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Christine N Chang-Halpenny, MD

Radiation Oncology · Fresno

NPI 1760776744

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
2
Since medical school
20 years
Stanford University School of Medicine, 2006

Offices

2 locations · California Cancer Associates for Research and Excellence Inc · 64 clinicians in this group

Looking this up.

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. Chang-Halpenny’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A123275 · Current

Licensed to practise in California · since 2012 · expires 2028-03-31 · Stanford University School of Medicine.

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

School, training and certification

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.

Specialty certification

  • American Board of Radiology - Radiation Oncology

Original Medicare doctor bills

$928,697

Medicare paid this office $928,697 for 315 people.

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

Largest Original Medicare bills
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session127$293,251$302
Ct guidance for insertion of radiation therapy fields130$94,961$99
Cranial lesion surgery using radiation over multiple sessions54$88,879$838
High precision radiation therapy planning41$74,382$1,550
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev36$71,294$196
See all 24 services
Every Original Medicare service billed
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session127$293,251$302
Ct guidance for insertion of radiation therapy fields130$94,961$99
Cranial lesion surgery using radiation over multiple sessions54$88,879$838
High precision radiation therapy planning41$74,382$1,550
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev36$71,294$196
Radiation treatment management, 5 treatment sessions91$39,625$151
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy44$24,348$63
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev23$23,930$195
Design and construction of complex radiation treatment device106$23,599$103
Design and construction of radiation treatment device for high precision radiation therapy44$22,857$387
Continuing radiation therapy consultation per week69$19,543$75
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved38$18,703$374
3d radiation therapy planning26$14,561$394
Calculation of radiation therapy dose66$13,465$55
New patient visit (60+ min)76$12,836$169
Complex radiation therapy planning68$9,568$133
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area31$9,011$225
Obtaining respiratory data needed to develop the optimal radiation treatment11$4,113$343
Short return visit (20+ min)51$3,899$67
Long return visit (40+ min)23$3,196$133
Return visit (30+ min)29$3,191$103
Special radiation treatment18$2,083$116
Design and construction of simple radiation treatment device57$1,903$31
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or45$1,252$25

Who their Medicare patients are

315 Original Medicare patients in 2024. Average age 74 · Under 65 6% · 85 and older 11% · Women 55% · Also on Medicaid 35% · Health risk score 1.87. Above the middle of the specialty; the typical radiation oncology clinician is at 1.69.

Conditions among them: High blood pressure 75% · Cancer 75% · Diabetes 37% · Chronic kidney disease 34% · Coronary heart disease 30% · COPD 20% · Depression 19% · Heart failure 18% · Atrial fibrillation 15% · Stroke 7% · Dementia 4%.

The office billed $3,381,322, Medicare allowed $1,170,309 and paid $928,697; for 4,823 services of 54 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
20243154,823741.87$3,381,322$928,697
20233875,408741.83$3,778,557$1,049,328
20224086,440751.70$4,127,179$1,156,663
20213604,222741.92$3,168,985$851,456
20203495,180752.11$3,022,493$953,184
20193775,866742.18$6,771,808$992,827
20183355,004752.03$7,315,850$946,570
20173506,346742.36$9,808,200$1,182,237
20161112,099721.70$3,320,725$396,788

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: 26 services

Original Medicare services billed in 2023
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session153$384,192$312
Ct guidance for insertion of radiation therapy fields152$126,243$102
High precision radiation therapy planning66$119,698$1,575
Cranial lesion surgery using radiation over multiple sessions42$74,686$868
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev31$50,820$199
Radiation treatment management, 5 treatment sessions89$36,633$156
Design and construction of radiation treatment device for high precision radiation therapy68$33,752$392
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev23$32,444$203
Continuing radiation therapy consultation per week140$22,316$73
Design and construction of complex radiation treatment device105$19,592$106
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy41$19,241$63
Calculation of radiation therapy dose93$17,291$56
New patient visit (60+ min)72$12,877$179
3d radiation therapy planning25$12,558$405
Complex radiation therapy planning85$12,382$135
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved22$10,164$376
Long return visit (40+ min)36$6,193$141
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area17$5,352$233
Short return visit (20+ min)71$5,049$67
Return visit (30+ min)33$3,946$104
Special radiation treatment27$3,084$114
Complex radiation therapy planning for delivery of external radiation11$2,656$241
Design and construction of simple radiation treatment device56$1,825$32
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or57$1,539$26
Short return visit26$912$35
Insertion of needle into vein for collection of blood sample12$109$8

2022: 27 services

Original Medicare services billed in 2022
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session161$399,396$314
High precision radiation therapy planning74$128,522$1,548
Ct guidance for insertion of radiation therapy fields141$102,438$102
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev31$53,808$205
Radiation treatment management, 5 treatment sessions127$48,378$155
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev32$47,031$207
Cranial lesion surgery using radiation over multiple sessions24$40,843$869
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy94$35,346$62
Design and construction of radiation treatment device for high precision radiation therapy73$31,862$384
Continuing radiation therapy consultation per week136$23,433$70
Calculation of radiation therapy dose102$22,024$55
Design and construction of complex radiation treatment device110$21,038$103
New patient visit (60+ min)81$14,318$177
Complex radiation therapy planning100$14,201$135
3d radiation therapy planning26$12,187$393
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved24$11,763$392
Short return visit (20+ min)99$7,924$68
Long return visit (40+ min)41$6,868$143
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area22$5,529$230
Return visit (30+ min)34$4,185$102
Special radiation treatment28$3,366$112
Design and construction of simple radiation treatment device29$933$31
Telephone medical discussion with physician, 11-20 minutes11$785$71
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or27$743$27
Short return visit16$574$36
Blood test, comprehensive group of blood chemicals16$177$10
Insertion of needle into vein for collection of blood sample12$47$3

2021: 23 services

Original Medicare services billed in 2021
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session128$285,609$328
High precision radiation therapy planning62$106,144$1,633
Ct guidance for insertion of radiation therapy fields100$58,121$106
Cranial lesion surgery using radiation over multiple sessions24$56,763$996
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev24$52,727$224
Radiation treatment management, 5 treatment sessions91$46,531$156
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy102$36,948$64
Design and construction of radiation treatment device for high precision radiation therapy67$28,949$402
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev23$23,342$224
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved41$20,644$421
Design and construction of complex radiation treatment device84$17,693$107
Calculation of radiation therapy dose91$17,194$56
New patient visit (60+ min)94$16,968$181
Continuing radiation therapy consultation per week95$15,427$69
Short return visit (20+ min)139$12,875$71
Complex radiation therapy planning82$11,958$136
3d radiation therapy planning24$11,760$406
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area21$6,379$245
Special radiation treatment26$3,093$110
Special radiation therapy planning17$1,748$55
Short return visit36$1,677$47
Return visit (30+ min)13$1,403$108
Telephone medical discussion with physician, 11-20 minutes11$991$76

2020: 21 services

Original Medicare services billed in 2020
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session160$351,014$313
High precision radiation therapy planning51$85,337$1,641
Cranial lesion surgery using radiation over multiple sessions28$60,743$1,012
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy153$59,023$64
Ct guidance for insertion of radiation therapy fields144$56,596$104
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev27$49,297$223
Radiation treatment management, 5 treatment sessions71$44,306$159
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved77$41,155$420
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev29$36,438$222
Design and construction of radiation treatment device for high precision radiation therapy54$25,688$414
Design and construction of complex radiation treatment device82$23,012$108
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area80$22,098$228
Calculation of radiation therapy dose77$17,319$56
Continuing radiation therapy consultation per week69$16,110$68
Short return visit (20+ min)141$11,854$57
Complex radiation therapy planning74$11,812$139
3d radiation therapy planning24$11,185$414
New patient visit (60+ min)52$8,748$168
Special radiation therapy planning23$3,277$55
Long return visit (40+ min)25$3,241$120
Special radiation treatment22$2,741$110

2019: 23 services

Original Medicare services billed in 2019
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session187$370,724$298
Cranial lesion surgery using radiation over multiple sessions40$93,206$1,110
High precision radiation therapy planning54$90,765$1,592
Ct guidance for insertion of radiation therapy fields154$66,859$99
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy164$53,789$63
Radiation treatment management, 5 treatment sessions71$43,213$152
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved90$42,481$433
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev27$40,253$225
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev31$30,073$224
Design and construction of radiation treatment device for high precision radiation therapy55$27,216$406
Design and construction of complex radiation treatment device92$21,182$108
Continuing radiation therapy consultation per week77$16,642$67
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area65$16,453$232
New patient visit (60+ min)80$13,246$166
Calculation of radiation therapy dose72$12,966$55
Complex radiation therapy planning66$9,127$136
Short return visit (20+ min)111$8,642$55
3d radiation therapy planning17$8,190$410
Obtaining respiratory data needed to develop the optimal radiation treatment13$5,099$392
Special radiation treatment24$2,704$108
Complex radiation therapy planning for delivery of external radiation11$2,607$237
Long return visit (40+ min)19$2,265$119
Special radiation therapy planning15$1,831$54

2018: 21 services

Original Medicare services billed in 2018
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session177$310,202$301
High precision radiation therapy planning53$89,698$1,661
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev36$62,224$230
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy162$54,393$62
Cranial lesion surgery using radiation over multiple sessions24$52,430$1,192
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved98$51,417$447
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev40$46,835$230
Ct guidance for insertion of radiation therapy fields144$44,467$92
Radiation treatment management, 5 treatment sessions91$42,405$151
Design and construction of complex radiation treatment device107$31,653$107
Design and construction of radiation treatment device for high precision radiation therapy60$30,385$434
Continuing radiation therapy consultation per week143$24,529$69
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area78$21,501$236
Calculation of radiation therapy dose90$20,096$55
3d radiation therapy planning33$14,526$403
New patient visit (60+ min)66$10,766$163
Complex radiation therapy planning66$9,026$133
Short return visit (20+ min)63$5,471$55
Special radiation therapy planning31$3,761$54
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,623$164
Special radiation treatment16$1,814$113

2017: 21 services

Original Medicare services billed in 2017
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session155$448,167$293
High precision radiation therapy planning74$129,169$1,656
Cranial lesion surgery using radiation over multiple sessions39$116,933$1,169
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev68$87,810$226
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy193$53,246$40
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev33$52,416$226
Radiation treatment management, 5 treatment sessions124$48,805$152
Design and construction of radiation treatment device for high precision radiation therapy71$34,190$427
Ct guidance for insertion of radiation therapy fields129$29,884$42
Design and construction of complex radiation treatment device125$27,098$109
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area100$24,803$232
Continuing radiation therapy consultation per week148$23,424$67
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved46$20,583$438
Calculation of radiation therapy dose114$20,358$55
New patient visit (60+ min)98$15,768$161
Complex radiation therapy planning89$12,294$135
3d radiation therapy planning28$11,272$389
Special radiation therapy planning47$4,367$53
Short return visit (20+ min)36$2,530$59
Special radiation treatment14$1,676$120
Long return visit (40+ min)14$1,542$110

2016: 18 services

Original Medicare services billed in 2016
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session38$141,317$294
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev32$60,501$226
Cranial lesion surgery using radiation over multiple sessions13$47,864$1,167
High precision radiation therapy planning20$31,556$1,578
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy65$25,090$41
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev12$18,262$225
Radiation treatment management, 5 treatment sessions40$9,824$151
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area39$9,545$233
Design and construction of complex radiation treatment device32$8,344$128
3d radiation therapy planning21$8,177$389
Ct guidance for insertion of radiation therapy fields32$7,000$37
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved15$6,579$439
Design and construction of radiation treatment device for high precision radiation therapy12$5,116$426
New patient visit (60+ min)30$5,055$168
Calculation of radiation therapy dose27$3,788$56
Continuing radiation therapy consultation per week17$2,421$67
Special radiation treatment15$1,942$129
Special radiation therapy planning19$1,477$53

Medicaid work

$38,143 in 2024

Medicaid paid $38,143 for 2,584 billed services this clinician did in 2024, up to 28 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
Radiation tx delivery imrt1,032$25,419
Computed tomography guidance for placement of radiation therapy fields974$7,782
Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)107$2,103
Radiation treatment management, 5 treatments215$2,045
RADIATION PHYSICS CONSULT195$460
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy61$334
Medicaid work by year
20242,584628$38,143
20233,7041433$116,115
20222,742931$89,013
2021811523$21,486
2020971519$39,895
20191,208525$51,027
2018864618$25,835
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Radiation tx delivery imrt1,203$69,151
Computed tomography guidance for placement of radiation therapy fields1,235$29,458
Radiation treatment management, 5 treatments262$4,326
Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications29$3,813
RADIATION PHYSICS CONSULT303$2,213
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy266$2,034
Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)126$1,896
Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan32$1,382
RADIATION THERAPY DOSE PLAN73$999
Therapeutic radiology treatment planning; complex27$480
New patient visit (60+ min)42$331
Treatment devices, design and construction; simple (simple block, simple bolus)12$32

2022

Largest Medicaid services in 2022
Radiation tx delivery imrt1,095$58,118
Computed tomography guidance for placement of radiation therapy fields681$13,817
Radiation treatment management, 5 treatments238$5,464
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy428$2,781
RADIATION THERAPY DOSE PLAN32$2,677
RADIATION PHYSICS CONSULT222$2,514
Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications12$2,474
Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan12$842
Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)22$325

2021

Largest Medicaid services in 2021
Radiation tx delivery imrt264$10,270
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy395$7,936
Computed tomography guidance for placement of radiation therapy fields118$3,063
Radiation treatment management, 5 treatments22$217
Short return visit (20+ min)12$0

2020

Largest Medicaid services in 2020
Radiation tx delivery imrt493$34,919
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy350$3,691
Computed tomography guidance for placement of radiation therapy fields81$1,088
RADIATION PHYSICS CONSULT29$176
Short return visit (20+ min)18$22

2019

Largest Medicaid services in 2019
Radiation tx delivery imrt473$31,815
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy570$15,038
Computed tomography guidance for placement of radiation therapy fields126$2,302
Radiation treatment management, 5 treatments26$1,601
Simple therapeutic radiology simulation-aided field setting13$270

2018

Largest Medicaid services in 2018
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy489$9,850
Radiation tx delivery imrt235$7,255
Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications19$5,985
Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)38$1,340
RADIATION PHYSICS CONSULT35$741
Radiation treatment management, 5 treatments48$665

Drugs they prescribed that Part D paid

$3,943

Pharmacies billed $3,943 in 2024.

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

Opioids were 15% of their Part D prescriptions (18 of 119) in 2024. Above the middle of the specialty; the typical radiation oncology clinician is at 11%.

87 generic and 32 brand-name prescriptions · $3,943 in drug cost.

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
Ssd27$1,066$39
Hydrocodone-Acetaminophen15$1,040$69

Year by year

Part D prescribing by year
20241196315% (18)27%$3,943
20238053None28%$2,299
2022128639% (11)22%$7,736
20211285212% (15)None$5,696
20201004023% (23)29%$4,140
20199649NoneNone$3,215
20184128None34%$824
2017895024% (21)25%$2,074
2016503530% (15)None$2,566
20156230None24%$4,121
2014784015% (12)29%$2,715
2013653922% (14)None$4,658

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Ssd13$468$36

2022: 3 drugs

Part D drugs prescribed in 2022
Ondansetron Odt19$938$49
Mometasone Furoate13$440$34
Ssd13$182$14

2021: 4 drugs

Part D drugs prescribed in 2021
Memantine13$947$73
Mometasone Furoate19$835$44
Ssd16$613$38
Hydrocodone-Acetaminophen12$185$15

2020: 3 drugs

Part D drugs prescribed in 2020
Memantine15$1,602$107
Ssd17$825$49
Hydrocodone-Acetaminophen18$227$13

2019: 1 drug

Part D drugs prescribed in 2019
Tamsulosin11$179$16

2017: 1 drug

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen18$174$10

2016: 1 drug

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen13$301$23

2014: 2 drugs

Part D drugs prescribed in 2014
Diphenhydramine18$444$25
Silver Sulfadiazine15$402$27

2013: 1 drug

Part D drugs prescribed in 2013
Lidocaine Hcl Viscous13$545$42

Money from drug and device companies

$1,079 in 2025

Industry payments by year
20252448None$1,079
20242354None$1,121
20232334None$737
20221457None$852
20211237None$523
2020535None$376
20191012None$191

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
AstraZeneca Pharmaceuticals LPTagrisso$141
6 payments
  • Meals for Tagrisso · 2025-09-12 · $26
  • Meals for Lynparza · 2025-09-09 · $17
  • Meals for Lynparza · 2025-08-20 · $16
  • Meals for Enhertu · 2025-05-23 · $16
  • Meals · 2025-05-07 · $20
  • Meals for Tagrisso · 2025-02-27 · $47
Daiichi SankyoInjectafer$131
6 payments
  • Meals for Datroway · 2025-10-29 · $29
  • Meals for Injectafer · 2025-08-23 · $21
  • Meals for Enhertu · 2025-07-10 · $18
  • Meals for Injectafer · 2025-05-09 · $23
  • Meals for Enhertu · 2025-03-04 · $24
  • Meals for Injectafer · 2025-01-14 · $15
Merck Sharp & DohmeKeytruda$81
3 payments
  • Meals for Keytruda · 2025-05-14 · $34
  • Meals for Keytruda · 2025-03-26 · $33
  • Meals for Welireg · 2025-01-10 · $14
GenzymeWayrilz$70
2 payments
  • Meals for Wayrilz · 2025-08-19 · $50
  • Meals · 2025-04-21 · $20
SpringWorks TherapeuticsOgsiveo$55
2 payments
  • Meals for Ogsiveo · 2025-06-18 · $35
  • Meals for Ogsiveo · 2025-02-13 · $19
AbbvieElahere$52
2 payments
  • Meals for Elahere · 2025-05-28 · $21
  • Meals for Elahere · 2025-02-19 · $31
See all 43 published payments
Every published payment
ExelixisMeals · 2025-12-16Cabometyx$23
NovocureMeals · 2025-12-08Optune Lua (Novottf-200t)$18
Jazz PharmaceuticalsMeals · 2025-11-11Zepzelca$24
NovocureMeals · 2025-11-06Optune Lua (Novottf-200t)$19
IncyteMeals · 2025-10-31Monjuvi$18
Daiichi SankyoMeals · 2025-10-29Datroway$29
Pharmacosmos TherapeuticsMeals · 2025-10-20Monoferric$25
PharmaEssentia USAMeals · 2025-10-08Besremi$22
Bayer Healthcare PharmaceuticalsMeals · 2025-09-24Xofigo$20
Novartis PharmaceuticalsMeals · 2025-09-19Scemblix$26
AstraZeneca Pharmaceuticals LPMeals · 2025-09-12Tagrisso$26
Stemline TherapeuticsMeals · 2025-09-10Orserdu$37
AstraZeneca Pharmaceuticals LPMeals · 2025-09-09Lynparza$17
Napo PharmaceuticalsMeals · 2025-08-28Gelclair Concentrated Oral Gel$21
Daiichi SankyoMeals · 2025-08-23Injectafer$21
AstraZeneca Pharmaceuticals LPMeals · 2025-08-20Lynparza$16
GenzymeMeals · 2025-08-19Wayrilz$50
IncyteMeals · 2025-08-13Monjuvi$27
Ipsen BiopharmaceuticalsMeals · 2025-08-06Onivyde$33
Tempus AIMeals · 2025-07-30Xt Cdx$28
Genmab U.S.Meals · 2025-07-18Epkinly$17
Daiichi SankyoMeals · 2025-07-10Enhertu$18
Novartis PharmaceuticalsMeals · 2025-06-25Kisqali$22
SpringWorks TherapeuticsMeals · 2025-06-18Ogsiveo$35
GlaxoSmithKlineMeals · 2025-05-30Ojjaara$18
AbbvieMeals · 2025-05-28Elahere$21
AstraZeneca Pharmaceuticals LPMeals · 2025-05-23Enhertu$16
SobiMeals · 2025-05-21Vonjo$39
Merck Sharp & DohmeMeals · 2025-05-14Keytruda$34
Daiichi SankyoMeals · 2025-05-09Injectafer$23
AstraZeneca Pharmaceuticals LPMeals · 2025-05-07None$20
GenzymeMeals · 2025-04-21None$20
Karyopharm TherapeuticsMeals · 2025-04-04Xpovio$18
Lilly USAMeals · 2025-04-03Verzenio$23
Merck Sharp & DohmeMeals · 2025-03-26Keytruda$33
Daiichi SankyoMeals · 2025-03-04Enhertu$24
AstraZeneca Pharmaceuticals LPMeals · 2025-02-27Tagrisso$47
AbbvieMeals · 2025-02-19Elahere$31
SpringWorks TherapeuticsMeals · 2025-02-13Ogsiveo$19
Lilly USAMeals · 2025-01-22Verzenio$26
Daiichi SankyoMeals · 2025-01-14Injectafer$15
Merck Sharp & DohmeMeals · 2025-01-10Welireg$14
Octapharma USAMeals · 2025-01-10Octagam Immune Globulin (Human)$45
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $1,121

Payments by company in 2024
AstraZeneca Pharmaceuticals LPTagrisso$153
8 payments
  • Meals for Tagrisso · 2024-12-18 · $19
  • Meals for Tagrisso · 2024-12-06 · $16
  • Meals for Lynparza · 2024-09-25 · $18
  • Meals for Tagrisso · 2024-09-17 · $21
  • Meals for Lynparza · 2024-07-03 · $6
  • Meals for Enhertu · 2024-06-29 · $25
  • Meals for Lynparza · 2024-04-17 · $24
  • Meals for Tagrisso · 2024-01-04 · $23
Daiichi SankyoEnhertu$139
6 payments
  • Meals for Vanflyta · 2024-10-23 · $23
  • Meals for Injectafer · 2024-07-08 · $12
  • Meals for Enhertu · 2024-06-26 · $26
  • Meals for Enhertu · 2024-04-18 · $19
  • Meals for Injectafer · 2024-04-17 · $30
  • Meals for Enhertu · 2024-02-05 · $28
SobiDoptelet$94
3 payments
  • Meals for Vonjo · 2024-12-11 · $19
  • Meals for Doptelet · 2024-11-09 · $29
  • Meals for Doptelet · 2024-08-21 · $46
Novartis PharmaceuticalsFabhalta$85
4 payments
  • Meals for Scemblix · 2024-11-20 · $24
  • Meals for Fabhalta · 2024-09-19 · $26
  • Meals for Fabhalta · 2024-07-18 · $17
  • Meals for Scemblix · 2024-04-02 · $17
PharmaEssentia USABesremi$59
2 payments
  • Meals for Besremi · 2024-11-15 · $26
  • Meals for Besremi · 2024-07-26 · $33
E.R. Squibb & Sons L.L.C.None$59
3 payments
  • Meals · 2024-07-29 · $22
  • Meals · 2024-03-28 · $16
  • Meals · 2024-01-16 · $21
ExelixisCabometyx$58
2 payments
  • Meals for Cabometyx · 2024-11-21 · $28
  • Meals for Cabometyx · 2024-02-05 · $30
SpringWorks TherapeuticsOgsiveo$55
2 payments
  • Meals for Ogsiveo · 2024-10-05 · $23
  • Meals for Ogsiveo · 2024-07-11 · $32
Takeda Pharmaceuticals U.S.A.Fruzaqla$50
2 payments
  • Meals for Fruzaqla · 2024-09-04 · $24
  • Meals for Fruzaqla · 2024-01-30 · $26
Ipsen BiopharmaceuticalsOnivyde$49
2 payments
  • Meals for Onivyde · 2024-07-17 · $22
  • Meals for Onivyde · 2024-03-08 · $27
AbbvieElahere$45
2 payments
  • Meals for Elahere · 2024-12-11 · $25
  • Meals for Creon · 2024-02-07 · $19
IncyteMonjuvi$38
2 payments
  • Meals for Monjuvi · 2024-06-05 · $20
  • Meals for Monjuvi · 2024-01-26 · $18
BeiGene USABrukinsa$36
2 payments
  • Meals for Brukinsa · 2024-05-13 · $20
  • Meals for Brukinsa · 2024-01-18 · $16
PfizerPadcev$32
1 payment
  • Meals for Padcev · 2024-03-13 · $32
Lilly USAVerzenio$22
1 payment
  • Meals for Verzenio · 2024-10-30 · $22
Genentech USAItovebi$21
1 payment
  • Meals for Itovebi · 2024-12-04 · $21
Servier PharmaceuticalsTibsovo$20
1 payment
  • Meals for Tibsovo · 2024-07-23 · $20
Janssen BiotechCarvykti$20
1 payment
  • Meals for Carvykti · 2024-04-24 · $20
Stemline TherapeuticsElzonris$19
1 payment
  • Meals for Elzonris · 2024-05-17 · $19
Astellas Pharma USPadcev$19
1 payment
  • Meals for Padcev · 2024-01-13 · $19
Kite PharmaYescarta$18
1 payment
  • Meals for Yescarta · 2024-12-09 · $18
Pharmacosmos TherapeuticsMonoferric$16
1 payment
  • Meals for Monoferric · 2024-10-23 · $16
Sirtex MedicalSir-Spheres Microspheres$15
1 payment
  • Meals for Sir-Spheres Microspheres · 2024-08-27 · $15

2023: $737

Payments by company in 2023
Daiichi SankyoInjectafer$72
3 payments
  • Meals for Injectafer · 2023-12-11 · $24
  • Meals for Injectafer · 2023-03-24 · $30
  • Meals for Injectafer · 2023-02-11 · $19
AstraZeneca Pharmaceuticals LPTagrisso$67
3 payments
  • Meals for Enhertu · 2023-12-19 · $18
  • Meals for Tagrisso · 2023-10-11 · $27
  • Meals for Calquence · 2023-01-27 · $22
Boston ScientificSpaceoar Vue System - 10ml$56
2 payments
  • Meals for Spaceoar Vue System - 10ml · 2023-11-09 · $36
  • Meals for Rezum Generator · 2023-09-14 · $20
SeagenPadcev$53
3 payments
  • Meals for Padcev · 2023-12-13 · $19
  • Meals for Padcev · 2023-10-20 · $18
  • Meals for Padcev · 2023-08-04 · $16
Regeneron Healthcare SolutionsLibtayo$46
2 payments
  • Meals for Libtayo · 2023-11-08 · $21
  • Meals for Libtayo · 2023-07-13 · $25
Pharmacyclics LLC An AbbVieEpkinly$45
2 payments
  • Meals for Epkinly · 2023-09-15 · $25
  • Meals for Epkinly · 2023-06-02 · $20
Ipsen BiopharmaceuticalsOnivyde$42
2 payments
  • Meals for Tazverik · 2023-12-12 · $20
  • Meals for Onivyde · 2023-11-01 · $22
E.R. Squibb & Sons L.L.C.None$35
2 payments
  • Meals · 2023-11-09 · $16
  • Meals · 2023-03-30 · $19
Alexion PharmaceuticalsUltomiris$31
1 payment
  • Meals for Ultomiris · 2023-12-05 · $31
EMD SeronoBavencio$30
1 payment
  • Meals for Bavencio · 2023-04-19 · $30
Novartis PharmaceuticalsScemblix$29
1 payment
  • Meals for Scemblix · 2023-12-18 · $29
ExelixisCabometyx$29
1 payment
  • Meals for Cabometyx · 2023-11-14 · $29
Palette Life SciencesNone$25
1 payment
  • Meals · 2023-02-16 · $25
ImmunoGenElahere$24
1 payment
  • Meals for Elahere · 2023-11-21 · $24
IncyteJakafi$22
1 payment
  • Meals for Jakafi · 2023-03-29 · $22
GenzymeJevtana$21
1 payment
  • Meals for Jevtana · 2023-02-03 · $21
Genmab U.S.Epkinly$19
1 payment
  • Meals for Epkinly · 2023-11-06 · $19
Telix PharmaceuticalsIlluccix$18
1 payment
  • Meals for Illuccix · 2023-11-06 · $18
NovocureOptune$16
1 payment
  • Meals for Optune · 2023-09-28 · $16
Lilly USAVerzenio$16
1 payment
  • Meals for Verzenio · 2023-10-10 · $16
GlaxoSmithKlineOjjaara$15
1 payment
  • Meals for Ojjaara · 2023-09-22 · $15
Takeda Pharmaceuticals U.S.A.Fruzaqla$14
1 payment
  • Meals for Fruzaqla · 2023-12-12 · $14
PharmaEssentia USABesremi$14
1 payment
  • Meals for Besremi · 2023-12-07 · $14

2022: $852

Payments by company in 2022
E.R. Squibb & Sons L.L.C.Empliciti$307
25 payments
  • Meals · 2022-12-29 · $16
  • Meals · 2022-12-27 · $23
  • Meals · 2022-11-07 · $0
  • Meals · 2022-11-07 · $3
  • Meals · 2022-11-07 · $1
  • Meals · 2022-11-07 · $3
  • Meals · 2022-10-18 · $3
  • Meals · 2022-10-11 · $10
  • Meals · 2022-08-25 · $25
  • Meals · 2022-07-22 · $7
  • Meals · 2022-07-15 · $18
  • Meals · 2022-07-15 · $29
  • Meals · 2022-06-15 · $4
  • Meals · 2022-06-13 · $13
  • Meals · 2022-05-27 · $19
  • Meals · 2022-05-03 · $17
  • Meals · 2022-04-25 · $11
  • Meals · 2022-04-08 · $6
  • Meals · 2022-04-01 · $19
  • Meals for Empliciti · 2022-03-29 · $8
  • Meals · 2022-03-11 · $9
  • Meals · 2022-03-01 · $18
  • Meals · 2022-03-01 · $1
  • Meals · 2022-02-18 · $22
  • Meals · 2022-01-11 · $22
AstraZeneca Pharmaceuticals LPTagrisso$166
7 payments
  • Meals for Tagrisso · 2022-10-26 · $23
  • Meals for Tagrisso · 2022-08-24 · $22
  • Meals for Tagrisso · 2022-06-07 · $21
  • Meals for Calquence · 2022-05-12 · $19
  • Meals for Imfinzi · 2022-05-11 · $42
  • Meals for Lynparza · 2022-05-11 · $19
  • Meals for Calquence · 2022-01-19 · $21
AmgenLumakras$73
4 payments
  • Meals for Kyprolis · 2022-05-24 · $17
  • Meals for Lumakras · 2022-05-19 · $16
  • Meals for Lumakras · 2022-03-17 · $18
  • Meals for Nplate · 2022-02-25 · $22
Pharmacyclics LLC an AbbVieImbruvica$70
3 payments
  • Meals for Imbruvica · 2022-09-20 · $24
  • Meals for Imbruvica · 2022-07-06 · $24
  • Meals for Imbruvica · 2022-03-10 · $22
Janssen BiotechErleada$51
3 payments
  • Meals for Erleada · 2022-08-02 · $19
  • Meals for Erleada · 2022-04-26 · $16
  • Meals for Erleada · 2022-01-03 · $16
SobiDoptelet$28
2 payments
  • Meals for Doptelet · 2022-12-29 · $14
  • Meals for Doptelet · 2022-09-09 · $14
G1 TherapeuticsCosela$24
1 payment
  • Meals for Cosela · 2022-07-12 · $24
AbbvieLinzess$24
1 payment
  • Meals for Linzess · 2022-06-30 · $24
EMD SeronoNone$23
1 payment
  • Meals · 2022-03-15 · $23
Servier PharmaceuticalsTibsovo$22
1 payment
  • Meals for Tibsovo · 2022-06-03 · $22
Ipsen BiopharmaceuticalsSomatuline Depot$18
1 payment
  • Meals for Somatuline Depot · 2022-02-22 · $18
GlaxoSmithKlineBlenrep$17
1 payment
  • Meals for Blenrep · 2022-05-31 · $17
Heron TherapeuticsSustol$15
1 payment
  • Meals for Sustol · 2022-02-08 · $15
CelgeneOnureg$13
1 payment
  • Meals for Onureg · 2022-02-01 · $13

2021: $523

Payments by company in 2021
E.R. Squibb & Sons L.L.C.Opdivo$174
23 payments
  • Meals · 2021-12-21 · $3
  • Meals · 2021-12-21 · $19
  • Meals · 2021-12-21 · $1
  • Meals · 2021-12-21 · $0
  • Meals · 2021-12-17 · $1
  • Meals · 2021-11-24 · $8
  • Meals for Opdivo · 2021-10-26 · $10
  • Meals · 2021-10-14 · $17
  • Meals · 2021-10-08 · $15
  • Meals for Opdivo · 2021-08-10 · $21
  • Meals for Opdivo · 2021-08-10 · $0
  • Meals for Opdivo · 2021-07-23 · $3
  • Meals for Opdivo · 2021-07-23 · $8
  • Meals for Opdivo · 2021-06-08 · $1
  • Meals for Opdivo · 2021-06-08 · $1
  • Meals · 2021-06-08 · $14
  • Meals for Opdivo · 2021-04-06 · $18
  • Meals for Opdivo · 2021-04-06 · $0
  • Meals · 2021-03-26 · $4
  • Meals for Opdivo · 2021-02-16 · $13
  • Meals for Opdivo · 2021-02-16 · $6
  • Meals · 2021-02-16 · $11
  • Meals · 2021-01-22 · $2
GlaxoSmithKlineBlenrep$125
1 payment
  • Meals for Blenrep · 2021-05-27 · $125
Pharmacyclics LLC An AbbVieImbruvica$40
2 payments
  • Meals for Imbruvica · 2021-12-14 · $21
  • Meals for Imbruvica · 2021-08-31 · $20
Janssen BiotechDarzalex$40
2 payments
  • Meals for Darzalex · 2021-12-28 · $19
  • Meals for Darzalex · 2021-09-07 · $21
BeiGene USABrukinsa$29
2 payments
  • Meals for Brukinsa · 2021-09-24 · $16
  • Meals for Brukinsa · 2021-04-21 · $13
AstraZeneca Pharmaceuticals LPLynparza$19
1 payment
  • Meals for Lynparza · 2021-10-19 · $19
Novartis PharmaceuticalsLutathera$19
1 payment
  • Meals for Lutathera · 2021-12-02 · $19
Dova PharmaceuticalsDoptelet$18
1 payment
  • Meals for Doptelet · 2021-12-30 · $18
AmgenLumakras$18
1 payment
  • Meals for Lumakras · 2021-12-09 · $18
Merck Sharp & DohmeKeytruda$14
1 payment
  • Meals for Keytruda · 2021-07-26 · $14
SeagenAdcetris$13
1 payment
  • Meals for Adcetris · 2021-05-05 · $13
AbbVieLinzess$13
1 payment
  • Meals for Linzess · 2021-09-16 · $13

2020: $376

Payments by company in 2020
E.R. Squibb & Sons L.L.C.Opdivo$223
29 payments
  • Meals for Opdivo · 2020-12-23 · $2
  • Meals · 2020-12-23 · $4
  • Meals · 2020-12-21 · $10
  • Meals for Opdivo · 2020-12-11 · $15
  • Meals for Opdivo · 2020-12-11 · $1
  • Meals for Opdivo · 2020-12-11 · $1
  • Meals for Opdivo · 2020-12-11 · $0
  • Meals for Opdivo · 2020-12-11 · $1
  • Meals for Opdivo · 2020-12-11 · $1
  • Meals for Opdivo · 2020-11-25 · $0
  • Meals for Opdivo · 2020-11-25 · $0
  • Meals for Opdivo · 2020-11-25 · $0
  • Meals for Opdivo · 2020-11-25 · $0
  • Meals for Opdivo · 2020-11-25 · $3
  • Meals for Opdivo · 2020-10-30 · $20
  • Meals for Opdivo · 2020-10-07 · $1
  • Meals for Opdivo · 2020-10-07 · $16
  • Meals for Opdivo · 2020-09-04 · $16
  • Meals for Opdivo · 2020-09-04 · $3
  • Meals for Opdivo · 2020-07-02 · $17
  • Meals for Opdivo · 2020-06-16 · $3
  • Meals for Opdivo · 2020-04-24 · $16
  • Meals for Opdivo · 2020-04-10 · $0
  • Meals · 2020-04-10 · $14
  • Meals for Opdivo · 2020-03-04 · $60
  • Meals for Opdivo · 2020-02-28 · $2
  • Meals for Opdivo · 2020-02-28 · $1
  • Meals for Yervoy · 2020-01-18 · $17
  • Meals · 2020-01-18 · $0
Varian Medical SystemsNone$104
3 payments
  • Meals · 2020-09-17 · $27
  • Meals · 2020-02-20 · $52
  • Meals · 2020-02-06 · $25
Medtronic USAKyphon Balloon Kyphoplasty$19
1 payment
  • Meals for Kyphon Balloon Kyphoplasty · 2020-11-19 · $19
Janssen BiotechDarzalex$18
1 payment
  • Meals for Darzalex · 2020-03-06 · $18
Boston ScientificGeneral - Oncology$12
1 payment
  • Meals for General - Oncology · 2020-02-19 · $12

2019: $191

Payments by company in 2019
Varian Medical SystemsRadiation Oncology$31
2 payments
  • Meals for Radiation Oncology · 2019-12-04 · $17
  • Meals · 2019-01-17 · $14
Cardinal Health 108None$27
1 payment
  • Meals · 2019-04-09 · $27
Janssen BiotechImbruvica$26
2 payments
  • Meals for Imbruvica · 2019-06-15 · $14
  • Meals for Darzalex · 2019-06-15 · $12
Ipsen BiopharmaceuticalsSomatuline Depot$21
1 payment
  • Meals for Somatuline Depot · 2019-01-15 · $21
NovocureOncology$16
1 payment
  • Meals for Oncology · 2019-04-03 · $16
Bayer HealthCare PharmaceuticalsVitrakvi$16
1 payment
  • Meals for Vitrakvi · 2019-06-25 · $16
Regeneron Healthcare SolutionsLibtayo$15
1 payment
  • Meals for Libtayo · 2019-01-24 · $15
Seattle GeneticsAdcetris$15
1 payment
  • Meals for Adcetris · 2019-04-05 · $15
E.R. Squibb & Sons L.L.C.Opdivo$13
1 payment
  • Meals for Opdivo · 2019-11-12 · $13
Advanced Accelerator ApplicationsLutathera$11
1 payment
  • Meals for Lutathera · 2019-02-04 · $11

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
100.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1760776744
Licence
CA A123275California A123275: Current · expires 2028-03-31
Trained
Stanford University School of Medicine, 2006 · 20 years ago
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 2085R0001X (2085R0001X); Student in a training program (390200000X)
Mailing address
Po Box 25100, Fresno, CA, 93729
NPI first listed
2011-06-07
NPI last updated
2025-10-09
NPI record certified
2025-10-09

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

Extra NPI addresses: 1125 E Spruce Ave Ste 103, Fresno, CA, 93720