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John J Casey, MD

Orthopedic Surgery · Modesto

NPI 1811909716

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
10
2 carriers
Offices
2
Since medical school
49 years
Graduated 1977

Offices

2 locations · Golden Valley Health Centers · Stanislaus Orthopaedic and Sports Medicine Clinic

Looking this up.

Hospitals listed: Doctors Medical Center. That is not proof they admit you there this week.

Plans that list them

10 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Casey’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

10 of 10 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025

California Medical Board record

Licence A34408 · Current

Licensed to practise in California · since 1979 · expires 2027-08-31 · Autonomous University of Guadalajara Faculty of Medicine.

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

Surgery centers they own

  • Physicians Surgery Center of Modesto, Inc, River Surgical InstituteAmbulatory Surgery Center · Modesto, CA18.8% owner since 2004 · accredited by AAAHC
    Accreditation Renewed4 inspections, 3 with deficiencies · last 2026-02-24: Requirements Met

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 Orthopaedic Surgery - Orthopaedic Surgery

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Doctors Medical CenterModesto, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 2 of 5 · 59% would definitely recommend it
    Overall rating: 1 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.36 (1.02 to 1.71), Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 1.35 (0.81 to 1.9) · 6,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.281, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.326, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.183, Oct 2024 – Sep 2025
See every measure and the patient survey for Doctors Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 3 the same, 1 worse of 6 measures. Readmissions: 0 better, 5 the same, 3 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 Doctors Medical Center
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.36 (1.02 to 1.71)WorseJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths1.35 (0.81 to 1.9) · 6,296 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.281BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.326BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.183BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.27 (0.31 to 2.23) · 1,396 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths183.31 (147.26 to 219.36) · 127 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths4.1 · 135 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths10.1 · 95 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths15.2 · 276 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths12.8 · 321 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.2 · 364 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.9 · 767 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.6 · 3,719 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.37) · 7,050 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.05 to 0.43) · 7,169 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.12 (2.19 to 6.06) · 1,622 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.6 (0 to 3.3) · 48 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.63 (1.23 to 4.04) · 1,601 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths14.79 (5.73 to 23.85) · 51 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.99 (0.75 to 9.23) · 51 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.65 (0.17 to 3.13) · 242 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.9 · 67 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.484No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.582No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.3 · 424 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24 · 682 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits36.6 · 326 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits70.5 · 378 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 366 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19.2 · 564 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 70 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits14.7 · 120 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.1 · 189 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.4 to 16.4) · 573 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.3 (1 to 1.7) · 303 casesNo differentJan 2024 – Dec 2024

What patients said (1,045 patients answered, 15% of those asked)

Patient survey stars by topic at Doctors Medical Center
Cleanliness2
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital2
Share of patients giving the best answer at Doctors Medical Center
Room was "always" clean63%
Nurses "always" communicated well72%
Doctors "always" communicated well71%
Staff "always" explained56%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand67%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)57%
Staff "always" explained new medications70%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night36%
"YES", patients would definitely recommend the hospital59%
Staff "always" explained possible side effects42%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$80,775

Medicare paid this office $80,775 for 240 people.

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

Largest Original Medicare bills
Replacement of knee joint, both sides of knee17$16,225$954
Short return visit (20+ min)114$10,427$67
Return visit (30+ min)53$6,009$95
New patient visit (45+ min)45$5,535$123
New patient visit (30+ min)54$4,444$82
See all 11 services
Every Original Medicare service billed
Replacement of knee joint, both sides of knee17$16,225$954
Short return visit (20+ min)114$10,427$67
Return visit (30+ min)53$6,009$95
New patient visit (45+ min)45$5,535$123
New patient visit (30+ min)54$4,444$82
Aspiration and/or injection of fluid from large joint56$3,445$49
Partial removal of collar bone12$2,863$239
Short return visit39$1,774$41
X-ray of knee, 1-2 views52$1,718$29
X-ray of shoulder, minimum of 2 views20$692$29
Injection, triamcinolone acetonide, not otherwise specified, 10 mg43$163None

Procedures Medicare counted

Procedure volume Medicare published
Hip replacement1-10None
Knee replacement29More than 63% of doctors who do this
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10None
Removal of tissue1-10None
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Aspiration and/or injection of fluid from large joint343872988471
Replacement of knee joint, both sides of knee272925272417
Harvest of graft from large bone12131422––
Partial removal of collar bone–––––12

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

240 Original Medicare patients in 2024. Average age 71 · Under 65 17% · 85 and older 7% · Women 63% · Also on Medicaid 62% · Health risk score 1.38. Above the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 40% · Coronary heart disease 22% · Depression 21% · Chronic kidney disease 20% · COPD 18% · Heart failure 17% · Atrial fibrillation 12% · Cancer 11% · Stroke 6%.

The office billed $232,679, Medicare allowed $105,495 and paid $80,775; for 947 services of 51 kinds; $201 of it was for drugs given in the office and $80,573 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024240947711.38$232,679$80,775
2023274883711.23$349,546$124,685
2022284989711.07$382,518$134,677
2021247756711.10$303,161$106,178
2020244706691.24$302,503$103,318
2019256633691.29$229,269$80,611
2018334864691.37$338,956$114,341
2017387957671.39$409,541$138,412
2016400917691.44$500,512$185,199
2015274791711.59$381,551$143,600
20143551,005711.54$514,824$191,893
2013316774691.68$395,431$151,020

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: 15 services

Original Medicare services billed in 2023
Replacement of knee joint, both sides of knee24$23,302$971
Return visit (30+ min)88$10,226$89
Short return visit (20+ min)93$8,446$68
New patient visit (45+ min)59$6,901$117
Aspiration and/or injection of fluid from large joint75$4,211$50
Long return visit (40+ min)19$2,760$138
New patient visit (30+ min)30$2,409$80
New patient visit (60+ min)11$1,936$176
X-ray of knee, 1-2 views59$1,828$26
Short return visit23$937$41
X-ray of shoulder, minimum of 2 views28$839$26
X-ray of ankle, minimum of 3 views12$622$31
Injection, methylprednisolone acetate, 40 mg77$565None
X-ray of hip, 2-3 views14$478$34
Imaging guidance for procedure, 60 minutes or less11$134$12

2022: 14 services

Original Medicare services billed in 2022
Replacement of knee joint, both sides of knee27$26,136$968
Return visit (30+ min)113$14,897$93
New patient visit (45+ min)95$11,141$117
Short return visit (20+ min)90$8,119$67
Aspiration and/or injection of fluid from large joint77$5,070$52
Harvest of graft from large bone22$2,439$111
New patient visit (30+ min)22$1,830$83
X-ray of knee, 1-2 views61$1,783$24
X-ray of shoulder, minimum of 2 views28$885$27
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$876$80
Short return visit17$650$38
X-ray of ankle, minimum of 3 views12$568$30
Injection, methylprednisolone acetate, 40 mg75$514None
X-ray of hip, 2-3 views14$415$28

2021: 13 services

Original Medicare services billed in 2021
Replacement of knee joint, both sides of knee23$26,310$1,052
Return visit (30+ min)81$11,405$99
Short return visit (20+ min)91$8,029$70
New patient visit (45+ min)55$6,925$126
Aspiration and/or injection of fluid from large joint60$3,803$53
X-ray of knee, 1-2 views54$1,713$25
Harvest of graft from large bone13$1,593$114
New patient visit (30+ min)15$1,194$80
Short return visit (20+ min)20$1,183$47
Short return visit21$959$46
X-ray of hip, 2-3 views17$762$36
X-ray of shoulder, minimum of 2 views18$556$26
Injection, methylprednisolone acetate, 40 mg61$360None

2020: 14 services

Original Medicare services billed in 2020
Replacement of knee joint, both sides of knee28$32,456$1,119
Return visit (30+ min)94$11,758$86
Short return visit (20+ min)82$4,840$47
New patient visit (45+ min)38$4,835$127
Long return visit (40+ min)16$2,076$122
X-ray of knee, 1-2 views60$1,949$26
Aspiration and/or injection of fluid from large joint33$1,845$49
Harvest of graft from large bone13$1,511$116
New patient visit (30+ min)16$1,161$73
Short return visit (20+ min)18$845$40
New patient visit (30+ min)16$735$46
X-ray of hip, 2-3 views13$529$35
X-ray of shoulder, minimum of 2 views13$423$26
Injection, methylprednisolone acetate, 40 mg29$150None

2019: 13 services

Original Medicare services billed in 2019
Replacement of knee joint, both sides of knee25$30,132$1,116
Short return visit (20+ min)99$8,953$54
New patient visit (30+ min)61$4,853$80
Return visit (30+ min)20$1,782$89
X-ray of knee, 1-2 views53$1,544$23
Harvest of graft from large bone12$1,490$124
Short return visit (20+ min)30$1,281$40
Aspiration and/or injection of fluid from large joint19$985$47
New patient visit (30+ min)15$794$53
Short return visit36$769$17
Aspiration and/or injection of fluid from large joint12$455$35
Short return visit11$261$20
Injection, methylprednisolone acetate, 40 mg18$130None

2018: 16 services

Original Medicare services billed in 2018
Replacement of knee joint, both sides of knee33$33,508$1,015
Short return visit (20+ min)120$8,229$46
New patient visit (30+ min)73$5,859$80
X-ray of knee, 1-2 views93$2,543$21
Return visit (30+ min)27$2,269$84
Harvest of graft from large bone18$1,970$109
Short return visit (20+ min)35$1,537$38
Aspiration and/or injection of fluid from large joint27$1,380$46
New patient visit (30+ min)16$935$58
Short return visit21$853$29
New patient visit (15+ min)19$736$39
Aspiration and/or injection of fluid from large joint13$586$37
X-ray of shoulder, minimum of 2 views21$561$22
Short return visit20$448$19
X-ray of hip, 2-3 views13$431$29
Injection, methylprednisolone acetate, 40 mg27$171None

2017: 18 services

Original Medicare services billed in 2017
Replacement of knee joint, both sides of knee39$40,976$1,024
Short return visit (20+ min)113$7,791$50
New patient visit (30+ min)43$3,376$79
Harvest of graft from large bone30$3,343$108
Short return visit (20+ min)64$2,956$36
New patient visit (45+ min)27$2,552$95
New patient visit (30+ min)44$2,415$55
Return visit (30+ min)36$2,155$54
New patient visit (45+ min)14$1,719$123
X-ray of knee, 1-2 views53$1,488$20
Aspiration and/or injection of fluid from large joint30$1,438$44
Return visit (30+ min)15$1,234$82
Aspiration and/or injection of fluid from large joint14$752$40
Short return visit21$739$30
Short return visit23$441$19
X-ray of shoulder, minimum of 2 views17$338$19
X-ray of hip, 2-3 views11$260$24
Injection, methylprednisolone acetate, 40 mg27$165None

2016: 16 services

Original Medicare services billed in 2016
Replacement of knee joint, both sides of knee43$47,695$1,084
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement19$18,226$959
Short return visit (20+ min)103$7,660$52
New patient visit (45+ min)70$6,953$99
New patient visit (30+ min)67$5,269$79
New patient visit (30+ min)60$3,533$59
Return visit (30+ min)47$3,493$62
Harvest of graft from large bone21$2,402$114
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,736$109
Short return visit (20+ min)35$1,624$41
X-ray of knee, 1-2 views50$1,420$22
Return visit (30+ min)11$912$83
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$880$80
Aspiration and/or injection of fluid from large joint16$749$47
X-ray of shoulder, minimum of 2 views12$213$16
Injection, methylprednisolone acetate, 40 mg16$60None

2015: 14 services

Original Medicare services billed in 2015
Replacement of knee joint, both sides of knee22$28,684$1,062
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement14$14,576$972
Short return visit (20+ min)112$7,904$54
Return visit (30+ min)76$7,481$77
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes39$3,248$81
New patient visit (45+ min)25$3,215$129
New patient visit (60+ min)18$2,830$157
Harvest of graft from large bone19$2,451$111
New patient visit (30+ min)25$2,047$82
X-ray of knee, 1-2 views46$1,212$20
X-ray of ribs of one side of body, minimum of 2 views22$735$28
Short return visit16$535$33
X-ray of shoulder, minimum of 2 views16$355$19
Injection, methylprednisolone acetate, 40 mg12$34None

2014: 19 services

Original Medicare services billed in 2014
Replacement of knee joint, both sides of knee27$31,464$983
Treatment of broken neck of thigh bone with bone implant25$24,569$983
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement18$17,451$969
New patient visit (60+ min)59$8,950$152
Short return visit (20+ min)101$6,920$51
Return visit (30+ min)67$6,733$80
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes69$5,612$81
Long return visit (40+ min)24$3,267$113
Harvest of graft from large bone22$3,126$116
New patient visit (45+ min)20$2,256$113
Aspiration and/or injection of fluid from large joint24$1,396$50
X-ray of knee, 1-2 views54$1,376$23
New patient visit (30+ min)15$1,230$82
Short return visit29$1,075$31
X-ray of ribs of one side of body, minimum of 2 views22$804$32
X-ray of both knees while standing19$484$25
X-ray of shoulder, minimum of 2 views13$420$23
Imaging guidance for procedure, 60 minutes or less23$158$7
Injection, methylprednisolone acetate, 40 mg22$68None

2013: 11 services

Original Medicare services billed in 2013
Replacement of knee joint, both sides of knee25$28,661$1,102
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement14$13,391$956
Short return visit (20+ min)153$12,171$53
New patient visit (45+ min)82$10,250$125
Return visit (30+ min)50$4,642$81
Removal of knee cartilage using an endoscope11$3,510$319
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes35$2,846$79
Harvest of graft from large bone20$2,568$122
Aspiration and/or injection of fluid from large joint35$1,851$45
Short return visit20$684$27
Injection, methylprednisolone acetate, 40 mg30$77None

Medicaid work

$52,169 in 2024

Medicaid paid $52,169 for 808 billed services this clinician did in 2024, up to 40 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
Short return visit (20+ min)328$15,791
New patient visit (30+ min)128$12,998
New patient visit (45+ min)97$7,142
Clinic visit/encounter, all-inclusive23$6,113
Return visit (30+ min)102$4,874
Arthrocentesis and injection of knee joint42$2,688
X-ray of knee, anteroposterior and lateral views53$1,269
Short return visit19$856
Injection, triamcinolone acetonide, not otherwise specified, 10 mg16$438
Medicaid work by year
2024808940$52,169
20231,133741$59,155
20221,074739$55,008
2021665837$37,066
2020500754$25,431
20191,081555$54,035
20181,2951065$105,139
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
New patient visit (45+ min)214$17,681
Short return visit (20+ min)299$14,330
Return visit (30+ min)265$12,496
New patient visit (30+ min)47$5,516
Arthrocentesis and injection of knee joint114$5,417
X-ray of knee, anteroposterior and lateral views94$2,557
Injection, methylprednisolone acetate, 40 mg100$1,158

2022

Largest Medicaid services in 2022
New patient visit (45+ min)196$16,246
Return visit (30+ min)301$15,718
Short return visit (20+ min)278$13,184
Arthrocentesis and injection of knee joint107$5,227
X-ray of knee, anteroposterior and lateral views97$2,412
New patient visit (30+ min)13$1,390
Injection, methylprednisolone acetate, 40 mg82$831

2021

Largest Medicaid services in 2021
Short return visit (20+ min)274$13,941
Return visit (30+ min)203$10,634
New patient visit (45+ min)98$9,071
New patient visit (30+ min)12$1,291
Arthrocentesis and injection of knee joint16$925
OFF/OP EST MAY X REQ PHY/QHP31$775
X-ray of knee, anteroposterior and lateral views15$323
Injection, methylprednisolone acetate, 40 mg16$105

2020

Largest Medicaid services in 2020
Return visit (30+ min)228$13,737
Short return visit (20+ min)202$8,252
New patient visit (45+ min)12$1,374
Long return visit (40+ min)12$1,232
X-ray of knee, anteroposterior and lateral views20$501
OFF/OP EST MAY X REQ PHY/QHP13$325
Fentanyl citrate injection13$10

2019

Largest Medicaid services in 2019
New patient visit (30+ min)267$22,409
Short return visit (20+ min)431$20,705
Short return visit314$8,546
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES31$1,612
X-ray of knee, anteroposterior and lateral views38$762

2018

Largest Medicaid services in 2018
TOTAL KNEE ARTHROPLASTY26$41,873
New patient visit (30+ min)272$25,442
Short return visit (20+ min)413$18,757
Short return visit127$4,091
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES71$3,613
X-ray of knee, anteroposterior and lateral views151$3,413
OFF/OP EST MAY X REQ PHY/QHP115$3,238
THERAPEUTIC EXERCISES69$1,854
Arthrocentesis and injection of knee joint29$1,441
OFF/OP CONSLTJ NEW/EST SF 2022$1,416

Drugs they prescribed that Part D paid

$5,502

Pharmacies billed $5,502 in 2024.

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

Opioids were 49% of their Part D prescriptions (239 of 489) in 2024. Above the middle of the specialty; the typical orthopedic surgery clinician is at 31%. Surgeons prescribe little besides pain medicine after an operation, so their opioid share runs high.

485 generic and fewer than 11 brand-name prescriptions · $5,502 in drug cost · 124 antibiotic prescriptions to 91 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
Hydrocodone-Acetaminophen199$1,626$8
Cephalexin106$749$7
Meloxicam90$205$2
Sulfamethoxazole-Trimethoprim13$83$6
Tramadol22$35$2

Year by year

Part D prescribing by year
202448920549% (239)None$5,502
202352320947% (248)None$9,895
202242617254% (229)None$6,863
202130811848% (149)None$7,062
202030112443% (129)None$6,301
201925411850% (128)None$4,523
201825010437% (93)None$6,679
201725512447% (120)None$7,239
201622111946% (102)None$4,976
201522911150% (114)15%$6,596
201430513451% (156)13%$10,545
201329411351% (149)None$7,235

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

See the drugs prescribed each year

2023: 10 drugs

Part D drugs prescribed in 2023
Cephalexin99$1,548$16
Hydrocodone-Acetaminophen140$1,334$10
Oxycodone58$429$7
Sulfamethoxazole-Trimethoprim22$323$15
Naproxen32$308$10
Meloxicam42$260$6
Oxycodone-Acetaminophen16$245$15
Ibuprofen23$221$10
Ondansetron11$155$14
Tramadol29$112$4

2022: 9 drugs

Part D drugs prescribed in 2022
Hydrocodone-Acetaminophen168$1,700$10
Cephalexin74$1,131$15
Clindamycin21$933$44
Oxycodone-Acetaminophen21$442$21
Naproxen21$178$8
Ondansetron13$138$11
Tramadol28$116$4
Sulfamethoxazole-Trimethoprim12$88$7
Meloxicam18$75$4

2021: 9 drugs

Part D drugs prescribed in 2021
Oxycodone-Acetaminophen46$1,003$22
Cephalexin67$945$14
Hydrocodone-Acetaminophen63$731$12
Clindamycin14$310$22
Sulfamethoxazole-Trimethoprim15$273$18
Enoxaparin11$214$19
Acetaminophen-Codeine18$156$9
Tramadol22$121$5
Ibuprofen13$95$7

2020: 8 drugs

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen62$667$11
Oxycodone-Acetaminophen21$617$29
Sulfamethoxazole-Trimethoprim34$493$15
Diclofenac13$349$27
Cephalexin51$343$7
Acetaminophen-Codeine23$245$11
Ibuprofen28$171$6
Tramadol22$80$4

2019: 5 drugs

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen81$1,052$13
Acetaminophen-Codeine36$404$11
Cephalexin34$297$9
Ibuprofen26$263$10
Sulfamethoxazole-Trimethoprim14$160$11

2018: 5 drugs

Part D drugs prescribed in 2018
Enoxaparin12$882$73
Hydrocodone-Acetaminophen56$772$14
Sulfamethoxazole-Trimethoprim34$630$19
Acetaminophen-Codeine23$345$15
Ibuprofen30$256$9

2017: 8 drugs

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen66$716$11
Oxycodone-Acetaminophen17$634$37
Acetaminophen-Codeine23$328$14
Sulfamethoxazole-Trimethoprim31$290$9
Ibuprofen32$165$5
Ibu14$95$7
Cephalexin13$62$5
Diazepam12$43$4

2016: 5 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen55$873$16
Acetaminophen-Codeine31$454$15
Ibuprofen41$263$6
Cephalexin21$152$7
Sulfamethoxazole-Trimethoprim11$101$9

2015: 6 drugs

Part D drugs prescribed in 2015
Voltaren24$1,162$48
Hydrocodone-Acetaminophen40$691$17
Acetaminophen-Codeine49$636$13
Ibuprofen34$254$7
Cephalexin21$247$12
Tramadol15$71$5

2014: 6 drugs

Part D drugs prescribed in 2014
Celebrex15$3,638$243
Hydrocodone-Acetaminophen123$1,979$16
Voltaren23$1,248$54
Ibuprofen48$305$6
Cephalexin21$139$7
Tramadol16$107$7

2013: 5 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen132$2,111$16
Voltaren12$538$45
Ibuprofen49$292$6
Tramadol15$108$7
Diazepam11$50$5

Money from drug and device companies

$127 in 2024

Industry payments by year
202423None$127
202323None$236
202211None$15
202144None$88
202011None$19
201911None$49

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
StrykerGamma$92
2 payments
  • Meals for Gamma · 2024-11-08 · $63
  • Meals for Gamma · 2024-08-02 · $28
Ethicon USStratafix$35
1 payment
  • Meals for Stratafix · 2024-04-30 · $35
See all 3 published payments
Every published payment
StrykerMeals · 2024-11-08Gamma$63
StrykerMeals · 2024-08-02Gamma$28
Ethicon USMeals · 2024-04-30Stratafix$35
See earlier years (2023, 2022, 2021, 2020, 2019)

2023: $236

Payments by company in 2023
StrykerGamma$213
2 payments
  • Meals for Gamma · 2023-11-16 · $186
  • Meals for Variax · 2023-05-11 · $27
Ethicon USStratafix$23
1 payment
  • Meals for Stratafix · 2023-04-19 · $23

2022: $15

Payments by company in 2022
StrykerVariax$15
1 payment
  • Meals for Variax · 2022-03-18 · $15

2021: $88

Payments by company in 2021
Avanos MedicalOn-Q* Pump and Accessories$25
1 payment
  • Meals for On-Q* Pump and Accessories · 2021-04-14 · $25
Heraeus MedicalPalacos$23
1 payment
  • Meals for Palacos · 2021-09-22 · $23
Ethicon USStratafix$23
1 payment
  • Meals for Stratafix · 2021-08-04 · $23
Smith+NephewPico7$16
1 payment
  • Meals for Pico7 · 2021-05-14 · $16

2020: $19

Payments by company in 2020
StrykerIvs - Vertebral Augmentation Products$19
1 payment
  • Meals for Ivs - Vertebral Augmentation Products · 2020-02-19 · $19

2019: $49

Payments by company in 2019
StrykerVariax$49
1 payment
  • Meals for Variax · 2019-07-18 · $49

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
21.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1811909716
Licence
CA A34408California A34408: Current · expires 2027-08-31
Group
Golden Valley Health Centers · Stanislaus Orthopaedic and Sports Medicine Clinic
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A344080
Taxonomy
Federal specialty code 174400000X (174400000X)
Mailing address
609 E Orangeburg Ave, Suite 201, Modesto, CA, 95350
NPI first listed
2006-08-12
NPI last updated
2007-07-08

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