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Michael Manansala, MD

Rheumatology · Berkeley

NPI 1841665411

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
7

Offices

7 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: Alta Bates Summit Medical Center · Alta Bates Summit Medical Center - Alta Bates Camp · Stanford Health Care. 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. Manansala’s office to ask if they take your plan before you enroll.

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.

  • Alta Bates Summit Medical CenterOakland, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 3 of 5 · 78% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Death rate among surgical inpatients with serious treatable complications: 130.09 (87.72 to 172.46) · 109 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.274, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.227, Oct 2024 – Sep 2025
  • Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.298, Oct 2024 – Sep 2025
  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Alta Bates Summit Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 4 better, 3 the same, 0 worse of 7 measures. Readmissions: 3 better, 6 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Alta Bates Summit Medical Center
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths130.09 (87.72 to 172.46) · 109 casesBetterJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.274BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.227BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0.06 to 1.94) · 1,209 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.88 (0.6 to 1.16)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2 · 89 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.9 · 105 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.8 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 447 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.7 · 341 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.2 · 381 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 2,811 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.31) · 7,167 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,659 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.93 (0.92 to 4.94) · 1,668 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.25 (0 to 2.75) · 580 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.67 (1.19 to 4.15) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.17 (0.33 to 12.02) · 633 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths8.11 (4.67 to 11.55) · 619 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.07) · 309 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.39 (0 to 0.96) · 6,085 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.8 · 217 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.724No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.425No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.716No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits12.7 · 416 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.6 · 606 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-30.4 · 359 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-31.8 · 555 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-14.4 · 358 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16 · 382 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.1 (3.2 to 8.2) · 25 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.8 (7.3 to 16) · 25 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.5 · 232 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.9 · 56 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 152 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14.8 (11.1 to 20) · 251 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 579 casesNo differentJan 2024 – Dec 2024

What patients said (535 patients answered, 18% of those asked)

Patient survey stars by topic at Alta Bates Summit Medical Center
Cleanliness4
Nurse communication3
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Alta Bates Summit Medical Center
Room was "always" clean73%
Nurses "always" communicated well75%
Doctors "always" communicated well81%
Staff "always" explained58%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Alta Bates Summit Medical Center - Alta Bates Camp

Behind the star rating — Deaths: 2 better, 5 the same, 0 worse of 7 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 6 the same, 1 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Alta Bates Summit Medical Center - Alta Bates Camp
Clostridium Difficile (C.Diff)Infections0.298BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.18 (0.16 to 2.2) · 730 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.87 (0.51 to 1.23)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths188.12 (132.31 to 243.94) · 50 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.8 · 50 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.4 · 189 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.6 · 184 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 103 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 1,585 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.4) · 3,929 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.31 (0.11 to 0.51) · 3,954 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.15 (0.95 to 5.36) · 754 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.62 (0 to 3.33) · 325 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.99 (0.39 to 3.59) · 717 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.85 (2.27 to 19.44) · 326 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.79 (1.08 to 8.49) · 302 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.68 (0.19 to 3.18) · 184 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.17 (0 to 0.88) · 3,240 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.4 · 161 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.207No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.48No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.785No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.4 · 243 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-58.2 · 194 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-12.3 · 177 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 209 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (3.8 to 7.5) · 215 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.2 (9.4 to 15.5) · 215 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.8 · 150 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.2 · 81 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.4 (10 to 18.1) · 315 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1.2) · 137 casesNo differentJan 2024 – Dec 2024

What patients said (449 patients answered, 15% of those asked)

Patient survey stars by topic at Alta Bates Summit Medical Center - Alta Bates Camp
Cleanliness2
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Alta Bates Summit Medical Center - Alta Bates Camp
Room was "always" clean62%
Nurses "always" communicated well72%
Doctors "always" communicated well75%
Staff "always" explained53%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)58%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night49%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects38%
Yes, staff "did" give patients information about possible symptoms83%
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 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 Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$36,200

Medicare paid this office $36,200 for 137 people.

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

Largest Original Medicare bills
New patient visit (45+ min)32$5,425$170
Long return visit (40+ min)20$4,420$184
Return visit (30+ min)26$3,627$125
Initial hospital care with moderate level of medical decision making at least 75 minutes25$3,592$144
New patient visit (60+ min)13$2,893$223
See all 7 services
Every Original Medicare service billed
New patient visit (45+ min)32$5,425$170
Long return visit (40+ min)20$4,420$184
Return visit (30+ min)26$3,627$125
Initial hospital care with moderate level of medical decision making at least 75 minutes25$3,592$144
New patient visit (60+ min)13$2,893$223
New patient visit (30+ min)16$1,628$102
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's65$1,274$16

Who their Medicare patients are

137 Original Medicare patients in 2024. Average age 73 · Under 65 15% · 85 and older 11% · Women 66% · Also on Medicaid 41% · Health risk score 2.11. Sicker patients than 9 in 10 peers; the typical rheumatology clinician is at 1.38.

Conditions among them: High blood pressure 75% · Diabetes 35% · Coronary heart disease 32% · Chronic kidney disease 31% · Depression 30% · COPD 24% · Heart failure 23% · Dementia 15% · Cancer 13% · Atrial fibrillation 12% · Stroke 12%.

The office billed $112,463, Medicare allowed $45,703 and paid $36,200; for 697 services of 21 kinds; $9,287 of it was for drugs given in the office and $26,914 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
2024137697732.11$112,463$36,200
202394107723.46$34,922$10,934
20221115706.53$4,724$1,582

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: 4 services

Original Medicare services billed in 2023
Initial hospital care with moderate level of medical decision making at least 75 minutes40$5,401$135
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes22$2,049$66
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$1,591$99
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,312$109

Medicaid work

$2,887 in 2023

Medicaid paid $2,887 for 61 billed services this clinician did in 2023, up to 19 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 2023
1ST HOSP IP/OBS HIGH 7512$1,243
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES33$1,142
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES16$502
Medicaid work by year
202361319$2,887

Drugs they prescribed that Part D paid

$155,470

Pharmacies billed $155,470 in 2024.

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

137 generic and 26 brand-name prescriptions · $155,470 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
Orencia Clickject13$74,143$5,703
Methotrexate20$1,587$79
Prednisone24$372$16

Year by year

Part D prescribing by year
202416373None16%$155,470
2023144460% (0)None$136,527
202223245NoneNone$31,686
2021266590% (0)None$13,838
2020226500% (0)15%$14,732
201987240% (0)None$5,748

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
Methotrexate14$1,274$91
Prednisone21$169$8

2022: 3 drugs

Part D drugs prescribed in 2022
Atorvastatin23$452$20
Amlodipine Besylate17$159$9
Losartan17$117$7

2021: 4 drugs

Part D drugs prescribed in 2021
Atorvastatin26$490$19
Lisinopril19$162$9
Hydrochlorothiazide24$155$6
Amlodipine Besylate22$151$7

2020: 3 drugs

Part D drugs prescribed in 2020
Atorvastatin16$142$9
Amlodipine Besylate21$122$6
Sertraline11$101$9

Money from drug and device companies

$6,339 in 2025

Industry payments by year
20251147$2,280$6,339
2024915None$1,435
202347None$597

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
Janssen BiotechTremfya$3,330
10 payments
  • Meals for Tremfya · 2025-11-12 · $150
  • Meals for Tremfya · 2025-09-24 · $35
  • Meals for Tremfya · 2025-06-24 · $145
  • Education for Tremfya · 2025-06-13 · $60
  • Meals for Tremfya · 2025-06-05 · $144
  • Consulting for Tremfya · 2025-05-31 · $2,280
  • Meals for Tremfya · 2025-03-26 · $140
  • Meals for Tremfya · 2025-03-04 · $108
  • Meals for Tremfya · 2025-01-29 · $127
  • Meals for Tremfya · 2025-01-22 · $141
Novartis PharmaceuticalsNone$1,187
5 payments
  • Meals · 2025-02-01 · $165
  • Travel · 2025-01-31 · $163
  • Travel · 2025-01-31 · $587
  • Meals · 2025-01-31 · $140
  • Travel · 2025-01-31 · $131
AbbvieRinvoq$467
6 payments
  • Meals for Skyrizi · 2025-12-18 · $8
  • Meals for Rinvoq · 2025-12-08 · $55
  • Meals for Rinvoq · 2025-10-07 · $95
  • Meals for Rinvoq · 2025-08-05 · $94
  • Meals for Qulipta · 2025-07-23 · $125
  • Meals · 2025-05-13 · $90
UcbBimzelx$369
3 payments
  • Meals for Bimzelx · 2025-04-22 · $136
  • Meals for Bimzelx · 2025-04-10 · $120
  • Meals for Bimzelx · 2025-02-25 · $114
Boehringer Ingelheim PharmaceuticalsOfev$352
5 payments
  • Meals for Ofev · 2025-09-16 · $31
  • Meals for Ofev · 2025-06-17 · $30
  • Meals · 2025-04-23 · $47
  • Meals · 2025-04-16 · $124
  • Meals for Ofev · 2025-03-19 · $121
AmgenOtezla$240
6 payments
  • Meals for Otezla · 2025-12-09 · $125
  • Meals for Otezla · 2025-12-04 · $10
  • Meals for Enbrel · 2025-09-24 · $4
  • Meals for Otezla · 2025-06-25 · $5
  • Meals for Otezla · 2025-05-14 · $2
  • Meals for Tavneos · 2025-03-27 · $93
See all 47 published payments
Every published payment
AbbvieMeals · 2025-12-18Skyrizi$8
Janssen Scientific AffairsMeals · 2025-12-15None$28
AmgenMeals · 2025-12-09Otezla$125
AbbvieMeals · 2025-12-08Rinvoq$55
AmgenMeals · 2025-12-04Otezla$10
GlaxoSmithKlineMeals · 2025-12-02Benlysta$31
Janssen BiotechMeals · 2025-11-12Tremfya$150
AbbvieMeals · 2025-10-07Rinvoq$95
AstraZeneca Pharmaceuticals LPMeals · 2025-09-29None$35
Janssen BiotechMeals · 2025-09-24Tremfya$35
AmgenMeals · 2025-09-24Enbrel$4
Boehringer Ingelheim PharmaceuticalsMeals · 2025-09-16Ofev$31
Janssen Scientific AffairsMeals · 2025-09-08Tremfya$40
GlaxoSmithKlineMeals · 2025-08-26Benlysta$34
AbbvieMeals · 2025-08-05Rinvoq$94
AstraZeneca Pharmaceuticals LPMeals · 2025-07-28None$41
AbbvieMeals · 2025-07-23Qulipta$125
AstraZeneca Pharmaceuticals LPMeals · 2025-07-08Saphnelo$27
AmgenMeals · 2025-06-25Otezla$5
Janssen BiotechMeals · 2025-06-24Tremfya$145
Boehringer Ingelheim PharmaceuticalsMeals · 2025-06-17Ofev$30
Janssen BiotechEducation · 2025-06-13Tremfya$60
Janssen BiotechMeals · 2025-06-05Tremfya$144
PfizerMeals · 2025-06-02Xeljanz$35
Janssen BiotechConsulting · 2025-05-31Tremfya$2,280
AmgenMeals · 2025-05-14Otezla$2
AbbvieMeals · 2025-05-13None$90
Boehringer Ingelheim PharmaceuticalsMeals · 2025-04-23None$47
UcbMeals · 2025-04-22Bimzelx$136
E.R. Squibb & Sons L.L.C.Meals · 2025-04-16Sotyktu$33
Boehringer Ingelheim PharmaceuticalsMeals · 2025-04-16None$124
Janssen Scientific AffairsMeals · 2025-04-14Tremfya$33
UcbMeals · 2025-04-10Bimzelx$120
AmgenMeals · 2025-03-27Tavneos$93
Janssen BiotechMeals · 2025-03-26Tremfya$140
Boehringer Ingelheim PharmaceuticalsMeals · 2025-03-19Ofev$121
PfizerMeals · 2025-03-11Xeljanz$31
Janssen BiotechMeals · 2025-03-04Tremfya$108
UcbMeals · 2025-02-25Bimzelx$114
Novartis PharmaceuticalsMeals · 2025-02-01None$165
Novartis PharmaceuticalsTravel · 2025-01-31None$163
Novartis PharmaceuticalsTravel · 2025-01-31None$587
Novartis PharmaceuticalsMeals · 2025-01-31None$140
Novartis PharmaceuticalsTravel · 2025-01-31None$131
Janssen BiotechMeals · 2025-01-29Tremfya$127
PfizerMeals · 2025-01-28Xeljanz$26
Janssen BiotechMeals · 2025-01-22Tremfya$141
See earlier years (2024, 2023)

2024: $1,435

Payments by company in 2024
Janssen BiotechSimponi Aria$390
3 payments
  • Meals for Simponi Aria · 2024-12-23 · $144
  • Meals for Simponi Aria · 2024-11-25 · $127
  • Meals for Tremfya · 2024-10-16 · $119
GlaxoSmithKlineBenlysta$260
3 payments
  • Meals for Benlysta · 2024-12-06 · $38
  • Meals for Benlysta · 2024-03-20 · $120
  • Meals for Benlysta · 2024-02-21 · $102
AmgenTavneos$237
2 payments
  • Meals for Tavneos · 2024-05-20 · $116
  • Meals · 2024-03-28 · $121
UcbCimzia$168
2 payments
  • Meals for Bimzelx · 2024-11-06 · $43
  • Meals for Cimzia · 2024-06-24 · $125
AbbvieRinvoq$127
1 payment
  • Meals for Rinvoq · 2024-10-01 · $127
Octapharma USAOctagam Immune Globulin (Human)$125
1 payment
  • Meals for Octagam Immune Globulin (Human) · 2024-06-06 · $125
PfizerNone$60
1 payment
  • Meals · 2024-04-24 · $60
Janssen Scientific AffairsTremfya$41
1 payment
  • Meals for Tremfya · 2024-11-11 · $41
E.R. Squibb & Sons L.L.C.Orencia$28
1 payment
  • Meals for Orencia · 2024-12-03 · $28

2023: $597

Payments by company in 2023
GlaxoSmithKlineNucala$253
3 payments
  • Meals · 2023-07-12 · $108
  • Meals · 2023-07-12 · $26
  • Meals for Nucala · 2023-05-04 · $119
Janssen Scientific AffairsTremfya$125
1 payment
  • Meals for Tremfya · 2023-03-09 · $125
Boehringer Ingelheim PharmaceuticalsOfev$116
2 payments
  • Meals · 2023-11-01 · $80
  • Meals for Ofev · 2023-07-19 · $36
AbbvieRinvoq$102
1 payment
  • Meals for Rinvoq · 2023-09-20 · $102

Professional record

NPI
1841665411
Licence
IL X
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207RR0500X (207RR0500X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2015-12-08
NPI last updated
2024-10-03
NPI record certified
2024-10-03

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