Alireza Hirsa, DC
Chiropractic · Fresno
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · Clinica Sierra Vista · 180 clinicians in this group
Looking this up.
Hospitals listed: Community 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. Hirsa’s office at (559) 457-6900 to ask if they take your plan before you enroll.
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.
- Community Regional Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend itOverall rating: 1 of 5 starsWorse than the national rate — Death rate among surgical inpatients with serious treatable complications: 211.21 (174.88 to 247.54) · 239 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.705, Oct 2024 – Sep 2025
See every measure and the patient survey for Community Regional Medical Center
Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 0 better, 7 the same, 0 worse of 7 measures. Readmissions: 0 better, 7 the same, 3 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 211.21 (174.88 to 247.54) · 239 cases | Worse | Jul 2022 – Jun 2024 |
| Clostridium Difficile (C.Diff)Infections | 0.705 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.13 (0.29 to 1.96) · 2,304 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.09 (0.87 to 1.3) | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 3.2 · 187 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 8.6 · 116 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.7 · 187 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 10.6 · 445 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 15.2 · 399 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 582 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.2 · 3,744 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.31 (0.12 to 0.5) · 11,052 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.27 (0.1 to 0.45) · 11,566 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.33 (1.64 to 5.01) · 3,139 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.08 (0 to 2.3) · 1,423 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 1.7 (0.52 to 2.88) · 3,084 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.85 (8.11 to 15.6) · 1,481 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.4 (3.81 to 8.98) · 1,404 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 2.35 (0.95 to 3.76) · 760 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.64 (0.16 to 1.11) · 10,254 cases | No different | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.817 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 1.031 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.837 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 0.81 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.853 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15.8 · 258 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22 · 689 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 37.4 · 202 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 35.2 · 543 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 39.2 · 434 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 19.3 · 552 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.4 (3.6 to 7.9) · 169 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 11.4 (8.3 to 15.4) · 169 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission for CABGUnplanned return visits | 12.4 · 189 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 21.6 · 248 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 11.9 (9.5 to 14.9) · 2,590 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.2) · 310 cases | No different | Jan 2024 – Dec 2024 |
What patients said (421 patients answered, 26% of those asked)
| Cleanliness | 4 |
| Nurse communication | 2 |
| Doctor communication | 3 |
| Communication about medicines | 2 |
| Discharge information | 4 |
| Overall hospital rating | 3 |
| Quietness | 1 |
| Recommend hospital | 3 |
| Room was "always" clean | 74% |
| Nurses "always" communicated well | 74% |
| Doctors "always" communicated well | 77% |
| Staff "always" explained | 55% |
| Yes, staff "did" give patients this information | 87% |
| Yes, staff "did" give patients information about help after discharge | 85% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 76% |
| Doctors "always" treated them with courtesy and respect | 83% |
| Patients who gave a rating of "9" or "10" (high) | 66% |
| Staff "always" explained new medications | 69% |
| Nurses "always" explained things so they could understand | 70% |
| Nurses "always" listened carefully | 70% |
| Nurses "always" treated them with courtesy and respect | 82% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 41% |
| Yes, staff "did" give patients information about possible symptoms | 88% |
Medicaid work
$213,901 in 2024
Medicaid paid $213,901 for 8,142 billed services this clinician did in 2024, up to 92 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.
| Clinic visit/encounter, all-inclusive | 1,631 | $210,323 |
| CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS | 3,026 | $3,578 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 1,137 | $0 |
| Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD) | 242 | $0 |
| Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM) | 381 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 1,037 | $0 |
| Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM) | 628 | $0 |
| Most recent diastolic blood pressure greater than or equal to 90 mm Hg (HTN, CKD, CAD) (DM) | 60 | $0 |
| 2024 | 8,142 | 8 | 92 | $213,901 |
| 2023 | 3,259 | 10 | 97 | $109,536 |
| 2022 | 5,025 | 8 | 73 | $170,794 |
| 2021 | 3,866 | 12 | 77 | $212,828 |
| 2020 | 1,303 | 6 | 72 | $126,225 |
| 2019 | 4,094 | 7 | 101 | $529,530 |
| 2018 | 3,356 | 3 | 102 | $456,975 |
See the largest Medicaid services in earlier years
2023
| Clinic visit/encounter, all-inclusive | 451 | $107,807 |
| CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS | 961 | $1,672 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 737 | $42 |
| APPL MODALITY 1+ AREAS ESTIM EA 15 MIN | 266 | $15 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 166 | $0 |
| Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM) | 29 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 156 | $0 |
| Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM) | 36 | $0 |
| OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES | 67 | $0 |
| Short return visit | 390 | $0 |
2022
| Clinic visit/encounter, all-inclusive | 664 | $170,721 |
| CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS | 1,279 | $67 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 1,180 | $5 |
| APPL MODALITY 1+ AREAS ESTIM EA 15 MIN | 1,096 | $1 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 89 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 90 | $0 |
| Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM) | 34 | $0 |
| Short return visit | 593 | $0 |
2021
| Clinic visit/encounter, all-inclusive | 635 | $155,513 |
| CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS | 1,341 | $51,074 |
| CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS | 50 | $6,241 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 16 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 13 | $0 |
| Application of a modality to 1 or more areas; hot or cold packs | 397 | $0 |
| ELECTRIC STIMULATION THERAPY | 327 | $0 |
| APPL MODALITY 1+ AREAS ESTIM EA 15 MIN | 106 | $0 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 452 | $0 |
| OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES | 24 | $0 |
| New patient visit (30+ min) | 18 | $0 |
| Short return visit | 487 | $0 |
2020
| CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS | 672 | $90,078 |
| CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS | 219 | $31,278 |
| Clinic visit/encounter, all-inclusive | 20 | $4,869 |
| Application of a modality to 1 or more areas; hot or cold packs | 145 | $0 |
| ELECTRIC STIMULATION THERAPY | 110 | $0 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 137 | $0 |
2019
| CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS | 3,194 | $432,460 |
| CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS | 454 | $59,973 |
| CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS | 215 | $29,408 |
| Clinic visit/encounter, all-inclusive | 54 | $7,688 |
| Application of a modality to 1 or more areas; hot or cold packs | 25 | $0 |
| ELECTRIC STIMULATION THERAPY | 59 | $0 |
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 93 | $0 |
2018
| CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS | 3,278 | $446,603 |
| CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS | 48 | $6,427 |
| CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS | 30 | $3,945 |
Money from drug and device companies
$23 in 2024
| 2024 | 1 | 1 | None | $23 |
| 2023 | 1 | 1 | None | $15 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Shield Therapeutics | Accrufer | $23 | 1 payment
|
See the published payment
| Shield Therapeutics | Meals · 2024-09-27 | Accrufer | $23 |
See earlier years (2023)
2023: $15
| Novo Nordisk | Rybelsus | $15 | 1 payment
|
Professional record
- NPI
- 1750453353
- Licence
- CA DC28957
- Trained
- Palmer College Chiropractic - West Sunnyvale, 2003
- Group
- Clinica Sierra Vista
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 111N00000X (111N00000X)
- Mailing address
- 268 E Hamilton Ave Ste A, Campbell, CA, 95008
- NPI first listed
- 2006-11-15
- NPI last updated
- 2023-07-06
- NPI record certified
- 2023-07-06
This is when the NPI record was last certified, not a medical board exam.