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California Medical Board record
Licence G48554 · Current
Licensed to practise in California · since 1982 · expires 2028-08-31 · University of New Mexico School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$46,157
Medicare paid this office $46,157 for 419 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Return visit (30+ min)
140
$14,910
$106
Short return visit (20+ min)
126
$10,385
$78
New patient visit (45+ min)
71
$9,340
$132
New patient visit (30+ min)
60
$5,747
$96
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
19
$308
$16
See all 7 services
Every Original Medicare service billed
Return visit (30+ min)
140
$14,910
$106
Short return visit (20+ min)
126
$10,385
$78
New patient visit (45+ min)
71
$9,340
$132
New patient visit (30+ min)
60
$5,747
$96
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
19
$308
$16
Inhalation treatment for airway obstruction or sputum production
15
$122
$8
Automated urinalysis test
36
$79
$2
Procedures Medicare counted
Procedure volume Medicare published
Removal of tissue
1-10
—None
Who their Medicare patients are
419 Original Medicare patients in 2024. Average age 74 · Under 65 7% · 85 and older 12% · Women 63% · Also on Medicaid 17% · Health risk score 1.05. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.
The office billed $172,688, Medicare allowed $65,010 and paid $46,157; for 590 services of 39 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
2024
419
590
74
1.05
$172,688
$46,157
2023
470
667
75
0.96
$179,288
$51,724
2022
417
570
73
1.19
$118,627
$37,021
2021
2,527
2,923
73
1.46
$245,835
$80,818
2020
1,561
1,761
72
1.42
$153,318
$57,803
2019
212
276
73
1.27
$57,462
$15,571
2018
383
574
72
1.16
$114,713
$26,639
2017
559
738
72
1.16
$152,158
$39,523
2016
589
786
72
1.31
$202,588
$50,799
2015
623
1,029
71
1.58
$306,383
$68,635
2014
667
1,284
69
1.93
$381,696
$87,418
2013
687
1,245
69
2.20
$391,831
$92,580
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 8 services
Original Medicare services billed in 2023
Short return visit (20+ min)
208
$17,753
$79
Return visit (30+ min)
140
$16,427
$115
New patient visit (45+ min)
46
$6,282
$137
New patient visit (30+ min)
61
$4,913
$81
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
11
$1,430
$130
Removal of impacted ear wax
13
$508
$39
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
16
$292
$16
Automated urinalysis test
51
$117
$2
2022: 8 services
Original Medicare services billed in 2022
Short return visit (20+ min)
196
$16,784
$82
Return visit (30+ min)
53
$6,243
$118
New patient visit (30+ min)
65
$5,912
$91
New patient visit (45+ min)
16
$2,527
$158
Office for the evaluation and management of established patient that may not require presence of healthcare professional
73
$1,898
$26
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
16
$810
$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
16
$207
$13
Automated urinalysis test
39
$86
$2
2021: 4 services
Original Medicare services billed in 2021
Office for the evaluation and management of established patient that may not require presence of healthcare professional
2,306
$60,235
$23
Short return visit (20+ min)
131
$11,136
$81
New patient visit (30+ min)
74
$6,946
$94
Automated urinalysis test
38
$87
$2
2020: 4 services
Original Medicare services billed in 2020
Office for the evaluation and management of established patient that may not require presence of healthcare professional
1,361
$43,536
$30
Short return visit (20+ min)
122
$7,950
$62
New patient visit (30+ min)
59
$4,180
$71
Automated urinalysis test
33
$78
$2
2019: 4 services
Original Medicare services billed in 2019
Short return visit (20+ min)
111
$7,514
$66
New patient visit (30+ min)
67
$5,540
$83
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
11
$178
$16
Automated urinalysis test
20
$49
$2
2018: 8 services
Original Medicare services billed in 2018
Short return visit (20+ min)
190
$11,318
$54
New patient visit (30+ min)
137
$9,270
$68
Return visit (30+ min)
16
$1,285
$80
Short return visit
15
$692
$41
Detection test by immunoassay with direct visual observation for influenza virus
25
$408
$16
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
17
$275
$16
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
11
$158
$14
Automated urinalysis test
49
$141
$3
2017: 7 services
Original Medicare services billed in 2017
Short return visit (20+ min)
287
$18,689
$62
New patient visit (30+ min)
216
$16,247
$75
Return visit (30+ min)
17
$1,040
$61
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
18
$225
$12
Automated urinalysis test
55
$162
$3
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
12
$159
$13
Urinalysis, manual test
34
$118
$3
2016: 10 services
Original Medicare services billed in 2016
New patient visit (30+ min)
317
$25,725
$81
Return visit (30+ min)
95
$8,337
$84
Short return visit (20+ min)
83
$5,341
$59
Emergency department visit with high level of medical decision making
24
$3,331
$139
Emergency department visit with moderate level of medical decision making
20
$1,657
$79
New patient visit (15+ min)
14
$802
$57
Emergency department visit with low level of medical decision making
21
$797
$38
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
28
$212
$7
Urinalysis, manual test
39
$136
$3
Automated urinalysis test
38
$114
$3
2015: 11 services
Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making
195
$26,314
$132
New patient visit (30+ min)
118
$9,944
$84
Critical care, first 30-74 minutes
34
$6,541
$187
Emergency department visit with moderate level of medical decision making
63
$5,719
$87
Emergency department visit with low level of medical decision making
108
$4,915
$43
Return visit (30+ min)
47
$4,313
$90
Short return visit (20+ min)
33
$2,289
$62
New patient visit (15+ min)
34
$1,631
$48
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
193
$1,449
$7
X-ray of chest, 1 view, front
52
$414
$8
Urinalysis, manual test
30
$106
$3
2014: 10 services
Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making
367
$52,639
$139
Critical care, first 30-74 minutes
48
$9,087
$189
Emergency department visit with moderate level of medical decision making
87
$8,060
$91
Emergency department visit with low level of medical decision making
94
$4,533
$46
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
341
$2,602
$7
Emergent insertion of breathing tube into windpipe using an endoscope
12
$1,115
$93
X-ray of chest, 1 view, front
107
$853
$8
New patient visit (15+ min)
12
$735
$61
Short return visit (20+ min)
12
$716
$60
Short return visit
18
$712
$40
2013: 10 services
Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making
412
$59,031
$136
Emergency department visit with moderate level of medical decision making
115
$11,355
$94
Critical care, first 30-74 minutes
33
$6,248
$184
Emergency department visit with low level of medical decision making
56
$2,715
$48
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
360
$2,638
$7
New patient visit (15+ min)
25
$1,561
$62
New patient visit (30+ min)
15
$1,205
$80
Short return visit (20+ min)
16
$965
$60
Short return visit
11
$445
$34
X-ray of chest, 1 view, front
45
$364
$8
Medicaid work
$6,275 in 2021
Medicaid paid $6,275 for 873 billed services this clinician did in 2021, up to 208 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 2021
OFF/OP EST MAY X REQ PHY/QHP
873
$6,275
Medicaid work by year
2021
873
1
208
$6,275
2020
424
1
178
$2,832
2018
27
2
14
$1,101
See the largest Medicaid services in earlier years
2020
Largest Medicaid services in 2020
OFF/OP EST MAY X REQ PHY/QHP
424
$2,832
2018
Largest Medicaid services in 2018
New patient visit (30+ min)
12
$700
Short return visit (20+ min)
15
$401
Drugs they prescribed that Part D paid
$4,146
Pharmacies billed $4,146 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 318) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.
283 generic and fewer than 11 brand-name prescriptions · $4,146 in drug cost · 123 antibiotic prescriptions to 117 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
Paxlovid
17
$1,429
$84
Albuterol Sulfate Hfa
26
$687
$26
Ofloxacin
24
$275
$11
Cephalexin
34
$188
$6
Prednisone
61
$172
$3
See all 8 drugs
Every Part D drug this clinician prescribed
Paxlovid
17
$1,429
$84
Albuterol Sulfate Hfa
26
$687
$26
Ofloxacin
24
$275
$11
Cephalexin
34
$188
$6
Prednisone
61
$172
$3
Sulfamethoxazole-Trimethoprim
31
$148
$5
Amoxicillin-Clavulanate Potass
16
$100
$6
Azithromycin
17
$44
$3
Year by year
Part D prescribing by year
2024
318
251
0% (0)
—None
$4,146
2023
344
269
—None
9%
$9,610
2022
228
177
0% (0)
—None
$6,471
2021
149
126
—None
8%
$1,775
2020
157
116
—None
—None
$6,579
2019
177
131
—None
20%
$8,593
2018
257
199
—None
11%
$8,359
2017
434
339
4% (16)
11%
$8,238
2016
412
311
7% (30)
—None
$7,200
2015
356
247
9% (31)
—None
$9,443
2014
349
226
13% (45)
—None
$6,173
2013
286
206
23% (66)
—None
$4,529
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 8 drugs
Part D drugs prescribed in 2023
Albuterol Sulfate Hfa
24
$745
$31
Nitrofurantoin Mono-Macro
13
$331
$25
Paxlovid (Eua)
30
$320
$11
Sulfamethoxazole-Trimethoprim
41
$214
$5
Prednisone
41
$146
$4
Amoxicillin-Clavulanate Potass
14
$139
$10
Cephalexin
31
$133
$4
Azithromycin
16
$110
$7
2022: 4 drugs
Part D drugs prescribed in 2022
Cephalexin
27
$175
$6
Sulfamethoxazole-Trimethoprim
29
$131
$5
Prednisone
24
$100
$4
Amoxicillin-Clavulanate Potass
11
$89
$8
2021: 3 drugs
Part D drugs prescribed in 2021
Nitrofurantoin Mono-Macro
12
$377
$31
Cephalexin
19
$94
$5
Sulfamethoxazole-Trimethoprim
25
$85
$3
2020: 3 drugs
Part D drugs prescribed in 2020
Cephalexin
18
$136
$8
Sulfamethoxazole-Trimethoprim
20
$93
$5
Prednisone
17
$69
$4
2019: 4 drugs
Part D drugs prescribed in 2019
Ventolin Hfa
13
$742
$57
Cephalexin
18
$162
$9
Sulfamethoxazole-Trimethoprim
20
$107
$5
Prednisone
22
$82
$4
2018: 4 drugs
Part D drugs prescribed in 2018
Oseltamivir Phosphate
13
$1,157
$89
Sulfamethoxazole-Trimethoprim
44
$179
$4
Cephalexin
26
$136
$5
Prednisone
32
$124
$4
2017: 10 drugs
Part D drugs prescribed in 2017
Ventolin Hfa
18
$960
$53
Nitrofurantoin Mono-Macro
20
$461
$23
Prednisone
58
$250
$4
Gentamicin Sulfate
14
$245
$18
Sulfamethoxazole-Trimethoprim
51
$209
$4
Cephalexin
24
$182
$8
Amoxicillin
27
$141
$5
Azithromycin
11
$60
$5
Naproxen
12
$56
$5
Fluconazole
11
$45
$4
2016: 9 drugs
Part D drugs prescribed in 2016
Nitrofurantoin Mono-Macro
21
$685
$33
Sulfamethoxazole-Trimethoprim
45
$261
$6
Azithromycin
29
$223
$8
Prednisone
33
$161
$5
Cephalexin
19
$157
$8
Amoxicillin
27
$131
$5
Hydrocodone-Acetaminophen
20
$130
$7
Ibuprofen
13
$48
$4
Fluconazole
11
$39
$4
2015: 7 drugs
Part D drugs prescribed in 2015
Nitrofurantoin Mono-Macro
21
$677
$32
Azithromycin
45
$327
$7
Sulfamethoxazole-Trimethoprim
37
$179
$5
Hydrocodone-Acetaminophen
22
$138
$6
Prednisone
24
$124
$5
Cephalexin
14
$114
$8
Ibuprofen
22
$91
$4
2014: 7 drugs
Part D drugs prescribed in 2014
Azithromycin
38
$276
$7
Hydrocodone-Acetaminophen
43
$260
$6
Sulfamethoxazole-Trimethoprim
29
$187
$6
Prednisone
29
$148
$5
Ciprofloxacin
17
$116
$7
Lorazepam
18
$70
$4
Ibuprofen
14
$62
$4
2013: 8 drugs
Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen
61
$415
$7
Azithromycin
24
$223
$9
Ciprofloxacin
16
$110
$7
Ondansetron
11
$104
$9
Cephalexin
12
$103
$9
Sulfamethoxazole-Trimethoprim
16
$90
$6
Prednisone
20
$71
$4
Lorazepam
14
$57
$4
Professional record
NPI
1770502148
Licence
CA G48554California G48554: Current · expires 2028-08-31