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California Medical Board record
Licence A66521 · Current
Licensed to practise in California · since 1998 · expires 2028-08-31 · University of California, San Diego School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$35,113
Medicare paid this office $35,113 for 293 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Short return visit (20+ min)
135
$10,750
$78
Return visit (30+ min)
85
$9,359
$110
New patient visit (30+ min)
52
$4,816
$93
New patient visit (45+ min)
17
$2,470
$145
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
15
$2,097
$140
See all 9 services
Every Original Medicare service billed
Short return visit (20+ min)
135
$10,750
$78
Return visit (30+ min)
85
$9,359
$110
New patient visit (30+ min)
52
$4,816
$93
New patient visit (45+ min)
17
$2,470
$145
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
15
$2,097
$140
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
13
$654
$50
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
14
$227
$16
Injection of drug or substance under skin or into muscle
11
$143
$13
Automated urinalysis test
12
$26
$2
Procedures Medicare counted
Procedure volume Medicare published
Removal of nail tissue
1-10
—None
Who their Medicare patients are
293 Original Medicare patients in 2024. Average age 77 · Women 65% · Also on Medicaid 10% · Health risk score 0.95. At or below the middle of the specialty; the typical family practice clinician is at 1.13.
The office billed $122,252, Medicare allowed $47,681 and paid $35,113; for 471 services of 41 kinds; $120 of it was for drugs given in the office and $34,993 for care.
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
2024
293
471
77
0.95
$122,252
$35,113
2023
292
490
77
0.99
$111,274
$34,142
2022
314
496
77
1.05
$107,703
$33,444
2021
211
374
77
0.97
$73,528
$24,471
2020
188
335
76
1.24
$69,747
$18,361
2019
385
664
76
1.16
$127,773
$34,084
2018
380
752
76
0.92
$129,795
$35,074
2017
349
689
76
1.13
$117,347
$32,617
2016
531
1,128
76
1.11
$172,698
$46,266
2015
622
1,447
76
1.15
$206,274
$59,836
2014
530
1,059
75
1.04
$173,335
$49,173
2013
563
1,648
75
1.08
$210,135
$61,008
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: 7 services
Original Medicare services billed in 2023
Return visit (30+ min)
90
$10,499
$115
Short return visit (20+ min)
120
$10,215
$84
New patient visit (30+ min)
57
$5,313
$93
New patient visit (45+ min)
12
$1,643
$137
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
24
$1,257
$50
Injection of drug or substance under skin or into muscle
15
$201
$13
Injection, ceftriaxone sodium, per 250 mg
13
$20
—None
2022: 8 services
Original Medicare services billed in 2022
Short return visit (20+ min)
135
$10,761
$76
Return visit (30+ min)
81
$9,705
$120
New patient visit (15+ min)
53
$3,032
$57
New patient visit (30+ min)
26
$2,850
$110
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
40
$2,023
$51
Injection of drug or substance under skin or into muscle
15
$203
$14
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
11
$179
$16
Administration of vaccine
11
$154
$14
2021: 6 services
Original Medicare services billed in 2021
Short return visit (20+ min)
117
$9,578
$79
Return visit (30+ min)
68
$8,384
$122
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
19
$975
$51
Short return visit
13
$679
$52
Injection of drug or substance under skin or into muscle
17
$258
$14
Injection, ceftriaxone sodium, per 250 mg
14
$25
—None
2020: 2 services
Original Medicare services billed in 2020
Short return visit (20+ min)
96
$6,248
$63
Return visit (30+ min)
62
$6,102
$97
2019: 11 services
Original Medicare services billed in 2019
Return visit (30+ min)
136
$13,175
$95
Short return visit (20+ min)
202
$12,233
$60
Long return visit (40+ min)
13
$1,801
$139
New patient visit (15+ min)
14
$798
$57
Short return visit
14
$497
$36
Injection of drug or substance under skin or into muscle
23
$434
$16
Inhalation treatment for airway obstruction or sputum production
12
$235
$20
Insertion of needle into vein for collection of blood sample
16
$47
$3
Automated urinalysis test
12
$29
$2
Injection, ceftriaxone sodium, per 250 mg
15
$29
—None
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg
12
$2
—None
2018: 8 services
Original Medicare services billed in 2018
Return visit (30+ min)
136
$12,082
$89
Short return visit (20+ min)
193
$11,861
$60
Long return visit (40+ min)
22
$3,139
$136
New patient visit (15+ min)
13
$789
$61
Injection of drug or substance under skin or into muscle
39
$787
$20
Short return visit
12
$512
$43
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
18
$292
$16
Injection, ceftriaxone sodium, per 250 mg
27
$57
—None
2017: 9 services
Original Medicare services billed in 2017
Return visit (30+ min)
129
$12,717
$96
Short return visit (20+ min)
181
$10,935
$57
Long return visit (40+ min)
22
$2,936
$133
Injection of drug or substance under skin or into muscle
38
$1,053
$25
New patient visit (15+ min)
12
$640
$53
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
12
$147
$12
Injection, ceftriaxone sodium, per 250 mg
27
$58
—None
Automated urinalysis test
15
$45
$3
Blood glucose (sugar) test performed by hand-held instrument
11
$33
$3
2016: 14 services
Original Medicare services billed in 2016
Short return visit (20+ min)
293
$17,739
$58
Return visit (30+ min)
172
$15,816
$89
Long return visit (40+ min)
20
$2,559
$128
Injection of drug or substance under skin or into muscle
50
$1,569
$25
New patient visit (15+ min)
29
$1,514
$52
Short return visit
33
$1,241
$38
Inhalation treatment for airway obstruction or sputum production
14
$252
$18
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
12
$149
$12
Injection, ceftriaxone sodium, per 250 mg
24
$56
—None
Automated urinalysis test
11
$33
$3
Insertion of needle into vein for collection of blood sample
11
$32
$3
Injection, promethazine hcl, up to 50 mg
18
$26
—None
Infusion, normal saline solution , 1000 cc
16
$26
—None
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg
14
$2
—None
2015: 14 services
Original Medicare services billed in 2015
Return visit (30+ min)
214
$21,859
$100
Short return visit (20+ min)
317
$20,767
$63
New patient visit (15+ min)
48
$2,556
$53
Long return visit (40+ min)
18
$2,478
$138
New patient visit (30+ min)
18
$1,685
$94
Injection of drug or substance under skin or into muscle
40
$1,161
$26
Short return visit
28
$1,126
$38
Inhalation treatment for airway obstruction or sputum production
18
$386
$19
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
21
$260
$12
Injection, ceftriaxone sodium, per 250 mg
24
$59
—None
Automated urinalysis test
19
$57
$3
Insertion of needle into vein for collection of blood sample
19
$56
$3
Infusion, normal saline solution , 1000 cc
30
$37
—None
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg
15
$3
—None
2014: 13 services
Original Medicare services billed in 2014
Short return visit (20+ min)
268
$17,823
$61
Return visit (30+ min)
153
$14,135
$91
Long return visit (40+ min)
27
$3,485
$129
New patient visit (15+ min)
44
$2,424
$55
Short return visit
36
$1,599
$40
Injection of drug or substance under skin or into muscle
39
$1,220
$24
Blood glucose (sugar) measurement using reagent strip
14
$68
$4
Injection, ceftriaxone sodium, per 250 mg
23
$59
—None
Urinalysis, manual test
11
$38
$3
Injection, promethazine hcl, up to 50 mg
16
$24
—None
Infusion, normal saline solution , 1000 cc
25
$22
—None
Infusion, normal saline solution, sterile (500 ml = 1 unit)
16
$9
—None
Injection, ondansetron hydrochloride, per 1 mg
14
$1
—None
2013: 18 services
Original Medicare services billed in 2013
Return visit (30+ min)
212
$20,293
$93
Short return visit (20+ min)
266
$17,458
$60
Long return visit (40+ min)
28
$3,712
$133
Injection of drug or substance under skin or into muscle
58
$1,975
$26
Short return visit
43
$1,926
$39
New patient visit (15+ min)
29
$1,891
$65
New patient visit (30+ min)
11
$1,027
$93
Inhalation treatment for airway obstruction or sputum production
23
$619
$19
Administration of vaccine
13
$318
$24
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
21
$264
$13
Injection, ceftriaxone sodium, per 250 mg
35
$120
—None
Injection, morphine sulfate, up to 10 mg
18
$79
—None
Urinalysis, manual test
19
$66
$3
Blood glucose (sugar) measurement using reagent strip
13
$60
$4
Infusion, normal saline solution , 1000 cc
37
$34
—None
Injection, promethazine hcl, up to 50 mg
19
$25
—None
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg
29
$11
—None
Infusion, normal saline solution, sterile (500 ml = 1 unit)
15
$7
—None
Drugs they prescribed that Part D paid
$5,681
Pharmacies billed $5,681 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 6% of their Part D prescriptions (11 of 191) in 2024. Above the middle of the specialty; the typical family practice clinician is at 2%.
150 generic and fewer than 11 brand-name prescriptions · $5,681 in drug cost · 89 antibiotic prescriptions to 79 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
Amoxicillin-Clavulanate Potass
33
$206
$6
Cephalexin
22
$103
$5
Baclofen
11
$49
$4
Paxlovid
18
$0
$0
Year by year
Part D prescribing by year
2024
191
165
6% (11)
—None
$5,681
2023
157
134
10% (16)
—None
$3,379
2022
128
113
—None
—None
$2,982
2021
97
81
—None
—None
$3,326
2020
86
71
—None
13%
$2,798
2019
194
151
9% (17)
—None
$6,061
2018
206
168
9% (19)
17%
$6,479
2017
230
176
11% (25)
11%
$6,726
2016
309
248
17% (51)
19%
$10,010
2015
321
254
17% (55)
—None
$9,105
2014
281
222
16% (44)
20%
$8,353
2013
276
221
11% (31)
—None
$9,044
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 5 drugs
Part D drugs prescribed in 2023
Amoxicillin-Clavulanate Potass
22
$280
$13
Paxlovid (Eua)
16
$172
$11
Cephalexin
15
$122
$8
Baclofen
11
$90
$8
Acetaminophen-Codeine
14
$83
$6
2022: 2 drugs
Part D drugs prescribed in 2022
Amoxicillin-Clavulanate Potass
15
$204
$14
Cephalexin
21
$168
$8
2021: 2 drugs
Part D drugs prescribed in 2021
Cephalexin
18
$144
$8
Amoxicillin-Clavulanate Potass
11
$101
$9
2020: 1 drug
Part D drugs prescribed in 2020
Amoxicillin-Clavulanate Potass
15
$186
$12
2019: 5 drugs
Part D drugs prescribed in 2019
Cefdinir
19
$524
$28
Amoxicillin-Clavulanate Potass
25
$310
$12
Ciprofloxacin
11
$135
$12
Sulfamethoxazole-Trimethoprim
13
$90
$7
Cephalexin
12
$78
$7
2018: 7 drugs
Part D drugs prescribed in 2018
Cefdinir
12
$400
$33
Clarithromycin
12
$394
$33
Amoxicillin-Clavulanate Potass
17
$218
$13
Cephalexin
22
$200
$9
Acetaminophen-Codeine
16
$91
$6
Sulfamethoxazole-Trimethoprim
12
$74
$6
Ciprofloxacin
11
$67
$6
2017: 6 drugs
Part D drugs prescribed in 2017
Amoxicillin-Clavulanate Potass
26
$358
$14
Cefdinir
11
$328
$30
Cephalexin
24
$194
$8
Acetaminophen-Codeine
22
$111
$5
Sulfamethoxazole-Trimethoprim
22
$104
$5
Ciprofloxacin
13
$80
$6
2016: 10 drugs
Part D drugs prescribed in 2016
Flovent Hfa
11
$2,350
$214
Clarithromycin
20
$725
$36
Proair Hfa
12
$648
$54
Cefdinir
16
$499
$31
Amoxicillin-Clavulanate Potass
34
$493
$14
Acetaminophen-Codeine
46
$282
$6
Ciprofloxacin
21
$214
$10
Triamcinolone Acetonide
11
$172
$16
Cephalexin
14
$110
$8
Sulfamethoxazole-Trimethoprim
17
$70
$4
2015: 9 drugs
Part D drugs prescribed in 2015
Flovent Hfa
11
$2,153
$196
Proair Hfa
18
$913
$51
Amoxicillin-Clavulanate Potass
38
$605
$16
Cefdinir
13
$471
$36
Clarithromycin
12
$415
$35
Acetaminophen-Codeine
50
$275
$5
Ciprofloxacin
29
$173
$6
Cephalexin
22
$147
$7
Sulfamethoxazole-Trimethoprim
14
$74
$5
2014: 7 drugs
Part D drugs prescribed in 2014
Clarithromycin
11
$619
$56
Amox Tr-Potassium Clavulanate
21
$501
$24
Hydrocodone-Acetaminophen
25
$188
$8
Cephalexin
20
$168
$8
Ciprofloxacin
23
$146
$6
Sulfamethoxazole-Trimethoprim
21
$133
$6
Acetaminophen-Codeine
19
$101
$5
2013: 7 drugs
Part D drugs prescribed in 2013
Flovent Hfa
11
$1,752
$159
Clarithromycin
16
$1,088
$68
Amox Tr-Potassium Clavulanate
13
$351
$27
Cephalexin
25
$216
$9
Ciprofloxacin
29
$182
$6
Hydrocodone-Acetaminophen
21
$108
$5
Sulfamethoxazole-Trimethoprim
12
$90
$8
Professional record
NPI
1932289493
Licence
CA A66521California A66521: Current · expires 2028-08-31
Trained
University of California, San Diego School of Medicine, 1997