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Mohammadreza Rohaninejad, MD

General Surgery · Los Gatos

NPI 1912139528

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
32
8 carriers
Office
1

Offices

1 location · M Reza Rohani MD Facs Inc · 2 clinicians in this group

Looking this up.

Hospitals listed: El Camino Health · Good Samaritan Hospital. That is not proof they admit you there this week.

Plans that list them

32 plans · 8 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Rohaninejad’s office at (408) 358-3111 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

32 of 32 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence A108612 · Current

Licensed to practise in California · since 2009 · expires 2027-05-31 · Tehran University of Medical Sciences and Health Services.

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.

  • El Camino HealthMountain View, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of El Camino Health, which runs 2 hospitalsPatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.291, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
  • Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
See every measure and the patient survey for El Camino Health

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 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 El Camino Health
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.291BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.393BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0.12 to 1.79) · 2,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.38 (125.03 to 209.73) · 96 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 68 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 185 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 200 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 814 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 842 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 361 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 4,633 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.34) · 11,474 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,626 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.14 (1.39 to 4.9) · 2,814 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2 (0.61 to 3.39) · 1,327 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.8 to 3.43) · 2,641 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.39 (4.18 to 14.6) · 1,287 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.57 (3.47 to 9.68) · 1,308 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.14 (0.71 to 3.57) · 827 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.6 (0.05 to 1.15) · 9,460 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 122 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.993No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.706No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.376No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.5 · 218 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 962 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits3.8 · 200 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-17 · 922 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18.6 · 860 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.7 · 827 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4.5 to 8.2) · 313 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (10.6 to 16.5) · 313 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.7 · 237 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (10 to 16.1) · 1,639 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.8 to 1.1) · 1,619 casesNo differentJan 2024 – Dec 2024

What patients said (1,535 patients answered, 22% of those asked)

Patient survey stars by topic at El Camino Health
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at El Camino Health
Room was "always" clean75%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
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)76%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Good Samaritan Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 1 worse of 8 measures. Readmissions: 0 better, 5 the same, 4 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 Good Samaritan Hospital
Clostridium Difficile (C.Diff)Infections0.337BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.75 (0 to 1.67) · 1,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.84 (0.54 to 1.14)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths143.59 (98.7 to 188.49) · 98 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.7 · 45 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.7 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 573 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.6 · 820 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.5 · 482 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 3,711 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.12 (0 to 0.3) · 8,866 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.01 to 0.38) · 9,051 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.65 (0.74 to 4.56) · 1,929 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.8 (0.21 to 3.39) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.33 (0.88 to 3.78) · 1,836 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.73 (0 to 13.46) · 669 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.58 (3.96 to 11.19) · 654 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.59 (0.13 to 3.04) · 496 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.27 (0 to 0.87) · 7,373 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.1 · 152 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.08No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.542No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.484No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.565No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 327 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24.2 · 703 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits61.1 · 289 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits36.3 · 665 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits25.4 · 856 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19 · 978 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.3 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.3 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.2 · 135 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.8 (10.1 to 18.6) · 129 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 531 casesNo differentJan 2024 – Dec 2024

What patients said (704 patients answered, 24% of those asked)

Patient survey stars by topic at Good Samaritan Hospital
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Good Samaritan Hospital
Room was "always" clean66%
Nurses "always" communicated well75%
Doctors "always" communicated well71%
Staff "always" explained54%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night38%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$1,466,103

Medicare paid this office $1,466,103 for 167 people.

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

Largest Original Medicare bills
Drainage of abdominal abscess or infection19$24,095$1,205
Return visit (30+ min)41$20,090$122
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes84$18,942$70
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less15$12,769$126
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes83$10,107$115
See all 18 services
Every Original Medicare service billed
Drainage of abdominal abscess or infection19$24,095$1,205
Return visit (30+ min)41$20,090$122
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes84$18,942$70
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less15$12,769$126
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes83$10,107$115
Removal of muscle and/or tissue, 20.0 sq cm or less14$7,749$180
Repair of separation of wound closure with insertion of packing27$6,631$158
Removal of gallbladder with x-ray study of bile ducts using an endoscope11$5,878$534
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$5,711$106
Removal of skin and tissue, 20.0 sq cm or less14$4,445$81
Long return visit (40+ min)12$4,443$171
Initial hospital care with moderate level of medical decision making at least 75 minutes21$3,245$155
Short return visit (20+ min)17$2,801$88
New patient visit (60+ min)16$2,769$173
New patient visit (45+ min)17$2,183$128
Application of chemical to stop tissue regrowth in wound14$1,739$62
Removal of appendix during other major procedure12$841$70
Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area 50.0 sq cm or less15$294$17

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy1-10None
Hernia repair - groin (open)1-10None
Hernia repair (minimally invasive)1-10None
Melanoma (skin cancer) excision1-10None
Removal of nail tissue1-10None
Removal of skin lesions1-10None
Removal of tissue41More than 76% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux1-10None

Who their Medicare patients are

167 Original Medicare patients in 2024. Average age 76 · Women 56% · Also on Medicaid 32% · Health risk score 1.78. Above the middle of the specialty; the typical general surgery clinician is at 1.69.

Conditions among them: High blood pressure 75% · Diabetes 41% · Coronary heart disease 41% · Depression 34% · Chronic kidney disease 28% · Cancer 27% · Heart failure 25% · Atrial fibrillation 23% · Dementia 17% · COPD 16% · Stroke 13%.

The office billed $3,733,257, Medicare allowed $1,843,037 and paid $1,466,103; for 2,856 services of 139 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
20241672,856761.78$3,733,257$1,466,103
20231912,084771.80$2,270,960$409,867
20221751,145762.12$791,576$249,939
2021177980742.20$572,661$198,220
2020145565761.80$469,086$113,725
2019148755752.11$383,125$178,819
2018185911762.10$321,102$183,482
20172231,066762.10$373,688$206,014
20161811,022762.37$427,117$225,802
2015177900751.98$311,103$190,459
20141851,016751.92$335,657$194,808
2013185820751.95$314,238$183,379

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: 16 services

Original Medicare services billed in 2023
Drainage of abdominal abscess or infection21$24,914$1,132
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes100$20,970$71
Return visit (30+ min)44$13,333$117
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes103$12,969$116
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$10,933$107
Repair of separation of wound closure with insertion of packing45$10,878$162
Long return visit (40+ min)19$8,859$170
Drainage of abscess of diaphragm13$8,420$561
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less23$7,989$123
Removal of gallbladder with x-ray study of bile ducts using an endoscope14$7,325$523
Removal of skin and tissue, 20.0 sq cm or less15$6,783$94
Initial hospital care with moderate level of medical decision making at least 75 minutes21$3,438$156
Short return visit (20+ min)12$2,782$87
New patient visit (60+ min)12$2,375$198
New patient visit (45+ min)13$1,641$126
Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less11$248$23

2022: 7 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes99$27,034$64
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes107$13,909$120
Return visit (30+ min)36$11,365$120
Repair of separation of wound closure with insertion of packing35$11,088$163
New patient visit (45+ min)16$2,334$146
Diagnostic exam of abdomen using an endoscope11$1,640$149
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less11$293$27

2021: 8 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes96$18,023$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes120$15,407$122
Return visit (30+ min)38$10,961$126
Repair of separation of wound closure with insertion of packing36$10,896$168
Removal of gallbladder with x-ray study of bile ducts using an endoscope13$7,199$554
Removal of gallbladder using an endoscope14$6,923$495
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less14$766$55
Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less11$279$23

2020: 5 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes74$13,880$66
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes85$10,651$121
Return visit (30+ min)29$3,672$94
Repair of separation of wound closure with insertion of packing16$3,364$153
New patient visit (45+ min)11$1,723$157

2019: 7 services

Original Medicare services billed in 2019
Drainage of abdominal abscess or infection12$20,522$1,140
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes98$12,661$124
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes62$12,183$66
Return visit (30+ min)39$9,106$105
Removal of gallbladder using an endoscope13$6,815$524
Repair of separation of wound closure with insertion of packing17$4,044$150
New patient visit (60+ min)11$2,139$194

2018: 8 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes88$14,516$62
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes104$12,420$115
Drainage of abdominal abscess or infection12$11,550$963
Repair of separation of wound closure with insertion of packing34$10,622$136
Return visit (30+ min)41$9,993$90
New patient visit (45+ min)16$2,202$138
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less12$969$75
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less15$570$34

2017: 9 services

Original Medicare services billed in 2017
Drainage of abdominal abscess or infection16$22,734$1,197
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes103$18,850$62
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes119$14,297$117
Removal of gallbladder using an endoscope23$11,133$484
Return visit (30+ min)45$10,060$96
Repair of separation of wound closure with insertion of packing30$8,677$142
New patient visit (45+ min)23$3,217$140
New patient visit (60+ min)16$2,783$174
Short return visit (20+ min)13$1,794$64

2016: 10 services

Original Medicare services billed in 2016
Drainage of abdominal abscess or infection17$20,467$975
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes85$18,714$63
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes105$12,693$118
Removal of gallbladder using an endoscope18$7,670$426
Return visit (30+ min)35$7,342$98
Repair of separation of wound closure with insertion of packing21$5,908$144
New patient visit (45+ min)21$3,129$149
Short return visit (20+ min)12$2,494$66
Diagnostic exam of abdomen using an endoscope13$1,854$143
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less11$859$78

2015: 9 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes84$13,821$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes104$13,238$121
Removal of gallbladder using an endoscope17$8,958$527
Return visit (30+ min)39$8,748$99
Repair of separation of wound closure with insertion of packing18$6,459$144
Short return visit (20+ min)13$2,532$68
New patient visit (60+ min)13$2,261$174
Diagnostic exam of abdomen using an endoscope12$1,745$145
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less13$1,039$80

2014: 9 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes84$24,715$64
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes106$13,306$121
Partial removal of small bowel with reconnection11$7,238$658
Return visit (30+ min)36$5,194$70
Removal of gallbladder using an endoscope11$4,921$447
Repair of separation of wound closure with insertion of packing15$3,129$120
New patient visit (45+ min)17$1,934$114
New patient visit (60+ min)12$1,795$150
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less14$747$39

2013: 4 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes98$20,264$62
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes100$12,686$119
Return visit (30+ min)23$3,627$98
New patient visit (45+ min)12$1,697$141

Medicaid work

$837 in 2024

Medicaid paid $837 for 37 billed services this clinician did in 2024, up to 13 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 MOD MDM 35 MINUTES37$837
Medicaid work by year
202437113$837
202317117$344
202016116$293
201912112$439
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES17$344

2020

Largest Medicaid services in 2020
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES16$293

2019

Largest Medicaid services in 2019
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES12$439

Drugs they prescribed that Part D paid

$14,409

Pharmacies billed $14,409 in 2024.

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

Opioids were 35% of their Part D prescriptions (18 of 51) in 2024. Above the middle of the specialty; the typical general surgery clinician is at 34%.

33 generic and 18 brand-name prescriptions · $14,409 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
Santyl15$14,093$783
Hydrocodone-Acetaminophen16$111$7

Year by year

Part D prescribing by year
2024513335% (18)35%$14,409
2023462941% (19)None$2,448
2022553033% (18)None$10,801
2021662224% (16)33%$21,811
2020532123% (12)38%$27,213
20191074424% (26)30%$43,421
20181223614% (17)23%$26,337
2017953932% (30)36%$23,461
2016863228% (24)27%$7,673
2015693848% (33)None$1,201
2014523146% (24)None$722
2013341953% (18)0%$266

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Hydrocodone-Acetaminophen19$136$7

2022: 1 drug

Part D drugs prescribed in 2022
Hydrocodone-Acetaminophen17$98$6

2021: 2 drugs

Part D drugs prescribed in 2021
Creon15$20,324$1,355
Hydrocodone-Acetaminophen15$136$9

2020: 2 drugs

Part D drugs prescribed in 2020
Creon19$26,225$1,380
Hydrocodone-Acetaminophen12$77$6

2019: 3 drugs

Part D drugs prescribed in 2019
Creon30$42,307$1,410
Hydrocodone-Acetaminophen20$122$6
Levofloxacin14$49$3

2018: 5 drugs

Part D drugs prescribed in 2018
Creon27$24,956$924
Simvastatin21$166$8
Amoxicillin-Clavulanate Potass14$138$10
Hydrocodone-Acetaminophen16$87$5
Levofloxacin13$71$5

2017: 2 drugs

Part D drugs prescribed in 2017
Creon30$19,264$642
Hydrocodone-Acetaminophen27$146$5

2016: 3 drugs

Part D drugs prescribed in 2016
Creon21$7,247$345
Hydrocodone-Acetaminophen24$170$7
Levofloxacin12$44$4

2015: 2 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen29$216$7
Levofloxacin12$60$5

2014: 1 drug

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen23$164$7

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen18$79$4

Money from drug and device companies

$213 in 2025

Industry payments by year
202524None$213
202449None$333
2023616None$1,220
202234None$182
202111None$25
202022None$50
2019213None$2,827

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
Smith+NephewCollagenase Santyl$196
3 payments
  • Meals for Collagenase Santyl · 2025-05-16 · $141
  • Meals for Grafix · 2025-03-12 · $9
  • Meals for Stravix · 2025-02-27 · $46
ConvaTecConvatec Inc.$17
1 payment
  • Meals for Convatec Inc. · 2025-01-16 · $17
See all 4 published payments
Every published payment
Smith+NephewMeals · 2025-05-16Collagenase Santyl$141
Smith+NephewMeals · 2025-03-12Grafix$9
Smith+NephewMeals · 2025-02-27Stravix$46
ConvaTecMeals · 2025-01-16Convatec Inc.$17
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $333

Payments by company in 2024
Smith+NephewGrafix$123
3 payments
  • Meals for Grafix · 2024-04-26 · $56
  • Meals for Collagenase Santyl · 2024-04-18 · $40
  • Meals for Grafix · 2024-03-27 · $28
Biotissue HoldingsNone$112
3 payments
  • Meals · 2024-09-30 · $28
  • Meals · 2024-06-24 · $51
  • Meals · 2024-06-24 · $34
SolventumActiv.A.C.$73
2 payments
  • Meals for Activ.A.C. · 2024-08-22 · $28
  • Meals for Activ.A.C. · 2024-05-23 · $45
Molnlycke Health Care USMepilex Border Post-Op Ag$26
1 payment
  • Meals for Mepilex Border Post-Op Ag · 2024-11-13 · $26

2023: $1,220

Payments by company in 2023
Musculoskeletal Transplant FoundationNone$892
2 payments
  • Travel · 2023-06-07 · $446
  • Travel · 2023-06-07 · $446
Smith+NephewStravix$139
8 payments
  • Meals for Stravix · 2023-12-05 · $9
  • Meals for Collagenase Santyl · 2023-09-14 · $11
  • Meals for Collagenase Santyl · 2023-08-24 · $25
  • Meals for Stravix · 2023-08-24 · $43
  • Meals for Stravix · 2023-08-11 · $20
  • Meals for Oasis · 2023-06-14 · $7
  • Meals for Collagenase Santyl · 2023-03-22 · $8
  • Meals for Grafix · 2023-03-22 · $16
OrganogenesisPuraply$99
3 payments
  • Meals for Puraply · 2023-11-06 · $20
  • Meals for Puraply · 2023-06-06 · $35
  • Meals for Puraply · 2023-04-14 · $45
Biotissue HoldingsNeox$37
1 payment
  • Meals for Neox · 2023-04-17 · $37
Ethicon USEchelon Flex$28
1 payment
  • Meals for Echelon Flex · 2023-08-30 · $28
Hologic Sales and ServiceCoolseal Generator$26
1 payment
  • Meals for Coolseal Generator · 2023-11-29 · $26

2022: $182

Payments by company in 2022
Musculoskeletal Transplant FoundationNone$108
1 payment
  • Meals · 2022-11-09 · $108
Smith+NephewGrafix Pl$52
2 payments
  • Meals for Grafix Pl · 2022-11-02 · $32
  • Meals for Collagenase Santyl · 2022-10-26 · $20
OrganogenesisPuraply$22
1 payment
  • Meals for Puraply · 2022-08-25 · $22

2021: $25

Payments by company in 2021
InnocollXaracoll$25
1 payment
  • Meals for Xaracoll · 2021-08-25 · $25

2020: $50

Payments by company in 2020
Intuitive SurgicalDa Vinci Surgical System$37
1 payment
  • Meals for Da Vinci Surgical System · 2020-07-28 · $37
Integra LifeSciencesCodman Certas$13
1 payment
  • Meals for Codman Certas · 2020-07-14 · $13

2019: $2,827

Payments by company in 2019
Intuitive SurgicalDa Vinci Surgical System$1,480
5 payments
  • Meals for Da Vinci Surgical System · 2019-12-24 · $26
  • Meals for Da Vinci Surgical System · 2019-12-24 · $22
  • Travel for Da Vinci Surgical System · 2019-08-01 · $281
  • Meals for Da Vinci Surgical System · 2019-03-06 · $152
  • Education for Da Vinci Surgical System · 2019-02-05 · $1,000
Medical Device Business ServicesStratafix$1,347
8 payments
  • Meals for Stratafix · 2019-10-05 · $19
  • Travel for Stratafix · 2019-10-04 · $476
  • Travel for Stratafix · 2019-10-04 · $390
  • Travel for Stratafix · 2019-10-04 · $234
  • Meals for Stratafix · 2019-10-04 · $35
  • Meals for Stratafix · 2019-10-04 · $50
  • Meals for Stratafix · 2019-10-04 · $43
  • Meals for Stratafix · 2019-10-04 · $100

Professional record

NPI
1912139528
Licence
CA A108612California A108612: Current · expires 2027-05-31
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Surgery (208600000X)
Mailing address
14981 National Ave Ste 1, Los Gatos, CA, 95032
NPI first listed
2009-08-14
NPI last updated
2022-04-06
NPI record certified
2022-04-06

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