Matthew Gilbert, MD
Emergency Medicine · Anaheim
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Anaheim Emergency Medical Group · 21 clinicians in this group
Hospitals listed: Ahmc Anaheim Regional Medical Center. That is not proof they admit you there this week.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Gilbert’s office at (951) 898-0823 to ask if they take your plan before you enroll.
California Medical Board record
Licence A184814 · Current
Licensed to practise in California · since 2023 · expires 2027-05-31 · Ross University School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
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.
- Ahmc Anaheim Regional Medical CenterAnaheim, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPatients rate it 2 of 5 · 51% would definitely recommend itOverall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.094, Oct 2024 – Sep 2025
See every measure and the patient survey for Ahmc Anaheim Regional Medical Center
Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 1 better, 4 the same, 0 worse of 5 measures. Readmissions: 0 better, 6 the same, 2 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Clostridium Difficile (C.Diff)Infections | 0.094 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.99 (0 to 2.05) · 413 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.9 (0.52 to 1.28) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 159.91 (96.71 to 223.12) · 31 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.3 · 29 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 8.1 · 28 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.3 · 40 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11.1 · 94 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 12.6 · 288 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12 · 45 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 4.2 · 1,016 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.18 (0 to 0.4) · 2,225 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.25 (0.04 to 0.46) · 2,324 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.46 (1.01 to 5.92) · 347 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.57 (0 to 3.25) · 73 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.43 (0.77 to 4.08) · 320 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 9.93 (1.79 to 18.07) · 83 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.8 (1.6 to 10.01) · 69 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.74 (0.22 to 3.26) · 53 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 1.04) · 2,031 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.4 · 39 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.397 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.747 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15.5 · 100 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 19.8 · 204 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -15.7 · 109 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 17.6 · 318 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.5 · 391 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.1 · 45 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 12.8 · 65 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20 · 81 cases | None | Jul 2023 – Jun 2025 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.5) · 35 cases | No different | Jan 2024 – Dec 2024 |
What patients said (344 patients answered, 13% of those asked)
| Cleanliness | 4 |
| Nurse communication | 2 |
| Doctor communication | 2 |
| Communication about medicines | 1 |
| Discharge information | 1 |
| Overall hospital rating | 2 |
| Quietness | 2 |
| Recommend hospital | 2 |
| Room was "always" clean | 71% |
| Nurses "always" communicated well | 72% |
| Doctors "always" communicated well | 69% |
| Staff "always" explained | 52% |
| Yes, staff "did" give patients this information | 77% |
| Yes, staff "did" give patients information about help after discharge | 74% |
| Doctors "always" explained things so they could understand | 63% |
| Doctors "always" listened carefully | 67% |
| Doctors "always" treated them with courtesy and respect | 76% |
| Patients who gave a rating of "9" or "10" (high) | 60% |
| Staff "always" explained new medications | 65% |
| Nurses "always" explained things so they could understand | 63% |
| Nurses "always" listened carefully | 71% |
| Nurses "always" treated them with courtesy and respect | 81% |
| "Always" quiet at night | 45% |
| "YES", patients would definitely recommend the hospital | 51% |
| Staff "always" explained possible side effects | 39% |
| Yes, staff "did" give patients information about possible symptoms | 79% |
Original Medicare doctor bills
$29,095
Medicare paid this office $29,095 for 204 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with high level of medical decision making | 115 | $16,154 | $135 |
| Critical care, first 30-74 minutes | 43 | $7,601 | $177 |
| Emergency department visit with moderate level of medical decision making | 34 | $2,807 | $80 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 71 | $491 | $7 |
Who their Medicare patients are
204 Original Medicare patients in 2024. Average age 73 · Under 65 21% · 85 and older 22% · Women 51% · Also on Medicaid 79% · Health risk score 2.78. Sicker patients than 9 in 10 peers; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 75% · Diabetes 52% · Heart failure 39% · Chronic kidney disease 38% · Depression 37% · Coronary heart disease 34% · COPD 26% · Dementia 26% · Atrial fibrillation 22% · Cancer 18% · Stroke 17%.
The office billed $233,321, Medicare allowed $39,384 and paid $29,095; for 296 services of 15 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
| 2024 | 204 | 296 | 73 | 2.78 | $233,321 | $29,095 |
| 2023 | 92 | 132 | 69 | 3.00 | $108,271 | $14,040 |
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: 4 services
| Emergency department visit with high level of medical decision making | 39 | $5,885 | $151 |
| Critical care, first 30-74 minutes | 27 | $4,897 | $181 |
| Emergency department visit with moderate level of medical decision making | 16 | $1,668 | $104 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 35 | $263 | $7 |
Medicaid work
$63,259 in 2024
Medicaid paid $63,259 for 1,805 billed services this clinician did in 2024, up to 106 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.
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 524 | $30,327 |
| EMERGENCY DEPT VISIT MOD MDM | 531 | $22,157 |
| Service | 112 | $4,238 |
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 31 | $2,063 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 168 | $1,216 |
| EMERGENCY DEPT VISIT LOW MDM | 45 | $838 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 89 | $669 |
| Service | 116 | $504 |
| Service | 14 | $477 |
| ELECTROLYTE PANEL | 40 | $266 |
| New patient visit (45+ min) | 13 | $207 |
| Return visit (30+ min) | 13 | $187 |
| 2024 | 1,805 | 15 | 106 | $63,259 |
| 2023 | 1,095 | 14 | 59 | $28,996 |
See the largest Medicaid services in earlier years
2023
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 250 | $9,408 |
| EMERGENCY DEPT VISIT MOD MDM | 232 | $7,753 |
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 67 | $3,999 |
| Service | 83 | $3,137 |
| New patient visit (45+ min) | 43 | $2,265 |
| Service | 28 | $955 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 129 | $471 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 55 | $446 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 12 | $180 |
| Service | 115 | $178 |
| ELECTROLYTE PANEL | 17 | $122 |
| Creatinine; blood | 30 | $57 |
Drugs they prescribed that Part D paid
$4,671
Pharmacies billed $4,671 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 7% of their Part D prescriptions (14 of 202) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.
186 generic and 16 brand-name prescriptions · $4,671 in drug cost · 53 antibiotic prescriptions to 40 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.
| Cefpodoxime Proxetil | 13 | $742 | $57 |
| Albuterol Sulfate Hfa | 12 | $353 | $25 |
| Ibuprofen | 36 | $109 | $3 |
| Amoxicillin-Clavulanate Potass | 15 | $97 | $6 |
| Ondansetron Odt | 15 | $89 | $6 |
See all 7 drugs
| Cefpodoxime Proxetil | 13 | $742 | $57 |
| Albuterol Sulfate Hfa | 12 | $353 | $25 |
| Ibuprofen | 36 | $109 | $3 |
| Amoxicillin-Clavulanate Potass | 15 | $97 | $6 |
| Ondansetron Odt | 15 | $89 | $6 |
| Gabapentin | 12 | $48 | $4 |
| Oxycodone | 12 | $30 | $2 |
Year by year
| 2024 | 202 | 98 | 7% (14) | 8% | $4,671 |
| 2023 | 75 | 49 | None | None | $1,418 |
| 2022 | 30 | 20 | None | None | $1,635 |
| 2021 | 29 | 20 | None | None | $792 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
Money from drug and device companies
$268 in 2023
A payment is not proof that care is biased.
| MicroVention | Web Aneurysm Embolization System | $268 | 2 payments
|
See all 2 published payments
| MicroVention | Meals · 2023-10-25 | Web Aneurysm Embolization System | $223 |
| MicroVention | Meals · 2023-05-28 | Eric Retrieval Device | $45 |
Professional record
- NPI
- 1730701756
- Licence
- CA A184814California A184814: Current · expires 2027-05-31
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207P00000X (207P00000X)
- Mailing address
- 236 Harding Ave, Los Gatos, CA, 95030
- NPI first listed
- 2020-05-13
- NPI last updated
- 2023-12-14
- NPI record certified
- 2023-12-14
This is when the NPI record was last certified, not a medical board exam.