Physician Assistant, Gastroenterology

Local GI market

222 gastroenterologists

within 30 miles. That is 13.3 per 100,000 adults aged 45-74, close to the US average (13.6).

29% of them finished medical school 30 or more years ago (US: 36%).

Source: CMS Doctors and Clinicians file; Census ACS 2019-2023.

Procedure mix nearby

68% colonoscopy

Medicare fee-for-service procedures billed within 30 miles in 2024: 47,451 colonoscopies, 18,994 EGDs, 1,897 ERCPs, 1,345 EUS.

ERCP volume is typical and EUS is typical for the population, compared with the US (adjusted for Medicare Advantage share). 100% done in a hospital or surgery center; 55% by gastroenterologists.

59.5% of adults 45-75 in this county are up to date on colorectal screening, 2.1 points above the state (57.4%).

53% of Medicare patients here are in Medicare Advantage (state: 51%). Medicare procedure counts above cover only the other 47%.

Source: CMS Medicare Physician and Other Practitioners by provider and service, 2024 (fee-for-service only; services for fewer than 11 patients hidden). CMS MA penetration; CDC PLACES 2025 (2022 survey).

Cost of living

Prices in California are 10.7% above the US average.

California state income tax on $450k: about $39k (8.7%), single filer, before deductions. Local taxes not included. ($450k is a reference salary; this ad states none.)

Source: BEA regional price parities, 2024. State level; big metros cost more. Tax: Tax Foundation 2026 state brackets.

Hospitals and surgery centers

39 hospitals, 55 surgery centers

within 30 miles. 34 of the hospitals run an emergency department; 19 of 36 rated hold 4 or 5 CMS stars.

Nearest: Alta Bates Summit Medical Center (3 mi, 5 stars); Ucsf Benioff Children's Hospital Oakland (3 mi); Alta Bates Summit Medical Center - Alta Bates Camp (3 mi, 4 stars).

22 of the surgery centers reported 36,670 Medicare outpatient colonoscopies in a year. More endoscopy centers usually means more ASC ownership and partnership options.

Source: CMS Care Compare, Hospital General Information and ASC Quality Reporting (ASC-12 colonoscopy cases, Medicare fee-for-service). Located by ZIP code.

State rules for your contract

Noncompete: Void for physicians

Noncompetes are void for nearly all workers, physicians included. Cal. Bus. & Prof. Code §§ 16600, 16600.1. Usually covers only contracts signed after that date.

Interstate Medical Licensure Compact: not a member.

State law summary, not legal advice. Have a contract lawyer read your agreement. Source; IMLC states; all states.

Visas (H-1B / J-1)

No H-1B filings for GI physicians from this employer in the data we hold. That does not mean it will not sponsor.

All GI H-1B filings in California: 9, median $360k.

This county has no current primary care shortage designation. State J-1 waiver contacts (3RNET).

Source: US Dept. of Labor LCA disclosure data (certified H-1B, FY2024-FY2026); HRSA HPSA data. All GI H-1B employers