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James E Starr, MD

Emergency Medicine · Berkeley

NPI 1740328624

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations · Berkeley Emergency Medical Group Inc · Sutter Bay Medical Foundation

Looking this up.

Hospitals listed: Alta Bates Summit Medical Center · Alta Bates Summit Medical Center - Alta Bates Camp. 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. Starr’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A88029 · Current

Licensed to practise in California · since 2004 · expires 2028-07-31 · University of Wisconsin Medical School.

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

Hospitals they work in

2 hospitals

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

  • Alta Bates Summit Medical CenterOakland, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 3 of 5 · 78% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Death rate among surgical inpatients with serious treatable complications: 130.09 (87.72 to 172.46) · 109 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.274, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.227, Oct 2024 – Sep 2025
  • Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.298, Oct 2024 – Sep 2025
See every measure and the patient survey for Alta Bates Summit Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 4 better, 3 the same, 0 worse of 7 measures. Readmissions: 3 better, 6 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 Alta Bates Summit Medical Center
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths130.09 (87.72 to 172.46) · 109 casesBetterJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.274BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.227BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0.06 to 1.94) · 1,209 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.88 (0.6 to 1.16)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2 · 89 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.9 · 105 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.8 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 447 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.7 · 341 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.2 · 381 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 2,811 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.31) · 7,167 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,659 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.93 (0.92 to 4.94) · 1,668 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.25 (0 to 2.75) · 580 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.67 (1.19 to 4.15) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.17 (0.33 to 12.02) · 633 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths8.11 (4.67 to 11.55) · 619 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.07) · 309 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.39 (0 to 0.96) · 6,085 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.8 · 217 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.724No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.425No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.716No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits12.7 · 416 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.6 · 606 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-30.4 · 359 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-31.8 · 555 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-14.4 · 358 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16 · 382 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.1 (3.2 to 8.2) · 25 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.8 (7.3 to 16) · 25 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.5 · 232 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.9 · 56 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 152 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14.8 (11.1 to 20) · 251 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 579 casesNo differentJan 2024 – Dec 2024

What patients said (535 patients answered, 18% of those asked)

Patient survey stars by topic at Alta Bates Summit Medical Center
Cleanliness4
Nurse communication3
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Alta Bates Summit Medical Center
Room was "always" clean73%
Nurses "always" communicated well75%
Doctors "always" communicated well81%
Staff "always" explained58%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Alta Bates Summit Medical Center - Alta Bates Camp

Behind the star rating — Deaths: 2 better, 5 the same, 0 worse of 7 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 6 the same, 1 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 Alta Bates Summit Medical Center - Alta Bates Camp
Clostridium Difficile (C.Diff)Infections0.298BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.18 (0.16 to 2.2) · 730 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.87 (0.51 to 1.23)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths188.12 (132.31 to 243.94) · 50 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.8 · 50 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.4 · 189 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.6 · 184 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 103 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 1,585 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.4) · 3,929 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.31 (0.11 to 0.51) · 3,954 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.15 (0.95 to 5.36) · 754 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.62 (0 to 3.33) · 325 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.99 (0.39 to 3.59) · 717 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.85 (2.27 to 19.44) · 326 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.79 (1.08 to 8.49) · 302 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.68 (0.19 to 3.18) · 184 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.17 (0 to 0.88) · 3,240 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.4 · 161 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.207No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.48No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.785No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.4 · 243 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-58.2 · 194 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-12.3 · 177 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 209 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (3.8 to 7.5) · 215 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.2 (9.4 to 15.5) · 215 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.8 · 150 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.2 · 81 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.4 (10 to 18.1) · 315 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1.2) · 137 casesNo differentJan 2024 – Dec 2024

What patients said (449 patients answered, 15% of those asked)

Patient survey stars by topic at Alta Bates Summit Medical Center - Alta Bates Camp
Cleanliness2
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Alta Bates Summit Medical Center - Alta Bates Camp
Room was "always" clean62%
Nurses "always" communicated well72%
Doctors "always" communicated well75%
Staff "always" explained53%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)58%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night49%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects38%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$113,326

Medicare paid this office $113,326 for 725 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making408$59,723$139
Critical care, first 30-74 minutes158$29,157$180
Emergency department visit with moderate level of medical decision making135$12,661$92
Initial hospital care with moderate level of medical decision making at least 75 minutes27$3,321$123
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only372$2,794$7
See all 7 services
Every Original Medicare service billed
Emergency department visit with high level of medical decision making408$59,723$139
Critical care, first 30-74 minutes158$29,157$180
Emergency department visit with moderate level of medical decision making135$12,661$92
Initial hospital care with moderate level of medical decision making at least 75 minutes27$3,321$123
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only372$2,794$7
Electrocardiogram (ecg) 1 to 3 leads with review by physician only222$1,279$6
Smoking and tobacco use intensive counseling, 4-10 minutes17$220$13

Who their Medicare patients are

725 Original Medicare patients in 2024. Average age 73 · Under 65 18% · 85 and older 19% · Women 56% · Also on Medicaid 58% · Health risk score 2.24. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Chronic kidney disease 39% · Diabetes 38% · Depression 33% · Heart failure 29% · Coronary heart disease 26% · Atrial fibrillation 26% · COPD 24% · Dementia 19% · Cancer 16% · Stroke 16%.

The office billed $754,033, Medicare allowed $150,537 and paid $113,326; for 1,454 services of 29 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
20247251,454732.24$754,033$113,326
20236521,295732.24$630,730$114,242
20226441,257722.22$643,809$111,859
20216791,394722.44$645,005$129,237
20208071,553712.40$624,459$136,138
20198631,568712.62$496,341$125,795
20188641,501712.51$481,718$119,498
20179681,693702.26$544,188$133,718
20169151,742702.23$528,319$130,463
20151,0081,878692.21$583,101$142,354
20148681,566702.23$480,791$116,891
20139671,652692.32$502,762$116,948

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: 8 services

Original Medicare services billed in 2023
Initial hospital care with moderate level of medical decision making at least 75 minutes178$30,375$158
Emergency department visit with high level of medical decision making191$29,901$156
Critical care, first 30-74 minutes130$26,620$197
Emergency department visit with moderate level of medical decision making153$15,917$103
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only343$2,624$7
Electrocardiogram (ecg) 1 to 3 leads with review by physician only145$880$6
Emergency department visit with low level of medical decision making11$685$62
Smoking and tobacco use intensive counseling, 4-10 minutes25$359$13

2022: 8 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making300$48,900$158
Critical care, first 30-74 minutes131$30,275$221
Initial hospital observation care per day, typically 70 minutes64$10,809$166
Emergency department visit with moderate level of medical decision making108$10,489$97
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only352$2,766$7
Emergency department visit with low level of medical decision making52$2,630$50
Electrocardiogram (ecg) 1 to 3 leads with review by physician only109$681$6
Smoking and tobacco use intensive counseling, 4-10 minutes21$281$13

2021: 8 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making375$63,920$166
Critical care, first 30-74 minutes136$32,056$232
Emergency department visit with moderate level of medical decision making87$9,387$108
Initial hospital observation care per day, typically 70 minutes40$7,221$181
Critical care, each additional 30 minutes33$3,828$116
Emergency department visit with low level of medical decision making59$3,326$56
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only404$3,194$7
Electrocardiogram (ecg) 1 to 3 leads with review by physician only133$826$6

2020: 9 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making438$69,946$153
Critical care, first 30-74 minutes137$30,442$217
Emergency department visit with moderate level of medical decision making147$14,522$99
Initial hospital observation care per day, typically 70 minutes32$5,524$173
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only499$4,263$8
Emergency department visit with low level of medical decision making74$3,959$51
Critical care, each additional 30 minutes13$1,494$115
Electrocardiogram (ecg) 1 to 3 leads with review by physician only52$339$6
Smoking and tobacco use intensive counseling, 4-10 minutes18$251$14

2019: 7 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making457$69,206$147
Critical care, first 30-74 minutes109$20,919$192
Emergency department visit with moderate level of medical decision making200$19,974$98
Emergency department visit with low level of medical decision making97$5,194$52
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only504$4,104$8
Emergency department visit with straightforward medical decision making33$1,208$36
X-ray of chest, 1 view24$197$8

2018: 7 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making483$71,210$143
Emergency department visit with moderate level of medical decision making186$18,132$96
Critical care, first 30-74 minutes83$15,792$190
Emergency department visit with low level of medical decision making101$5,127$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only456$3,582$7
Emergency department visit with straightforward medical decision making37$1,178$32
X-ray of chest, 1 view36$289$8

2017: 8 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making551$81,108$142
Emergency department visit with moderate level of medical decision making198$19,135$96
Critical care, first 30-74 minutes90$16,989$189
Emergency department visit with low level of medical decision making123$6,381$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only479$3,851$7
Emergency department visit with straightforward medical decision making30$947$32
X-ray of chest, 1 view, front65$525$8
X-ray of chest, 2 views, front and side12$116$10

2016: 9 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making562$82,974$143
Emergency department visit with moderate level of medical decision making185$18,281$97
Critical care, first 30-74 minutes63$11,923$189
Emergency department visit with low level of medical decision making119$6,145$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only490$4,035$7
X-ray of chest, 1 view, front81$654$8
Emergency department visit with straightforward medical decision making18$624$33
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only20$154$7
X-ray of chest, 2 views, front and side11$105$10

2015: 8 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making611$91,061$143
Emergency department visit with moderate level of medical decision making197$19,110$96
Critical care, first 30-74 minutes68$12,907$190
Emergency department visit with low level of medical decision making148$7,619$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only541$4,379$7
X-ray of chest, 1 view, front80$630$8
Emergency department visit with straightforward medical decision making18$622$35
X-ray of chest, 2 views, front and side17$162$10

2014: 8 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making467$68,695$142
Emergency department visit with moderate level of medical decision making202$19,272$94
Critical care, first 30-74 minutes55$10,495$187
Emergency department visit with low level of medical decision making138$6,995$49
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only425$3,392$7
Emergency department visit with straightforward medical decision making30$1,140$33
X-ray of chest, 1 view, front66$534$8
X-ray of chest, 2 views, front and side20$181$9

2013: 8 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making444$63,583$136
Emergency department visit with moderate level of medical decision making265$24,099$89
Emergency department visit with low level of medical decision making214$9,984$45
Critical care, first 30-74 minutes46$8,257$179
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only416$3,093$7
Emergency department visit with straightforward medical decision making34$1,049$29
Emergent insertion of breathing tube into windpipe using an endoscope11$991$90
X-ray of chest, 1 view, front53$417$8

Medicaid work

$59,812 in 2024

Medicaid paid $59,812 for 1,546 billed services this clinician did in 2024, up to 67 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
EMERGENCY DEPARTMENT VISIT HIGH MDM549$34,788
EMERGENCY DEPT VISIT MOD MDM360$15,478
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes78$6,540
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only422$2,461
Rhythm ECG, 1-3 leads; interpretation and report only137$546
Medicaid work by year
20241,546567$59,812
20231,438649$51,171
20221,383954$50,099
20211,2831059$38,822
20201,9561070$60,967
20191,747934$51,473
20181,811837$53,011
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPARTMENT VISIT HIGH MDM476$26,863
EMERGENCY DEPT VISIT MOD MDM395$14,573
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes97$7,024
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only380$2,393
Rhythm ECG, 1-3 leads; interpretation and report only76$238
Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes14$81

2022

Largest Medicaid services in 2022
EMERGENCY DEPARTMENT VISIT HIGH MDM524$31,557
EMERGENCY DEPT VISIT MOD MDM268$10,072
EMERGENCY DEPT VISIT LOW MDM148$4,473
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only333$2,186
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes14$1,329
Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes42$235
COMPREHENSIVE METABOLIC PANEL27$125
Rhythm ECG, 1-3 leads; interpretation and report only14$94
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count13$26

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM494$26,168
EMERGENCY DEPT VISIT MOD MDM194$7,123
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only379$2,762
EMERGENCY DEPT VISIT LOW MDM76$1,445
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes16$906
COMPREHENSIVE METABOLIC PANEL42$127
Rhythm ECG, 1-3 leads; interpretation and report only12$117
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count43$78
Troponin, quantitative15$52
Radiologic examination, chest; single view12$43

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM590$35,925
EMERGENCY DEPT VISIT MOD MDM368$13,676
EMERGENCY DEPT VISIT LOW MDM243$5,123
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only466$3,561
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes13$1,042
Service13$471
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report55$441
COMPREHENSIVE METABOLIC PANEL103$393
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count88$242
Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes17$93

2019

Largest Medicaid services in 2019
EMERGENCY DEPARTMENT VISIT HIGH MDM477$26,291
EMERGENCY DEPT VISIT MOD MDM411$13,192
EMERGENCY DEPT VISIT LOW MDM341$7,750
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only277$2,722
COMPREHENSIVE METABOLIC PANEL97$653
Service16$608
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count102$199
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report12$60
Patient not eligible due to active diagnosis of hypertension14$0

2018

Largest Medicaid services in 2018
EMERGENCY DEPARTMENT VISIT HIGH MDM523$27,478
EMERGENCY DEPT VISIT MOD MDM470$14,815
EMERGENCY DEPT VISIT LOW MDM412$8,101
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only245$2,178
COMPREHENSIVE METABOLIC PANEL66$202
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count67$157
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report15$79
Service13$0

Drugs they prescribed that Part D paid

$7,599

Pharmacies billed $7,599 in 2024.

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

Opioids were 18% of their Part D prescriptions (77 of 421) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%.

379 generic and fewer than 11 brand-name prescriptions · $7,599 in drug cost · 90 antibiotic prescriptions to 84 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 Hfa22$661$30
Ondansetron Odt36$310$8
Hydrocodone-Acetaminophen65$301$5
Cephalexin35$190$5
Doxycycline Hyclate22$134$6
See all 10 drugs
Every Part D drug this clinician prescribed
Albuterol Sulfate Hfa22$661$30
Ondansetron Odt36$310$8
Hydrocodone-Acetaminophen65$301$5
Cephalexin35$190$5
Doxycycline Hyclate22$134$6
Amoxicillin-Clavulanate Potass14$80$6
Cyclobenzaprine24$70$3
Prednisone21$34$2
Meclizine12$23$2
Metoclopramide11$20$2

Year by year

Part D prescribing by year
202442129318% (77)None$7,599
202335725922% (78)None$6,809
202225918826% (66)None$5,280
202124216619% (47)7%$3,904
202027117816% (42)13%$5,984
201930321127% (82)10%$7,027
201829321129% (86)7%$7,679
201733224027% (90)None$5,446
201626819627% (71)13%$5,321
201529822533% (99)None$5,496
201427920439% (109)None$4,488
201334725032% (112)14%$4,762

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

See the drugs prescribed each year

2023: 8 drugs

Part D drugs prescribed in 2023
Albuterol Sulfate Hfa17$585$34
Ondansetron Odt30$479$16
Cephalexin30$275$9
Doxycycline Hyclate13$197$15
Hydrocodone-Acetaminophen36$195$5
Oxycodone-Acetaminophen31$157$5
Cyclobenzaprine15$55$4
Prednisone24$42$2

2022: 6 drugs

Part D drugs prescribed in 2022
Hydrocodone-Acetaminophen60$391$7
Ondansetron Odt23$324$14
Amoxicillin-Clavulanate Potass11$243$22
Cephalexin23$154$7
Cyclobenzaprine12$68$6
Prednisone14$25$2

2021: 6 drugs

Part D drugs prescribed in 2021
Albuterol Sulfate Hfa11$435$40
Ondansetron Odt22$306$14
Hydrocodone-Acetaminophen38$216$6
Cephalexin28$180$6
Amoxicillin-Clavulanate Potass11$154$14
Prednisone20$34$2

2020: 5 drugs

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen40$248$6
Ondansetron Odt20$219$11
Cephalexin25$178$7
Prednisone24$67$3
Sulfamethoxazole-Trimethoprim11$62$6

2019: 4 drugs

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen75$462$6
Cephalexin38$303$8
Ondansetron Odt26$231$9
Prednisone14$49$4

2018: 6 drugs

Part D drugs prescribed in 2018
Ventolin Hfa11$614$56
Hydrocodone-Acetaminophen80$577$7
Cephalexin35$195$6
Ondansetron Odt21$129$6
Sulfamethoxazole-Trimethoprim13$90$7
Prednisone15$44$3

2017: 5 drugs

Part D drugs prescribed in 2017
Ventolin Hfa12$642$53
Hydrocodone-Acetaminophen79$419$5
Cephalexin29$157$5
Ondansetron Odt23$147$6
Prednisone29$92$3

2016: 6 drugs

Part D drugs prescribed in 2016
Proair Hfa11$606$55
Ventolin Hfa11$575$52
Hydrocodone-Acetaminophen63$487$8
Cephalexin29$201$7
Clindamycin11$153$14
Prednisone21$72$3

2015: 3 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen88$550$6
Cephalexin22$133$6
Prednisone21$71$3

2014: 6 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen86$598$7
Levofloxacin12$191$16
Ondansetron Odt12$189$16
Cephalexin24$166$7
Hydromorphone13$87$7
Prednisone18$62$3

2013: 6 drugs

Part D drugs prescribed in 2013
Proair Hfa20$986$49
Hydrocodone-Acetaminophen92$577$6
Azithromycin22$219$10
Ondansetron Odt11$172$16
Cephalexin20$157$8
Prednisone24$69$3

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
98.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1740328624
Licence
CA A88029California A88029: Current · expires 2028-07-31
Trained
University of Wisconsin School of Medicine, 1998
Group
Berkeley Emergency Medical Group Inc · Sutter Bay Medical Foundation
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
Po Box 276950, Sacramento, CA, 95827
NPI first listed
2007-02-02
NPI last updated
2025-06-05
NPI record certified
2025-06-05

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