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Chibuzor Nnaji, MD

Hospitalist · San Jose

NPI 1740418177

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
7

Offices

7 locations · County of Santa Clara · Galen Inpatient Physicians PC · Emory Specialty Associates, LLC · Hospital Physician Services - Southeast Professional Corporation · Memorial Health Partners Foundation Inc · Southeastern Physician Services PC

Looking this up.

Hospitals listed: Adventist Health Sierra Vista · Emory Decatur Hospital · Oak Valley Hospital District · 056155. 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. Nnaji’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A123225 · Current

Licensed to practise in California · since 2012 · expires 2028-04-30 · University of Lagos College of Medicine.

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

State licence records

1 licence

  • Tennessee 54191Medical Doctor · since 2016 · expires 2028-04-30Specialty on the licence: Internal Medicine
    LicensedNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

School, training and certification

1 placement

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Education

  • Univ of Lagos · MDLAGOS, N/A, Nigeria · 1999Medical school

Residency and fellowship

  • Residency, Internal MedicineATLANTA, GA · 2009–2012

Hospitals they work in

3 hospitals

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

  • Adventist Health Sierra VistaSan Luis Obispo, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 2 of 5 · 57% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.273, Oct 2024 – Sep 2025
  • Emory Decatur HospitalDecatur, GAAcute Care Hospital · Voluntary non-profit - Private · No emergency department · Birthing-friendlyPart of Emory Healthcare, which runs 9 hospitalsPatients rate it 3 of 5 · 63% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — Abdominopelvic accidental puncture or laceration rate: 2.2 (1.18 to 3.21) · 591 cases, Jul 2022 – Jun 2024Worse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.45 (1.09 to 1.81), Jul 2022 – Jun 2024Worse than the national rate — Postoperative respiratory failure rate: 19.74 (11.14 to 28.33) · 187 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.332, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.382, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.248, Oct 2024 – Sep 2025
  • Oak Valley Hospital DistrictOakdale, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department
    Overall rating: 1 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for Adventist Health Sierra Vista

Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 1 better, 5 the same, 1 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Adventist Health Sierra Vista
Clostridium Difficile (C.Diff)Infections0.273BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.19 (0.16 to 2.21) · 577 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.96 (0.54 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths218.26 (161.19 to 275.34) · 33 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.6 · 31 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.6 · 72 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths19.1 · 175 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.5 · 76 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4 · 874 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.41) · 2,390 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.32 (0.12 to 0.53) · 2,282 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.97 (0.7 to 5.24) · 665 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.66 (0 to 3.38) · 94 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.51 (0.92 to 4.09) · 654 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.57 (0 to 18.3) · 90 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.12 (0.83 to 9.41) · 80 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.99 (0.5 to 3.48) · 231 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.62 (0 to 1.53) · 2,070 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.7 · 35 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.729No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.63No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.924No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 73 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits67.8 · 79 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits7 · 168 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.9 · 163 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 33 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 41 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.2 to 16.6) · 652 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.3 (0.9 to 1.7) · 210 casesNo differentJan 2024 – Dec 2024

What patients said (559 patients answered, 19% of those asked)

Patient survey stars by topic at Adventist Health Sierra Vista
Cleanliness2
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital2
Share of patients giving the best answer at Adventist Health Sierra Vista
Room was "always" clean60%
Nurses "always" communicated well72%
Doctors "always" communicated well73%
Staff "always" explained57%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully71%
Doctors "always" treated them with courtesy and respect81%
Patients who gave a rating of "9" or "10" (high)53%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully67%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night34%
"YES", patients would definitely recommend the hospital57%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Emory Decatur Hospital

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 1 better, 6 the same, 1 worse of 8 measures. Readmissions: 0 better, 8 the same, 2 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Emory Decatur Hospital
Abdominopelvic accidental puncture or laceration rateComplications and deaths2.2 (1.18 to 3.21) · 591 casesWorseJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.45 (1.09 to 1.81)WorseJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths19.74 (11.14 to 28.33) · 187 casesWorseJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.332BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.382BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.248BetterOct 2024 – Sep 2025
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths213.29 (161.71 to 264.88) · 39 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.8 · 57 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.6 · 91 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.2 · 241 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.6 · 183 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 238 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 2,653 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.02 to 0.46) · 3,460 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.08 to 0.49) · 3,520 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.46 (1.15 to 5.76) · 608 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.52 (0.82 to 4.23) · 169 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.55 (0.95 to 4.15) · 604 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths8.7 (4.68 to 12.71) · 163 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.66 (0.17 to 3.15) · 142 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.58 (0 to 1.29) · 2,988 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths6.3 · 32 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.925No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.702No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.663No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.9 · 227 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.1 · 816 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits57.3 · 72 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits19.1 · 273 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits12.4 · 188 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.5 · 470 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.3 (3.3 to 8.1) · 46 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (6.9 to 14.4) · 46 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.7 · 32 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 206 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.4 to 16.2) · 693 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 356 casesNo differentJan 2024 – Dec 2024

What patients said (647 patients answered, 14% of those asked)

Patient survey stars by topic at Emory Decatur Hospital
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information2
Overall hospital rating3
Quietness3
Recommend hospital3
Share of patients giving the best answer at Emory Decatur Hospital
Room was "always" clean66%
Nurses "always" communicated well75%
Doctors "always" communicated well77%
Staff "always" explained52%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night61%
"YES", patients would definitely recommend the hospital63%
Staff "always" explained possible side effects33%
Yes, staff "did" give patients information about possible symptoms81%
See every measure and the patient survey for Oak Valley Hospital District

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

Every scored measure at Oak Valley Hospital District
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.98 (0.47 to 1.48)No differentJul 2022 – Jun 2024
Death rate for pneumonia patientsComplications and deaths19.1 · 41 casesNoneJul 2022 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.1 · 122 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.44) · 387 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.05 to 0.49) · 391 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.58 (0 to 1.88) · 243 casesNo differentJul 2022 – Jun 2024
Hospital return days for heart failure patientsUnplanned return visits113.4 · 27 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits48.3 · 47 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.9 · 56 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.9 (9.5 to 17.7) · 186 casesNo differentJan 2022 – Dec 2024

Original Medicare doctor bills

$38,385

Medicare paid this office $38,385 for 200 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes134$17,158$61
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes67$10,610$91
Hospital discharge day management, more than 30 minutes96$8,579$88

Who their Medicare patients are

200 Original Medicare patients in 2024. Average age 75 · Under 65 14% · 85 and older 25% · Women 56% · Also on Medicaid 29% · Health risk score 2.80. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Heart failure 56% · Chronic kidney disease 55% · Coronary heart disease 52% · Diabetes 49% · Atrial fibrillation 49% · Depression 47% · COPD 44% · Dementia 30% · Cancer 21% · Stroke 16%.

The office billed $157,543, Medicare allowed $47,688 and paid $38,385; for 511 services of 7 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
2024200511752.80$157,543$38,385
2023230610772.57$256,663$43,711
2022266652752.34$349,469$43,679
2021253615742.68$326,060$39,865
2020282663732.71$229,947$49,753
2019292651703.75$197,386$44,146
2018254493723.02$103,037$34,743
2017379823732.81$203,839$61,698
2016444844732.90$291,979$63,193
2015359751742.28$218,696$53,682
2014372872712.36$212,942$71,730
20134351,356712.35$304,476$111,136

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: 5 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes164$21,701$60
Hospital discharge day management, more than 30 minutes103$9,123$87
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes49$8,911$90
Initial hospital care with moderate level of medical decision making at least 75 minutes22$2,871$131
Hospital discharge day management, 30 minutes or less14$656$47

2022: 4 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes172$20,371$55
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes61$9,293$79
Hospital discharge day management, more than 30 minutes94$7,619$80
Initial hospital care with moderate level of medical decision making at least 75 minutes17$2,454$144

2021: 6 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes182$21,622$55
Hospital discharge day management, more than 30 minutes81$6,664$82
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes36$5,200$80
Hospital discharge day management, 30 minutes or less18$997$55
Hospital observation care on day of discharge16$892$56
Follow-up observation care per day, typically 25 minutes11$616$56

2020: 9 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes122$16,419$59
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes79$12,384$83
Hospital discharge day management, more than 30 minutes82$7,156$86
Initial hospital care with moderate level of medical decision making at least 75 minutes21$3,432$163
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes29$2,483$86
Hospital discharge day management, 30 minutes or less27$1,537$57
Follow-up observation care per day, typically 25 minutes12$1,054$59
Initial hospital observation care per day, typically 30 minutes13$964$74
Hospital observation care on day of discharge15$877$58

2019: 11 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes145$18,013$54
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes39$6,119$81
Hospital discharge day management, more than 30 minutes60$5,017$82
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,504$159
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes30$3,008$100
Hospital discharge day management, 30 minutes or less23$1,292$56
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes16$1,259$79
Initial hospital observation care per day, typically 50 minutes12$1,074$89
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$748$30
Follow-up observation care per day, typically 25 minutes11$746$57
Hospital observation care on day of discharge12$642$53

2018: 7 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes140$14,580$55
Hospital discharge day management, more than 30 minutes60$4,852$81
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes27$3,407$77
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,402$155
Initial hospital observation care per day, typically 70 minutes21$3,045$145
Hospital observation care on day of discharge16$893$56
Hospital discharge day management, 30 minutes or less12$663$55

2017: 7 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes167$24,210$80
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes146$15,367$56
Hospital discharge day management, more than 30 minutes84$7,018$82
Initial hospital care with moderate level of medical decision making at least 75 minutes29$4,543$157
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes35$2,749$79
Initial hospital observation care per day, typically 70 minutes19$2,647$139
Hospital discharge day management, 30 minutes or less34$1,893$56

2016: 10 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes139$18,220$81
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes174$16,917$56
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,054$158
Hospital discharge day management, more than 30 minutes44$3,664$83
Hospital discharge day management, 30 minutes or less65$3,662$56
Initial hospital observation care per day, typically 70 minutes25$3,518$141
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes30$2,386$80
Initial hospital observation care per day, typically 30 minutes26$2,043$79
Hospital observation care on day of discharge35$1,955$56
Follow-up observation care per day, typically 25 minutes23$1,371$57

2015: 10 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes117$17,547$82
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes132$12,023$57
Hospital discharge day management, 30 minutes or less96$5,552$58
Hospital observation care on day of discharge63$3,533$56
Hospital discharge day management, more than 30 minutes31$2,701$84
Follow-up observation care per day, typically 25 minutes35$2,273$57
Initial hospital observation care per day, typically 30 minutes23$1,823$79
Initial hospital observation care per day, typically 70 minutes12$1,741$145
Follow-up observation care per day, typically 35 minutes18$1,578$83
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes17$1,367$80

2014: 10 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes150$31,061$78
Hospital discharge day management, more than 30 minutes93$7,435$80
Critical care, first 30-74 minutes26$7,334$167
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes82$7,290$54
Initial hospital care with moderate level of medical decision making at least 75 minutes41$6,338$151
Initial hospital observation care per day, typically 70 minutes34$4,617$136
Hospital observation care on day of discharge32$1,705$53
Follow-up observation care per day, typically 35 minutes16$1,435$80
Hospital discharge day management, 30 minutes or less16$879$55
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$852$77

2013: 8 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes284$58,566$76
Hospital discharge day management, more than 30 minutes179$14,609$78
Initial hospital care with moderate level of medical decision making at least 75 minutes74$11,191$151
Critical care, first 30-74 minutes42$8,905$156
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes68$6,779$53
Follow-up observation care per day, typically 35 minutes39$5,084$77
Initial hospital observation care per day, typically 70 minutes20$2,750$137
Hospital observation care on day of discharge36$1,915$53

Medicaid work

$5,015 in 2024

Medicaid paid $5,015 for 410 billed services this clinician did in 2024, up to 21 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
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES309$3,551
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES54$745
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter47$719
Medicaid work by year
2024410321$5,015
2023478229$7,837
2022128127$1,562
2021313117$4,277
202046213$1,238
2019228323$4,275
201876114$2,254
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES427$6,586
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter51$1,252

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES128$1,562

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES313$4,277

2020

Largest Medicaid services in 2020
1ST HOSP IP/OBS HIGH 7514$663
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES32$574

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES188$2,696
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter26$967
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES14$612

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES76$2,254

Drugs they prescribed that Part D paid

$15,500

Pharmacies billed $15,500 in 2024.

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

Opioids were 4% of their Part D prescriptions (12 of 341) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.

308 generic and 33 brand-name prescriptions · $15,500 in drug cost · 60 antibiotic prescriptions to 50 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
Eliquis13$7,699$592
Pantoprazole35$231$6
Amoxicillin-Clavulanate Potass14$89$6
Atorvastatin13$62$4
Metoprolol15$49$3
See all 8 drugs
Every Part D drug this clinician prescribed
Eliquis13$7,699$592
Pantoprazole35$231$6
Amoxicillin-Clavulanate Potass14$89$6
Atorvastatin13$62$4
Metoprolol15$49$3
Clopidogrel13$48$3
Prednisone13$32$2
Furosemide13$25$2

Year by year

Part D prescribing by year
20243411604% (12)10%$15,500
20233851723% (11)None$23,185
20223001357% (20)12%$18,166
2021310135NoneNone$14,373
20202621207% (17)None$10,770
20192401039% (22)None$15,286
2018234103NoneNone$12,538
2017183867% (12)15%$5,226
20162029210% (20)18%$6,281
20152761208% (23)18%$10,133
20142489112% (29)16%$12,667
20132861028% (24)20%$16,019

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

See the drugs prescribed each year

2023: 10 drugs

Part D drugs prescribed in 2023
Eliquis13$8,280$637
Carvedilol13$158$12
Pantoprazole18$152$8
Cefuroxime14$143$10
Atorvastatin17$140$8
Doxycycline Hyclate11$133$12
Clopidogrel12$112$9
Amlodipine Besylate13$78$6
Prednisone24$41$2
Furosemide19$39$2

2022: 4 drugs

Part D drugs prescribed in 2022
Pantoprazole21$161$8
Cephalexin11$44$4
Amlodipine Besylate11$37$3
Prednisone18$24$1

2021: 7 drugs

Part D drugs prescribed in 2021
Pantoprazole23$590$26
Potassium Chloride13$211$16
Atorvastatin14$128$9
Prednisone20$88$4
Metoprolol15$86$6
Furosemide13$55$4
Cephalexin12$35$3

2020: 3 drugs

Part D drugs prescribed in 2020
Azithromycin12$94$8
Pantoprazole11$86$8
Furosemide11$30$3

2019: 5 drugs

Part D drugs prescribed in 2019
Pantoprazole16$124$8
Ciprofloxacin14$87$6
Oxycodone-Acetaminophen12$61$5
Cephalexin11$57$5
Prednisone20$55$3

2018: 6 drugs

Part D drugs prescribed in 2018
Eliquis12$4,838$403
Levofloxacin23$120$5
Pantoprazole11$73$7
Furosemide16$45$3
Amlodipine Besylate11$41$4
Prednisone15$40$3

2017: 2 drugs

Part D drugs prescribed in 2017
Prednisone13$65$5
Levofloxacin13$61$5

2016: 3 drugs

Part D drugs prescribed in 2016
Levofloxacin17$281$17
Prednisone20$90$5
Furosemide13$34$3

2015: 6 drugs

Part D drugs prescribed in 2015
Levofloxacin25$209$8
Oxycodone-Acetaminophen15$141$9
Prednisone25$79$3
Azithromycin11$72$7
Metoprolol11$59$5
Furosemide14$46$3

2014: 5 drugs

Part D drugs prescribed in 2014
Levofloxacin17$326$19
Pantoprazole12$212$18
Hydrocodone-Acetaminophen17$149$9
Metoprolol12$72$6
Prednisone20$63$3

2013: 5 drugs

Part D drugs prescribed in 2013
Levofloxacin18$237$13
Amlodipine Besylate14$95$7
Hydrocodone-Acetaminophen12$73$6
Prednisone23$63$3
Lisinopril12$52$4

Money from drug and device companies

$21 in 2020

A payment is not proof that care is biased.

Payments by company
Janssen PharmaceuticalsXarelto$21
1 payment
  • Meals for Xarelto · 2020-02-24 · $21
See the published payment
Every published payment
Janssen PharmaceuticalsMeals · 2020-02-24Xarelto$21

Professional record

NPI
1740418177
Licence
CA A123225, GA 68745, TN 54191California A123225: Current · expires 2028-04-30Tennessee 54191: Licensed
Group
County of Santa Clara · Galen Inpatient Physicians PC · Emory Specialty Associates, LLC · Hospital Physician Services - Southeast Professional Corporation · Memorial Health Partners Foundation Inc · Southeastern Physician Services PC
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Hospitalist (208M00000X); Internal medicine (207R00000X)
Mailing address
1456 Bentley Ln Se, Marietta, GA, 30067
NPI first listed
2009-06-24
NPI last updated
2018-12-20

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