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California Medical Board record
Licence G81184 · Current
Licensed to practise in California · since 1995 · expires 2027-05-31 · University of Southern California Keck School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$251,482
Medicare paid this office $251,482 for 596 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin
107
$57,832
$507
Return visit (30+ min)
342
$55,006
$101
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
161
$20,018
$105
Short return visit (20+ min)
190
$18,263
$76
New patient visit (30+ min)
189
$16,415
$87
See all 32 services
Every Original Medicare service billed
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin
107
$57,832
$507
Return visit (30+ min)
342
$55,006
$101
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
161
$20,018
$105
Short return visit (20+ min)
190
$18,263
$76
New patient visit (30+ min)
189
$16,415
$87
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
44
$8,351
$161
Insertion of peripheral nerve neurostimulator electrode through skin
19
$7,421
$201
Injection of substance into middle or upper spine canal using imaging guidance
58
$6,072
$88
New patient visit (45+ min)
41
$5,646
$138
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
111
$5,135
$41
Injection of lower or sacral spine facet joint using imaging guidance, single level
43
$4,079
$77
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
27
$4,068
$151
Long return visit (40+ min)
26
$3,773
$135
Injection of upper or middle spine facet joint using imaging guidance, single level
30
$3,466
$89
X-ray lower and sacral spine, minimum of 6 views
61
$3,177
$52
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
42
$2,390
$48
Evaluation of neuropsychological test, first hour
17
$2,142
$107
Injection of lower or sacral spine facet joint using imaging guidance, second level
40
$2,031
$41
Evaluation of psychological test, first hour
17
$1,980
$99
Injection of upper or middle spine facet joint using imaging guidance, second level
30
$1,910
$49
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint
27
$1,459
$54
X-ray of lower and sacral spine, minimum of 4 views
32
$1,332
$42
X-ray of upper spine, 6 or more views
22
$1,196
$54
Short return visit
18
$837
$47
X-ray of upper spine, 4-5 views
14
$675
$48
Injection of trigger points, 3 or more muscles
15
$646
$40
Administration of psychological or neuropsychological test by technician, first 30 minutes
17
$601
$32
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
292
243
258
237
214
191
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
214
186
184
168
140
126
Injection of substance into middle or upper spine canal using imaging guidance
65
59
78
59
31
69
Injection of lower or sacral spine facet joint using imaging guidance, single level
29
34
46
49
60
53
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
50
38
38
46
28
50
Injection of lower or sacral spine facet joint using imaging guidance, second level
26
29
42
45
54
49
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
596 Original Medicare patients in 2024. Average age 75 · Under 65 4% · 85 and older 13% · Women 59% · Also on Medicaid 12% · Health risk score 1.17. At or below the middle of the specialty; the typical pain management clinician is at 1.38.
The office billed $2,329,743, Medicare allowed $323,900 and paid $251,482; for 2,584 services of 69 kinds; $1,154 of it was for drugs given in the office and $250,328 for care.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
Original Medicare by year
2024
596
2,584
75
1.17
$2,329,743
$251,482
2023
505
2,260
76
1.13
$1,512,407
$222,860
2022
536
2,327
74
1.16
$1,074,364
$213,893
2021
624
3,279
75
1.22
$1,277,610
$280,183
2020
593
3,269
74
1.33
$1,145,476
$233,892
2019
663
4,284
73
1.33
$1,351,185
$288,631
2018
618
4,497
74
1.37
$1,279,023
$274,288
2017
595
3,961
73
1.34
$1,293,948
$256,985
2016
543
4,119
72
1.32
$1,252,898
$280,981
2015
370
3,313
69
1.40
$1,052,920
$201,791
2014
368
2,868
70
1.30
$1,097,606
$184,982
2013
351
2,542
70
1.38
$1,059,653
$165,744
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
Return visit (30+ min)
382
$79,740
$103
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
178
$23,157
$108
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin
43
$21,039
$489
New patient visit (30+ min)
153
$14,206
$93
Insertion of peripheral nerve neurostimulator electrode through skin
22
$8,365
$190
New patient visit (45+ min)
48
$6,446
$134
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
124
$6,078
$43
Injection of lower or sacral spine facet joint using imaging guidance, single level
43
$5,075
$85
Placement of stabilizing device to lower spine level
18
$5,035
$280
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
27
$4,937
$165
Long return visit (40+ min)
31
$4,529
$142
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
24
$4,088
$164
Short return visit (20+ min)
44
$3,726
$76
Injection of substance into middle or upper spine canal using imaging guidance
29
$2,750
$89
X-ray of lower and sacral spine, minimum of 4 views
56
$2,669
$47
Injection of lower or sacral spine facet joint using imaging guidance, second level
39
$2,484
$46
Injection of upper or middle spine facet joint using imaging guidance, single level
22
$2,462
$91
X-ray lower and sacral spine, minimum of 6 views
35
$2,032
$56
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
25
$1,437
$51
Injection of trigger points, 3 or more muscles
19
$1,357
$50
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint
23
$1,347
$56
Injection of upper or middle spine facet joint using imaging guidance, second level
21
$1,318
$51
X-ray of lower and sacral spine, 2-3 views
29
$1,265
$36
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
105
$15,647
$97
New patient visit (45+ min)
91
$11,993
$132
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
71
$4,643
$44
Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter
112
$3,807
$19
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
17
$3,329
$185
Injection of trigger points, 1-2 muscles
37
$3,300
$45
Aspiration and/or injection of fluid from large joint
26
$3,217
$55
Injections of substances into upper or middle spine
28
$2,920
$86
Long return visit (40+ min)
22
$2,388
$104
Injection of lower or sacral spine facet joint using imaging guidance, single level
15
$1,574
$75
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
17
$1,498
$52
Injections of substances into lower or sacral spine
14
$1,166
$78
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
13
$1,130
$75
New patient visit (30+ min)
12
$1,124
$94
Injection of lower or sacral spine facet joint using imaging guidance, second level
14
$818
$41
Short return visit
14
$767
$38
Injection, methylprednisolone acetate, 40 mg
31
$285
—None
2014: 22 services
Original Medicare services billed in 2014
Short return visit (20+ min)
250
$60,414
$54
Return visit (30+ min)
211
$33,589
$85
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
101
$16,856
$99
New patient visit (45+ min)
99
$13,361
$135
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
87
$6,240
$45
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
23
$4,517
$188
Injection of upper or middle spine facet joint using imaging guidance, single level
19
$3,182
$94
Injection of lower or sacral spine facet joint using imaging guidance, single level
22
$2,749
$79
Injections of substances into upper or middle spine
27
$2,586
$62
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
25
$2,495
$76
Injection of trigger points, 1-2 muscles
26
$2,429
$42
Unclassified drugs
12
$2,076
—None
Aspiration and/or injection of fluid from large joint
21
$2,046
$57
Fluoroscopic guidance for spine or back muscle injection
47
$1,805
$23
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
22
$1,678
$47
Injections of substances into lower or sacral spine
21
$1,616
$58
Injection of lower or sacral spine facet joint using imaging guidance, second level
19
$1,405
$45
Short return visit
30
$1,378
$34
Injection of upper or middle spine facet joint using imaging guidance, second level
13
$1,252
$52
Injection of trigger points, 3 or more muscles
11
$921
$54
X-ray of joint between lower spine and hip bone, 3 or more views
17
$177
$8
Injection, methylprednisolone acetate, 40 mg
21
$137
—None
2013: 25 services
Original Medicare services billed in 2013
Short return visit (20+ min)
230
$48,290
$56
Return visit (30+ min)
141
$19,554
$86
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
102
$17,828
$94
New patient visit (45+ min)
62
$8,114
$131
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
93
$6,788
$43
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician
12
$6,568
$122
Short return visit
75
$5,194
$38
Injections of substances into upper or middle spine
28
$4,174
$91
Unclassified drugs
12
$4,100
—None
Injection of lower or sacral spine facet joint using imaging guidance, single level
26
$3,181
$78
Injection of upper or middle spine facet joint using imaging guidance, single level
21
$3,163
$90
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
15
$3,105
$183
Injections of substances into lower or sacral spine
27
$2,508
$76
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
14
$2,386
$170
Fluoroscopic guidance for spine or back muscle injection
55
$2,012
$25
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes
43
$1,923
$33
Injection of trigger points, 3 or more muscles
16
$1,847
$54
Injection of lower or sacral spine facet joint using imaging guidance, second level
26
$1,755
$43
Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter
74
$1,505
$20
Aspiration and/or injection of fluid from large joint
15
$1,293
$48
Injection of upper or middle spine facet joint using imaging guidance, second level
16
$1,177
$49
Injection of trigger points, 1-2 muscles
12
$991
$43
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint
13
$881
$55
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
14
$871
$46
Injection, methylprednisolone acetate, 40 mg
13
$65
—None
Drugs they prescribed that Part D paid
$6,711
Pharmacies billed $6,711 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 39% of their Part D prescriptions (127 of 330) in 2024. At or below the middle of the specialty; the typical pain management clinician is at 44%.
327 generic and fewer than 11 brand-name prescriptions · $6,711 in drug cost · 11 antibiotic prescriptions.
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
Hydrocodone-Acetaminophen
45
$1,081
$24
Gabapentin
39
$420
$11
Celecoxib
17
$404
$24
Baclofen
21
$334
$16
Oxycodone-Acetaminophen
14
$191
$14
See all 11 drugs
Every Part D drug this clinician prescribed
Hydrocodone-Acetaminophen
45
$1,081
$24
Gabapentin
39
$420
$11
Celecoxib
17
$404
$24
Baclofen
21
$334
$16
Oxycodone-Acetaminophen
14
$191
$14
Pregabalin
13
$126
$10
Tramadol
53
$102
$2
Meloxicam
27
$85
$3
Cyclobenzaprine
11
$76
$7
Carisoprodol
11
$48
$4
Cephalexin
11
$22
$2
Year by year
Part D prescribing by year
2024
330
123
39% (127)
—None
$6,711
2023
448
141
37% (166)
—None
$13,107
2022
481
157
46% (220)
—None
$9,994
2021
587
192
51% (298)
—None
$10,885
2020
643
189
43% (278)
2%
$12,045
2019
721
227
48% (346)
5%
$17,723
2018
812
263
57% (464)
7%
$36,200
2017
553
194
61% (336)
9%
$34,181
2016
559
160
49% (272)
12%
$43,835
2015
453
128
49% (220)
10%
$25,226
2014
447
121
50% (225)
15%
$29,010
2013
437
90
59% (258)
19%
$28,015
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
Hydrocodone-Acetaminophen
65
$1,286
$20
Gabapentin
67
$793
$12
Oxycodone-Acetaminophen
32
$669
$21
Pregabalin
34
$521
$15
Tramadol
53
$445
$8
Diclofenac
11
$404
$37
Baclofen
14
$321
$23
Cyclobenzaprine
20
$311
$16
Meloxicam
36
$215
$6
Cephalexin
16
$70
$4
2022: 11 drugs
Part D drugs prescribed in 2022
Hydrocodone-Acetaminophen
78
$1,725
$22
Gabapentin
83
$1,008
$12
Tramadol
98
$667
$7
Pregabalin
16
$364
$23
Oxycodone-Acetaminophen
15
$259
$17
Cephalexin
27
$154
$6
Meloxicam
33
$146
$4
Cyclobenzaprine
16
$120
$7
Tramadol Hcl-Acetaminophen
15
$98
$7
Carisoprodol
12
$84
$7
Tizanidine
17
$64
$4
2021: 12 drugs
Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen
106
$1,635
$15
Oxycodone-Acetaminophen
46
$1,221
$27
Gabapentin
63
$976
$15
Duloxetine
18
$765
$42
Pregabalin
12
$488
$41
Tramadol
121
$424
$4
Cyclobenzaprine
24
$288
$12
Cephalexin
39
$191
$5
Carisoprodol
16
$81
$5
Meloxicam
27
$74
$3
Tizanidine
13
$68
$5
Diazepam
13
$22
$2
2020: 13 drugs
Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen
132
$1,914
$15
Diclofenac
24
$1,043
$43
Pregabalin
18
$876
$49
Oxycodone-Acetaminophen
37
$683
$18
Gabapentin
67
$579
$9
Tramadol
77
$335
$4
Cyclobenzaprine
44
$244
$6
Meloxicam
37
$204
$6
Tramadol Hcl-Acetaminophen
11
$133
$12
Cephalexin
32
$127
$4
Tizanidine
18
$120
$7
Carisoprodol
14
$81
$6
Diazepam
17
$28
$2
2019: 13 drugs
Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen
169
$2,322
$14
Diclofenac
20
$1,576
$79
Oxycodone-Acetaminophen
64
$1,091
$17
Gabapentin
57
$618
$11
Meloxicam
42
$274
$7
Cyclobenzaprine
32
$274
$9
Tramadol
57
$264
$5
Cephalexin
52
$220
$4
Tizanidine
18
$204
$11
Carisoprodol
25
$149
$6
Tramadol Hcl-Acetaminophen
11
$60
$5
Diazepam
17
$38
$2
Clindamycin
13
$38
$3
2018: 15 drugs
Part D drugs prescribed in 2018
Lyrica
21
$9,912
$472
Oxycodone-Acetaminophen
116
$3,947
$34
Hydrocodone-Acetaminophen
178
$3,851
$22
Diclofenac
17
$1,861
$109
Fentanyl
15
$1,703
$114
Gabapentin
81
$1,100
$14
Oxycodone
22
$657
$30
Morphine Sulfate Er
19
$591
$31
Tramadol
67
$461
$7
Tizanidine
16
$253
$16
Cephalexin
50
$243
$5
Cyclobenzaprine
15
$197
$13
Baclofen
14
$180
$13
Meloxicam
14
$131
$9
Clindamycin
12
$38
$3
2017: 8 drugs
Part D drugs prescribed in 2017
Oxycodone-Acetaminophen
76
$3,985
$52
Hydrocodone-Acetaminophen
140
$2,715
$19
Diclofenac
12
$1,319
$110
Gabapentin
52
$854
$16
Morphine Sulfate Er
17
$789
$46
Tramadol
56
$383
$7
Meloxicam
16
$99
$6
Cephalexin
12
$67
$6
2016: 16 drugs
Part D drugs prescribed in 2016
Lidocaine
11
$14,127
$1,284
Oxycodone-Acetaminophen
69
$3,426
$50
Hydrocodone-Acetaminophen
98
$3,014
$31
Voltaren
11
$1,509
$137
Gabapentin
59
$1,078
$18
Morphine Sulfate Er
13
$697
$54
Methadone
22
$420
$19
Oxycodone
16
$403
$25
Zolpidem
18
$247
$14
Baclofen
12
$176
$15
Nortriptyline
11
$143
$13
Tramadol
19
$114
$6
Cephalexin
15
$109
$7
Naproxen
13
$86
$7
Ibuprofen
16
$76
$5
Meloxicam
11
$47
$4
2015: 10 drugs
Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen
93
$3,345
$36
Oxycodone-Acetaminophen
49
$3,219
$66
Morphine Sulfate Er
15
$973
$65
Gabapentin
54
$615
$11
Zolpidem
29
$465
$16
Oxycodone
11
$376
$34
Methadone
17
$279
$16
Nortriptyline
14
$170
$12
Tramadol
15
$102
$7
Cephalexin
16
$82
$5
2014: 12 drugs
Part D drugs prescribed in 2014
Oxycontin
14
$4,289
$306
Oxycodone-Acetaminophen
42
$3,335
$79
Hydrocodone-Acetaminophen
66
$2,644
$40
Fentanyl
18
$2,438
$135
Morphine Sulfate Er
15
$971
$65
Gabapentin
46
$676
$15
Oxycodone
11
$623
$57
Sumatriptan
15
$189
$13
Methadone
18
$183
$10
Zolpidem
24
$150
$6
Escitalopram
12
$118
$10
Tramadol
13
$82
$6
2013: 11 drugs
Part D drugs prescribed in 2013
Lyrica
16
$5,490
$343
Fentanyl
27
$3,954
$146
Hydrocodone-Acetaminophen
103
$2,203
$21
Oxycodone Hcl-Acetaminophen
33
$1,620
$49
Morphine Sulfate Er
14
$998
$71
Oxycodone
18
$675
$37
Gabapentin
16
$410
$26
Methadone
28
$407
$15
Sumatriptan
17
$216
$13
Carisoprodol
13
$173
$13
Zolpidem
24
$122
$5
Money from drug and device companies
$187 in 2025
Industry payments by year
2025
4
7
—None
$187
2024
7
35
—None
$1,500
2023
4
23
—None
$788
2022
6
44
—None
$1,041
2021
6
28
—None
$746
2020
2
8
—None
$314
2019
6
19
—None
$400
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.