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Adam J Brant, MD

Neurosurgery · Fresno

NPI 1811998248

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
3
Since medical school
32 years
University of Southern California Keck School of Medicine, 1994

Offices

3 locations · Community Foundation Medical Group · 282 clinicians in this group

Looking this up.

Hospitals listed: Clovis Community Medical Center · Community Regional Medical Center. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Brant’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A60203 · Current

Licensed to practise in California · since 1996 · expires 2028-03-31 · University of Southern California Keck 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 Neurological Surgery - Neurological Surgery

Hospitals they work in

2 hospitals

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

  • Clovis Community Medical CenterClovis, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 80% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.7 (12.1 to 17.7) · 421 cases, Jan 2024 – Dec 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.692, Oct 2024 – Sep 2025
  • Community Regional Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 1 of 5 starsWorse than the national rate — Death rate among surgical inpatients with serious treatable complications: 211.21 (174.88 to 247.54) · 239 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.705, Oct 2024 – Sep 2025
See every measure and the patient survey for Clovis Community Medical Center

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 0 better, 6 the same, 1 worse of 7 measures. Readmissions: 1 better, 9 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 Clovis Community Medical Center
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.7 (12.1 to 17.7) · 421 casesWorseJan 2024 – Dec 2024
Clostridium Difficile (C.Diff)Infections0.692BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.97 (0.04 to 1.89) · 1,840 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.16 (0.86 to 1.45)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths217.06 (167.45 to 266.67) · 84 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 69 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths9.1 · 165 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.4 · 161 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths14 · 507 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.6 · 798 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 336 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 3,771 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.39) · 8,649 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.08 to 0.46) · 9,146 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.46 (1.47 to 5.45) · 1,654 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.19 (0.61 to 3.78) · 387 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.18 (0.7 to 3.66) · 1,578 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths13.47 (7.08 to 19.87) · 374 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.99 (1.37 to 8.61) · 379 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.58 (0.13 to 3.04) · 405 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.8 (0.23 to 1.38) · 8,198 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.2 · 90 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.651No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.922No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.449No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.509No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.3 · 210 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23 · 702 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-1.5 · 152 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits58.4 · 556 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18 · 769 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.8 · 802 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.5 (4 to 7.4) · 421 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.2 · 91 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 93 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 200 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.8 to 15.6) · 2,398 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1.1) · 720 casesNo differentJan 2024 – Dec 2024

What patients said (441 patients answered, 26% of those asked)

Patient survey stars by topic at Clovis Community Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Clovis Community Medical Center
Room was "always" clean80%
Nurses "always" communicated well75%
Doctors "always" communicated well75%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand69%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)72%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night52%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Community Regional Medical Center

Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 0 better, 7 the same, 0 worse of 7 measures. Readmissions: 0 better, 7 the same, 3 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Community Regional Medical Center
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths211.21 (174.88 to 247.54) · 239 casesWorseJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.705BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.13 (0.29 to 1.96) · 2,304 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.09 (0.87 to 1.3)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.2 · 187 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 116 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.7 · 187 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.6 · 445 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.2 · 399 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 582 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 3,744 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.5) · 11,052 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,566 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.33 (1.64 to 5.01) · 3,139 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.08 (0 to 2.3) · 1,423 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.7 (0.52 to 2.88) · 3,084 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.85 (8.11 to 15.6) · 1,481 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.4 (3.81 to 8.98) · 1,404 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.35 (0.95 to 3.76) · 760 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.64 (0.16 to 1.11) · 10,254 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.817No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.031No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.837No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.81No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.853No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 258 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 689 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits37.4 · 202 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits35.2 · 543 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits39.2 · 434 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19.3 · 552 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (3.6 to 7.9) · 169 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.4 (8.3 to 15.4) · 169 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits12.4 · 189 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.6 · 248 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.9 (9.5 to 14.9) · 2,590 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 310 casesNo differentJan 2024 – Dec 2024

What patients said (421 patients answered, 26% of those asked)

Patient survey stars by topic at Community Regional Medical Center
Cleanliness4
Nurse communication2
Doctor communication3
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital3
Share of patients giving the best answer at Community Regional Medical Center
Room was "always" clean74%
Nurses "always" communicated well74%
Doctors "always" communicated well77%
Staff "always" explained55%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications69%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$128,100

Medicare paid this office $128,100 for 146 people.

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

Largest Original Medicare bills
Return visit (30+ min)105$19,528$93
New patient visit (45+ min)56$6,373$112
Mri scan of lower spinal canal before and after contrast62$5,644$82
Insertion of cage or mesh device to spine bone and disc space during spine fusion18$5,595$193
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment14$4,323$154
See all 10 services
Every Original Medicare service billed
Return visit (30+ min)105$19,528$93
New patient visit (45+ min)56$6,373$112
Mri scan of lower spinal canal before and after contrast62$5,644$82
Insertion of cage or mesh device to spine bone and disc space during spine fusion18$5,595$193
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment14$4,323$154
Harvest of bone fragment for spine bone graft21$2,637$126
Short return visit (20+ min)34$2,253$59
Mri scan of upper spinal canal before and after contrast23$2,065$76
Graft of donor bone to spine21$1,688$80
Insertion of wire or pin to bone for traction16$1,080$68

Procedures Medicare counted

Procedure volume Medicare published
Laminectomy or laminotomy (partial removal of spine bones)38More than 68% of doctors who do this
Spinal fusion154More than 85% of doctors who do this

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Insertion of cage or mesh device to spine bone and disc space during spine fusion724059683829
Insertion of wire or pin to bone for traction402328331916
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment341729302028
Harvest of bone fragment for spine bone graft–1630392321
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment28–3040––
Graft of donor bone to spine––12392321

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

146 Original Medicare patients in 2024. Average age 73 · Women 52% · Also on Medicaid 16% · Health risk score 1.12. At or below the middle of the specialty; the typical neurosurgery clinician is at 1.46.

Conditions among them: High blood pressure 75% · Coronary heart disease 48% · Diabetes 41% · Chronic kidney disease 24% · Depression 21% · Atrial fibrillation 16% · Cancer 15% · Heart failure 14% · COPD 14% · Stroke 8%.

The office billed $669,494, Medicare allowed $165,266 and paid $128,100; for 673 services of 40 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
2024146673731.12$669,494$128,100
2023188689731.06$715,032$143,437
20222761,044721.09$1,161,627$228,932
2021246927721.02$855,817$201,156
2020276806721.11$638,455$155,512
20193151,068721.14$897,074$239,388
20183271,111711.11$980,729$259,412
20173171,334711.31$1,160,607$312,293
20163131,327701.07$3,008,832$338,151
20153361,346701.10$2,073,045$340,266
20143551,376691.05$1,862,890$333,654
20133601,329681.07$1,752,799$305,739

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)149$24,715$95
Fusion of spine in lower back with partial removal of spine bone and disc13$18,591$1,430
Release of lower spinal cord and/or nerves, single segment13$7,711$593
Insertion of cage or mesh device to spine bone and disc space during spine fusion21$7,630$201
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment15$7,547$503
New patient visit (45+ min)43$5,238$122
Short return visit (20+ min)49$4,247$71
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment11$3,275$164
Mri scan of lower spinal canal before and after contrast33$3,043$89
Harvest of bone fragment for spine bone graft23$3,008$131
Graft of donor bone to spine23$1,973$86
Insertion of wire or pin to bone for traction19$1,286$68

2022: 16 services

Original Medicare services billed in 2022
Return visit (30+ min)178$28,467$96
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment18$24,423$1,357
Fusion of spine in lower back with partial removal of spine bone and disc16$23,218$1,451
New patient visit (45+ min)114$13,875$122
Insertion of cage or mesh device to spine bone and disc space during spine fusion33$13,673$201
Release of lower spinal cord and/or nerves, single segment16$9,848$616
Short return visit (20+ min)92$8,716$65
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment17$8,692$511
Placement of stabilizing device to back, 3-6 spine bone segments14$8,405$600
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment17$8,191$205
Fusion of upper spine bones through front of neck with partial removal of disc11$5,490$499
Harvest of bone fragment for spine bone graft38$5,074$130
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment17$4,971$166
Graft of donor bone to spine38$3,332$85
Insertion of wire or pin to bone for traction32$2,229$68
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes21$866$41

2021: 16 services

Original Medicare services billed in 2021
Return visit (30+ min)155$28,482$101
Fusion of spine in lower back with partial removal of spine bone and disc16$24,113$1,507
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment13$18,551$1,427
New patient visit (45+ min)131$17,010$130
Insertion of cage or mesh device to spine bone and disc space during spine fusion29$12,242$207
Release of lower spinal cord and/or nerves, single segment16$9,700$606
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment19$9,502$500
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc13$8,988$691
Short return visit (20+ min)93$8,899$67
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment12$6,385$213
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc11$5,397$317
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment14$4,917$170
Harvest of bone fragment for spine bone graft30$4,050$135
Insertion of wire or pin to bone for traction28$1,860$66
Graft of donor bone to spine12$1,064$89
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes13$546$42

2020: 12 services

Original Medicare services billed in 2020
Fusion of spine in lower back with partial removal of spine bone and disc15$22,929$1,529
New patient visit (45+ min)143$18,106$127
Return visit (30+ min)121$15,866$81
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment21$11,363$541
Release of lower spinal cord and/or nerves, single segment15$9,188$613
Insertion of cage or mesh device to spine bone and disc space during spine fusion23$8,438$211
Short return visit (20+ min)104$7,998$50
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment11$2,942$173
Harvest of bone fragment for spine bone graft16$2,208$138
Insertion of wire or pin to bone for traction22$1,540$67
Short return visit25$1,040$36
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic16$180$11

2019: 19 services

Original Medicare services billed in 2019
Fusion of spine in lower back with partial removal of spine bone and disc23$34,221$1,488
New patient visit (45+ min)177$22,883$129
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment16$22,535$1,408
Return visit (30+ min)152$22,292$83
Insertion of cage or mesh device to spine bone and disc space during spine fusion37$14,849$206
Release of lower spinal cord and/or nerves, single segment23$13,719$596
Placement of stabilizing device to back, 3-6 spine bone segments17$10,973$610
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc16$10,926$683
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment21$9,320$444
Placement of stabilizing device to front, 2-3 spine bone segments16$9,288$581
Fusion of additional segment of spine with partial removal of spine bone and disc15$8,305$395
Short return visit (20+ min)84$6,622$57
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment16$5,934$212
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment19$5,729$169
Release of middle or lower spinal cord and/or nerves, single segment15$5,342$254
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc12$3,797$316
Insertion of wire or pin to bone for traction38$2,680$67
Short return visit45$1,665$35
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes30$1,188$38

2018: 18 services

Original Medicare services billed in 2018
Fusion of spine in lower back with partial removal of spine bone and disc26$37,583$1,446
New patient visit (45+ min)177$22,843$129
Return visit (30+ min)139$19,466$82
Insertion of cage or mesh device to spine bone and disc space during spine fusion41$17,192$200
Release of lower spinal cord and/or nerves, single segment26$15,338$590
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment11$14,639$1,331
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment28$12,749$455
Placement of stabilizing device to back, 3-6 spine bone segments19$11,470$604
Fusion of additional segment of spine with partial removal of spine bone and disc18$9,407$392
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment25$7,683$167
Placement of stabilizing device to back of 1 spine bone in neck12$7,219$602
Short return visit (20+ min)93$6,881$54
Release of middle or lower spinal cord and/or nerves, single segment20$6,563$252
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment11$5,673$210
Insertion of wire or pin to bone for traction39$2,537$65
Harvest of bone fragment for spine bone graft16$2,137$134
Short return visit20$907$36
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes23$903$38

2017: 25 services

Original Medicare services billed in 2017
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment28$39,410$1,407
Fusion of spine in lower back with partial removal of spine bone and disc15$22,318$1,488
Return visit (30+ min)157$19,597$82
Insertion of cage or mesh device to spine bone and disc space during spine fusion52$19,498$207
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc28$19,074$681
New patient visit (45+ min)138$16,903$122
Release of lower spinal cord and/or nerves, single segment25$14,867$595
Placement of stabilizing device to front, 2-3 spine bone segments23$13,391$582
Fusion of additional segment of spine15$12,200$313
Short return visit (20+ min)116$11,313$56
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment24$11,094$462
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment27$10,701$210
Placement of stabilizing device to back, 3-6 spine bone segments16$10,372$610
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc21$8,882$317
Placement of stabilizing device to back of 1 spine bone in neck13$7,902$608
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment16$5,230$169
Release of middle or lower spinal cord and/or nerves, single segment15$4,341$255
Harvest of bone fragment for spine bone graft27$3,775$135
New patient visit (30+ min)41$3,537$86
Insertion of wire or pin to bone for traction51$3,375$65
New patient visit (60+ min)13$2,102$162
Long return visit (40+ min)19$2,058$103
Graft of donor bone to spine15$1,335$89
Aspiration of bone marrow sample for diagnosis49$1,285$25
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes19$637$32

2016: 25 services

Original Medicare services billed in 2016
Fusion of spine in lower back33$42,180$1,241
Insertion of spinal instrumentation for spinal stabilization54$32,530$322
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment23$32,037$1,393
New patient visit (45+ min)187$23,952$128
Release of lower spinal cord and/or nerves, single segment34$22,078$631
Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc33$21,580$635
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc22$14,908$678
Short return visit (20+ min)129$13,025$55
Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc24$12,566$465
Placement of stabilizing device to back, 3-6 spine bone segments20$12,066$603
Fusion of additional segment of spine23$12,061$309
Placement of stabilizing device to front, 2-3 spine bone segments20$11,528$576
Placement of stabilizing device to back of 1 spine bone in neck18$10,823$601
Return visit (30+ min)86$9,005$84
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc17$8,177$314
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment12$6,162$514
Fusion of lower back spine bone and partial removal of spine bone or disc through back, each additional disc19$5,813$253
Release of middle or lower spinal cord and/or nerves, single segment19$5,811$253
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment13$4,508$167
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment17$4,411$210
Insertion of wire or pin to bone for traction53$3,723$65
Partial removal of spine bone with release of upper or lower spinal cord or nerves and/or removal of disc, each additional interspace11$2,269$151
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes52$1,724$30
Aspiration of bone marrow sample for diagnosis53$1,483$26
Short return visit30$1,097$32

2015: 26 services

Original Medicare services billed in 2015
Fusion of spine in lower back36$45,737$1,236
Insertion of spinal instrumentation for spinal stabilization58$36,815$323
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment21$29,362$1,398
Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc35$22,662$630
Release of lower spinal cord and/or nerves, single segment33$20,358$599
Fusion of additional segment of spine27$16,481$311
Placement of stabilizing device to back, 3-6 spine bone segments26$16,337$605
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc21$14,986$714
Return visit (30+ min)113$13,246$83
Placement of stabilizing device to back of 1 spine bone in neck20$12,055$603
Short return visit (20+ min)122$11,120$55
New patient visit (30+ min)112$9,283$83
Placement of stabilizing device to front, 2-3 spine bone segments16$9,268$579
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment21$8,874$211
New patient visit (60+ min)53$8,778$166
Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc19$8,132$428
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc16$6,322$316
New patient visit (45+ min)47$6,145$131
Fusion of lower back spine bone and partial removal of spine bone or disc through back, each additional disc16$5,587$254
Release of middle or lower spinal cord and/or nerves, single segment17$5,581$254
Insertion of wire or pin to bone for traction55$3,578$64
Harvest of bone fragment for spine bone graft11$1,468$133
Aspiration of bone marrow sample for diagnosis56$1,459$25
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes47$1,434$29
Short return visit18$710$34
Fluoroscopic guidance for spine or back muscle injection12$292$24

2014: 27 services

Original Medicare services billed in 2014
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment28$38,226$1,365
Insertion of spinal instrumentation for spinal stabilization53$30,644$316
Fusion of spine in lower back24$29,914$1,246
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc28$18,604$664
New patient visit (60+ min)119$18,591$156
Fusion of additional segment of spine27$17,575$303
Placement of stabilizing device to back, 3-6 spine bone segments26$15,381$592
Return visit (30+ min)134$15,232$83
Release of lower spinal cord and/or nerves, single segment24$14,419$601
Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc21$12,696$605
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment28$11,978$207
Placement of stabilizing device to front, 2-3 spine bone segments20$11,330$567
Fusion of spine in neck by posterior approach15$10,040$669
Short return visit (20+ min)124$9,672$54
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc21$9,155$305
Placement of stabilizing device to back of 1 spine bone in neck15$8,858$591
New patient visit (30+ min)97$7,706$79
Partial removal of spine bone with release of upper spinal cord and/or nerves, 1 segment15$7,397$493
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment17$5,594$165
Insertion of wire or pin to bone for traction51$3,292$65
Release of middle or lower spinal cord and/or nerves, single segment11$2,731$248
Fusion of lower back spine bone and partial removal of spine bone or disc through back, each additional disc11$2,710$246
Short return visit46$1,790$32
New patient visit (45+ min)13$1,596$123
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes46$1,396$30
Aspiration of bone marrow sample for diagnosis49$1,242$25
Fluoroscopic guidance for spine or back muscle injection13$316$24

2013: 23 services

Original Medicare services billed in 2013
Fusion of spine in lower back31$37,143$1,161
Insertion of spinal instrumentation for spinal stabilization50$29,866$305
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment19$26,038$1,370
Release of lower spinal cord and/or nerves, single segment34$23,953$647
Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc32$20,072$608
Return visit (30+ min)145$16,493$82
Fusion of additional segment of spine23$13,223$294
Placement of stabilizing device to back, 3-6 spine bone segments23$13,209$550
New patient visit (60+ min)82$13,084$160
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc19$12,631$665
New patient visit (30+ min)122$10,416$85
Short return visit (20+ min)108$9,222$55
Placement of stabilizing device to back of 1 spine bone in neck15$8,365$558
Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment19$8,365$204
Placement of stabilizing device to front, 2-3 spine bone segments13$7,259$558
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc16$6,935$302
Fusion of lower back spine bone and partial removal of spine bone or disc through back, each additional disc17$6,381$236
Release of middle or lower spinal cord and/or nerves, single segment16$5,444$237
Insertion of wire or pin to bone for traction53$3,629$67
New patient visit (45+ min)20$2,662$133
Short return visit49$1,935$33
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes48$1,478$31
Aspiration of bone marrow sample for diagnosis53$1,299$24

Drugs they prescribed that Part D paid

$787

Pharmacies billed $787 in 2024.

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

Opioids were 68% of their Part D prescriptions (19 of 28) in 2024. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

28 generic and 0 brand-name prescriptions · $787 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
Hydrocodone-Acetaminophen14$517$30

Year by year

Part D prescribing by year
2024282068% (19)0%$787
2023642958% (37)0%$1,426
2022662850% (33)0%$1,795
2021723356% (40)0%$1,924
2020673349% (33)0%$1,064
20191264151% (64)None$2,634
20181284459% (76)None$6,683
20171254762% (77)0%$2,669
20161234971% (87)0%$3,361
20151755672% (126)0%$6,992
20143688981% (299)None$9,938
20134007583% (331)4%$21,828

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

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Hydrocodone-Acetaminophen21$615$29
Gabapentin22$407$18

2022: 2 drugs

Part D drugs prescribed in 2022
Gabapentin24$950$40
Hydrocodone-Acetaminophen28$579$21

2021: 2 drugs

Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen34$1,424$42
Gabapentin23$221$10

2020: 2 drugs

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen28$627$22
Gabapentin22$272$12

2019: 4 drugs

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen55$1,583$29
Celecoxib11$317$29
Gabapentin26$234$9
Cyclobenzaprine21$159$8

2018: 2 drugs

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen58$1,653$29
Gabapentin20$199$10

2017: 3 drugs

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen50$1,236$25
Gabapentin14$107$8
Tramadol19$102$5

2016: 4 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen58$2,322$40
Gabapentin18$346$19
Tramadol22$278$13
Methylprednisolone14$231$17

2015: 4 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen91$5,376$59
Gabapentin28$727$26
Tramadol30$306$10
Methylprednisolone14$282$20

2014: 4 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen261$6,680$26
Gabapentin28$544$19
Methylprednisolone18$415$23
Tramadol30$304$10

2013: 4 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen286$7,289$25
Tramadol38$445$12
Methylprednisolone16$369$23
Gabapentin15$208$14

Money from drug and device companies

$144,380 in 2025

Industry payments by year
2025513$143,781$144,380
202438$157,274$157,289
2023410$169,812$169,850
202228$172,552$172,552
2021513$183,941$184,034
202028$194,415$194,415
2019410$224,242$224,384

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
Hyhte HoldingsOlympic, Half Dome, Zion$143,781
1 payment
  • Royalties for Olympic, Half Dome, Zion · 2025-02-28 · $143,781
Globus MedicalExcelsius Gps$421
5 payments
  • Travel for Excelsius Gps · 2025-09-05 · $165
  • Travel for Excelsius Gps · 2025-09-05 · $222
  • Travel for Anthem · 2025-08-28 · $5
  • Meals for Magnify · 2025-08-07 · $17
  • Meals for Creo · 2025-04-23 · $12
Sanara MedTechCelleraterx$133
2 payments
  • Meals for Celleraterx · 2025-08-26 · $111
  • Meals for Celleraterx · 2025-02-12 · $22
Intrinsic TherapeuticsBarricaid Acd (Annular Closure Device)$23
1 payment
  • Meals for Barricaid Acd (Annular Closure Device) · 2025-07-17 · $23
Smith+NephewAllevyn Heel 10.5cm X 13.5cm Ctn 5$21
1 payment
  • Meals for Allevyn Heel 10.5cm X 13.5cm Ctn 5 · 2025-04-23 · $21
See all 10 published payments
Every published payment
Globus MedicalTravel · 2025-09-05Excelsius Gps$165
Globus MedicalTravel · 2025-09-05Excelsius Gps$222
Globus MedicalTravel · 2025-08-28Anthem$5
Sanara MedTechMeals · 2025-08-26Celleraterx$111
Globus MedicalMeals · 2025-08-07Magnify$17
Intrinsic TherapeuticsMeals · 2025-07-17Barricaid Acd (Annular Closure Device)$23
Smith+NephewMeals · 2025-04-23Allevyn Heel 10.5cm X 13.5cm Ctn 5$21
Globus MedicalMeals · 2025-04-23Creo$12
Hyhte HoldingsRoyalties · 2025-02-28Olympic, Half Dome, Zion$143,781
Sanara MedTechMeals · 2025-02-12Celleraterx$22
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $157,289

Payments by company in 2024
Hyhte HoldingsOlympic, Half Dome, Zion$156,626
1 payment
  • Royalties for Olympic, Half Dome, Zion · 2024-02-27 · $156,626
Alphatec SpineNovel$649
3 payments
  • Royalties for Novel · 2024-08-01 · $499
  • Royalties for Novel · 2024-05-21 · $114
  • Royalties for Novel · 2024-02-27 · $36
Smith+NephewPico$15
1 payment
  • Meals for Pico · 2024-03-07 · $15

2023: $169,850

Payments by company in 2023
Hyhte HoldingsOlympic, Half Dome, Zion$169,229
1 payment
  • Royalties for Olympic, Half Dome, Zion · 2023-03-02 · $169,229
Alphatec SpineNovel$583
4 payments
  • Royalties for Novel · 2023-11-16 · $187
  • Royalties for Novel · 2023-08-24 · $131
  • Royalties for Novel · 2023-05-25 · $145
  • Royalties for Novel · 2023-02-23 · $119
Baxter HealthcareFloseal$24
1 payment
  • Meals for Floseal · 2023-03-14 · $24
MedtronicIntellis Adaptivestim$14
1 payment
  • Meals for Intellis Adaptivestim · 2023-08-23 · $14

2022: $172,552

Payments by company in 2022
Hyhte HoldingsOlympic, Half Dome, Zion$170,903
1 payment
  • Royalties for Olympic, Half Dome, Zion · 2022-02-23 · $170,903
Alphatec SpineNovel$1,649
4 payments
  • Royalties for Novel · 2022-11-17 · $292
  • Royalties for Novel · 2022-08-29 · $561
  • Royalties for Novel · 2022-05-26 · $423
  • Royalties for Novel · 2022-02-24 · $373

2021: $184,034

Payments by company in 2021
Hyhte HoldingsOlympic, Half Dome, Zion$180,212
1 payment
  • Royalties for Olympic, Half Dome, Zion · 2021-02-26 · $180,212
Alphatec SpineNovel$3,728
4 payments
  • Royalties for Novel · 2021-11-18 · $633
  • Royalties for Novel · 2021-08-26 · $644
  • Royalties for Novel · 2021-05-25 · $1,053
  • Royalties for Novel · 2021-02-25 · $1,398
MedtronicVanta$44
2 payments
  • Meals for Vanta · 2021-11-15 · $20
  • Meals for Vanta · 2021-08-16 · $24
Smith+NephewPico7$33
2 payments
  • Meals for Renasys Go · 2021-08-16 · $16
  • Meals for Pico7 · 2021-05-10 · $17
NevroSenza II$17
1 payment
  • Meals for Senza II · 2021-07-19 · $17

2020: $194,415

Payments by company in 2020
Hyhte HoldingsNone$189,310
1 payment
  • Royalties · 2020-02-20 · $189,310
Alphatec SpineNovel$5,105
4 payments
  • Royalties for Novel · 2020-11-19 · $1,221
  • Royalties for Novel · 2020-08-27 · $1,307
  • Royalties for Novel · 2020-05-28 · $1,302
  • Royalties for Novel · 2020-02-27 · $1,276

2019: $224,384

Payments by company in 2019
Hyhte HoldingsNone$215,611
1 payment
  • Royalties · 2019-02-20 · $215,611
Alphatec SpineNovel Tl$8,632
4 payments
  • Royalties for Novel Tl · 2019-11-21 · $1,982
  • Royalties for Novel Tl · 2019-08-22 · $2,246
  • Royalties for Novel Tl · 2019-05-30 · $1,969
  • Royalties for Novel Tl · 2019-02-25 · $2,435
DePuy Synthes SalesSymphony$125
1 payment
  • Meals for Symphony · 2019-09-25 · $125
Medtronic USAIntellis$17
1 payment
  • Meals for Intellis · 2019-02-01 · $17

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
85.8 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1811998248
Licence
CA A60203California A60203: Current · expires 2028-03-31
Trained
University of Southern California Keck School of Medicine, 1994 · 32 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207T00000X (207T00000X)
Mailing address
7130 N Sharon Ave, Ste 100, Fresno, CA, 93720
NPI first listed
2005-08-09
NPI last updated
2009-12-11

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