Nichole S Atherton, MD
General Surgery · Fremont
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 9
- 4 carriers
- Offices
- 2
- Since medical school
- 23 years
- Tufts University School of Medicine, 2003
Offices
2 locations · Washington Township Medical Foundation · Acute Care Surgery Medical Group Inc
Hospitals listed: Mercy San Juan Medical Center · Washington Hospital. That is not proof they admit you there this week.
Plans that list them
9 plans · 4 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Atherton’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
9 of 9 plans
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
California Medical Board record
Licence A90718 · Current
Licensed to practise in California · since 2005 · expires 2026-11-30 · Tufts University School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
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.
- Mercy San Juan Medical CenterCarmichael, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 3 of 5 · 69% would definitely recommend itOverall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.108, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.144, Oct 2024 – Sep 2025
- Washington HospitalFremont, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of Washington Hospital Healthcare SystemPatients rate it 3 of 5 · 71% would definitely recommend itOverall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.188, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.164, Oct 2024 – Sep 2025
See every measure and the patient survey for Mercy San Juan Medical Center
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 1 better, 8 the same, 2 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.108 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.144 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.78 (0 to 1.72) · 1,413 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.77 (0.47 to 1.07) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 195.56 (150.94 to 240.19) · 122 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 1.9 · 45 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 9.6 · 193 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 14.6 · 190 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 12.9 · 445 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 13.7 · 444 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.2 · 518 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.7 · 3,727 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.19 (0 to 0.39) · 8,263 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.23 (0.05 to 0.42) · 8,488 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 2.3 (0.42 to 4.18) · 1,992 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.38 (0 to 2.95) · 566 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.08 (0.71 to 3.44) · 1,929 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 6.41 (0 to 13) · 533 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 4.3 (0.68 to 7.92) · 557 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.6 (0.14 to 3.06) · 338 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.53 (0 to 1.11) · 7,155 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.3 · 48 cases | None | Apr 2023 – Mar 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.567 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15.1 · 283 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.2 · 852 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 1.4 · 183 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -14.6 · 522 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -12.4 · 458 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.9 · 708 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 4.9 (3.1 to 7.5) · 102 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 10 (7 to 14) · 102 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 6.1 · 57 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.3 · 51 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 21.2 · 379 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.8 (9.5 to 17.2) · 384 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1.1 (0.8 to 1.4) · 291 cases | No different | Jan 2024 – Dec 2024 |
What patients said (611 patients answered, 17% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 64% |
| Nurses "always" communicated well | 77% |
| Doctors "always" communicated well | 77% |
| Staff "always" explained | 63% |
| Yes, staff "did" give patients this information | 86% |
| Yes, staff "did" give patients information about help after discharge | 86% |
| Doctors "always" explained things so they could understand | 72% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 85% |
| Patients who gave a rating of "9" or "10" (high) | 68% |
| Staff "always" explained new medications | 75% |
| Nurses "always" explained things so they could understand | 75% |
| Nurses "always" listened carefully | 72% |
| Nurses "always" treated them with courtesy and respect | 84% |
| "Always" quiet at night | 41% |
| "YES", patients would definitely recommend the hospital | 69% |
| Staff "always" explained possible side effects | 50% |
| Yes, staff "did" give patients information about possible symptoms | 86% |
See every measure and the patient survey for Washington Hospital
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 1 better, 6 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.
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.188 | Better | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.164 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.88 (0 to 1.88) · 1,112 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.92 (0.59 to 1.24) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 192.95 (139.54 to 246.36) · 48 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2 · 27 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 7.4 · 164 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 12.1 · 199 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.9 · 463 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 15.6 · 661 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 9.3 · 174 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.7 · 2,550 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.15 (0 to 0.35) · 6,970 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.21 (0.02 to 0.4) · 7,108 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.82 (1.73 to 5.91) · 1,370 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.52 (0 to 3.17) · 589 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 1.75 (0.25 to 3.25) · 1,315 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 13.19 (5.83 to 20.56) · 600 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 4.91 (1.04 to 8.78) · 550 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.66 (0.17 to 3.14) · 198 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.14 (0 to 0.78) · 6,079 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.7 · 114 cases | None | Apr 2023 – Mar 2025 |
| MRSA BacteremiaInfections | 0 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 1.367 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.8 · 186 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 21.9 · 480 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 33.9 · 186 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 26.5 · 553 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 36.8 · 648 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 18.5 · 590 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 4.7 (3.2 to 6.9) · 169 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 11.4 (8.5 to 14.9) · 169 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 130 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.1 · 41 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.3 · 202 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.7 (10.2 to 18.5) · 78 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.1) · 974 cases | No different | Jan 2024 – Dec 2024 |
What patients said (812 patients answered, 19% of those asked)
| Cleanliness | 4 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 76% |
| Nurses "always" communicated well | 77% |
| Doctors "always" communicated well | 77% |
| Staff "always" explained | 56% |
| Yes, staff "did" give patients this information | 84% |
| Yes, staff "did" give patients information about help after discharge | 84% |
| Doctors "always" explained things so they could understand | 70% |
| Doctors "always" listened carefully | 76% |
| Doctors "always" treated them with courtesy and respect | 84% |
| Patients who gave a rating of "9" or "10" (high) | 71% |
| Staff "always" explained new medications | 70% |
| Nurses "always" explained things so they could understand | 72% |
| Nurses "always" listened carefully | 74% |
| Nurses "always" treated them with courtesy and respect | 86% |
| "Always" quiet at night | 46% |
| "YES", patients would definitely recommend the hospital | 71% |
| Staff "always" explained possible side effects | 42% |
| Yes, staff "did" give patients information about possible symptoms | 84% |
Original Medicare doctor bills
$9,770
Medicare paid this office $9,770 for 78 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 19 | $1,813 | $95 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 24 | $1,812 | $65 |
| Hospital discharge day management, more than 30 minutes | 12 | $1,141 | $95 |
Procedures Medicare counted
| Colonoscopy | 1-10 | None |
Who their Medicare patients are
78 Original Medicare patients in 2024. Average age 77 · Women 53% · Also on Medicaid 59% · Health risk score 2.12. Above the middle of the specialty; the typical general surgery clinician is at 1.69.
Conditions among them: High blood pressure 75% · Diabetes 49% · Chronic kidney disease 40% · Dementia 38% · Depression 37% · Atrial fibrillation 35% · Stroke 33% · Coronary heart disease 32% · Heart failure 32% · COPD 18% · Cancer 15%.
The office billed $45,977, Medicare allowed $13,293 and paid $9,770; for 110 services of 18 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
| 2024 | 78 | 110 | 77 | 2.12 | $45,977 | $9,770 |
| 2023 | 103 | 162 | 79 | 1.81 | $85,619 | $16,287 |
| 2022 | 265 | 387 | 75 | 2.26 | $130,521 | $32,630 |
| 2021 | 228 | 446 | 75 | 2.23 | $127,280 | $33,158 |
| 2020 | 315 | 541 | 74 | 2.49 | $176,955 | $47,336 |
| 2019 | 384 | 634 | 73 | 2.85 | $223,123 | $56,298 |
| 2018 | 416 | 954 | 73 | 2.53 | $322,665 | $79,000 |
| 2017 | 349 | 657 | 74 | 2.65 | $226,583 | $55,437 |
| 2016 | 246 | 365 | 72 | 2.32 | $124,576 | $31,139 |
| 2015 | 262 | 470 | 72 | 2.67 | $188,987 | $46,276 |
| 2014 | 226 | 389 | 72 | 1.98 | $118,662 | $39,336 |
| 2013 | 202 | 298 | 71 | 2.20 | $102,747 | $33,886 |
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
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 53 | $4,919 | $70 |
| Critical care, first 30-74 minutes | 20 | $4,011 | $182 |
| Hospital discharge day management, more than 30 minutes | 27 | $2,826 | $105 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 12 | $1,402 | $117 |
2022: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 129 | $11,865 | $59 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 71 | $8,251 | $110 |
| Initial hospital observation care per day, typically 50 minutes | 46 | $5,036 | $107 |
| Hospital discharge day management, 30 minutes or less | 21 | $1,262 | $60 |
2021: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 146 | $18,859 | $59 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 51 | $5,627 | $110 |
| Initial hospital observation care per day, typically 50 minutes | 21 | $2,299 | $109 |
| Hospital discharge day management, 30 minutes or less | 25 | $1,480 | $59 |
2020: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 152 | $18,564 | $61 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 93 | $10,816 | $114 |
| Initial hospital observation care per day, typically 50 minutes | 50 | $5,524 | $108 |
| Hospital discharge day management, 30 minutes or less | 35 | $2,094 | $60 |
| Hospital observation care on day of discharge | 11 | $669 | $61 |
| Follow-up observation care per day, typically 15 minutes | 12 | $495 | $33 |
2019: 7 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 164 | $17,944 | $59 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 114 | $12,498 | $109 |
| Initial hospital observation care per day, typically 50 minutes | 61 | $6,708 | $108 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 20 | $3,261 | $163 |
| Hospital discharge day management, 30 minutes or less | 48 | $2,888 | $59 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 14 | $1,425 | $84 |
| Hospital observation care on day of discharge | 12 | $711 | $59 |
2018: 7 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 231 | $30,616 | $57 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 117 | $12,697 | $107 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 30 | $7,284 | $82 |
| Initial hospital observation care per day, typically 50 minutes | 42 | $4,589 | $107 |
| Hospital discharge day management, 30 minutes or less | 60 | $3,464 | $58 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 18 | $2,863 | $159 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 16 | $1,241 | $78 |
2017: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 203 | $23,194 | $56 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 110 | $12,021 | $105 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 16 | $2,523 | $158 |
| Initial hospital observation care per day, typically 50 minutes | 21 | $2,222 | $106 |
| Hospital discharge day management, 30 minutes or less | 33 | $1,876 | $57 |
2016: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 131 | $11,984 | $58 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 83 | $9,246 | $110 |
| Initial hospital observation care per day, typically 50 minutes | 14 | $1,452 | $104 |
| Hospital discharge day management, 30 minutes or less | 19 | $1,122 | $59 |
2015: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 159 | $16,589 | $59 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 34 | $5,593 | $165 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 46 | $5,117 | $111 |
| Critical care, first 30-74 minutes | 12 | $2,355 | $181 |
| Hospital discharge day management, 30 minutes or less | 26 | $1,549 | $60 |
| Initial hospital observation care per day, typically 50 minutes | 11 | $1,215 | $110 |
2014: 6 services
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 106 | $4,863 | $31 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 34 | $3,312 | $56 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 20 | $2,209 | $110 |
| Emergency department visit with moderate level of medical decision making | 23 | $1,935 | $84 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 24 | $1,843 | $77 |
| Hospital discharge day management, 30 minutes or less | 13 | $764 | $59 |
2013: 5 services
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 105 | $4,001 | $30 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 29 | $2,772 | $96 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 21 | $1,638 | $78 |
| Emergency department visit with moderate level of medical decision making | 16 | $1,233 | $77 |
| Short return visit (20+ min) | 16 | $1,094 | $58 |
Medicaid work
$1,504 in 2024
Medicaid paid $1,504 for 56 billed services this clinician did in 2024, up to 16 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.
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 56 | $1,504 |
| 2024 | 56 | 1 | 16 | $1,504 |
| 2023 | 198 | 1 | 18 | $3,132 |
| 2022 | 512 | 5 | 24 | $11,771 |
| 2021 | 230 | 3 | 21 | $5,264 |
| 2020 | 592 | 3 | 25 | $18,676 |
| 2019 | 411 | 4 | 24 | $12,539 |
| 2018 | 932 | 3 | 39 | $24,194 |
See the largest Medicaid services in earlier years
2023
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 198 | $3,132 |
2022
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 324 | $6,044 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 62 | $2,404 |
| Clinic visit/encounter, all-inclusive | 13 | $1,786 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 89 | $1,537 |
| Short return visit (20+ min) | 24 | $0 |
2021
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 166 | $3,708 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 51 | $1,007 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 13 | $549 |
2020
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 477 | $13,710 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 72 | $3,510 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 43 | $1,457 |
2019
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 230 | $6,042 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 87 | $3,786 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 49 | $1,459 |
| OFF/OP CNSLTJ NEW/EST MOD 40 | 45 | $1,252 |
2018
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 607 | $13,802 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 240 | $8,921 |
| Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter | 85 | $1,471 |
Drugs they prescribed that Part D paid
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 80% of their 25 Part D prescriptions in 2019. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
Year by year
| 2021 | 12 | 11 | None | 0% | $67 |
| 2020 | 14 | 11 | None | None | $449 |
| 2019 | 25 | 20 | 80% (20) | None | $157 |
| 2018 | 26 | 17 | None | 0% | $274 |
| 2017 | 31 | 25 | 74% (23) | 0% | $221 |
| 2016 | 17 | None | None | None | $403 |
| 2015 | 40 | 18 | 33% (13) | None | $1,475 |
| 2014 | 47 | 20 | 36% (17) | 36% | $6,117 |
| 2013 | 20 | 15 | 75% (15) | 0% | $535 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2019: 1 drug
| Hydrocodone-Acetaminophen | 17 | $113 | $7 |
2017: 1 drug
| Hydrocodone-Acetaminophen | 21 | $126 | $6 |
2014: 2 drugs
| Spiriva | 14 | $4,100 | $293 |
| Hydrocodone-Acetaminophen | 11 | $98 | $9 |
2013: 1 drug
| Hydrocodone-Acetaminophen | 14 | $157 | $11 |
Professional record
- NPI
- 1881875185
- Licence
- CA A90718California A90718: Current · expires 2026-11-30
- Trained
- Tufts University School of Medicine, 2003 · 23 years ago
- Group
- Washington Township Medical Foundation · Acute Care Surgery Medical Group Inc
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Surgery (208600000X); Federal specialty code 2086S0127X (2086S0127X)
- Mailing address
- 202 W Willow Ave Ste 402, Visalia, CA, 93291
- NPI first listed
- 2007-11-15
- NPI last updated
- 2018-07-19
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 5533 W Hillsdale Ave, Visalia, CA, 93291