
Dexamethasone
13
$31
$2
2020: 12 drugs
Part D drugs prescribed in 2020
Oseltamivir Phosphate
16
$940
$59
Ofloxacin
14
$775
$55
Cephalexin
67
$537
$8
Doxycycline Hyclate
18
$318
$18
Ondansetron Odt
15
$190
$13
Sulfamethoxazole-Trimethoprim
30
$172
$6
Amoxicillin-Clavulanate Potass
13
$141
$11
Mupirocin
12
$95
$8
Azithromycin
14
$94
$7
Amoxicillin
13
$60
$5
Prednisone
22
$53
$2
Hydrocodone-Acetaminophen
12
$45
$4
2019: 13 drugs
Part D drugs prescribed in 2019
Oseltamivir Phosphate
22
$1,618
$74
Doxycycline Hyclate
41
$869
$21
Proair Hfa
12
$820
$68
Ventolin Hfa
12
$692
$58
Ofloxacin
19
$682
$36
Cephalexin
70
$497
$7
Azithromycin
39
$233
$6
Sulfamethoxazole-Trimethoprim
38
$203
$5
Amoxicillin-Clavulanate Potass
15
$178
$12
Amoxicillin
29
$175
$6
Mupirocin
11
$97
$9
Dexamethasone
11
$82
$7
Prednisone
21
$66
$3
2018: 8 drugs
Part D drugs prescribed in 2018
Oseltamivir Phosphate
19
$1,658
$87
Ventolin Hfa
24
$1,338
$56
Proair Hfa
14
$868
$62
Cephalexin
51
$468
$9
Doxycycline Hyclate
22
$407
$18
Azithromycin
38
$217
$6
Amoxicillin-Clavulanate Potass
15
$166
$11
Sulfamethoxazole-Trimethoprim
19
$103
$5
2017: 10 drugs
Part D drugs prescribed in 2017
Proair Hfa
37
$2,103
$57
Oseltamivir Phosphate
13
$1,278
$98
Ventolin Hfa
12
$639
$53
Doxycycline Hyclate
23
$531
$23
Cephalexin
58
$513
$9
Azithromycin
67
$401
$6
Amoxicillin-Clavulanate Potass
23
$276
$12
Sulfamethoxazole-Trimethoprim
34
$159
$5
Hydrocodone-Acetaminophen
23
$82
$4
Amoxicillin
16
$74
$5
2016: 5 drugs
Part D drugs prescribed in 2016
Azithromycin
37
$281
$8
Cephalexin
20
$163
$8
Ciprofloxacin
17
$139
$8
Sulfamethoxazole-Trimethoprim
16
$73
$5
Prednisone
12
$37
$3
Professional record
NPI
1669422507
Licence
CA A64585California A64585: Current · expires 2028-03-31