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Hila Azulay, MD

Pulmonary Disease · Fresno

NPI 1902256894

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
10 years
Graduated 2016

Offices

1 location · Central California Faculty Medical Group Inc · 256 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. Azulay’s office at (559) 320-1090 to ask if they take your plan before you enroll.

California Medical Board record

Licence A159209 · Current

Licensed to practise in California · since 2018 · expires 2028-10-31 · Tel Aviv University, Sackler 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 Internal Medicine - Critical Care Medicine
  • American Board of Internal Medicine - Internal Medicine
  • American Board of Internal Medicine - Pulmonary Disease

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

$82,031

Medicare paid this office $82,031 for 354 people.

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

Largest Original Medicare bills
Critical care, first 30-74 minutes64$23,931$162
Return visit (30+ min)120$15,692$97
Long return visit (40+ min)48$10,134$143
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes45$6,717$88
New patient visit (45+ min)37$4,829$131
See all 20 services
Every Original Medicare service billed
Critical care, first 30-74 minutes64$23,931$162
Return visit (30+ min)120$15,692$97
Long return visit (40+ min)48$10,134$143
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes45$6,717$88
New patient visit (45+ min)37$4,829$131
Test to examine how well the lungs exchange gases73$3,735$44
Test to determine lung volumes using sensors52$2,724$47
New patient visit (60+ min)13$2,110$162
Initial hospital care with moderate level of medical decision making at least 75 minutes12$1,759$135
Test to measure expiratory airflow and volume changes before and after medication administration36$1,172$33
Test to measure expiratory airflow and volume40$1,000$20
Test to determine lung volumes using gas dilution or washout26$790$30
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's47$729$13
Test for exercise-induced lung stress23$636$24
Test to measure expiratory airflow and volume changes before and after medication administration35$270$8
Test to examine how well the lungs exchange gases40$268$7
Test to determine lung volumes using sensors27$251$9
Test for exercise-induced lung stress13$224$17
Test to determine lung volumes using gas dilution or washout11$93$8
Test to measure expiratory airflow and volume13$83$6

Procedures year by year

Procedures billed to Original Medicare by year
Procedure202220232024
Irrigation and suction of lung airways to obtain cells using an endoscope–12–

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

Who their Medicare patients are

354 Original Medicare patients in 2024. Average age 71 · Under 65 18% · 85 and older 8% · Women 56% · Also on Medicaid 48% · Health risk score 2.50. Above the middle of the specialty; the typical pulmonary disease clinician is at 2.13.

Conditions among them: High blood pressure 75% · COPD 55% · Diabetes 54% · Coronary heart disease 51% · Heart failure 46% · Chronic kidney disease 40% · Atrial fibrillation 31% · Depression 30% · Cancer 14% · Stroke 11% · Dementia 10%.

The office billed $257,211, Medicare allowed $106,573 and paid $82,031; for 1,064 services of 35 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
20243541,064712.50$257,211$82,031
20233721,085722.28$278,263$85,069
2022149279712.15$93,249$27,267

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: 20 services

Original Medicare services billed in 2023
Critical care, first 30-74 minutes72$23,403$168
Return visit (30+ min)134$16,954$96
Long return visit (40+ min)41$8,088$139
New patient visit (45+ min)54$6,573$122
Test to examine how well the lungs exchange gases93$4,705$45
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes36$4,172$95
Initial hospital care with moderate level of medical decision making at least 75 minutes23$3,317$138
Test to determine lung volumes using sensors64$2,797$42
New patient visit (60+ min)13$2,011$155
Test to measure expiratory airflow and volume changes before and after medication administration68$1,990$28
Test for exercise-induced lung stress46$1,327$26
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,138$103
Test to determine lung volumes using gas dilution or washout32$1,068$33
Irrigation and suction of lung airways to obtain cells using an endoscope12$1,049$87
Test to measure expiratory airflow and volume37$829$21
Test to examine how well the lungs exchange gases29$183$6
Test to determine lung volumes using sensors20$171$9
Test to measure expiratory airflow and volume changes before and after medication administration23$163$7
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes16$155$9
Test to measure expiratory airflow and volume11$71$6

2022: 7 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes39$12,276$173
New patient visit (45+ min)26$3,532$136
Return visit (30+ min)27$2,936$105
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes20$2,042$82
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes12$1,033$79
Test to measure expiratory airflow and volume changes before and after medication administration13$108$8
Test to examine how well the lungs exchange gases15$108$7

Medicaid work

$47,913 in 2024

Medicaid paid $47,913 for 683 billed services this clinician did in 2024, up to 26 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive113$41,092
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes254$5,310
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES136$997
Diffusing capacity42$260
EVALUATION OF WHEEZING25$197
Plethysmography for determination of lung volumes and, when performed, airway resistance12$58
Return visit (30+ min)77$0
Long return visit (40+ min)24$0
Medicaid work by year
2024683826$47,913
20239481231$43,362
2022143319$4,021
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive101$32,839
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes370$9,099
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES155$1,367
Return visit (30+ min)120$38
Diffusing capacity25$20
TOBACCO NON-USER29$0
Pain severity quantified; no pain present (COA) (ONC)12$0
Medication list documented in medical record (COA)31$0
Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA)31$0
BODY MASS INDEX DOCD30$0
Screening for depression performed (DEM)31$0
EVALUATION OF WHEEZING13$0

2022

Largest Medicaid services in 2022
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes83$3,679
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES47$335
Diffusing capacity13$7

Drugs they prescribed that Part D paid

$4,408,512

Pharmacies billed $4,408,512 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 1,102) in 2024. At or below the middle of the specialty; the typical pulmonary disease clinician is at 0%.

499 generic and 603 brand-name prescriptions · $4,408,512 in drug cost · 28 antibiotic prescriptions to 11 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Uptravi45$933,547$20,745
Ofev54$692,548$12,825
Adempas45$597,953$13,288
Opsumit49$585,281$11,945
Tyvaso Dpi19$431,783$22,725
See all 33 drugs
Every Part D drug this clinician prescribed
Uptravi45$933,547$20,745
Ofev54$692,548$12,825
Adempas45$597,953$13,288
Opsumit49$585,281$11,945
Tyvaso Dpi19$431,783$22,725
Ambrisentan48$288,708$6,015
Winrevair17$221,698$13,041
Tadalafil106$129,018$1,217
Adcirca20$82,059$4,103
Xolair20$71,755$3,588
Trelegy Ellipta72$62,477$868
Dupixent13$51,214$3,940
Breztri Aerosphere24$26,309$1,096
Breo Ellipta28$17,637$630
Stiolto Respimat14$12,233$874
Mycophenolate Mofetil36$11,421$317
Anoro Ellipta14$11,133$795
Sildenafil Citrate31$8,552$276
Spiriva Respimat14$7,241$517
Breyna11$4,721$429
Fluticasone-Salmeterol26$4,191$161
Albuterol Sulfate Hfa92$3,722$40
Dulera11$3,476$316
Ventolin Hfa21$1,207$57
Bumetanide13$1,105$85
Potassium Chloride21$569$27
Pantoprazole13$457$35
Fluticasone Propionate28$341$12
Montelukast22$326$15
Azithromycin16$261$16
Omeprazole14$248$18
Prednisone20$173$9
Furosemide31$92$3

Year by year

Part D prescribing by year
20241,1021860% (0)55%$4,408,512
20238461570% (0)49%$2,867,569
202252270% (0)38%$41,310
202148150% (0)73%$78,730
202084270% (0)68%$28,659
201923None0% (0)57%$4,156

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

See the drugs prescribed each year

2023: 30 drugs

Part D drugs prescribed in 2023
Orenitram Er14$504,053$36,004
Tyvaso Dpi19$428,341$22,544
Uptravi17$344,014$20,236
Adempas24$325,985$13,583
Ofev23$290,199$12,617
Opsumit23$285,688$12,421
Tadalafil71$138,521$1,951
Ambrisentan33$106,488$3,227
Xolair24$80,665$3,361
Trelegy Ellipta45$51,107$1,136
Pirfenidone14$18,232$1,302
Breztri Aerosphere15$16,168$1,078
Spiriva Handihaler13$10,918$840
Symbicort20$10,865$543
Breo Ellipta18$10,273$571
Incruse Ellipta19$9,182$483
Sildenafil Citrate29$6,326$218
Fluticasone-Salmeterol16$4,156$260
Albuterol Sulfate Hfa66$2,609$40
Mycophenolate Mofetil13$2,524$194
Bumetanide19$1,873$99
Ventolin Hfa22$1,621$74
Potassium Chloride17$925$54
Fluticasone Propionate42$533$13
Pantoprazole21$519$25
Montelukast20$453$23
Omeprazole17$440$26
Furosemide21$396$19
Prednisone24$192$8
Bupropion Hcl Sr11$109$10

2020: 2 drugs

Part D drugs prescribed in 2020
Anoro Ellipta16$7,165$448
Albuterol Sulfate Hfa25$956$38

Money from drug and device companies

$57 in 2025

Industry payments by year
202523None$57
202448None$417
202344$500$667
202244None$77
202023None$44
201911None$32

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
Boston ScientificWavewriter Alpha Prime 16$35
2 payments
  • Meals for Wavewriter Alpha Prime 16 · 2025-12-19 · $16
  • Meals for Wavewriter Alpha Prime 16 · 2025-11-07 · $19
United TherapeuticsRemodulin$22
1 payment
  • Meals for Remodulin · 2025-10-29 · $22
See all 3 published payments
Every published payment
Boston ScientificMeals · 2025-12-19Wavewriter Alpha Prime 16$16
Boston ScientificMeals · 2025-11-07Wavewriter Alpha Prime 16$19
United TherapeuticsMeals · 2025-10-29Remodulin$22
See earlier years (2024, 2023, 2022, 2020, 2019)

2024: $417

Payments by company in 2024
Actelion Pharmaceuticals USUptravi$179
5 payments
  • Meals for Uptravi · 2024-11-14 · $22
  • Meals for Uptravi · 2024-10-10 · $20
  • Meals · 2024-08-22 · $106
  • Meals for Uptravi · 2024-08-07 · $27
  • Meals for Uptravi · 2024-04-04 · $5
Bayer Healthcare PharmaceuticalsAdempas$114
1 payment
  • Meals for Adempas · 2024-05-16 · $114
United TherapeuticsNone$106
1 payment
  • Meals · 2024-04-09 · $106
Merck Sharp & DohmeWinrevair$18
1 payment
  • Meals for Winrevair · 2024-04-10 · $18

2023: $667

Payments by company in 2023
Salix Pharmaceuticals a division of Bausch Health USXifaxan$500
1 payment
  • Paid to speak or teach for Xifaxan · 2023-02-02 · $500
Bayer Healthcare PharmaceuticalsAdempas$122
1 payment
  • Meals for Adempas · 2023-10-26 · $122
United TherapeuticsTyvaso$25
1 payment
  • Meals for Tyvaso · 2023-02-09 · $25
Actelion Pharmaceuticals USUptravi$20
1 payment
  • Meals for Uptravi · 2023-02-12 · $20

2022: $77

Payments by company in 2022
United TherapeuticsRemodulin$24
1 payment
  • Meals for Remodulin · 2022-12-15 · $24
Philips Electronics North America(8874) Incourage$20
1 payment
  • Meals for (8874) Incourage · 2022-06-03 · $20
Bayer HealthCare PharmaceuticalsAdempas$18
1 payment
  • Education for Adempas · 2022-12-08 · $18
PfizerEliquis$15
1 payment
  • Meals for Eliquis · 2022-06-09 · $15

2020: $44

Payments by company in 2020
Merck Sharp & DohmeZerbaxa$32
2 payments
  • Education for Zerbaxa · 2020-02-05 · $13
  • Meals for Zerbaxa · 2020-02-05 · $19
La Jolla PharmaceuticalGiapreza$12
1 payment
  • Meals for Giapreza · 2020-01-22 · $12

2019: $32

Payments by company in 2019
ValeritasV-Go$32
1 payment
  • Meals for V-Go · 2019-01-09 · $32

Professional record

NPI
1902256894
Licence
CA A159209California A159209: Current · expires 2028-10-31
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RP1001X (207RP1001X); Internal medicine (207R00000X); Federal specialty code 207RC0200X (207RC0200X)
Mailing address
2625 E Divisadero St, Fresno, CA, 93721
NPI first listed
2016-06-21
NPI last updated
2024-09-16
NPI record certified
2024-09-16

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