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Ricardo E Aguirre, MD

Vascular Surgery · Antioch

NPI 1699739219

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Office
1
Since medical school
58 years
Graduated 1968

Offices

1 location · East Bay Cardiovascular and Thoracic Associates Inc · 17 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care Tri-Valley. That is not proof they admit you there this week.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Aguirre’s office at (925) 676-2600 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

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.

  • Stanford Health Care Tri-ValleyPleasanton, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Stanford Health Care, which runs 3 hospitalsPatients rate it 3 of 5 · 74% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.178, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.237, Oct 2024 – Sep 2025
See every measure and the patient survey for Stanford Health Care Tri-Valley

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 7 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care Tri-Valley
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.178BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.237BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.79 (0 to 1.73) · 1,041 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.79 (0.5 to 1.08)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths145.81 (96.5 to 195.12) · 72 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.9 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 92 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.5 · 96 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.5 · 395 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 391 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 162 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 1,736 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.37) · 4,425 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.02 to 0.41) · 4,771 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.45 (1.46 to 5.44) · 1,403 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.5 (0.05 to 2.94) · 645 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.81 (0.38 to 3.24) · 1,279 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.53 (3.2 to 13.85) · 639 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.15 (1.89 to 8.41) · 648 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.14 to 3.07) · 370 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.16 (0 to 0.83) · 4,160 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 74 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.369No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.112No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 110 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.1 · 437 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-5.8 · 94 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-19.3 · 456 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-0.3 · 402 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.8 · 358 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.8 (4.7 to 9.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (7.5 to 13.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 92 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.6 to 16.2) · 1,532 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 929 casesNo differentJan 2024 – Dec 2024

What patients said (1,268 patients answered, 26% of those asked)

Patient survey stars by topic at Stanford Health Care Tri-Valley
Cleanliness3
Nurse communication3
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Stanford Health Care Tri-Valley
Room was "always" clean65%
Nurses "always" communicated well77%
Doctors "always" communicated well79%
Staff "always" explained58%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night42%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$324,777

Medicare paid this office $324,777 for 241 people.

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

Largest Original Medicare bills
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist34$47,874$1,228
Long return visit (40+ min)90$22,175$165
Ultrasound of hemodialysis access91$19,581$133
Return visit (30+ min)93$16,921$120
Short return visit (20+ min)112$15,604$85
See all 26 services
Every Original Medicare service billed
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist34$47,874$1,228
Long return visit (40+ min)90$22,175$165
Ultrasound of hemodialysis access91$19,581$133
Return visit (30+ min)93$16,921$120
Short return visit (20+ min)112$15,604$85
New patient visit (60+ min)70$13,677$195
Revision of hemodialysis graft23$13,448$560
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist45$10,849$190
Balloon dilation of dialysis segment with review by radiologist13$8,517$608
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube12$5,194$371
Creation of artery-vein connection using tube graft for hemodialysis11$4,920$447
Balloon dilation of dialysis segment with review by radiologist22$3,761$121
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes50$3,311$53
Ultrasound study of one arm or leg veins with compression and maneuvers24$3,081$128
Removal of tunneled central venous tube15$2,310$136
Short return visit29$1,679$54
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes50$1,569$13
Ultrasonic guidance for blood vessel access27$1,297$39
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes47$610$11
Ultrasonic guidance for blood vessel access26$370$12
Blood test, basic group of blood chemicals (calcium, ionized)15$202$13
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml39$116$0
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml23$71$0
Infusion, normal saline solution, sterile (500 ml = 1 unit)15$16None
Injection, fentanyl citrate, 0.1 mg17$15None
Injection, midazolam hydrochloride, per 1 mg16$3None

Procedures Medicare counted

Procedure volume Medicare published
Leg revascularization (restoring blood flow)11More than 58% of doctors who do this
Removal of tissue17More than 67% of doctors who do this
Varicose vein removal20More than 57% of doctors who do this

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist12113411112610796
Balloon dilation of dialysis segment with review by radiologist172742624945
Removal of tunneled central venous tube262135292117
Revision of hemodialysis graft233125162324
Insertion of tunneled central venous tube for infusion (5 years or older)3825152015–
Relocation of upper arm surface vein with connection to arm artery for hemodialysis27–192114–

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

241 Original Medicare patients in 2024. Average age 74 · Under 65 17% · 85 and older 20% · Women 44% · Also on Medicaid 38% · Health risk score 5.83. Sicker patients than 9 in 10 peers; the typical vascular surgery clinician is at 2.33.

Conditions among them: High blood pressure 75% · Chronic kidney disease 75% · Diabetes 63% · Coronary heart disease 49% · Heart failure 49% · Atrial fibrillation 32% · COPD 23% · Depression 21% · Stroke 17% · Cancer 15% · Dementia 12%.

The office billed $1,376,431, Medicare allowed $411,667 and paid $324,777; for 3,442 services of 113 kinds; $232 of it was for drugs given in the office and $324,545 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
20242413,442745.83$1,376,431$324,777
20232663,477735.84$1,779,626$410,410
20222554,418735.89$1,723,440$435,202
20212604,005725.28$1,667,157$451,406
20202913,874735.58$1,832,894$482,193
20193323,506735.18$1,542,368$374,155
20183116,211735.17$2,135,391$520,359
20173115,620734.92$2,649,782$543,372
20163414,145734.87$2,786,253$617,447
20153925,094754.31$2,437,747$567,988
20144326,751743.91$3,406,064$752,435
20134575,974743.70$2,829,407$654,765

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: 27 services

Original Medicare services billed in 2023
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist54$84,491$1,261
Long return visit (40+ min)95$20,643$163
Balloon dilation of dialysis segment with review by radiologist25$18,859$629
Return visit (30+ min)102$18,500$119
New patient visit (60+ min)86$17,526$204
Ultrasound of hemodialysis access82$17,371$137
Short return visit (20+ min)106$14,027$83
Revision of hemodialysis graft21$13,456$585
Relocation of upper arm surface vein with connection to arm artery for hemodialysis13$7,980$570
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist33$7,726$193
Ultrasound study of one arm or leg veins with compression and maneuvers35$4,632$129
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes68$4,457$53
Removal of tunneled central venous tube19$3,277$156
Insertion of tunneled central venous tube for infusion (5 years or older)13$2,540$169
Balloon dilation of dialysis segment with review by radiologist14$2,362$124
New patient visit (45+ min)14$2,056$147
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes64$1,928$12
Ultrasonic guidance for blood vessel access41$1,913$41
Short return visit15$947$56
Blood test, basic group of blood chemicals (calcium, ionized)56$875$13
Telephone medical discussion with physician, 11-20 minutes12$688$57
Fluoroscopic guidance for insertion or removal of central vein access device13$237$16
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml62$162$0
Infusion, normal saline solution, sterile (500 ml = 1 unit)64$78None
Injection, fentanyl citrate, 0.1 mg69$70None
Injection, hydralazine hcl, up to 20 mg15$69None
Injection, midazolam hydrochloride, per 1 mg63$13None

2022: 27 services

Original Medicare services billed in 2022
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist57$101,244$1,298
Long return visit (40+ min)87$20,412$157
Balloon dilation of dialysis segment with review by radiologist23$19,983$645
Short return visit (20+ min)132$17,532$83
Return visit (30+ min)103$17,523$118
New patient visit (60+ min)72$14,066$195
Relocation of upper arm surface vein with connection to arm artery for hemodialysis19$12,796$609
Ultrasound of hemodialysis access72$12,754$133
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist36$9,876$206
Revision of hemodialysis graft15$9,406$588
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube12$7,162$377
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes74$5,377$53
Removal of tunneled central venous tube27$4,168$144
Insertion of tunneled central venous tube for infusion (5 years or older)17$3,967$198
Balloon dilation of dialysis segment with review by radiologist19$3,905$126
Ultrasound study of one arm or leg veins with compression and maneuvers28$3,604$129
Ultrasonic guidance for blood vessel access46$2,163$41
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes69$2,014$11
Short return visit20$1,216$53
Blood test, basic group of blood chemicals (calcium, ionized)60$1,003$14
Fluoroscopic guidance for insertion or removal of central vein access device17$361$16
Ultrasonic guidance for blood vessel access19$307$12
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml68$203$0
Infusion, normal saline solution, sterile (500 ml = 1 unit)69$103None
Injection, fentanyl citrate, 0.1 mg76$82None
Injection, heparin sodium, per 1000 units12$16None
Injection, midazolam hydrochloride, per 1 mg66$15None

2021: 28 services

Original Medicare services billed in 2021
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist54$89,798$1,403
Return visit (30+ min)123$22,607$118
Long return visit (40+ min)83$17,216$167
Revision of hemodialysis graft22$15,165$607
Balloon dilation of dialysis segment with review by radiologist19$14,858$708
Ultrasound of hemodialysis access77$13,385$134
New patient visit (60+ min)62$12,734$205
Relocation of upper arm surface vein with connection to arm artery for hemodialysis19$11,891$626
Relocation of arm vein with connection to arm artery for hemodialysis21$11,404$543
Short return visit (20+ min)103$11,333$85
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist37$9,754$208
Short return visit106$7,001$47
Ultrasound study of one arm or leg veins with compression and maneuvers46$6,137$131
Removal of tunneled central venous tube34$5,103$146
New patient visit (45+ min)34$4,832$142
Return visit (30+ min)44$4,053$90
Insertion of tunneled central venous tube for infusion (5 years or older)15$3,063$204
Balloon dilation of dialysis segment with review by radiologist15$2,677$127
Ultrasonic guidance for blood vessel access45$1,963$39
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes18$1,030$54
Blood test, basic group of blood chemicals (calcium, ionized)56$851$14
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes14$340$11
Fluoroscopic guidance for insertion or removal of central vein access device15$264$17
Ultrasonic guidance for blood vessel access17$247$12
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml60$183$0
Infusion, normal saline solution, sterile (500 ml = 1 unit)63$82None
Injection, fentanyl citrate, 0.1 mg65$45None
Injection, midazolam hydrochloride, per 1 mg63$12None

2020: 29 services

Original Medicare services billed in 2020
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist66$115,562$1,360
Balloon dilation of dialysis segment with review by radiologist24$19,603$726
Revision of hemodialysis graft28$18,877$609
Long return visit (40+ min)87$15,647$136
Return visit (30+ min)113$15,321$101
Short return visit (20+ min)120$13,529$68
Relocation of arm vein with connection to arm artery for hemodialysis20$11,770$588
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist40$10,604$216
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube19$8,272$394
New patient visit (60+ min)42$7,866$187
Insertion of tunneled central venous tube for infusion (5 years or older)23$5,089$204
Ultrasound of hemodialysis access34$4,804$130
Initial hospital care with moderate level of medical decision making at least 75 minutes20$3,891$185
New patient visit (45+ min)21$3,222$153
Removal of tunneled central venous tube19$3,159$150
Short return visit65$3,135$41
Ultrasound study of one arm or leg veins with compression and maneuvers18$2,310$128
Return visit (30+ min)27$2,037$73
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,372$125
Ultrasonic guidance for blood vessel access29$1,150$37
Insertion of non-tunneled central venous tube for infusion (5 years or older)11$845$77
Ultrasonic guidance for blood vessel access32$528$13
Fluoroscopic guidance for insertion or removal of central vein access device24$459$17
Blood test, basic group of blood chemicals (calcium, ionized)22$302$14
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml47$156$0
Injection, fentanyl citrate, 0.1 mg41$93None
Infusion, normal saline solution, sterile (500 ml = 1 unit)47$56None
Injection, propofol, 10 mg17$23None
Injection, midazolam hydrochloride, per 1 mg47$9None

2019: 31 services

Original Medicare services billed in 2019
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist29$39,621$1,238
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist66$18,150$204
Long return visit (40+ min)100$17,890$137
Short return visit (20+ min)145$16,138$66
Relocation of upper arm surface vein with connection to arm artery for hemodialysis26$15,617$578
Revision of hemodialysis graft22$14,165$616
Return visit (30+ min)105$14,136$96
Relocation of arm vein with connection to arm artery for hemodialysis24$13,984$559
New patient visit (60+ min)66$12,115$184
Insertion of tunneled central venous tube for infusion (5 years or older)33$7,847$206
Ultrasound of hemodialysis access49$7,828$140
Relocation of major upper arm vein with connection to arm artery for hemodialysis13$7,332$564
Initial hospital care with moderate level of medical decision making at least 75 minutes37$6,924$182
Relocation of forearm vein with connection to arm artery for hemodialysis11$6,275$570
Ultrasound study of one arm or leg veins with compression and maneuvers43$5,131$119
Removal of tunneled central venous tube26$3,917$151
New patient visit (45+ min)23$3,417$149
Short return visit44$2,240$43
Balloon dilation of dialysis segment with review by radiologist16$2,208$130
Ultrasonic guidance for blood vessel access66$1,153$13
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes74$1,047$11
Review by radiologist of arm or leg artery image12$976$75
Ultrasonic guidance for blood vessel access19$644$34
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes13$611$44
Fluoroscopic guidance for insertion or removal of central vein access device12$217$17
Imaging guidance for procedure, 60 minutes or less13$194$14
Blood test, basic group of blood chemicals (calcium, ionized)11$162$13
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml34$138$0
Infusion, normal saline solution, sterile (500 ml = 1 unit)33$37None
Injection, fentanyl citrate, 0.1 mg31$24None
Injection, midazolam hydrochloride, per 1 mg33$8None

2018: 26 services

Original Medicare services billed in 2018
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist65$118,896$1,265
Balloon dilation of dialysis segment with review by radiologist26$26,104$768
Short return visit (20+ min)139$15,277$64
Return visit (30+ min)117$14,641$92
Relocation of upper arm surface vein with connection to arm artery for hemodialysis18$11,403$570
Long return visit (40+ min)63$10,419$132
Revision of hemodialysis graft14$9,466$631
Relocation of forearm vein with connection to arm artery for hemodialysis13$8,205$586
Ultrasound of hemodialysis access53$8,081$130
Initial hospital care with moderate level of medical decision making at least 75 minutes35$6,753$178
New patient visit (60+ min)32$6,048$189
Insertion of tunneled central venous tube for infusion (5 years or older)21$4,491$204
New patient visit (45+ min)30$4,391$146
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist16$3,702$185
Removal of tunneled central venous tube23$3,322$138
Ultrasound study of one arm or leg veins with compression and maneuvers19$2,236$118
Short return visit42$1,972$42
Ultrasonic guidance for blood vessel access27$1,129$30
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes16$855$48
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes45$624$11
Ultrasonic guidance for blood vessel access33$521$13
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml74$437$0
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes13$374$11
Imaging guidance for procedure, 60 minutes or less12$99$8
Injection, fentanyl citrate, 0.1 mg15$25None
Injection, midazolam hydrochloride, per 1 mg15$3None

2017: 23 services

Original Medicare services billed in 2017
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist58$91,571$1,174
Balloon dilation of dialysis segment with review by radiologist24$21,375$690
Return visit (30+ min)137$20,110$93
Revision of hemodialysis graft20$14,283$595
Relocation of upper arm surface vein with connection to arm artery for hemodialysis20$13,054$593
Long return visit (40+ min)72$10,959$117
Short return visit (20+ min)115$9,846$62
Creation of artery-vein connection using tube graft for hemodialysis21$8,924$406
Initial hospital care with moderate level of medical decision making at least 75 minutes38$6,941$174
New patient visit (45+ min)49$6,831$139
New patient visit (60+ min)39$6,643$170
Ultrasound study of one arm or leg veins with compression and maneuvers41$4,934$117
Ultrasound of hemodialysis access29$4,079$127
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist24$3,458$138
Insertion of tunneled central venous tube for infusion (5 years or older)16$3,297$194
Removal of tunneled central venous tube19$2,491$125
Balloon dilation of dialysis segment with review by radiologist14$1,866$104
Ultrasonic guidance for blood vessel access23$801$28
Short return visit17$679$38
Office for the evaluation and management of established patient that may not require presence of healthcare professional20$493$19
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml75$398$0
Ultrasonic guidance for blood vessel access18$295$12
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes20$212$10

2016: 34 services

Original Medicare services billed in 2016
Balloon dilation of narrowed or blocked vein, accessed through the skin59$124,504$1,209
Insertion of needle and/or catheter for dialysis62$39,430$448
Revision of hemodialysis graft27$18,137$605
Return visit (30+ min)130$15,951$85
Creation of artery-vein connection using tube graft for hemodialysis26$14,136$487
Balloon dilation of narrowed or blocked vein, accessed through the skin46$12,511$174
Relocation of upper arm surface vein with connection to arm artery for hemodialysis24$12,227$489
Relocation of arm vein with connection to arm artery for hemodialysis18$9,063$503
Revision of hemodialysis graft with removal of blood clot12$8,932$595
Short return visit (20+ min)93$7,827$59
Insertion of needle and/or catheter for dialysis51$7,740$103
New patient visit (45+ min)53$7,431$140
Ultrasound of hemodialysis access53$7,201$111
New patient visit (60+ min)41$6,786$166
Long return visit (40+ min)48$6,529$111
Catheter removal of blood clot from dialysis graft, accessed through the skin25$5,967$213
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,623$170
Insertion of tunneled central venous tube for infusion (5 years or older)21$4,657$194
Ultrasound study of one arm or leg veins with compression and maneuvers37$4,613$115
Radiological supervision and interpretation of balloon dilation of narrowed vein29$4,459$131
Insertion of needle and/or catheter into an artery-vein dialysis shunt or graft17$4,260$251
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes34$4,020$115
Incision of windpipe for insertion of breathing tube (older than 2 years)11$3,459$314
Removal of tunneled central venous tube24$2,782$116
Insertion of tube connecting vein to vein for hemodialysis21$2,162$94
Insertion of needle and/or catheter into an artery-vein dialysis shunt or graft26$1,237$41
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,215$61
Strapping, unna boot11$996$50
Radiological supervision and interpretation of balloon dilation of narrowed vein33$927$22
Ultrasonic guidance for blood vessel access28$863$29
Review by radiologist of arm or leg artery image12$700$47
Ultrasonic guidance for blood vessel access44$654$12
Short return visit14$620$39
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml46$215$0

2015: 34 services

Original Medicare services billed in 2015
Balloon dilation of narrowed or blocked vein, accessed through the skin49$97,355$1,232
Insertion of stent in vein with review by radiologist, initial vein11$52,983$4,076
Insertion of needle and/or catheter for dialysis55$35,955$467
Return visit (30+ min)157$21,782$91
Short return visit (20+ min)130$14,106$61
Relocation of arm vein with connection to arm artery for hemodialysis24$13,181$527
Revision of hemodialysis graft17$11,581$610
Relocation of upper arm surface vein with connection to arm artery for hemodialysis17$10,099$561
Balloon dilation of narrowed or blocked vein, accessed through the skin27$8,277$184
Relocation of major upper arm vein with connection to arm artery for hemodialysis15$8,265$551
Creation of artery-vein connection using tube graft for hemodialysis16$7,648$450
New patient visit (60+ min)43$7,597$177
Initial hospital care with moderate level of medical decision making at least 75 minutes40$7,493$174
Radiological supervision and interpretation of balloon dilation of narrowed vein43$7,131$132
New patient visit (45+ min)50$7,038$141
Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)29$5,682$196
Insertion of tunneled central venous tube for infusion (5 years or older)20$4,912$223
Insertion of needle and/or catheter for dialysis34$4,310$100
Insertion of needle and/or catheter into an artery-vein dialysis shunt or graft13$3,826$255
Ultrasound of both sides of head and neck blood flow21$3,749$179
Ultrasound of hemodialysis access17$3,072$154
Ultrasound study of one arm or leg veins with compression and maneuvers21$2,710$118
Removal of tunneled central venous tube14$2,066$138
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,883$118
New patient visit (30+ min)20$1,868$93
Insertion of non-tunneled central venous tube for infusion (5 years or older)16$1,866$98
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,559$62
Short return visit13$519$40
Ultrasonic guidance for blood vessel access32$476$13
Radiological supervision and interpretation of balloon dilation of narrowed vein15$466$22
Insertion of needle and/or catheter into an artery-vein dialysis shunt or graft11$464$42
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml63$419$0
Ultrasonic guidance for blood vessel access12$415$30
Fluoroscopic guidance for insertion or removal of central vein access device19$340$16

2014: 32 services

Original Medicare services billed in 2014
Balloon dilation of narrowed or blocked vein, accessed through the skin62$137,322$1,174
Insertion of needle and/or catheter for dialysis66$45,222$481
Return visit (30+ min)168$24,537$89
New patient visit (60+ min)90$15,185$169
Relocation of arm vein with connection to arm artery for hemodialysis24$14,152$590
Initial hospital care with moderate level of medical decision making at least 75 minutes74$13,635$173
Short return visit (20+ min)133$13,418$61
Relocation of upper arm surface vein with connection to arm artery for hemodialysis20$11,316$566
Balloon dilation of narrowed or blocked vein, accessed through the skin37$11,084$188
Radiological supervision and interpretation of balloon dilation of narrowed vein58$11,018$139
Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)45$8,948$195
Creation of artery-vein connection using tube graft for hemodialysis13$7,442$532
Revision of hemodialysis graft15$6,017$376
Ultrasound of both sides of head and neck blood flow31$5,684$178
Insertion of needle and/or catheter for dialysis37$5,385$110
New patient visit (45+ min)35$5,057$144
Catheter removal of blood clot from dialysis graft, accessed through the skin14$4,419$221
Insertion of needle and/or catheter into an artery-vein dialysis shunt or graft14$4,313$254
Ultrasound of hemodialysis access25$4,309$139
Insertion of tunneled central venous tube for infusion (5 years or older)20$4,116$206
Removal of tunneled central venous tube18$2,613$145
Complete ultrasound scan of abdomen17$2,476$118
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$2,435$87
Ultrasound study of one arm or leg veins with compression and maneuvers20$2,407$109
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$2,290$62
Review by radiologist of arm or leg artery image12$2,164$166
Long return visit (40+ min)14$1,579$113
Insertion of tube connecting vein to vein for hemodialysis11$955$87
Insertion of needle and/or catheter into an artery-vein dialysis shunt or graft18$929$42
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$805$34
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml81$700$0
Ultrasonic guidance for blood vessel access22$296$13

2013: 36 services

Original Medicare services billed in 2013
Balloon dilation of narrowed or blocked vein, accessed through the skin53$101,212$1,281
Insertion of needle and/or catheter for dialysis59$35,033$467
New patient visit (60+ min)107$18,733$175
Return visit (30+ min)153$18,522$89
Relocation of upper arm surface vein with connection to arm artery for hemodialysis24$13,438$560
Short return visit (20+ min)123$13,009$63
Balloon dilation of narrowed or blocked vein, accessed through the skin45$11,562$181
Relocation of arm vein with connection to arm artery for hemodialysis21$11,494$547
Relocation of major upper arm vein with connection to arm artery for hemodialysis18$11,024$525
Initial hospital care with moderate level of medical decision making at least 75 minutes62$10,761$168
Radiological supervision and interpretation of balloon dilation of narrowed vein54$9,934$146
Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)54$9,907$162
Removal of blood clot and portion of chest, neck, or brain artery12$8,557$658
Creation of artery-vein connection using tube graft for hemodialysis14$8,269$517
Revision of hemodialysis graft21$6,727$320
Ultrasound of both sides of head and neck blood flow38$6,463$162
Insertion of needle and/or catheter for dialysis47$5,833$101
Ultrasound study of one arm or leg veins with compression and maneuvers37$5,292$113
Long return visit (40+ min)36$4,834$124
Insertion of tunneled central venous tube for infusion (5 years or older)20$4,807$219
New patient visit (45+ min)32$4,513$141
Catheter removal of blood clot from dialysis graft, accessed through the skin17$4,503$225
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$3,493$87
Ultrasound of hemodialysis access26$3,333$108
Removal of tunneled central venous tube21$3,133$136
Ultrasound study of arm and leg arteries28$2,829$86
Insertion of tube connecting vein to vein for hemodialysis19$2,610$131
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$2,358$60
Ultrasound study of arm or leg veins with compression and maneuvers12$2,180$182
New patient visit (30+ min)19$1,739$92
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes17$1,178$33
Short return visit15$601$38
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml70$557$0
Ultrasonic guidance for blood vessel access12$329$27
Ultrasonic guidance for blood vessel access18$245$12
Fluoroscopic guidance for insertion or removal of central vein access device11$172$16

Medicaid work

$144 in 2019

Medicaid paid $144 for 42 billed services this clinician did in 2019, up to 13 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 2019
Lidocaine injection14$67
Fentanyl citrate injection14$63
Injection, midazolam hydrochloride, per 1 mg14$14
Medicaid work by year
201942313$144

Drugs they prescribed that Part D paid

$24,593

Pharmacies billed $24,593 in 2024.

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

Opioids were 25% of their Part D prescriptions (38 of 151) in 2024. Above the middle of the specialty; the typical vascular surgery clinician is at 11%. Surgeons prescribe little besides pain medicine after an operation, so their opioid share runs high.

129 generic and 22 brand-name prescriptions · $24,593 in drug cost · 25 antibiotic prescriptions to 17 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
Eliquis19$21,892$1,152
Clopidogrel12$116$10
Cephalexin13$89$7
Tramadol35$77$2

Year by year

Part D prescribing by year
20241516325% (38)15%$24,593
20231606838% (60)None$17,039
20221255534% (42)9%$16,303
20211396643% (60)9%$12,162
20201156239% (45)None$6,479
20191467836% (53)10%$9,616
20181767440% (71)7%$4,193
20171236746% (56)None$1,550
20161939340% (77)7%$3,266
20152209638% (84)6%$3,367
201429310231% (90)16%$7,129
20132869935% (101)18%$7,257

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
Doxycycline Hyclate12$245$20
Tramadol54$219$4
Mupirocin14$151$11

2022: 2 drugs

Part D drugs prescribed in 2022
Tramadol39$138$4
Mupirocin11$50$5

2021: 2 drugs

Part D drugs prescribed in 2021
Tramadol55$172$3
Cephalexin11$89$8

2020: 2 drugs

Part D drugs prescribed in 2020
Tramadol42$112$3
Cephalexin11$71$6

2019: 1 drug

Part D drugs prescribed in 2019
Tramadol48$161$3

2018: 1 drug

Part D drugs prescribed in 2018
Tramadol58$240$4

2017: 2 drugs

Part D drugs prescribed in 2017
Tramadol36$116$3
Hydrocodone-Acetaminophen18$92$5

2016: 3 drugs

Part D drugs prescribed in 2016
Nifedipine Er14$445$32
Tramadol70$339$5
Clopidogrel14$162$12

2015: 4 drugs

Part D drugs prescribed in 2015
Nifedical Xl13$435$33
Atorvastatin11$336$31
Tramadol72$263$4
Gabapentin12$91$8

2014: 8 drugs

Part D drugs prescribed in 2014
Diovan13$1,834$141
Nifedipine Er19$503$26
Hydrocodone-Acetaminophen38$459$12
Lansoprazole13$317$24
Tramadol51$216$4
Mupirocin17$171$10
Gabapentin13$127$10
Amlodipine Besylate13$110$8

2013: 8 drugs

Part D drugs prescribed in 2013
Diovan14$1,745$125
Lansoprazole13$535$41
Hydrocodone-Acetaminophen49$372$8
Cilostazol12$341$28
Atorvastatin12$288$24
Tramadol50$225$5
Mupirocin13$205$16
Amlodipine Besylate15$134$9

Money from drug and device companies

$39 in 2025

Industry payments by year
202522None$39
202411None$20
202311None$80
201944None$346

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
Abbott LaboratoriesEsprit$24
1 payment
  • Meals for Esprit · 2025-05-30 · $24
Octapharma USAFibryga$16
1 payment
  • Meals for Fibryga · 2025-08-01 · $16
See all 2 published payments
Every published payment
Octapharma USAMeals · 2025-08-01Fibryga$16
Abbott LaboratoriesMeals · 2025-05-30Esprit$24
See earlier years (2024, 2023, 2019)

2024: $20

Payments by company in 2024
Mozarc Medical USChameleon$20
1 payment
  • Meals for Chameleon · 2024-05-08 · $20

2023: $80

Payments by company in 2023
MedtronicIn.Pact Admiral$80
1 payment
  • Meals for In.Pact Admiral · 2023-11-20 · $80

2019: $346

Payments by company in 2019
Janssen PharmaceuticalsXarelto$125
1 payment
  • Meals for Xarelto · 2019-06-27 · $125
Baxter HealthcareRenal - Pd$125
1 payment
  • Meals for Renal - Pd · 2019-10-18 · $125
Covidien LPPalindrome$82
1 payment
  • Meals for Palindrome · 2019-11-04 · $82
Cardiovascular SystemsPeripheral Orbital Atherectomy System$14
1 payment
  • Meals for Peripheral Orbital Atherectomy System · 2019-11-04 · $14

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
90.3 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1699739219
Licence
CA A299230
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A299230
Taxonomy
Thoracic surgery (208G00000X)
Mailing address
1320 El Capitan Dr, Ste 120, Danville, CA, 94526
NPI first listed
2006-04-12
NPI last updated
2013-01-25

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