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Howard Cooper Masuoka, MD

Gastroenterology · Batesville

NPI 1770630162

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

Offices

2 locations · Margaret Mary Community Hospital Inc · Iu Health Medical Group LLC

Looking this up.

Hospitals listed: Eskenazi Health · Indiana University Health · Margaret Mary Health. 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. Masuoka’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence C184254 · Current

Licensed to practise in California · since 2023 · expires 2027-02-28 · University of Alabama School of Medicine.

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

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.

  • Eskenazi HealthIndianapolis, INAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Eskenazi HealthPatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.227, Oct 2024 – Sep 2025
  • Indiana University HealthIndianapolis, INAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Indiana University Health, which runs 14 hospitalsHome of Indiana University Melvin and Bren Simon Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 2 of 5 · 63% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.199, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.631, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.344, Oct 2024 – Sep 2025
  • Margaret Mary Community Hospital IncBatesville, INCritical Access Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Margaret Mary HealthPatients rate it 4 of 5 · 69% would definitely recommend it
    No overall ratingWorse than the national rate — Clostridium Difficile (C.Diff): 2.909, Oct 2024 – Sep 2025
See every measure and the patient survey for Eskenazi Health

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 2 better, 4 the same, 0 worse of 6 measures. Readmissions: 0 better, 7 the same, 1 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Eskenazi Health
Clostridium Difficile (C.Diff)Infections0.227BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0 to 2.01) · 351 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.91 (0.51 to 1.31)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths177.09 (121.56 to 232.61) · 46 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.8 · 70 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.6 · 27 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.4 · 109 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.6 · 87 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.8 · 126 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.8 · 1,251 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.41) · 2,353 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.29 (0.08 to 0.49) · 2,407 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.02 (1.66 to 6.37) · 432 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.67 (0 to 3.4) · 31 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.31 (0.7 to 3.92) · 424 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.94 (0 to 18.89) · 33 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.08 (1.77 to 10.39) · 29 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.71 (0.2 to 3.22) · 65 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.21 (0 to 1) · 2,062 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.286No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.213No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.261No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.92No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.3 · 69 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.3 · 340 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits7.4 · 135 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits5.1 · 83 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.2 · 249 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6 (3.8 to 9.3) · 39 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10 (6.9 to 14.3) · 39 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 288 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.3 to 17) · 344 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 49 casesNo differentJan 2024 – Dec 2024

What patients said (1,788 patients answered, 15% of those asked)

Patient survey stars by topic at Eskenazi Health
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating4
Quietness4
Recommend hospital4
Share of patients giving the best answer at Eskenazi Health
Room was "always" clean71%
Nurses "always" communicated well77%
Doctors "always" communicated well79%
Staff "always" explained59%
Yes, staff "did" give patients this information84%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand73%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications70%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night62%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms84%
See every measure and the patient survey for Indiana University Health

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 8 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Indiana University Health
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.199BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.631BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.344BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.38 (0.74 to 2.02) · 4,418 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.87 to 1.23)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths170.2 (138.94 to 201.46) · 355 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.7 · 76 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7 · 112 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.5 · 136 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.8 · 325 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.1 · 457 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.7 · 628 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 6,141 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.33 (0.16 to 0.5) · 13,186 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.07 to 0.41) · 13,815 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.31 (2.04 to 4.57) · 5,254 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.07 (1.06 to 3.09) · 2,685 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.89 (0.92 to 2.86) · 4,949 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths12.17 (8.96 to 15.38) · 2,533 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.96 (3.13 to 6.8) · 2,632 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.78 (0.63 to 2.93) · 1,570 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.51 (0.12 to 0.91) · 11,263 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.1 · 82 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections1.048No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.372No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.731No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits12.7 · 267 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits17.7 · 728 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-18 · 169 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits9.6 · 408 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits13.9 · 500 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.1 · 864 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5 (3.9 to 6.5) · 877 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.4 (7.8 to 11.5) · 877 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.4 · 74 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.1 · 100 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.9 · 291 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.7 to 17.8) · 210 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 1,074 casesNo differentJan 2024 – Dec 2024

What patients said (611 patients answered, 15% of those asked)

Patient survey stars by topic at Indiana University Health
Cleanliness1
Nurse communication2
Doctor communication3
Communication about medicines1
Discharge information3
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Indiana University Health
Room was "always" clean58%
Nurses "always" communicated well71%
Doctors "always" communicated well77%
Staff "always" explained49%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge84%
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)60%
Staff "always" explained new medications63%
Nurses "always" explained things so they could understand65%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital63%
Staff "always" explained possible side effects36%
Yes, staff "did" give patients information about possible symptoms87%
See every measure and the patient survey for Margaret Mary Community Hospital Inc
Every scored measure at Margaret Mary Community Hospital Inc
Clostridium Difficile (C.Diff)Infections2.909WorseOct 2024 – Sep 2025
Death rate for heart failure patientsComplications and deaths11.8 · 55 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.3 · 67 casesNoneJul 2022 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths5.3 · 294 casesNoneJul 2024 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 50 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits32.8 · 63 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits37.1 · 81 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.3 · 79 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4 to 9.1) · 104 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.2 (7 to 14.9) · 104 casesNo differentJan 2024 – Dec 2024

What patients said (143 patients answered, 17% of those asked)

Patient survey stars by topic at Margaret Mary Community Hospital Inc
Cleanliness5
Nurse communication4
Doctor communication4
Communication about medicines2
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Margaret Mary Community Hospital Inc
Room was "always" clean82%
Nurses "always" communicated well80%
Doctors "always" communicated well85%
Staff "always" explained59%
Yes, staff "did" give patients this information91%
Yes, staff "did" give patients information about help after discharge90%
Doctors "always" explained things so they could understand80%
Doctors "always" listened carefully85%
Doctors "always" treated them with courtesy and respect89%
Patients who gave a rating of "9" or "10" (high)74%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect91%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital69%
Staff "always" explained possible side effects45%
Yes, staff "did" give patients information about possible symptoms92%

Original Medicare doctor bills

$79,759

Medicare paid this office $79,759 for 347 people.

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

Largest Original Medicare bills
Return visit (30+ min)105$14,197$104
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes51$9,408$70
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$7,915$106
Long return visit (40+ min)44$7,383$148
New patient visit (60+ min)39$7,173$184
See all 12 services
Every Original Medicare service billed
Return visit (30+ min)105$14,197$104
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes51$9,408$70
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$7,915$106
Long return visit (40+ min)44$7,383$148
New patient visit (60+ min)39$7,173$184
New patient visit (45+ min)59$7,016$119
Initial hospital care with moderate level of medical decision making at least 75 minutes28$4,618$154
Removal of polyps or growths of large bowel using an endoscope with mechanical snare16$3,755$235
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$2,885$115
Measurement of liver stiffness94$1,426$14
Hospital discharge day management, more than 30 minutes11$1,359$105
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope13$1,253$96

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy1-10None
Upper gastrointestinal (GI) endoscopy for acid reflux16More than 47% of doctors who do this

Who their Medicare patients are

347 Original Medicare patients in 2024. Average age 70 · Under 65 15% · 85 and older 6% · Women 56% · Also on Medicaid 38% · Health risk score 2.25. Above the middle of the specialty; the typical gastroenterology clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 44% · Chronic kidney disease 38% · Coronary heart disease 34% · Heart failure 25% · Atrial fibrillation 22% · Depression 22% · Cancer 18% · COPD 14% · Stroke 8% · Dementia 7%.

The office billed $470,369, Medicare allowed $104,659 and paid $79,759; for 792 services of 31 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
2024347792702.25$470,369$79,759
2023264411692.09$183,051$35,635
2022220389662.13$87,091$27,038
2021229461672.14$101,747$33,171
2020355648652.58$128,541$36,115
2019309531642.36$120,462$32,800
2018256556652.48$144,113$38,184
2017253578642.64$145,493$43,098
2016195519652.51$117,644$36,153
2015226489662.36$165,098$39,324
2014286728672.27$221,629$60,167
2013246631652.13$208,900$51,218

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: 12 services

Original Medicare services billed in 2023
Return visit (30+ min)71$4,407$56
New patient visit (45+ min)30$4,380$146
Return visit (30+ min)39$4,053$97
Initial hospital care with moderate level of medical decision making at least 75 minutes19$2,766$132
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$2,746$65
Removal of polyps or growths of large bowel using an endoscope with mechanical snare11$2,551$232
Long return visit (40+ min)12$2,055$158
Short return visit (20+ min)12$949$73
Short return visit (20+ min)19$688$36
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$468$39
Telehealth originating site facility fee18$449$22
Measurement of liver stiffness23$217$9

2022: 8 services

Original Medicare services billed in 2022
Return visit (30+ min)114$10,071$67
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$4,060$51
Initial hospital care with moderate level of medical decision making at least 75 minutes26$3,844$148
New patient visit (45+ min)23$2,003$87
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$1,838$74
Long return visit (40+ min)15$1,754$110
Short return visit (20+ min)18$866$43
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes14$498$28

2021: 7 services

Original Medicare services billed in 2021
Return visit (30+ min)128$11,966$67
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes23$5,086$78
Initial hospital care with moderate level of medical decision making at least 75 minutes30$4,851$147
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes31$4,190$54
New patient visit (45+ min)25$2,320$93
Short return visit (20+ min)28$1,236$40
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes14$408$29

2020: 11 services

Original Medicare services billed in 2020
Return visit (30+ min)142$10,441$54
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$4,078$56
Initial hospital care with moderate level of medical decision making at least 75 minutes23$3,903$156
Short return visit (20+ min)77$3,321$35
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$2,900$81
New patient visit (45+ min)26$2,039$78
Telephone medical discussion with physician, 21-30 minutes21$1,215$58
Telephone medical discussion with physician, 11-20 minutes31$1,194$36
New patient visit (30+ min)21$1,110$53
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes25$1,090$30
Return visit (30+ min)20$871$40

2019: 10 services

Original Medicare services billed in 2019
Return visit (30+ min)130$9,284$53
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes19$3,713$77
New patient visit (45+ min)44$3,681$84
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$3,474$54
Initial hospital care with moderate level of medical decision making at least 75 minutes20$3,051$153
Short return visit (20+ min)66$2,621$36
Return visit (30+ min)17$1,536$57
Long return visit (40+ min)13$953$73
New patient visit (30+ min)14$797$57
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes18$593$30

2018: 10 services

Original Medicare services billed in 2018
Return visit (30+ min)123$9,307$51
Initial hospital care with moderate level of medical decision making at least 75 minutes41$6,285$153
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes44$5,201$54
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes22$3,790$79
Long return visit (40+ min)22$2,052$79
Return visit (30+ min)21$1,849$60
New patient visit (45+ min)18$1,749$97
New patient visit (60+ min)15$1,563$104
Short return visit (20+ min)21$778$34
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes23$716$29

2017: 10 services

Original Medicare services billed in 2017
Return visit (30+ min)95$7,476$54
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes38$7,366$79
Initial hospital care with moderate level of medical decision making at least 75 minutes39$6,296$154
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes42$4,828$55
New patient visit (45+ min)36$3,276$91
Return visit (30+ min)24$2,502$69
Hospital discharge day management, more than 30 minutes21$1,713$82
Long return visit (40+ min)16$1,432$84
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes23$803$30
Short return visit (20+ min)13$488$33

2016: 7 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes52$7,491$53
Initial hospital care with moderate level of medical decision making at least 75 minutes43$6,917$154
Return visit (30+ min)64$5,136$55
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes30$4,790$67
Return visit (30+ min)21$2,316$72
New patient visit (45+ min)22$2,066$94
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes24$1,344$30

2015: 13 services

Original Medicare services billed in 2015
Removal of polyps or growths of large bowel using an endoscope with mechanical snare25$5,740$230
Initial hospital care with moderate level of medical decision making at least 75 minutes29$5,036$153
Return visit (30+ min)32$3,523$72
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$3,324$54
Return visit (30+ min)45$3,252$49
Biopsy of large bowel using a flexible endoscope18$2,511$140
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes37$2,236$29
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$2,198$78
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope23$1,548$67
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes13$1,338$103
New patient visit (45+ min)15$1,097$73
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope11$999$91
Short return visit (20+ min)18$908$50

2014: 14 services

Original Medicare services billed in 2014
Initial hospital care with moderate level of medical decision making at least 75 minutes62$9,609$148
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes63$7,135$53
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes45$6,516$77
Return visit (30+ min)47$6,026$78
Return visit (30+ min)44$4,521$57
Removal of polyps or growths of large bowel using an endoscope with mechanical snare17$3,949$232
Colorectal cancer screening; colonoscopy on individual at high risk13$2,658$204
Biopsy of large bowel using a flexible endoscope16$2,523$158
Short return visit (20+ min)34$2,370$54
New patient visit (45+ min)18$2,224$124
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope25$1,974$76
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes44$1,710$29
New patient visit (45+ min)12$1,185$99
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,145$104

2013: 13 services

Original Medicare services billed in 2013
Removal of polyps or growths of large bowel using an endoscope with mechanical snare27$6,012$223
Initial hospital care with moderate level of medical decision making at least 75 minutes37$5,537$150
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes46$4,790$53
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes23$4,008$77
Return visit (30+ min)27$3,332$74
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope35$3,078$88
Short return visit (20+ min)35$2,892$53
Return visit (30+ min)28$2,853$54
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes42$2,693$29
Biopsy of large bowel using a flexible endoscope15$2,272$151
New patient visit (45+ min)16$1,961$123
Diagnostic exam of large bowel using a flexible endoscope11$1,706$155
Short return visit (20+ min)16$637$37

Medicaid work

$5,782 in 2024

Medicaid paid $5,782 for 192 billed services this clinician did in 2024, up to 27 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 MINUTES136$3,760
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES56$2,022
Medicaid work by year
2024192227$5,782
20237581138$38,077
20229591026$37,098
20218121238$59,400
20201,2361551$83,466
20191,0651045$34,211
2018912730$5,895
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)161$16,710
Short return visit (20+ min)129$10,580
1ST HOSP IP/OBS HIGH 7530$4,453
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES21$2,497
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES26$1,979
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count104$551
COMPREHENSIVE METABOLIC PANEL71$481
ALPHA-FETOPROTEIN SERUM31$319
COLLECTION VENOUS BLOOD VENIPUNCTURE99$268
Measurement of direct bilirubin51$153
PROTHROMBIN TIME35$87

2022

Largest Medicaid services in 2022
Return visit (30+ min)222$24,113
Short return visit (20+ min)59$4,555
1ST HOSP IP/OBS HIGH 7520$3,724
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES32$2,278
COMPREHENSIVE METABOLIC PANEL139$809
COLLECTION VENOUS BLOOD VENIPUNCTURE213$407
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85$395
ALPHA-FETOPROTEIN SERUM29$357
Measurement of direct bilirubin86$282
PROTHROMBIN TIME74$177

2021

Largest Medicaid services in 2021
Return visit (30+ min)258$27,204
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES87$8,638
1ST HOSP IP/OBS HIGH 7539$7,568
Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report14$5,366
Short return visit (20+ min)67$5,010
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES75$4,360
COMPREHENSIVE METABOLIC PANEL49$348
ALPHA-FETOPROTEIN SERUM26$298
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count46$250
COLLECTION VENOUS BLOOD VENIPUNCTURE88$176
Measurement of direct bilirubin36$119
PROTHROMBIN TIME27$64

2020

Largest Medicaid services in 2020
Return visit (30+ min)372$35,144
Short return visit (20+ min)408$26,593
1ST HOSP IP/OBS HIGH 7535$5,859
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES96$5,822
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES40$4,416
New patient visit (30+ min)52$3,991
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES20$637
Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion28$260
ALPHA-FETOPROTEIN SERUM16$159
COMPREHENSIVE METABOLIC PANEL24$157
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count24$116
Measurement of direct bilirubin35$104

2019

Largest Medicaid services in 2019
Return visit (30+ min)242$21,043
Short return visit (20+ min)184$8,357
New patient visit (30+ min)29$2,208
COMPREHENSIVE METABOLIC PANEL115$824
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count119$607
PROTHROMBIN TIME133$373
COLLECTION VENOUS BLOOD VENIPUNCTURE168$362
Measurement of direct bilirubin48$195
ALPHA-FETOPROTEIN SERUM14$146
Hepatitis B surface antibody (HBsAb)13$96

2018

Largest Medicaid services in 2018
Return visit (30+ min)98$4,151
COMPREHENSIVE METABOLIC PANEL139$516
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count132$365
PROTHROMBIN TIME199$284
COLLECTION VENOUS BLOOD VENIPUNCTURE272$247
ALPHA-FETOPROTEIN SERUM32$242
Measurement of direct bilirubin40$90

Drugs they prescribed that Part D paid

$223,122

Pharmacies billed $223,122 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 328) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.

257 generic and 71 brand-name prescriptions · $223,122 in drug cost · 26 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
Xifaxan16$56,128$3,508
Ozempic16$15,166$948
Tenofovir Disoproxil28$9,274$331
Ursodiol32$5,084$159
Entecavir14$1,247$89
See all 13 drugs
Every Part D drug this clinician prescribed
Xifaxan16$56,128$3,508
Ozempic16$15,166$948
Tenofovir Disoproxil28$9,274$331
Ursodiol32$5,084$159
Entecavir14$1,247$89
Peg 3350-Electrolyte30$645$22
Lactulose16$588$37
Mycophenolate Mofetil11$441$40
Amiloride18$179$10
Spironolactone15$150$10
Furosemide19$102$5
Pantoprazole11$44$4
Carvedilol13$41$3

Year by year

Part D prescribing by year
20243281260% (0)22%$223,122
2023734121NoneNone$365,400
2022981112None25%$585,845
20219741111% (11)28%$621,437
20201,0491211% (11)27%$758,258
20198991252% (16)26%$580,837
20188721132% (15)27%$795,342
20177961272% (17)36%$1,613,378
20167441012% (17)38%$1,668,884
20157521099% (67)39%$1,380,481
201479912411% (85)36%$1,373,187
20135231258% (40)None$165,640

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

See the drugs prescribed each year

2023: 23 drugs

Part D drugs prescribed in 2023
Xifaxan77$254,268$3,302
Ozempic13$26,777$2,060
Ursodiol53$15,254$288
Lubiprostone25$9,270$371
Linzess11$9,060$824
Entecavir11$7,249$659
Lactulose39$2,882$74
Azathioprine31$2,364$76
Budesonide Dr12$1,785$149
Esomeprazole Magnesium13$1,352$104
Spironolactone75$1,157$15
Prevalite12$1,156$96
Tacrolimus11$1,083$98
Ondansetron Odt14$956$68
Furosemide93$480$5
Metronidazole11$428$39
Pantoprazole14$379$27
Peg 3350-Electrolyte11$292$27
Topiramate21$275$13
Constulose12$234$20
Atorvastatin11$201$18
Carvedilol27$165$6
Prednisone14$73$5

2022: 23 drugs

Part D drugs prescribed in 2022
Xifaxan117$366,790$3,135
Ozempic18$27,763$1,542
Lubiprostone37$25,185$681
Ursodiol80$24,438$305
Linzess14$10,810$772
Lactulose40$3,053$76
Spironolactone129$2,362$18
Budesonide Ec15$1,734$116
Azathioprine37$1,659$45
Budesonide Dr14$1,229$88
Metronidazole17$648$38
Furosemide99$562$6
Pantoprazole16$552$35
Tacrolimus13$470$36
Dextroamphetamine-Amphetamine15$308$21
Omeprazole28$295$11
Prednisone36$263$7
Topiramate20$256$13
Famotidine11$255$23
Carvedilol20$116$6
Trazodone11$49$4
Zolpidem13$23$2
Gabapentin11$23$2

2021: 24 drugs

Part D drugs prescribed in 2021
Xifaxan133$373,434$2,808
Ursodiol94$22,987$245
Lubiprostone23$11,496$500
Amitiza23$10,579$460
Spironolactone96$2,019$21
Azathioprine32$1,812$57
Budesonide Ec16$1,732$108
Ondansetron Odt16$1,048$65
Pantoprazole35$989$28
Lactulose23$797$35
Metronidazole24$791$33
Omeprazole30$743$25
Dextroamphetamine-Amphetamine22$432$20
Furosemide71$403$6
Mycophenolate Mofetil11$361$33
Topiramate27$322$12
Prednisone31$276$9
Hydrocodone-Acetaminophen11$217$20
Carvedilol18$208$12
Atorvastatin18$180$10
Potassium Chloride12$154$13
Gabapentin27$85$3
Ciprofloxacin13$52$4
Zolpidem15$50$3

2020: 26 drugs

Part D drugs prescribed in 2020
Xifaxan142$381,705$2,688
Ocaliva11$84,909$7,719
Ursodiol89$25,607$288
Amitiza48$22,841$476
Lactulose38$2,277$60
Spironolactone101$2,097$21
Entecavir14$1,267$90
Metronidazole39$1,222$31
Budesonide Ec12$863$72
Furosemide76$730$10
Amiloride17$629$37
Gabapentin38$582$15
Potassium Chloride26$551$21
Omeprazole26$525$20
Dextroamphetamine-Amphetamine22$523$24
Pantoprazole33$422$13
Azathioprine15$399$27
Topiramate39$396$10
Hydrocodone-Acetaminophen11$323$29
Carvedilol22$216$10
Ciprofloxacin12$168$14
Prednisone19$150$8
Mycophenolate Mofetil11$133$12
Nortriptyline13$116$9
Trazodone13$67$5
Zolpidem23$56$2

2019: 24 drugs

Part D drugs prescribed in 2019
Xifaxan95$218,538$2,300
Ocaliva21$70,207$3,343
Ursodiol91$25,473$280
Amitiza21$12,342$588
Budesonide Ec16$4,957$310
Entecavir29$2,337$81
Spironolactone72$1,676$23
Metronidazole41$996$24
Lactulose29$753$26
Azathioprine22$667$30
Dextroamphetamine-Amphetamine23$544$24
Furosemide61$527$9
Amiloride16$526$33
Pantoprazole17$495$29
Gabapentin23$406$18
Ciprofloxacin39$405$10
Hydrocodone-Acetaminophen12$326$27
Prednisone34$249$7
Carvedilol26$247$9
Topiramate26$232$9
Zolpidem24$197$8
Potassium Chloride13$181$14
Omeprazole23$141$6
Trazodone13$66$5

2018: 23 drugs

Part D drugs prescribed in 2018
Xifaxan39$102,917$2,639
Ocaliva26$78,173$3,007
Ursodiol66$19,531$296
Entecavir47$15,150$322
Amitiza24$12,816$534
Prevacid15$3,125$208
Metronidazole54$1,460$27
Azathioprine19$1,210$64
Spironolactone75$1,114$15
Amiloride20$663$33
Lactulose14$562$40
Dextroamphetamine-Amphetamine24$559$23
Furosemide86$367$4
Hydrocodone-Acetaminophen13$352$27
Generlac12$323$27
Pantoprazole17$289$17
Prednisone41$247$6
Omeprazole35$213$6
Gabapentin11$202$18
Topiramate18$168$9
Carvedilol27$134$5
Ciprofloxacin11$129$12
Zolpidem15$72$5

2017: 22 drugs

Part D drugs prescribed in 2017
Harvoni27$852,326$31,568
Xifaxan62$135,056$2,178
Ursodiol34$12,287$361
Amitiza19$10,864$572
Prevacid25$5,203$208
Entecavir12$4,458$371
Spironolactone73$1,051$14
Amiloride21$912$43
Azathioprine11$705$64
Dextroamphetamine-Amphetamine24$617$26
Lactulose17$446$26
Hydrocodone-Acetaminophen13$399$31
Metronidazole19$380$20
Furosemide84$331$4
Omeprazole46$296$6
Polyethylene Glycol 335015$239$16
Propranolol15$215$14
Pantoprazole16$132$8
Prednisone20$103$5
Topiramate17$98$6
Carvedilol18$77$4
Zolpidem13$50$4

2016: 20 drugs

Part D drugs prescribed in 2016
Harvoni29$916,563$31,606
Xifaxan49$102,825$2,098
Creon14$23,508$1,679
Ursodiol44$14,828$337
Apriso22$9,297$423
Prevacid23$4,530$197
Ribavirin18$3,199$178
Amiloride13$891$69
Spironolactone49$872$18
Lactulose25$679$27
Azathioprine15$635$42
Dextroamphetamine-Amphetamine24$593$25
Hydrocodone-Acetaminophen14$521$37
Ciprofloxacin15$484$32
Omeprazole54$457$8
Furosemide61$337$6
Zolpidem22$180$8
Pantoprazole19$139$7
Prednisone16$103$6
Topiramate14$43$3

2015: 25 drugs

Part D drugs prescribed in 2015
Harvoni19$608,895$32,047
Sovaldi20$564,047$28,202
Xifaxan52$94,353$1,814
Creon13$21,148$1,627
Ursodiol14$10,447$746
Apriso18$7,307$406
Amitiza15$4,389$293
Prevacid24$4,115$171
Linzess12$3,382$282
Welchol13$2,001$154
Ribavirin16$1,947$122
Nadolol13$893$69
Moviprep11$879$80
Spironolactone31$732$24
Hydrocodone-Acetaminophen18$669$37
Pantoprazole36$597$17
Omeprazole60$557$9
Dextroamphetamine-Amphetamine15$439$29
Tramadol45$399$9
Furosemide46$318$7
Ciprofloxacin12$262$22
Ondansetron15$225$15
Zolpidem13$119$9
Promethazine15$71$5
Topiramate12$68$6

2014: 25 drugs

Part D drugs prescribed in 2014
Sovaldi27$765,559$28,354
Olysio18$408,315$22,684
Xifaxan40$60,851$1,521
Budesonide Ec24$21,673$903
Creon20$20,913$1,046
Ursodiol19$8,121$427
Opana Er12$6,705$559
Prevacid24$3,402$142
Welchol18$2,960$164
Moviprep24$1,896$79
Spironolactone47$1,179$25
Lactulose18$645$36
Pantoprazole49$564$12
Oxycodone16$463$29
Ondansetron15$449$30
Hydrocodone-Acetaminophen24$352$15
Omeprazole37$333$9
Gabapentin22$295$13
Promethazine35$163$5
Furosemide33$157$5
Tramadol26$144$6
Clonazepam11$126$11
Levothyroxine11$122$11
Carvedilol12$108$9
Zolpidem12$82$7

2013: 14 drugs

Part D drugs prescribed in 2013
Xifaxan15$21,284$1,419
Creon14$10,607$758
Ursodiol16$3,340$209
Prevacid19$2,482$131
Moviprep24$1,700$71
Spironolactone41$1,616$39
Ondansetron19$589$31
Cholestyramine11$406$37
Pantoprazole35$366$10
Omeprazole31$284$9
Gavilyte-N15$260$17
Clonazepam14$212$15
Tramadol13$171$13
Furosemide23$107$5

Money from drug and device companies

$86 in 2025

A payment is not proof that care is biased.

Payments by company
Madrigal PharmaceuticalsRezdiffra$86
2 payments
  • Meals for Rezdiffra · 2025-12-05 · $44
  • Meals for Rezdiffra · 2025-10-17 · $41
See all 2 published payments
Every published payment
Madrigal PharmaceuticalsMeals · 2025-12-05Rezdiffra$44
Madrigal PharmaceuticalsMeals · 2025-10-17Rezdiffra$41

Professional record

NPI
1770630162
Licence
CA C184254California C184254: Current · expires 2027-02-28
Group
Margaret Mary Community Hospital Inc · Iu Health Medical Group LLC
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
MN 440002000
Taxonomy
Federal specialty code 207RG0100X (207RG0100X); Internal medicine (207R00000X); Federal specialty code 207RT0003X (207RT0003X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2007-01-05
NPI last updated
2025-02-06
NPI record certified
2025-02-06

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

Extra NPI addresses: 550 University Blvd, Indianapolis, IN, 46202

This office lists an electronic records connection.