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Saint Agnes Medical Center - Fresno - All You Need To Know
All you need to know including top doctors, specialties, news, rankings, research & recommendations about Saint Agnes Medical Center located at 1303 E Herndon Ave, Fresno, CA, 93720 with NPIs 1205845567.
Saint Agnes Medical Center Top Surgeons | Back to Top
| No | Physician Name | Ranking |
|---|---|---|
| 1 | DR. RICHARD DONALD GREGORY |
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| 2 | DR. HENRY E ARYAN |
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| 3 | DR. PRANEETHA REDDY NARAHARI |
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| 4 | DR. RAME D IBERDEMAJ |
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| 5 | DR. KALWANT S DHILLON |
|
Saint Agnes Medical Center Financial, Cost & Operating Metrics | Back to Top
See Detailed Hospital Cost Report
| Key Metric | 2018 | 2017 | 2016 |
|---|---|---|---|
| Total Discharges | 24,569 | 23,545 | 21,619 |
| Medicare Discharges | 8,831 ( 35.94% ) | 8,816 ( 37.44% ) | 8,564 ( 39.61% ) |
| Medicaid Discharges | 2,425 ( 9.87% ) | 1,959 ( 8.32% ) | 1,739 ( 8.04% ) |
| Total Revenue | $1,185,168,083 | $1,139,677,239 | $1,098,351,232 |
| Total Beds | 385 | 375 | 436 |
| Total Patient Days | 118,121 | 111,416 | 102,321 |
Saint Agnes Medical Center Quality Outcomes, Market Share & Top Physicians by Speciality | Back to Top
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| Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations | |
|---|---|---|
| Total Inpatient Hospitalizations | 8,811 | 26,819 |
| Surgical | ||
| Non Surgical | ||
| Cardiovascular | ||
| Surgical | ||
| Non Surgical | ||
| General Medicine | ||
| Pulmonology | ||
| Gastroenterology & Endocrinology | ||
| Surgical | ||
| Non Surgical | ||
| Orthopedics | ||
| Surgical | ||
| Non Surgical | ||
| Urology | ||
| Surgical | ||
| Non Surgical | ||
| General Surgery | ||
| Neurology | ||
| Spine | ||
| Oncology & Hematology | ||
| Colorectal | ||
| Obstetrics & Gynecology | ||
| Surgical | ||
| Non Surgical | ||
| Psychiatry & Mental Disorders | ||
| Dermatology | ||
| Obesity, Bariatric, Stomach & Duodenal |
Cardiovascular-Surgical for Saint Agnes Medical Center | Back to Top
Cardiovascular Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 2 | ||
| Madera, CA | 1 | ||
| Tulare, CA | 6 | ||
| Kings, CA | 4 | ||
| Merced, CA | 7 | ||
| Mariposa, CA | 3 |
Top Operating Physicians in Cardiovascular - Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. PETER LAWRENCE BIRNBAUM | |||
| Dr. RICHARD DONALD GREGORY | |||
| Dr. ALFRED GREGORY VALLES | |||
| Dr. USMAN JAVED | |||
| Dr. ROHIT SUNDRANI | |||
| Dr. DALPINDER SANDHU | |||
| Dr. JAGROOP SINGH BASRAON | |||
| Dr. KEVIN J. BORAN | |||
| Dr. SHAMSUDDIN KHWAJA | |||
| Dr. MICHAEL W. GEN |
Cardiovascular-Non Surgical for Saint Agnes Medical Center | Back to Top
Cardiovascular Non Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 1 | ||
| Madera, CA | 2 | ||
| Tulare, CA | 7 | ||
| Kings, CA | 4 | ||
| Merced, CA | 6 | ||
| Mariposa, CA | 6 | ||
| Los Angeles, CA | 161 |
Top Attending Physicians in Cardiovascular - Non Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. RUDOLPH CHRISTOPHER ALVARADO | |||
| Dr. GURCHARAN SINGH SIDHU | |||
| Dr. ALIREZA ZADSALAMAT | |||
| Dr. DHARAMPAL S JOHAL | |||
| Dr. NAVJIT SINGH | |||
| Dr. VENKATARAMANA K REDDY | |||
| Dr. LINET ROSE D'MORIAS | |||
| Dr. MADHAVA REDDY NARALA | |||
| Dr. WAJIHA IRSHAD | |||
| Dr. MEHDI HAKIMIPOUR |
General Medicine-Non Surgical for Saint Agnes Medical Center | Back to Top
General Medicine Non Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 1 | ||
| Madera, CA | 1 | ||
| Tulare, CA | 8 | ||
| Kings, CA | 4 | ||
| Merced, CA | 9 | ||
| Mariposa, CA | 6 | ||
| Los Angeles, CA | 153 | ||
| Santa Clara, CA | 27 |
Top Attending Physicians in General Medicine - Non Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. GURCHARAN SINGH SIDHU | |||
| Dr. ALIREZA ZADSALAMAT | |||
| Dr. RUDOLPH CHRISTOPHER ALVARADO | |||
| Dr. WAJIHA IRSHAD | |||
| Dr. NAVJIT SINGH | |||
| Dr. VENKATARAMANA K REDDY | |||
| Dr. MADHAVA REDDY NARALA | |||
| Dr. DHARAMPAL S JOHAL | |||
| Dr. LINET ROSE D'MORIAS | |||
| Dr. MEHDI HAKIMIPOUR |
Pulmonology-Non Surgical for Saint Agnes Medical Center | Back to Top
Pulmonology Non Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 1 | ||
| Madera, CA | 2 | ||
| Tulare, CA | 9 | ||
| Kings, CA | 4 | ||
| Merced, CA | 7 | ||
| Mariposa, CA | 4 |
Top Attending Physicians in Pulmonology - Non Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. GURCHARAN SINGH SIDHU | |||
| Dr. RUDOLPH CHRISTOPHER ALVARADO | |||
| Dr. ALIREZA ZADSALAMAT | |||
| Dr. LINET ROSE D'MORIAS | |||
| Dr. MEHDI HAKIMIPOUR | |||
| Dr. WAJIHA IRSHAD | |||
| Dr. NAVJIT SINGH | |||
| Dr. DHARAMPAL S JOHAL | |||
| Dr. VENKATARAMANA K REDDY | |||
| Dr. JUAN G CHAVEZ |
Gastroenterology & Endocrinology-Surgical for Saint Agnes Medical Center | Back to Top
Gastroenterology & Endocrinology Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 1 | ||
| Madera, CA | 1 |
Top Operating Physicians in Gastroenterology & Endocrinology - Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. RAME D IBERDEMAJ | |||
| Dr. PRANEETHA REDDY NARAHARI | |||
| Dr. ELEAZAR LAWSON | |||
| Dr. KALWANT S DHILLON | |||
| Dr. SOUMYA PAI |
Gastroenterology & Endocrinology-Non Surgical for Saint Agnes Medical Center | Back to Top
Gastroenterology & Endocrinology Non Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 1 | ||
| Madera, CA | 1 | ||
| Tulare, CA | 6 | ||
| Merced, CA | 9 | ||
| Kings, CA | 4 | ||
| Mariposa, CA | 4 |
Top Attending Physicians in Gastroenterology & Endocrinology - Non Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. GURCHARAN SINGH SIDHU | |||
| Dr. RUDOLPH CHRISTOPHER ALVARADO | |||
| Dr. ALIREZA ZADSALAMAT | |||
| Dr. DHARAMPAL S JOHAL | |||
| Dr. WAJIHA IRSHAD | |||
| Dr. LINET ROSE D'MORIAS | |||
| Dr. MADHAVA REDDY NARALA | |||
| Dr. NAVJIT SINGH | |||
| Dr. VENKATARAMANA K REDDY | |||
| Dr. JUAN G CHAVEZ |
Orthopedics-Surgical for Saint Agnes Medical Center | Back to Top
Orthopedics Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 1 | ||
| Madera, CA | 1 | ||
| Tulare, CA | 5 | ||
| Kings, CA | 4 | ||
| Merced, CA | 7 | ||
| Mariposa, CA | 3 |
Top Operating Physicians in Orthopedics - Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. MATTHEW JOHN SIMONS | |||
| Dr. MATTHEW KNEDEL | |||
| Dr. MICHELE SCHULZ | |||
| Dr. DANILO RAYMUNDO MANIMTIM | |||
| Dr. RONALD R CASTONGUAY | |||
| Dr. DENIZ BAYSAL | |||
| Dr. JEROME R DUNKLIN | |||
| Dr. FELIPE RUIZ | |||
| Dr. DAVID TAYLOR | |||
| Dr. JULIA LEE |
Orthopedics-Non Surgical for Saint Agnes Medical Center | Back to Top
Orthopedics Non Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 3 | ||
| Madera, CA | 3 |
Top Attending Physicians in Orthopedics - Non Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. WAJIHA IRSHAD | |||
| Dr. GURCHARAN SINGH SIDHU | |||
| Dr. NAVJIT SINGH | |||
| Dr. DHARAMPAL S JOHAL | |||
| Dr. RUDOLPH CHRISTOPHER ALVARADO | |||
| Dr. MADHAVA REDDY NARALA | |||
| Dr. LINET ROSE D'MORIAS | |||
| Dr. PINKY M ALEGARBES | |||
| Dr. MEHDI HAKIMIPOUR | |||
| Dr. JUAN G CHAVEZ |
Urology-Surgical for Saint Agnes Medical Center | Back to Top
Urology Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 1 | ||
| Madera, CA | 1 | ||
| Tulare, CA | 6 |
Top Operating Physicians in Urology - Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. NADEEM U. RAHMAN | |||
| Dr. THOMAS X MINOR | |||
| Dr. YUK-YUEN MAX LEUNG | |||
| Dr. HAROLD GREG RAINWATER | |||
| Dr. SEAN WILLIAM TOWER |
Urology-Non Surgical for Saint Agnes Medical Center | Back to Top
Urology Non Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 1 | ||
| Madera, CA | 2 | ||
| Tulare, CA | 6 | ||
| Kings, CA | 4 | ||
| Merced, CA | 5 |
Top Attending Physicians in Urology - Non Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. GURCHARAN SINGH SIDHU | |||
| Dr. RUDOLPH CHRISTOPHER ALVARADO | |||
| Dr. ALIREZA ZADSALAMAT | |||
| Dr. WAJIHA IRSHAD | |||
| Dr. DHARAMPAL S JOHAL | |||
| Dr. NAVJIT SINGH | |||
| Dr. MADHAVA REDDY NARALA | |||
| Dr. MEHDI HAKIMIPOUR | |||
| Dr. LINET ROSE D'MORIAS | |||
| Dr. JUAN G CHAVEZ |
General Surgery-Surgical for Saint Agnes Medical Center | Back to Top
General Surgery Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 2 | ||
| Madera, CA | 2 | ||
| Tulare, CA | 7 | ||
| Kings, CA | 4 | ||
| Merced, CA | 10 | ||
| Mariposa, CA | 5 |
Top Operating Physicians in General Surgery - Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. FELIPE RUIZ | |||
| Dr. RAME D IBERDEMAJ | |||
| Dr. PRANEETHA REDDY NARAHARI | |||
| Dr. ROY O KROEKER | |||
| Dr. HONGSHIK HAN | |||
| Dr. JAMES HO LEE | |||
| Dr. SEAN WILLIAM TOWER | |||
| Dr. SOUMYA PAI | |||
| Dr. ELEAZAR LAWSON | |||
| Dr. JOHN A ROPER |
Neurology-Non Surgical for Saint Agnes Medical Center | Back to Top
Neurology Non Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 2 | ||
| Madera, CA | 1 | ||
| Kings, CA | 6 | ||
| Tulare, CA | 15 |
Top Attending Physicians in Neurology - Non Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. GURCHARAN SINGH SIDHU | |||
| Dr. RUDOLPH CHRISTOPHER ALVARADO | |||
| Dr. ALIREZA ZADSALAMAT | |||
| Dr. MADHAVA REDDY NARALA | |||
| Dr. NAVJIT SINGH | |||
| Dr. WAJIHA IRSHAD | |||
| Dr. LINET ROSE D'MORIAS | |||
| Dr. VENKATARAMANA K REDDY | |||
| Dr. MEHDI HAKIMIPOUR | |||
| Dr. DHARAMPAL S JOHAL |
Spine-Surgical for Saint Agnes Medical Center | Back to Top
Spine Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 2 | ||
| Tulare, CA | 2 | ||
| Madera, CA | 2 | ||
| Kings, CA | 5 | ||
| Merced, CA | 7 | ||
| Mariposa, CA | 1 |
Top Operating Physicians in Spine - Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. HENRY E ARYAN | |||
| Dr. ROBERT L SIMONS | |||
| Dr. MARK LEVY | |||
| Dr. IAN TODD JOHNSON | |||
| Dr. TIMOTHY WATSON | |||
| Dr. VICTOR L. PERRY |
Oncology & Hematology-Non Surgical for Saint Agnes Medical Center | Back to Top
Oncology & Hematology Non Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 2 | ||
| Madera, CA | 1 |
Top Attending Physicians in Oncology & Hematology - Non Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. RUDOLPH CHRISTOPHER ALVARADO | |||
| Dr. WAJIHA IRSHAD | |||
| Dr. GURCHARAN SINGH SIDHU | |||
| Dr. DHARAMPAL S JOHAL | |||
| Dr. MEHDI HAKIMIPOUR | |||
| Dr. ALIREZA ZADSALAMAT | |||
| Dr. VENKATARAMANA K REDDY | |||
| Dr. LINET ROSE D'MORIAS | |||
| Dr. ANDREA LORENZE | |||
| Dr. ROBERT H LEMON |
Colorectal-Surgical for Saint Agnes Medical Center | Back to Top
Colorectal Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 2 | ||
| Tulare, CA | 3 | ||
| Madera, CA | 3 |
Top Operating Physicians in Colorectal - Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. JOHN S WADE | |||
| Dr. PRANEETHA REDDY NARAHARI | |||
| Dr. JAMES MICHAEL BRUCE | |||
| Dr. RAME D IBERDEMAJ | |||
| Dr. SOUMYA PAI | |||
| Dr. ELEAZAR LAWSON | |||
| Dr. RUSSELL RICHARD MARTIN | |||
| Dr. WILLIAM L CARVETH |
Obstetrics & Gynecology-Surgical for Saint Agnes Medical Center | Back to Top
Obstetrics & Gynecology Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 3 |
Obstetrics & Gynecology-Non Surgical for Saint Agnes Medical Center | Back to Top
Obstetrics & Gynecology Non Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 3 |
Psychiatry & Mental Disorders-Non Surgical for Saint Agnes Medical Center | Back to Top
Psychiatry & Mental Disorders Non Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 3 | ||
| Madera, CA | 4 |
Dermatology-Non Surgical for Saint Agnes Medical Center | Back to Top
Dermatology Non Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 2 |
Obesity, Bariatric, Stomach & Duodenal-Surgical for Saint Agnes Medical Center | Back to Top
Obesity, Bariatric, Stomach & Duodenal Surgical - Total Hospitalizations & Market Share by County for Saint Agnes Medical Center | Back to Top
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| County | Total Hospitalizations in County (Oct 2016 to Sep 2019) | Market Share Of County (Oct 2016 to Sep 2019) | Market Share Rank In County |
|---|---|---|---|
| Fresno, CA | 2 |
Top Operating Physicians in Obesity, Bariatric, Stomach & Duodenal - Surgical for Saint Agnes Medical Center | Back to Top
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| Rank | Doctor Name | Oct 2018 to Sep 2019 Hospitalizations | Oct 2016 to Sep 2019 Hospitalizations |
|---|---|---|---|
| Dr. PRANEETHA REDDY NARAHARI | |||
| Dr. DANIEL EVAN SWARTZ |