Active NPI 1982996450 Individual Practitioner Female Practitioner

Carol Sue Machado

Surgery • Fresno, CA

Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Carol Machado is a registered Surgery practitioner in Fresno, CA. With approximately 15 years of clinical practice since graduating from University Of California, San Diego School Of Medicine in 2011, Carol Machado provides healthcare services at the registered practice location at 1105 E SPRUCE AVE.

Carol Machado maintains professional affiliations with Adventist Health Physicians Network, Central Valley General Hospital and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of gallbladder using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1105 E Spruce Ave
Suite 201

Fresno, CA 937203313

Telephone 5594507200

Fax 5594507214

Associated Practice Facility / Clinic

🏢 Robin L. Reisz, Dds. A Professional Corporation. Facility NPI 1962447557

Medicare Profile & Education

Medical School

University Of California, San Diego School Of Medicine

Graduation Year

2011

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fresno, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -8.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

73 Specialists

Practicing in Fresno, CA (3346 Statewide)

Telehealth Adoption Rate

23.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Machado (15 Years) 15 Yrs

Fresno Specialty Average (23.5 Years) 23.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	220	143	$126.00	$57.75
99213 Established patient office or other outpatient visit, typically 15 minutes	82	66	$196.70	$92.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$244.00	$112.59
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$162.00	$72.98
47562 Removal of gallbladder using an endoscope	18	18	$3296.50	$583.38
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	17	16	$32.00	$14.10
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1182.00	$237.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	147	103	$58.21	$56.92
99213 Established patient office or other outpatient visit, typically 15 minutes	94	78	$96.17	$89.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$114.92	$111.20
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$73.59	$73.07
19301 Partial removal of breast	23	17	$735.69	$605.30
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$469.77	$245.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$199.05	$167.25
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	15	$274.92	$272.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$129.55	$128.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	92	$59.17	$58.81
99213 Established patient office or other outpatient visit, typically 15 minutes	87	69	$97.98	$92.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$176.95	$173.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$116.40	$116.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$133.74	$129.35
19301 Partial removal of breast	17	15	$690.46	$655.04
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$479.90	$278.63
47562 Removal of gallbladder using an endoscope	14	14	$672.23	$667.03
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$325.12	$289.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	82	$94.84	$95.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	73	$58.88	$58.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$174.47	$175.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$116.91	$116.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$134.89	$136.35
19301 Partial removal of breast	19	16	$671.32	$678.57
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	15	$449.21	$255.42
38900 Lymph node imaging during surgery	12	12	$137.55	$139.04
19125 Removal of breast growth, open procedure	12	12	$592.33	$456.06
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$282.75	$272.81
47562 Removal of gallbladder using an endoscope	11	11	$670.93	$678.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	160	92	$79.32	$78.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$113.83	$113.17
19301 Partial removal of breast	19	18	$679.96	$681.45
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$80.13	$80.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$49.17	$46.63
38900 Lymph node imaging during surgery	14	14	$141.40	$141.44
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$455.44	$227.50
19125 Removal of breast growth, open procedure	11	11	$584.28	$458.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	77	$78.83	$75.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$114.12	$112.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	11	$47.42	$47.21
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$80.75	$79.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$113.62	$113.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$116.27	$110.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	20	$97.00	$39.44
99213 Established patient office or other outpatient visit, typically 15 minutes	37	29	$125.75	$75.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$342.00	$138.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$227.02	$111.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$260.00	$168.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	27	$97.00	$39.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$342.00	$135.87
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$189.00	$75.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	11	$179.00	$73.54

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A125042

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Central Valley General Hospital

1025 N Douty St, Hanford, CA 932303722

Adventist Health Physicians Network

1524 W Lacey Blvd, Hanford, CA 932305965

Adventist Health Physicians Network

5400 W Hillsdale Ave, Visalia, CA 932918222

Phone: 5597387500

Adventist Health Physicians Network

1524 W Lacey Blvd, Hanford, CA 932305990

Phone: 5595834695

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Arnold Escarcega , PA-C

Physician Assistant

NPI 1124020706

Physician Assistant (Certified)

Kanwaldip Bains , FNP

Nurse Practitioner

NPI 1316623317

Family Nurse Practitioner

Dr. James Svoboda , MD

Surgery

NPI 1457692055

Doctor of Medicine (M.D.)

Dr. Deepa Sharma , MD

Colon & Rectal Surgery

NPI 1689866493

Doctor of Medicine (M.D.)

Dr. James Bruce , MD

Colon & Rectal Surgery

NPI 1699859454

Doctor of Medicine (M.D.)

Dr. Praneetha Narahari , MD

Surgery

NPI 1740253228

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 12, 2016

Registered at 1105 E SPRUCE AVE, SUITE 201, FRESNO, CA 937203313 (Tel: 5594507200)

📍

Updated Business Mailing Address December 12, 2016

Registered at 1105 E SPRUCE AVE, SUITE 201, FRESNO, CA 937203313 (Tel: 5594507200)

👤

Provider Name / Credentials Updated December 12, 2016

Recorded as CAROL MACHADO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2016

Surgery (License #A125042 in CA)

🟢

Initial NPI Registration & Enumeration May 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982996450

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 03, 2011

Last Update: December 12, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1105 E Spruce Ave, Suite 201

Fresno, CA 937203313

Phone: 5594507200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.