Chika Agulanna, NP
Nurse Practitioner · Fresno
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
- Since medical school
- 6 years
- Graduated 2020
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Chika Agulanna’s office at (951) 801-2819 to ask if they take your plan before you enroll.
Original Medicare doctor bills
$2,560,948
Medicare paid this office $2,560,948 for 74 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Removal of skin and tissue, 20.0 sq cm or less | 54 | $21,823 | $92 |
| Residence visit for established patient with low level of medical decision making, per day at least 30 minutes | 56 | $13,096 | $52 |
| Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes | 37 | $12,134 | $85 |
| Removal of skin and tissue, each additional 20.0 sq cm or less | 31 | $10,408 | $28 |
| Residence visit for new patient with low level of medical decision making, per day at least 30 minutes | 31 | $1,592 | $51 |
See all 6 services
| Removal of skin and tissue, 20.0 sq cm or less | 54 | $21,823 | $92 |
| Residence visit for established patient with low level of medical decision making, per day at least 30 minutes | 56 | $13,096 | $52 |
| Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes | 37 | $12,134 | $85 |
| Removal of skin and tissue, each additional 20.0 sq cm or less | 31 | $10,408 | $28 |
| Residence visit for new patient with low level of medical decision making, per day at least 30 minutes | 31 | $1,592 | $51 |
| Removal of inflamed or infected skin, up to 10% of body surface | 12 | $1,130 | $31 |
Procedures Medicare counted
| Removal of tissue | 31 | More than 74% of doctors who do this |
Procedures year by year
| Procedure | 2022 | 2023 | 2024 |
|---|---|---|---|
| Removal of skin and tissue, each additional 20.0 sq cm or less | – | – | 378 |
| Removal of skin and tissue, 20.0 sq cm or less | – | – | 238 |
| Removal of inflamed or infected skin, up to 10% of body surface | – | – | 36 |
Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.
Who their Medicare patients are
74 Original Medicare patients in 2024. Average age 82 · 85 and older 41% · Women 58% · Also on Medicaid 51% · Health risk score 2.41. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 64% · Diabetes 49% · Dementia 38% · Chronic kidney disease 28% · Depression 28% · Heart failure 27% · Coronary heart disease 23% · Atrial fibrillation 22% · COPD 16%.
The office billed $3,388,585, Medicare allowed $3,214,552 and paid $2,560,948; for 3,559 services of 22 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
| 2024 | 74 | 3,559 | 82 | 2.41 | $3,388,585 | $2,560,948 |
| 2023 | 56 | 128 | 76 | 2.31 | $22,788 | $4,767 |
| 2022 | 169 | 623 | 79 | 2.17 | $126,856 | $44,369 |
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: 2 services
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 47 | $2,607 | $25 |
| Psychiatric diagnostic evaluation with medical services | 12 | $1,376 | $115 |
2022: 2 services
| Psychiatric diagnostic evaluation with medical services | 168 | $23,169 | $136 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 110 | $20,710 | $47 |
Medicaid work
$0 in 2023
Medicaid paid $0 for 30 billed services this clinician did in 2023, up to 30 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.
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 30 | $0 |
| 2023 | 30 | 1 | 30 | $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 31 Part D prescriptions in 2023. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
Money from drug and device companies
$276 in 2025
| 2025 | 2 | 3 | None | $276 |
| 2023 | 4 | 4 | None | $472 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| E.R. Squibb & Sons L.L.C. | Cobenfy | $252 | 2 payments
|
| Medline Industries LP | None | $25 | 1 payment
|
See all 3 published payments
| Medline Industries LP | Meals · 2025-08-21 | None | $25 |
| E.R. Squibb & Sons L.L.C. | Meals · 2025-04-29 | Cobenfy | $127 |
| E.R. Squibb & Sons L.L.C. | Meals · 2025-01-16 | Cobenfy | $125 |
See earlier years (2023)
2023: $472
| AbbVie | Vraylar | $125 | 1 payment
|
| Idorsia Pharmaceuticals US | Quviviq | $125 | 1 payment
|
| Ultragenyx Pharmaceutical | Crysvita | $122 | 1 payment
|
| Incyte | Opzelura | $100 | 1 payment
|
Professional record
- NPI
- 1942957113
- Licence
- CA 95019317
- Gender
- Female
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 363LP0808X (363LP0808X)
- Mailing address
- 125 E Barstow Ave Ste 112, Fresno, CA, 93710
- NPI first listed
- 2022-03-07
- NPI last updated
- 2026-02-16
- NPI record certified
- 2026-02-16
This is when the NPI record was last certified, not a medical board exam.