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Alan M Birnbaum, MD

Neurology · Fresno

NPI 1912937186

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
Since medical school
51 years
Vanderbilt University School of Medicine, 1975

Offices

3 locations · Saint Agnes Medical Center · Saint Agnes Medical Foundation

Looking this up.

Hospitals listed: Saint Agnes 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. Birnbaum’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence G32784 · Current

Licensed to practise in California · since 1976 · expires 2028-01-31 · Vanderbilt University School of Medicine.

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

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.

  • Saint Agnes Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Trinity Health, which runs 105 hospitals in 16 statesPatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.274, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.312, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.141, Oct 2024 – Sep 2025
See every measure and the patient survey for Saint Agnes Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 6 the same, 0 worse of 8 measures. Readmissions: 0 better, 6 the same, 3 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 Saint Agnes Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.274BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.312BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.141BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.18 to 1.94) · 2,342 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.27)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths197.82 (152.64 to 243.01) · 103 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.9 · 105 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.3 · 300 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.9 · 295 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.8 · 768 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.8 · 969 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.2 · 304 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 4,305 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.06 to 0.42) · 11,641 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.07 to 0.43) · 12,213 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.76 (2.91 to 6.61) · 2,466 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.09 (0 to 2.49) · 864 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.61 (0.26 to 2.96) · 2,362 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.1 (5.39 to 14.81) · 900 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.4 (1.2 to 7.59) · 882 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.84 (0.41 to 3.27) · 541 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.67 (0.14 to 1.19) · 9,626 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.9 · 58 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.835No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.182No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.004No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 412 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.6 · 1,002 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits28.8 · 296 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits25.5 · 894 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits17.8 · 981 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 1,061 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5 · 56 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits13.4 · 150 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 412 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.6 to 15.9) · 1,324 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 863 casesNo differentJan 2024 – Dec 2024

What patients said (812 patients answered, 32% of those asked)

Patient survey stars by topic at Saint Agnes Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Saint Agnes Medical Center
Room was "always" clean73%
Nurses "always" communicated well73%
Doctors "always" communicated well74%
Staff "always" explained61%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$4,106

Medicare paid this office $4,106 for 54 people.

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

Largest Original Medicare bills
Ultrasound of both sides of head and neck blood flow23$643$28

Who their Medicare patients are

54 Original Medicare patients in 2024. Average age 72 · Women 48% · Also on Medicaid 41% · Health risk score 1.91. Above the middle of the specialty; the typical neurology clinician is at 1.61.

Conditions among them: High blood pressure 75% · Diabetes 56% · Coronary heart disease 48% · Heart failure 41% · Chronic kidney disease 39% · Stroke 37% · Depression 33% · Atrial fibrillation 30% · COPD 26%.

The office billed $14,077, Medicare allowed $5,374 and paid $4,106; for 68 services of 11 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
20245468721.91$14,077$4,106
20237999752.03$35,068$7,615
20226593741.63$30,229$7,190
2021112204772.14$58,236$17,513
202080144772.41$39,363$13,342
2019329673741.99$116,376$54,409
2018380739741.67$143,679$60,455
2017411773741.63$144,042$67,011
2016398812751.56$155,944$69,095
2015378813761.63$142,862$70,360
2014336761761.38$125,351$69,322
2013283639761.44$106,314$58,682

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: 3 services

Original Medicare services billed in 2023
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,547$98
Initial hospital care with moderate level of medical decision making at least 75 minutes17$2,342$138
Ultrasound of both sides of head and neck blood flow21$574$27

2022: 4 services

Original Medicare services billed in 2022
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes25$2,774$111
Initial hospital care with moderate level of medical decision making at least 75 minutes11$1,755$160
Measurement of brain wave activity (eeg), awake and drowsy16$744$47
Ultrasound of both sides of head and neck blood flow14$378$27

2021: 6 services

Original Medicare services billed in 2021
Initial hospital care with moderate level of medical decision making at least 75 minutes48$8,063$165
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes32$3,727$113
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes31$1,429$32
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$935$58
Measurement of brain wave activity (eeg), awake and drowsy17$808$48
Ultrasound of both sides of head and neck blood flow21$665$32

2020: 5 services

Original Medicare services billed in 2020
Initial hospital care with moderate level of medical decision making at least 75 minutes38$6,767$169
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$1,957$115
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes19$1,034$32
Measurement of brain wave activity (eeg), awake and drowsy12$625$48
Ultrasound of both sides of head and neck blood flow14$461$33

2019: 12 services

Original Medicare services billed in 2019
Return visit (30+ min)94$12,609$80
New patient visit (60+ min)69$10,365$150
Short return visit (20+ min)122$9,346$53
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes46$4,847$105
Initial hospital care with moderate level of medical decision making at least 75 minutes27$4,368$162
New patient visit (45+ min)17$2,314$136
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes32$1,321$32
Long return visit (40+ min)12$1,204$100
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,165$55
Measurement of brain wave activity (eeg), awake and drowsy18$856$45
Measurement of brain wave activity (eeg), in coma or asleep13$813$48
Ultrasound of both sides of head and neck blood flow21$680$32

2018: 10 services

Original Medicare services billed in 2018
New patient visit (60+ min)78$12,703$163
Short return visit (20+ min)127$11,695$52
Return visit (30+ min)87$10,383$77
Initial hospital care with moderate level of medical decision making at least 75 minutes52$8,535$161
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes32$3,334$104
New patient visit (45+ min)18$2,107$117
Measurement of brain wave activity (eeg), awake and drowsy34$1,602$46
Ultrasound of both sides of head and neck blood flow40$1,236$31
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$1,191$57
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes19$727$32

2017: 11 services

Original Medicare services billed in 2017
Short return visit (20+ min)159$14,055$53
New patient visit (60+ min)76$11,877$156
Initial hospital care with moderate level of medical decision making at least 75 minutes66$10,749$163
Return visit (30+ min)86$9,113$77
Ultrasound of both sides of head and neck blood flow24$3,908$163
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes35$3,874$111
New patient visit (45+ min)21$2,621$125
New patient visit (30+ min)14$1,094$78
Ultrasound of both sides of head and neck blood flow29$890$31
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes24$888$32
Measurement of brain wave activity (eeg), awake and drowsy14$603$43

2016: 15 services

Original Medicare services billed in 2016
New patient visit (60+ min)112$17,116$153
Short return visit (20+ min)148$15,011$53
Return visit (30+ min)74$8,813$82
Initial hospital care with moderate level of medical decision making at least 75 minutes49$8,203$164
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$2,841$109
Ultrasound of both sides of head and neck blood flow19$2,759$145
New patient visit (45+ min)16$2,024$126
Nerve test12$1,876$156
Ultrasound of both sides of head and neck blood flow39$1,238$32
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$1,052$58
Measurement of brain wave activity (eeg), awake and drowsy22$996$45
New patient visit (30+ min)14$991$71
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes20$923$31
New patient visit (15+ min)11$614$56
Measurement of brain wave activity (eeg), awake and asleep11$522$47

2015: 11 services

Original Medicare services billed in 2015
New patient visit (60+ min)110$17,424$158
Short return visit (20+ min)151$16,011$53
Initial hospital care with moderate level of medical decision making at least 75 minutes59$9,186$156
Return visit (30+ min)80$8,890$78
Ultrasound of both sides of head and neck blood flow24$3,712$155
New patient visit (45+ min)25$3,190$128
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$2,629$105
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$1,391$56
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes20$749$30
Measurement of brain wave activity (eeg), awake and drowsy14$701$47
Ultrasound of both sides of head and neck blood flow17$541$32

2014: 13 services

Original Medicare services billed in 2014
New patient visit (60+ min)105$16,953$161
Short return visit (20+ min)135$14,968$54
Return visit (30+ min)81$10,154$82
Initial hospital care with moderate level of medical decision making at least 75 minutes52$8,451$159
Ultrasound of both sides of head and neck blood flow32$4,686$146
New patient visit (45+ min)21$2,420$115
Nerve test14$2,089$149
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,218$102
Long return visit (40+ min)13$1,182$91
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,111$56
New patient visit (30+ min)12$1,054$88
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes17$758$32
New patient visit (15+ min)14$748$53

2013: 10 services

Original Medicare services billed in 2013
New patient visit (60+ min)99$15,606$158
Short return visit (20+ min)107$11,236$53
Return visit (30+ min)86$9,665$79
Initial hospital care with moderate level of medical decision making at least 75 minutes40$6,684$159
Ultrasound of both sides of head and neck blood flow28$4,354$155
Nerve test12$1,390$116
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$1,355$56
Long return visit (40+ min)11$1,337$111
New patient visit (30+ min)14$1,151$82
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$400$31

Medicaid work

$34 in 2019

Medicaid paid $34 for 386 billed services this clinician did in 2019, up to 28 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 2019
Return visit (30+ min)104$34
New patient visit (60+ min)61$0
Short return visit (20+ min)221$0
Medicaid work by year
2019386328$34
2018245221$0
See the largest Medicaid services in earlier years

2018

Largest Medicaid services in 2018
New patient visit (60+ min)57$0
Short return visit (20+ min)188$0

Drugs they prescribed that Part D paid

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

Opioids were 0% of their 418 Part D prescriptions in 2020.

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

Year by year

Part D prescribing by year
20204181020% (0)13%$215,084
20191,161198None10%$510,144
20181,0551800% (0)None$368,121
2017915163None10%$407,580
2016759138NoneNone$325,883
2015688114None15%$204,657
201455090None16%$99,778
2013356700% (0)13%$75,165

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

See the drugs prescribed each year

2020: 12 drugs

Part D drugs prescribed in 2020
NuplazidParkinson's psychosis23$80,833$3,514
FelbamateNone11$12,007$1,092
Carbidopa-LevodopaNone53$3,621$68
MemantineNone24$2,497$104
Carbidopa-Levodopa ErNone16$2,486$155
Phenytoin Sodium ExtendedNone25$830$33
LevetiracetamNone35$767$22
DonepezilNone43$512$12
GabapentinNone15$470$31
Divalproex Sodium ErNone11$437$40
PrimidoneNone22$260$12
SumatriptanNone15$110$7

2019: 32 drugs

Part D drugs prescribed in 2019
TecfideraNone15$110,492$7,366
Gamunex-CImmune globulin14$105,777$7,555
Glatiramer AcetateNone11$51,911$4,719
NuplazidParkinson's psychosis15$50,356$3,357
AptiomNone12$17,208$1,434
BriviactNone12$14,214$1,184
MemantineNone79$8,569$108
Carbidopa-LevodopaNone138$8,527$62
Carbidopa-Levodopa ErNone31$4,239$137
LevetiracetamNone77$2,284$30
Phenytoin Sodium ExtendedNone42$2,248$54
Propranolol Hcl ErNone33$2,211$67
Clorazepate DipotassiumNone12$1,838$153
Levetiracetam ErNone13$1,815$140
DonepezilNone124$1,681$14
PyridostigmineNone15$1,662$111
PrimidoneNone47$1,348$29
PropranololNone22$953$43
OxcarbazepineNone27$889$33
RopiniroleNone24$647$27
GabapentinNone48$645$13
CarbamazepineNone11$625$57
LamotrigineNone44$575$13
Fludrocortisone AcetateNone11$523$48
SumatriptanNone21$464$22
AmitriptylineNone16$348$22
TopiramateNone22$343$16
BaclofenNone12$340$28
RisperidoneNone17$305$18
NortriptylineNone25$279$11
Pramipexole DihydrochlorideNone11$99$9
Sodium ChlorideNone14$96$7

2018: 27 drugs

Part D drugs prescribed in 2018
GlatopaNone18$83,994$4,666
CopaxoneNone12$70,814$5,901
MemantineNone62$6,129$99
RytaryParkinson's15$5,580$372
Carbidopa-LevodopaNone97$5,476$56
LevetiracetamNone97$3,481$36
Phenytoin Sodium ExtendedNone55$2,493$45
Carbidopa-Levodopa ErNone19$2,473$130
PropranololNone50$1,927$39
Divalproex Sodium ErNone12$1,584$132
DonepezilNone75$1,412$19
GabapentinNone61$1,232$20
Levetiracetam ErNone11$1,201$109
Propranolol Hcl ErNone18$1,032$57
PrimidoneNone44$948$22
OxcarbazepineNone14$619$44
CarbamazepineNone20$584$29
AmitriptylineNone16$444$28
RopiniroleNone11$343$31
LamotrigineNone32$318$10
RisperidoneNone16$309$19
TopiramateNone24$259$11
SumatriptanNone22$231$11
NortriptylineNone16$176$11
TrazodoneNone15$170$11
Pramipexole DihydrochlorideNone18$110$6
QuetiapineNone11$65$6

2017: 20 drugs

Part D drugs prescribed in 2017
TecfideraNone14$96,338$6,881
OctagamImmune globulin11$90,443$8,222
GlatopaNone15$72,072$4,805
Carbidopa-LevodopaNone127$5,235$41
MemantineNone56$3,393$61
Carbidopa-Levodopa ErNone27$2,699$100
Levetiracetam ErNone23$2,550$111
LevetiracetamNone63$1,853$29
GabapentinNone76$1,732$23
Phenytoin Sodium ExtendedNone31$1,691$55
DonepezilNone98$1,202$12
PropranololNone28$1,020$36
CarbamazepineNone11$398$36
LamotrigineNone31$306$10
SumatriptanNone24$283$12
TopiramateNone20$280$14
PhenobarbitalNone15$266$18
NortriptylineNone22$265$12
PrimidoneNone13$167$13
RisperidoneNone12$125$10

2016: 20 drugs

Part D drugs prescribed in 2016
Northera11$79,823$7,257
Glatopa12$58,448$4,871
Namenda Xr27$16,617$615
Exelon16$16,007$1,000
Carbidopa-Levodopa84$3,438$41
Levetiracetam Er44$3,361$76
Carbidopa-Levodopa Er33$3,293$100
Gabapentin50$1,333$27
Donepezil88$1,248$14
Phenytoin Sodium Extended21$1,161$55
Dilantin16$633$40
Ropinirole16$576$36
Propranolol20$453$23
Levetiracetam23$403$18
Oxcarbazepine13$350$27
Lamotrigine29$348$12
Clopidogrel26$251$10
Amitriptyline11$244$22
Nortriptyline23$210$9
Prednisone11$182$17

2015: 17 drugs

Part D drugs prescribed in 2015
Northera11$53,363$4,851
Exelon19$14,180$746
Namenda Xr27$10,138$375
Carbidopa-Levodopa82$5,354$65
Divalproex Sodium Er18$3,560$198
Levetiracetam Er34$2,896$85
Carbidopa-Levodopa Er42$2,593$62
Carbamazepine21$2,440$116
Gabapentin38$1,767$46
Phenytoin Sodium Extended31$1,272$41
Phenytek11$945$86
Levetiracetam47$872$19
Donepezil72$844$12
Dilantin20$499$25
Clopidogrel15$165$11
Nortriptyline11$142$13
Trazodone18$91$5

2014: 20 drugs

Part D drugs prescribed in 2014
Exelon23$8,855$385
Namenda Xr14$7,716$551
Carbidopa-Levodopa64$4,517$71
Divalproex Sodium Er21$3,935$187
Lyrica11$2,854$259
Levetiracetam Er31$2,421$78
Amantadine13$2,079$160
Carbidopa-Levodopa Er29$1,791$62
Phenytek13$1,088$84
Gabapentin32$1,087$34
Donepezil47$773$16
Levetiracetam27$754$28
Phenytoin Sodium Extended29$683$24
Carbamazepine20$608$30
Dilantin19$336$18
Sumatriptan11$151$14
Risperidone17$139$8
Nortriptyline11$139$13
Lamotrigine12$90$8
Trazodone12$56$5

2013: 9 drugs

Part D drugs prescribed in 2013
Avonex11$46,333$4,212
Carbidopa-Levodopa49$4,130$84
Levetiracetam62$4,040$65
Lyrica13$2,901$223
Divalproex Sodium Er11$2,002$182
Gabapentin31$1,311$42
Dilantin12$803$67
Donepezil26$744$29
Phenytoin Sodium Extended27$543$20

Money from drug and device companies

$244 in 2025

Industry payments by year
202523None$244
202411None$109
202323None$267
202211None$98
202066None$227
20193167None$1,344

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
BraeburnBrixadi$126
1 payment
  • Meals for Brixadi · 2025-05-29 · $126
PfizerZavzpret$118
2 payments
  • Meals for Zavzpret · 2025-03-12 · $18
  • Meals for Zavzpret · 2025-03-12 · $100
See all 3 published payments
Every published payment
BraeburnMeals · 2025-05-29Brixadi$126
PfizerMeals · 2025-03-12Zavzpret$18
PfizerMeals · 2025-03-12Zavzpret$100
See earlier years (2024, 2023, 2022, 2020, 2019)

2024: $109

Payments by company in 2024
PenumbraPenumbra System$109
1 payment
  • Meals for Penumbra System · 2024-11-13 · $109

2023: $267

Payments by company in 2023
NevroSenza$174
2 payments
  • Meals for Senza · 2023-05-11 · $141
  • Meals for Senza · 2023-04-25 · $32
AbbVieQulipta$93
1 payment
  • Meals for Qulipta · 2023-12-13 · $93

2022: $98

Payments by company in 2022
MedtronicSynchromedii$98
1 payment
  • Meals for Synchromedii · 2022-11-09 · $98

2020: $227

Payments by company in 2020
AbiomedImpella$143
1 payment
  • Meals for Impella · 2020-01-23 · $143
Flexion TherapeuticsZilretta$23
1 payment
  • Meals for Zilretta · 2020-02-26 · $23
AmgenEvenity$20
1 payment
  • Meals for Evenity · 2020-03-09 · $20
Novartis PharmaceuticalsAimovig$17
1 payment
  • Meals for Aimovig · 2020-03-04 · $17
Arbor PharmaceuticalsEdarbi$12
1 payment
  • Meals for Edarbi · 2020-02-25 · $12
Nabriva Therapeutics plcXenleta$11
1 payment
  • Meals for Xenleta · 2020-02-04 · $11

2019: $1,344

Payments by company in 2019
Lilly USATrulicity$166
9 payments
  • Meals for Emgality · 2019-10-18 · $10
  • Meals for Basaglar · 2019-08-21 · $13
  • Meals for Basaglar · 2019-08-21 · $0
  • Meals for Trulicity · 2019-05-10 · $6
  • Meals for Trulicity · 2019-05-10 · $1
  • Meals for Trulicity · 2019-05-10 · $0
  • Meals for Trulicity · 2019-04-11 · $15
  • Meals for Trulicity · 2019-03-07 · $11
  • Meals · 2019-01-21 · $108
AmgenRepatha$162
7 payments
  • Meals for Aimovig · 2019-09-30 · $24
  • Meals for Repatha · 2019-08-23 · $25
  • Meals for Repatha · 2019-07-31 · $33
  • Meals for Evenity · 2019-07-30 · $21
  • Meals for Aimovig · 2019-05-22 · $11
  • Meals for Aimovig · 2019-04-01 · $15
  • Meals for Repatha · 2019-03-29 · $33
EisaiFycompa$157
3 payments
  • Meals for Fycompa · 2019-11-01 · $13
  • Meals for Fycompa · 2019-09-18 · $18
  • Meals for Fycompa · 2019-03-06 · $125
ACADIA PharmaceuticalsNuplazid$125
1 payment
  • Meals for Nuplazid · 2019-06-12 · $125
Sanofi-Aventis U.S.Praluent$76
4 payments
  • Meals for Praluent · 2019-07-03 · $22
  • Meals for Praluent · 2019-06-14 · $18
  • Meals for Praluent · 2019-04-03 · $20
  • Meals for Praluent · 2019-01-08 · $16
Boehringer Ingelheim PharmaceuticalsPradaxa$74
4 payments
  • Meals for Jardiance · 2019-09-17 · $20
  • Meals for Pradaxa · 2019-09-05 · $16
  • Meals for Pradaxa · 2019-07-31 · $18
  • Meals for Pradaxa · 2019-06-27 · $19
Flexion TherapeuticsZilretta$51
3 payments
  • Meals for Zilretta · 2019-11-26 · $18
  • Meals for Zilretta · 2019-10-21 · $15
  • Meals for Zilretta · 2019-08-19 · $18
EMD SeronoMavenclad$41
3 payments
  • Meals for Mavenclad · 2019-12-05 · $17
  • Meals for Mavenclad · 2019-08-29 · $13
  • Meals for Mavenclad · 2019-04-25 · $11
Janssen PharmaceuticalsXarelto$41
3 payments
  • Meals for Xarelto · 2019-07-25 · $13
  • Meals for Xarelto · 2019-06-19 · $13
  • Meals for Xarelto · 2019-04-16 · $14
Boston ScientificWatchman$41
2 payments
  • Meals for Watchman · 2019-10-16 · $19
  • Meals for Watchman · 2019-06-11 · $22
Novo NordiskOzempic$32
2 payments
  • Meals for Tresiba · 2019-04-18 · $14
  • Meals for Ozempic · 2019-03-13 · $18
Abbott LaboratoriesProclaim Family of Scs Ipgs$30
1 payment
  • Meals for Proclaim Family of Scs Ipgs · 2019-10-14 · $30
LundbeckNorthera$29
2 payments
  • Meals for Northera · 2019-11-20 · $14
  • Meals for Northera · 2019-06-25 · $15
Novartis PharmaceuticalsAimovig$28
2 payments
  • Meals for Aimovig · 2019-10-15 · $14
  • Meals for Aimovig · 2019-06-20 · $14
Supernus PharmaceuticalsTrokendi Xr$27
2 payments
  • Meals for Trokendi Xr · 2019-09-10 · $15
  • Meals for Oxtellar Xr · 2019-05-07 · $12
AstraZeneca Pharmaceuticals LPSymbicort$25
2 payments
  • Meals for Symbicort · 2019-05-01 · $13
  • Meals for Symbicort · 2019-02-27 · $12
AbbVieHumira$25
1 payment
  • Meals for Humira · 2019-09-26 · $25
Sunovion PharmaceuticalsAptiom$23
3 payments
  • Meals for Aptiom · 2019-06-14 · $4
  • Meals for Aptiom · 2019-05-07 · $3
  • Meals for Aptiom · 2019-03-21 · $15
LivaNova USAVns Therapy$23
1 payment
  • Meals for Vns Therapy · 2019-06-28 · $23
Sanofi PasteurAdacel$19
1 payment
  • Meals for Adacel · 2019-08-13 · $19
VertiflexSuperion Iss$16
1 payment
  • Meals for Superion Iss · 2019-02-15 · $16
Amarin PharmaVascepa$15
1 payment
  • Meals for Vascepa · 2019-02-14 · $15
PfizerPrevnar - 13$15
1 payment
  • Meals for Prevnar - 13 · 2019-07-23 · $15
Daiichi SankyoInjectafer$14
1 payment
  • Meals for Injectafer · 2019-04-30 · $14
Arbor PharmaceuticalsEdarbi$14
1 payment
  • Meals for Edarbi · 2019-07-17 · $14
Edwards LifesciencesNone$13
1 payment
  • Meals · 2019-07-12 · $13
UcbBriviact$13
1 payment
  • Meals for Briviact · 2019-05-14 · $13
AllerganVraylar$13
1 payment
  • Meals for Vraylar · 2019-12-12 · $13
Akcea TherapeuticsTegsedi$12
1 payment
  • Meals for Tegsedi · 2019-07-15 · $12
Salix Pharmaceuticals a division of Bausch Health USXifaxan$12
1 payment
  • Meals for Xifaxan · 2019-11-14 · $12
Ironwood PharmaceuticalsLinzess$11
1 payment
  • Meals for Linzess · 2019-11-08 · $11

Professional record

NPI
1912937186
Licence
CA G32784California G32784: Current · expires 2028-01-31
Trained
Vanderbilt University School of Medicine, 1975 · 51 years ago
Group
Saint Agnes Medical Center · Saint Agnes Medical Foundation
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Neurology (2084N0400X)
Mailing address
1275 E Spruce Ave Ste 101, Fresno, CA, 93720
NPI first listed
2006-07-04
NPI last updated
2007-07-08

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