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Sanket K Patel, MD

Internal Medicine · San Diego

NPI 1912134982

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

Offices

3 locations · Scripps Health Inpatient Providers Medical Group Inc · County of Santa Clara

Looking this up.

Hospitals listed: Scripps Mercy Hospital. 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. Patel’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A119164 · Current

Licensed to practise in California · since 2011 · expires 2027-06-30 · Veer Narmad South Gujarat University, Surat Municipal Institute of Medical Education.

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

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Hospitals they work in

1 hospital

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

  • Scripps Mercy HospitalSan Diego, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Scripps Health, which runs 5 hospitalsPatients rate it 3 of 5 · 69% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.428, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.167, Oct 2024 – Sep 2025
See every measure and the patient survey for Scripps Mercy Hospital

Behind the star rating — Deaths: 2 better, 5 the same, 1 worse of 8 measures. Safety: 1 better, 6 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.

Every scored measure at Scripps Mercy Hospital
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.428BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.167BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.62 (0.69 to 2.56) · 1,395 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.92 (0.64 to 1.21)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths140.2 (94.53 to 185.86) · 118 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.9 · 115 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.1 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.5 · 400 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.5 · 388 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10 · 503 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 5,575 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.5) · 8,056 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.3 (0.12 to 0.49) · 8,169 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.77 (1.85 to 5.69) · 1,962 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.26 (0 to 2.77) · 666 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths3.52 (2.12 to 4.93) · 1,824 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.77 (1.62 to 13.93) · 707 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.17 (3.71 to 10.62) · 678 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 345 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.11 (0 to 0.66) · 6,094 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.4 · 389 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.646No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.086No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.034No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.9 · 291 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.9 · 1,123 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-2.7 · 104 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits9.2 · 472 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits19.3 · 411 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.6 · 851 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits7.2 (5.1 to 10) · 229 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.6 to 16) · 229 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 392 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11 · 55 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.2 · 350 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits15 (11.3 to 19.9) · 480 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 264 casesNo differentJan 2024 – Dec 2024

What patients said (3,127 patients answered, 19% of those asked)

Patient survey stars by topic at Scripps Mercy Hospital
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at Scripps Mercy Hospital
Room was "always" clean70%
Nurses "always" communicated well78%
Doctors "always" communicated well79%
Staff "always" explained60%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)68%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night46%
"YES", patients would definitely recommend the hospital69%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$36,041

Medicare paid this office $36,041 for 181 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes84$16,892$95
Initial hospital care with moderate level of medical decision making at least 75 minutes68$8,345$123
Hospital discharge day management, more than 30 minutes75$7,131$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,464$64

Who their Medicare patients are

181 Original Medicare patients in 2024. Average age 76 · Under 65 12% · 85 and older 24% · Women 54% · Also on Medicaid 71% · Health risk score 2.76. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 60% · Chronic kidney disease 54% · Heart failure 53% · Coronary heart disease 46% · COPD 41% · Depression 41% · Atrial fibrillation 39% · Dementia 33% · Stroke 29% · Cancer 10%.

The office billed $156,592, Medicare allowed $47,498 and paid $36,041; for 372 services of 8 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
2024181372762.76$156,592$36,041
2023150301763.30$141,972$29,604
2022215408752.63$188,008$40,648
2021179325732.97$122,944$34,786
2020201349733.16$100,249$37,892
2019247440743.41$125,567$46,097
2018235474743.46$127,977$52,760
2017299674753.04$151,213$61,534
2016310906752.24$165,793$73,420
2015336805762.47$155,057$70,479
2014222672762.02$119,767$53,979
2013331788741.99$255,848$67,924

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 minutes79$10,959$139
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes51$10,306$95
Hospital discharge day management, more than 30 minutes52$4,774$90
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$2,085$65

2022: 5 services

Original Medicare services billed in 2022
Initial hospital care with moderate level of medical decision making at least 75 minutes92$15,258$164
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes69$10,619$82
Hospital discharge day management, more than 30 minutes48$4,143$86
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes30$3,792$59
Initial hospital observation care per day, typically 70 minutes19$3,588$189

2021: 4 services

Original Medicare services billed in 2021
Initial hospital care with moderate level of medical decision making at least 75 minutes78$13,237$168
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes58$11,415$85
Hospital discharge day management, more than 30 minutes50$4,531$89
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes22$2,072$63

2020: 4 services

Original Medicare services billed in 2020
Initial hospital care with moderate level of medical decision making at least 75 minutes108$18,757$167
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes55$8,990$85
Hospital discharge day management, more than 30 minutes39$3,537$91
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$2,246$61

2019: 6 services

Original Medicare services billed in 2019
Initial hospital care with moderate level of medical decision making at least 75 minutes110$18,582$163
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes64$11,217$85
Hospital discharge day management, more than 30 minutes63$5,568$87
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$2,675$59
Critical care, first 30-74 minutes12$2,162$180
Initial hospital observation care per day, typically 70 minutes14$2,124$152

2018: 7 services

Original Medicare services billed in 2018
Initial hospital care with moderate level of medical decision making at least 75 minutes110$20,852$180
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes51$9,447$96
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes52$7,201$66
Hospital discharge day management, more than 30 minutes47$5,128$101
Critical care, first 30-74 minutes12$2,651$204
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,458$112
Initial hospital observation care per day, typically 70 minutes13$2,198$169

2017: 8 services

Original Medicare services billed in 2017
Initial hospital care with moderate level of medical decision making at least 75 minutes120$19,651$162
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes118$14,509$58
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes69$8,736$85
Hospital discharge day management, more than 30 minutes94$8,274$88
Critical care, first 30-74 minutes15$2,687$179
Initial hospital observation care per day, typically 50 minutes15$1,657$110
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes13$1,442$111
Hospital observation care on day of discharge18$1,072$60

2016: 10 services

Original Medicare services billed in 2016
Initial hospital care with moderate level of medical decision making at least 75 minutes140$22,929$163
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes161$20,088$58
Hospital discharge day management, more than 30 minutes127$11,071$87
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes44$3,342$32
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes30$2,946$84
Initial hospital observation care per day, typically 50 minutes25$2,726$109
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,078$109
Hospital discharge day management, 30 minutes or less34$2,008$59
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes20$1,633$82
Hospital observation care on day of discharge26$1,540$59

2015: 9 services

Original Medicare services billed in 2015
Initial hospital care with moderate level of medical decision making at least 75 minutes142$23,760$164
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes153$19,056$58
Hospital discharge day management, more than 30 minutes109$9,830$88
Initial hospital observation care per day, typically 50 minutes44$4,930$110
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes38$4,168$107
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes29$2,708$85
Hospital observation care on day of discharge27$1,602$59
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes25$1,140$32
Hospital discharge day management, 30 minutes or less15$894$60

2014: 7 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes119$17,038$58
Initial hospital care with moderate level of medical decision making at least 75 minutes75$12,416$161
Hospital discharge day management, more than 30 minutes94$8,241$87
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes41$5,534$84
Initial hospital observation care per day, typically 50 minutes31$3,388$109
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes25$2,879$111
Hospital observation care on day of discharge26$1,524$59

2013: 9 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes131$24,209$82
Initial hospital care with moderate level of medical decision making at least 75 minutes83$12,854$153
Hospital discharge day management, 30 minutes or less105$6,183$57
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes60$5,971$54
Critical care, first 30-74 minutes21$5,417$175
Hospital discharge day management, more than 30 minutes44$3,916$85
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$2,813$104
Initial hospital observation care per day, typically 70 minutes19$2,638$132
Hospital observation care on day of discharge26$1,493$57

Medicaid work

$24,252 in 2024

Medicaid paid $24,252 for 582 billed services this clinician did in 2024, up to 22 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
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES372$14,364
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter145$6,149
1ST HOSP IP/OBS HIGH 7565$3,739
Medicaid work by year
2024582322$24,252
2023506432$22,311
2022506426$21,901
2021217322$13,108
2020254328$14,978
2019222426$11,965
2018105117$7,373
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES245$9,429
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter142$6,422
1ST HOSP IP/OBS HIGH 7599$5,811
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES20$649

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES314$12,321
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter113$5,498
1ST HOSP IP/OBS HIGH 7556$3,375
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES23$706

2021

Largest Medicaid services in 2021
1ST HOSP IP/OBS HIGH 75103$8,176
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES75$2,828
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter39$2,104

2020

Largest Medicaid services in 2020
1ST HOSP IP/OBS HIGH 75122$8,907
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES102$4,446
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter30$1,625

2019

Largest Medicaid services in 2019
1ST HOSP IP/OBS HIGH 7581$5,359
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES86$4,225
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter32$1,582
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES23$800

2018

Largest Medicaid services in 2018
1ST HOSP IP/OBS HIGH 75105$7,373

Drugs they prescribed that Part D paid

$27,888

Pharmacies billed $27,888 in 2024.

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

289 generic and fewer than 11 brand-name prescriptions · $27,888 in drug cost · 87 antibiotic prescriptions to 56 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
Albuterol Sulfate Hfa11$389$35
Cefuroxime25$261$10
Doxycycline Hyclate16$253$15
Pantoprazole18$127$7
Atorvastatin15$94$6
See all 7 drugs
Every Part D drug this clinician prescribed
Albuterol Sulfate Hfa11$389$35
Cefuroxime25$261$10
Doxycycline Hyclate16$253$15
Pantoprazole18$127$7
Atorvastatin15$94$6
Furosemide15$40$2
Prednisone12$24$2

Year by year

Part D prescribing by year
2024341140NoneNone$27,888
202325599NoneNone$29,947
202225692NoneNone$22,028
202114675NoneNone$7,821
202017064NoneNone$19,921
20193461354% (13)None$24,600
2018176659% (15)None$8,399
2017245996% (15)11%$8,376
20162441005% (13)None$7,781
20151677710% (17)13%$7,158
20141526810% (15)16%$4,938
20135834NoneNone$1,295

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

See the drugs prescribed each year

2023: 4 drugs

Part D drugs prescribed in 2023
Pantoprazole13$486$37
Cefuroxime21$332$16
Atorvastatin11$214$19
Furosemide11$44$4

2022: 6 drugs

Part D drugs prescribed in 2022
Ceftriaxone12$719$60
Nitroglycerin11$614$56
Cefuroxime11$182$17
Pantoprazole13$102$8
Furosemide17$62$4
Atorvastatin11$55$5

2020: 1 drug

Part D drugs prescribed in 2020
Furosemide13$31$2

2019: 6 drugs

Part D drugs prescribed in 2019
Lantus11$3,703$337
Cefuroxime26$534$21
Metronidazole13$138$11
Furosemide23$129$6
Prednisone12$70$6
Metoprolol11$26$2

2017: 5 drugs

Part D drugs prescribed in 2017
Cefuroxime13$260$20
Polyethylene Glycol 335015$135$9
Cephalexin14$75$5
Azithromycin12$64$5
Metoprolol11$36$3

2016: 2 drugs

Part D drugs prescribed in 2016
Pantoprazole14$102$7
Prednisone11$70$6

2015: 2 drugs

Part D drugs prescribed in 2015
Prednisone17$171$10
Levofloxacin15$81$5

2014: 1 drug

Part D drugs prescribed in 2014
Levofloxacin11$187$17

Money from drug and device companies

$66 in 2025

Industry payments by year
202514None$66
202416None$95
202323None$132
202222None$140
201922None$277

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$66
4 payments
  • Meals for Tremfya · 2025-07-18 · $18
  • Meals for Tremfya · 2025-06-27 · $16
  • Meals for Tremfya · 2025-02-26 · $16
  • Meals for Tremfya · 2025-01-03 · $16
See all 4 published payments
Every published payment
Janssen BiotechMeals · 2025-07-18Tremfya$18
Janssen BiotechMeals · 2025-06-27Tremfya$16
Janssen BiotechMeals · 2025-02-26Tremfya$16
Janssen BiotechMeals · 2025-01-03Tremfya$16
See earlier years (2024, 2023, 2022, 2019)

2024: $95

Payments by company in 2024
Janssen BiotechStelara$95
6 payments
  • Meals for Tremfya · 2024-12-20 · $16
  • Meals for Tremfya · 2024-11-06 · $16
  • Meals for Tremfya · 2024-10-25 · $16
  • Meals for Stelara · 2024-05-07 · $14
  • Meals for Stelara · 2024-02-13 · $17
  • Meals for Stelara · 2024-02-02 · $17

2023: $132

Payments by company in 2023
GlaxoSmithKlineNucala$115
2 payments
  • Meals for Nucala · 2023-02-02 · $101
  • Meals for Nucala · 2023-02-02 · $14
Janssen BiotechStelara$17
1 payment
  • Meals for Stelara · 2023-10-05 · $17

2022: $140

Payments by company in 2022
Boston ScientificWatchman Access System$117
1 payment
  • Meals for Watchman Access System · 2022-10-20 · $117
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$23
1 payment
  • Meals for Lifevest · 2022-10-11 · $23

2019: $277

Payments by company in 2019
Edwards LifesciencesEdwards Sapien 3 Transcatheter Heart Valve$152
1 payment
  • Meals for Edwards Sapien 3 Transcatheter Heart Valve · 2019-10-16 · $152
Teva Pharmaceuticals USAAjovy$125
1 payment
  • Meals for Ajovy · 2019-06-11 · $125

Professional record

NPI
1912134982
Licence
CA A119164, MA 241123, MA 250986California A119164: Current · expires 2027-06-30
Group
Scripps Health Inpatient Providers Medical Group Inc · County of Santa Clara
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Internal medicine (207R00000X); Student in a training program (390200000X)
Mailing address
7889 Altana Way, San Diego, CA, 92108
NPI first listed
2009-06-17
NPI last updated
2021-07-16
NPI record certified
2021-07-16

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