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Kuntal H Thaker, MD

Gastroenterology · Los Altos

NPI 1952369191

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

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: Dominican Hospital · Sutter Maternity & Surgery Center of Santa Cruz. 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. Thaker’s office at (650) 254-5200 to ask if they take your plan before you enroll.

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.

  • Dominican HospitalSanta Cruz, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 4 of 5 · 68% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Postoperative sepsis rate: 11.66 (8.02 to 15.3) · 412 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.168, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.169, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.489, Oct 2024 – Sep 2025
  • Sutter Maternity & Surgery Center of Santa CruzSanta Cruz, CAAcute Care Hospital · Voluntary non-profit - Private · No emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 85% would definitely recommend it
    No overall ratingNo measure marked better or worse than the national rate
See every measure and the patient survey for Dominican Hospital

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 2 better, 5 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 Dominican Hospital
Postoperative sepsis rateComplications and deaths11.66 (8.02 to 15.3) · 412 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.168BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.169BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.489BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.01 (0.06 to 1.95) · 1,248 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.14 (0.85 to 1.43)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths134.37 (94.33 to 174.41) · 132 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 54 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.2 · 137 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12 · 228 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.5 · 534 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.8 · 491 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 278 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 2,973 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.14 (0 to 0.34) · 7,510 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,695 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.42 (1.44 to 5.4) · 1,594 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.26 (0 to 2.76) · 436 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.85 (0.4 to 3.29) · 1,474 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.73 (3 to 14.46) · 437 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.58 (0.13 to 3.03) · 343 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.57 (0 to 1.17) · 6,336 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0.615No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.937No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16 · 212 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 505 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits45 · 237 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-13.5 · 594 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.9 · 510 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.9 · 473 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.4 to 7.8) · 126 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13 (9.4 to 17.7) · 126 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits12.7 · 43 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 143 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.1 (9.4 to 15.4) · 1,585 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 390 casesNo differentJan 2024 – Dec 2024

What patients said (774 patients answered, 23% of those asked)

Patient survey stars by topic at Dominican Hospital
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital4
Share of patients giving the best answer at Dominican Hospital
Room was "always" clean73%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand77%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night32%
"YES", patients would definitely recommend the hospital68%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Sutter Maternity & Surgery Center of Santa Cruz

Behind the star rating — Deaths: 0 better, 1 the same, 0 worse of 1 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 4 the same, 0 worse of 4 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sutter Maternity & Surgery Center of Santa Cruz
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.04 (0 to 2.12) · 59 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.01 (0.5 to 1.52)No differentJul 2022 – Jun 2024
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.9 · 63 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.44) · 118 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.05 to 0.49) · 116 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.36 (0.77 to 5.95) · 113 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.65 (0 to 3.37) · 109 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.28 (0.56 to 4) · 109 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.41 (0 to 18.05) · 109 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.75 (2.52 to 10.98) · 102 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.75 (0.23 to 3.28) · 42 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.61 (0 to 1.94) · 51 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 30 casesNoneApr 2023 – Mar 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 32 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.7 (9.2 to 14.9) · 3,197 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.3) · 506 casesNo differentJan 2024 – Dec 2024

What patients said (203 patients answered, 24% of those asked)

Patient survey stars by topic at Sutter Maternity & Surgery Center of Santa Cruz
Cleanliness5
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information5
Overall hospital rating5
Quietness4
Recommend hospital5
Share of patients giving the best answer at Sutter Maternity & Surgery Center of Santa Cruz
Room was "always" clean84%
Nurses "always" communicated well83%
Doctors "always" communicated well83%
Staff "always" explained62%
Yes, staff "did" give patients this information93%
Yes, staff "did" give patients information about help after discharge96%
Doctors "always" explained things so they could understand79%
Doctors "always" listened carefully83%
Doctors "always" treated them with courtesy and respect88%
Patients who gave a rating of "9" or "10" (high)87%
Staff "always" explained new medications78%
Nurses "always" explained things so they could understand78%
Nurses "always" listened carefully82%
Nurses "always" treated them with courtesy and respect89%
"Always" quiet at night69%
"YES", patients would definitely recommend the hospital85%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$182,056

Medicare paid this office $182,056 for 827 people.

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

Largest Original Medicare bills
Removal of polyps or growths of large bowel using an endoscope with mechanical snare349$74,200$210
Biopsy of large bowel using a flexible endoscope475$34,766$73
Return visit (30+ min)121$14,518$101
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope167$11,512$65
Imaging of digestive tract done from the inside of the digestive tract13$8,453$650
See all 15 services
Every Original Medicare service billed
Removal of polyps or growths of large bowel using an endoscope with mechanical snare349$74,200$210
Biopsy of large bowel using a flexible endoscope475$34,766$73
Return visit (30+ min)121$14,518$101
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope167$11,512$65
Imaging of digestive tract done from the inside of the digestive tract13$8,453$650
Colorectal cancer screening; colonoscopy on individual at high risk39$6,323$162
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare26$3,868$143
Removal of large bowel tissue using a flexible endoscope14$3,845$275
Initial hospital care with moderate level of medical decision making at least 75 minutes26$3,573$128
New patient visit (45+ min)23$2,938$128
Short return visit (20+ min)34$2,358$69
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk11$1,956$178
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm16$1,701$100
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito261$1,218$5
Diagnostic exam of large bowel using a flexible endoscope11$1,066$97

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy148More than 88% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux185More than 89% of doctors who do this

Who their Medicare patients are

827 Original Medicare patients in 2024. Average age 74 · Under 65 3% · 85 and older 5% · Women 59% · Also on Medicaid 11% · Health risk score 0.89. At or below the middle of the specialty; the typical gastroenterology clinician is at 1.42.

Conditions among them: High blood pressure 52% · Diabetes 20% · Cancer 19% · Coronary heart disease 16% · Depression 16% · Chronic kidney disease 13% · Atrial fibrillation 12% · COPD 8% · Heart failure 7% · Stroke 4% · Dementia 2%.

The office billed $2,397,599, Medicare allowed $225,029 and paid $182,056; for 1,717 services of 36 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
20248271,717740.89$2,397,599$182,056
20237921,797730.93$2,241,868$193,146
20227301,866720.96$2,154,930$190,220
20216751,821720.93$1,863,340$174,258
20206001,564720.92$1,584,308$143,450
20197391,897710.94$1,999,264$181,420
20187551,928710.99$1,879,243$169,154
20176951,891711.07$1,767,622$158,928
20165541,160711.01$1,309,874$125,965
2015452932701.02$1,035,750$118,651
2014417783711.00$862,863$96,806
2013383838701.17$877,197$98,761

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: 15 services

Original Medicare services billed in 2023
Removal of polyps or growths of large bowel using an endoscope with mechanical snare327$71,208$215
Biopsy of large bowel using a flexible endoscope474$37,333$78
Return visit (30+ min)140$17,547$106
Imaging of digestive tract done from the inside of the digestive tract15$10,811$721
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope142$9,368$64
Removal of external hemorrhoids by rubber banding17$7,097$253
Colorectal cancer screening; colonoscopy on individual at high risk38$6,592$173
Removal of large bowel tissue using a flexible endoscope22$6,239$284
Initial hospital care with moderate level of medical decision making at least 75 minutes42$5,976$142
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare25$3,803$152
New patient visit (45+ min)31$3,575$115
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito350$1,627$5
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm15$1,495$100
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,212$93
Short return visit (20+ min)13$850$65

2022: 17 services

Original Medicare services billed in 2022
Removal of polyps or growths of large bowel using an endoscope with mechanical snare350$72,114$206
Biopsy of large bowel using a flexible endoscope425$25,195$59
Return visit (30+ min)141$16,761$99
Imaging of digestive tract done from the inside of the digestive tract20$15,177$759
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope155$10,894$69
Removal of external hemorrhoids by rubber banding13$7,307$261
Initial hospital care with moderate level of medical decision making at least 75 minutes37$6,255$169
New patient visit (45+ min)42$5,704$136
Colorectal cancer screening; colonoscopy on individual at high risk29$5,371$185
Removal of large bowel tissue using a flexible endoscope16$4,319$270
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare30$4,067$136
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito370$1,754$5
Diagnostic exam of large bowel using a flexible endoscope12$1,678$129
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$1,656$87
Telephone medical discussion with physician, 11-20 minutes13$765$55
Office for the evaluation and management of established patient that may not require presence of healthcare professional20$387$19
Injection beneath lining of large bowel using a flexible endoscope19$264$14

2021: 17 services

Original Medicare services billed in 2021
Removal of polyps or growths of large bowel using an endoscope with mechanical snare300$63,237$208
Biopsy of large bowel using a flexible endoscope341$19,224$56
Return visit (30+ min)116$14,784$110
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope153$10,481$67
Imaging of digestive tract done from the inside of the digestive tract12$10,017$835
Colorectal cancer screening; colonoscopy on individual at high risk35$6,669$191
New patient visit (45+ min)47$6,597$140
Initial hospital care with moderate level of medical decision making at least 75 minutes37$6,521$172
Removal of large bowel tissue using a flexible endoscope19$5,468$288
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare31$4,185$135
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes23$3,984$89
Office for the evaluation and management of established patient that may not require presence of healthcare professional93$1,823$19
Telephone medical discussion with physician, 11-20 minutes25$1,786$69
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito356$1,678$5
Short return visit (20+ min)20$1,469$73
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm16$1,415$88
Telephone medical discussion with physician, 21-30 minutes13$1,160$89

2020: 17 services

Original Medicare services billed in 2020
Removal of polyps or growths of large bowel using an endoscope with mechanical snare265$55,436$206
Biopsy of large bowel using a flexible endoscope304$18,048$59
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope116$7,813$64
Return visit (30+ min)74$7,113$84
Removal of large bowel tissue using a flexible endoscope22$6,376$290
Colorectal cancer screening; colonoscopy on individual at high risk30$5,946$198
Initial hospital care with moderate level of medical decision making at least 75 minutes25$4,324$166
New patient visit (45+ min)35$4,292$123
Short return visit (20+ min)65$4,158$59
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare19$2,835$149
Telephone medical discussion with physician, 11-20 minutes34$2,298$62
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm17$2,032$107
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito340$1,663$5
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,438$90
New patient visit (30+ min)16$1,357$85
Telephone medical discussion with physician, 21-30 minutes15$1,344$90
Injection beneath lining of large bowel using a flexible endoscope12$165$14

2019: 15 services

Original Medicare services billed in 2019
Removal of polyps or growths of large bowel using an endoscope with mechanical snare307$62,502$201
Biopsy of large bowel using a flexible endoscope410$28,281$68
Removal of large bowel tissue using a flexible endoscope47$13,522$288
Return visit (30+ min)121$12,411$84
Imaging of digestive tract done from the inside of the digestive tract14$11,217$801
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope136$11,016$78
New patient visit (45+ min)80$10,215$128
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,624$170
Colorectal cancer screening; colonoscopy on individual at high risk24$4,260$177
Short return visit (20+ min)43$2,310$53
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito449$2,180$5
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm16$2,011$126
Diagnostic exam of large bowel using a flexible endoscope12$1,538$128
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$1,108$62
Injection beneath lining of large bowel using a flexible endoscope13$183$14

2018: 13 services

Original Medicare services billed in 2018
Removal of polyps or growths of large bowel using an endoscope with mechanical snare271$52,077$191
Biopsy of large bowel using a flexible endoscope394$29,853$75
Removal of large bowel tissue using a flexible endoscope50$14,117$282
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope148$13,186$85
Return visit (30+ min)120$11,872$86
New patient visit (45+ min)89$10,311$116
Initial hospital care with moderate level of medical decision making at least 75 minutes43$6,906$157
Colorectal cancer screening; colonoscopy on individual at high risk26$4,788$177
Short return visit (20+ min)74$4,239$57
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$3,242$60
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito464$2,135$4
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm17$1,873$104
Injection beneath lining of large bowel using a flexible endoscope18$251$14

2017: 13 services

Original Medicare services billed in 2017
Removal of polyps or growths of large bowel using an endoscope with mechanical snare269$57,191$209
Biopsy of large bowel using a flexible endoscope366$24,684$67
Return visit (30+ min)157$14,992$76
New patient visit (45+ min)95$12,151$128
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope150$11,732$77
Initial hospital care with moderate level of medical decision making at least 75 minutes37$6,246$160
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$4,396$59
Short return visit (20+ min)65$4,081$59
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk14$2,424$173
Imaging of digestive tract done from the inside of the digestive tract18$2,314$129
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm15$1,617$108
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito378$1,571$4
Injection beneath lining of large bowel using a flexible endoscope63$1,181$18

2016: 11 services

Original Medicare services billed in 2016
Removal of polyps or growths of large bowel using an endoscope with mechanical snare204$45,159$216
Biopsy of large bowel using a flexible endoscope283$20,097$70
Return visit (30+ min)159$16,060$80
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope111$9,549$84
New patient visit (45+ min)61$7,339$120
Initial hospital care with moderate level of medical decision making at least 75 minutes37$6,171$162
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$2,748$58
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk13$2,082$160
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm11$1,927$120
Injection beneath lining of large bowel using a flexible endoscope49$1,022$20
Short return visit (20+ min)19$898$45

2015: 10 services

Original Medicare services billed in 2015
Removal of polyps or growths of large bowel using an endoscope with mechanical snare148$38,788$257
Biopsy of large bowel using a flexible endoscope225$26,244$115
Return visit (30+ min)99$11,629$86
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope83$8,442$99
Initial hospital care with moderate level of medical decision making at least 75 minutes42$7,285$169
New patient visit (45+ min)53$6,910$130
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk19$3,563$188
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$3,042$61
Short return visit (20+ min)43$2,444$49
Injection beneath lining of large bowel using a flexible endoscope45$1,146$24

2014: 10 services

Original Medicare services billed in 2014
Removal of polyps or growths of large bowel using an endoscope with mechanical snare109$25,998$239
Biopsy of large bowel using a flexible endoscope194$24,722$126
New patient visit (45+ min)65$8,303$128
Return visit (30+ min)61$6,210$86
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope68$6,035$86
Initial hospital care with moderate level of medical decision making at least 75 minutes37$5,862$154
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes30$2,850$56
Short return visit (20+ min)46$2,783$55
New patient visit (30+ min)13$1,115$86
Injection beneath lining of large bowel using a flexible endoscope22$520$24

2013: 11 services

Original Medicare services billed in 2013
Removal of polyps or growths of large bowel using an endoscope with mechanical snare115$26,264$224
Biopsy of large bowel using a flexible endoscope174$17,415$100
New patient visit (45+ min)79$10,075$128
Initial hospital care with moderate level of medical decision making at least 75 minutes54$8,430$151
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope69$7,023$100
Return visit (30+ min)54$5,215$84
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes45$4,807$57
Short return visit (20+ min)53$3,462$56
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk13$2,179$168
Diagnostic exam of large bowel using a flexible endoscope14$2,101$131
Injection beneath lining of large bowel using a flexible endoscope21$519$24

Medicaid work

$1,124 in 2024

Medicaid paid $1,124 for 14 billed services this clinician did in 2024, up to 14 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
Return visit (30+ min)14$1,124
Medicaid work by year
202414114$1,124
202252315$3,524
202016116$1,647
201925113$2,381
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Short return visit (20+ min)24$2,341
COLONOSCOPY AND BIOPSY14$1,097
Infusion, normal saline solution , 1000 cc14$85

2020

Largest Medicaid services in 2020
Return visit (30+ min)16$1,647

2019

Largest Medicaid services in 2019
Return visit (30+ min)25$2,381

Drugs they prescribed that Part D paid

$448,390

Pharmacies billed $448,390 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 1,149) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.

956 generic and 193 brand-name prescriptions · $448,390 in drug cost · 29 antibiotic prescriptions to 16 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
Humira14$175,081$12,506
Creon20$88,193$4,410
Rinvoq13$78,247$6,019
Mesalamine25$19,462$778
Gavilyte-G339$5,480$16
See all 18 drugs
Every Part D drug this clinician prescribed
Humira14$175,081$12,506
Creon20$88,193$4,410
Rinvoq13$78,247$6,019
Mesalamine25$19,462$778
Gavilyte-G339$5,480$16
Sod Sulf-Potass Sulf-Mag Sulf64$4,590$72
Ursodiol17$4,058$239
Omeprazole220$3,067$14
Cholestyramine34$2,973$87
Peg-3350 and Electrolytes87$1,357$16
Budesonide Ec13$1,241$95
Pantoprazole43$949$22
Famotidine48$860$18
Diphenoxylate-Atropine13$404$31
Lactulose12$227$19
Metronidazole12$145$12
Ondansetron14$131$9
Ondansetron Odt13$46$4

Year by year

Part D prescribing by year
20241,1496600% (0)17%$448,390
20239424760% (0)None$525,090
20229395750% (0)22%$234,167
20216683670% (0)37%$184,345
20207803410% (0)25%$188,159
20198454060% (0)24%$241,441
20181,0605270% (0)25%$186,654
2017820347None25%$110,253
2016786313None27%$109,640
2015565200None24%$84,145
20144001640% (0)35%$51,874
2013373174NoneNone$32,926

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

See the drugs prescribed each year

2023: 14 drugs

Part D drugs prescribed in 2023
Cimzia15$111,896$7,460
Creon28$106,360$3,799
Rinvoq12$79,380$6,615
Mesalamine26$13,916$535
Ursodiol21$6,009$286
Omeprazole203$5,312$26
Gavilyte-G217$4,005$18
Sod Sulf-Potass Sulf-Mag Sulf35$2,841$81
Cholestyramine25$2,378$95
Pantoprazole41$1,729$42
Famotidine62$1,556$25
Rabeprazole14$669$48
Lactulose26$316$12
Peg-3350 and Electrolytes13$233$18

2022: 18 drugs

Part D drugs prescribed in 2022
Creon29$83,784$2,889
Humira11$76,149$6,923
Mesalamine14$9,142$653
Ursodiol19$8,048$424
Mesalamine Er14$5,511$394
Gavilyte-G252$4,000$16
Omeprazole171$3,381$20
Suprep23$2,637$115
Cholestyramine13$1,425$110
Famotidine47$1,342$29
Sod Sulf-Potass Sulf-Mag Sulf14$1,123$80
Pantoprazole35$1,058$30
Peg-3350 and Electrolytes71$1,043$15
Peg 3350-Electrolyte40$993$25
Rabeprazole12$747$62
Gavilyte-C22$397$18
Lactulose11$295$27
Metronidazole11$137$12

2021: 13 drugs

Part D drugs prescribed in 2021
Creon36$103,120$2,864
Suprep132$14,479$110
Mesalamine13$11,546$888
Mesalamine Er14$8,966$640
Ursodiol16$7,396$462
Omeprazole192$4,673$24
Famotidine18$788$44
Sucralfate14$699$50
Pantoprazole22$691$31
Dicyclomine20$464$23
Gavilyte-G28$381$14
Peg-3350 and Electrolytes24$283$12
Metronidazole12$136$11

2020: 16 drugs

Part D drugs prescribed in 2020
Creon31$85,029$2,743
Mesalamine32$25,955$811
Ursodiol14$8,997$643
Apriso13$7,042$542
Budesonide Ec14$4,838$346
Amitiza11$4,217$383
Suprep40$4,131$103
Cholestyramine27$4,000$148
Omeprazole196$3,639$19
Gavilyte-G112$1,484$13
Dicyclomine41$1,268$31
Pantoprazole30$725$24
Sucralfate11$491$45
Famotidine15$434$29
Peg-3350 and Electrolytes26$310$12
Metronidazole11$144$13

2019: 14 drugs

Part D drugs prescribed in 2019
Creon20$57,426$2,871
Apriso38$26,063$686
Mesalamine21$20,508$977
Cholestyramine22$4,114$187
Omeprazole186$4,043$22
Suprep38$3,788$100
Gavilyte-G175$2,336$13
Pantoprazole32$921$29
Dicyclomine36$841$23
Diphenoxylate-Atropine13$730$56
Sucralfate17$711$42
Ranitidine24$333$14
Peg-3350 and Electrolytes25$293$12
Metronidazole11$152$14

2018: 16 drugs

Part D drugs prescribed in 2018
Apriso49$27,475$561
Mesalamine14$12,609$901
Cholestyramine39$6,192$159
Suprep48$4,479$93
Omeprazole236$4,317$18
Gavilyte-G231$2,807$12
Moviprep13$1,318$101
Rabeprazole12$1,187$99
Peg-3350 and Electrolytes82$1,012$12
Diphenoxylate-Atropine14$886$63
Ranitidine38$622$16
Sucralfate16$617$39
Dicyclomine44$615$14
Pantoprazole34$587$17
Lactulose11$326$30
Ondansetron13$125$10

2017: 18 drugs

Part D drugs prescribed in 2017
Lialda19$19,674$1,035
Apriso28$15,354$548
Mesalamine13$14,948$1,150
Asacol Hd11$13,699$1,245
Omeprazole207$3,591$17
Cholestyramine18$3,561$198
Esomeprazole Magnesium12$2,008$167
Gavilyte-G105$1,307$12
Diphenoxylate-Atropine13$1,162$89
Peg-3350 and Electrolytes72$834$12
Sucralfate22$725$33
Pantoprazole42$712$17
Dicyclomine32$449$14
Ondansetron12$369$31
Spironolactone14$368$26
Lactulose16$354$22
Ranitidine28$282$10
Furosemide11$62$6

2016: 19 drugs

Part D drugs prescribed in 2016
Asacol Hd13$16,531$1,272
Lialda16$15,592$975
Apriso29$12,107$417
Cholestyramine34$5,217$153
Ursodiol13$4,954$381
Esomeprazole Magnesium13$4,451$342
Omeprazole194$3,816$20
Moviprep16$1,420$89
Diphenoxylate-Atropine14$1,293$92
Peg-3350 and Electrolytes88$1,057$12
Gavilyte-G75$1,001$13
Sucralfate33$877$27
Pantoprazole31$555$18
Dicyclomine33$551$17
Ondansetron22$460$21
Polyethylene Glycol 335016$421$26
Ranitidine13$305$23
Metronidazole14$243$17
Lactulose13$209$16

2015: 14 drugs

Part D drugs prescribed in 2015
Apriso19$11,430$602
Lialda12$11,175$931
Ursodiol11$4,987$453
Omeprazole173$2,470$14
Moviprep21$1,686$80
Cholestyramine11$1,191$108
Diphenoxylate-Atropine16$945$59
Sucralfate19$823$43
Gavilyte-G34$444$13
Peg-3350 and Electrolytes32$426$13
Ondansetron13$361$28
Dicyclomine37$290$8
Metronidazole12$201$17
Ranitidine11$149$14

2014: 8 drugs

Part D drugs prescribed in 2014
Apriso11$3,709$337
Moviprep33$2,625$80
Omeprazole132$2,605$20
Sucralfate11$1,126$102
Ondansetron13$835$64
Peg-3350 and Electrolytes41$602$15
Diphenoxylate-Atropine12$326$27
Dicyclomine13$96$7

2013: 6 drugs

Part D drugs prescribed in 2013
Moviprep58$4,135$71
Omeprazole86$3,035$35
Ondansetron12$557$46
Polyethylene Glycol 335018$478$27
Peg-3350 and Electrolytes27$413$15
Pantoprazole12$242$20

Professional record

NPI
1952369191
Licence
AR E-4883
Trained
University of California, Geffen School of Medicine, 1999
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
AR 161442001
Taxonomy
Federal specialty code 207RG0100X (207RG0100X)
Mailing address
2025 Soquel Ave., Santa Cruz, CA, 95062
NPI first listed
2006-05-03
NPI last updated
2012-09-18

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