James P Alva, MD
Emergency Medicine · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 3
- 1 carrier
- Office
- 1
Offices
1 location · Emergency Physicians Associates San Jose PC · 131 clinicians in this group
Looking this up.
Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.
Plans that list them
3 plans · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Alva’s office at (408) 947-2500 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
California Medical Board record
Licence A153244 · Current
Licensed to practise in California · since 2017 · expires 2027-06-30 · Albany Medical College.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Hospitals they work in
1 hospital
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend itOverall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center
Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| SSI - Colon SurgeryInfections | 2.572 | Worse | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.563 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.256 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.369 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.25 (0.3 to 2.2) · 1,535 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.07 (0.76 to 1.38) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 214.59 (167.38 to 261.8) · 108 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.8 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6 · 141 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.2 · 124 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.3 · 501 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.9 · 653 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 348 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3 · 4,502 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.24 (0.04 to 0.43) · 9,014 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.34 (0.15 to 0.52) · 9,216 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.54 (2.51 to 6.58) · 1,421 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.54 (0 to 3.2) · 288 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.66 to 3.56) · 1,446 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.61 (4.09 to 19.14) · 294 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.29 (3.39 to 11.2) · 299 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.9 (0.45 to 3.36) · 333 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 0.78) · 7,538 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 5.4 · 94 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.735 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 2.573 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.6 · 185 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.1 · 951 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 56.3 · 128 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 6.4 · 644 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 1.3 · 699 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.3 · 921 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.7 (3.9 to 8.1) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 12.6 (9.4 to 16.5) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 94 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.4 · 54 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.3 · 242 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.2 (9.9 to 17.4) · 702 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 195 cases | No different | Jan 2024 – Dec 2024 |
What patients said (4,032 patients answered, 29% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 70% |
| Nurses "always" communicated well | 73% |
| Doctors "always" communicated well | 76% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 82% |
| Yes, staff "did" give patients information about help after discharge | 82% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 82% |
| Patients who gave a rating of "9" or "10" (high) | 67% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 83% |
Original Medicare doctor bills
$33,236
Medicare paid this office $33,236 for 220 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with high level of medical decision making | 132 | $17,446 | $132 |
| Critical care, first 30-74 minutes | 57 | $10,188 | $179 |
| Emergency department visit with moderate level of medical decision making | 23 | $1,668 | $73 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 107 | $737 | $7 |
Procedures Medicare counted
| Removal of nail tissue | 1-10 | None |
Who their Medicare patients are
220 Original Medicare patients in 2024. Average age 71 · Under 65 24% · 85 and older 16% · Women 51% · Also on Medicaid 75% · Health risk score 2.37. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 75% · Diabetes 47% · Heart failure 33% · Chronic kidney disease 33% · Depression 32% · Coronary heart disease 30% · Dementia 28% · Atrial fibrillation 25% · Stroke 25% · COPD 21% · Cancer 12%.
The office billed $292,734, Medicare allowed $46,244 and paid $33,236; for 382 services of 32 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 | 220 | 382 | 71 | 2.37 | $292,734 | $33,236 |
| 2023 | 323 | 637 | 72 | 2.29 | $338,839 | $51,308 |
| 2022 | 286 | 450 | 71 | 2.30 | $243,774 | $44,927 |
| 2021 | 114 | 137 | 70 | 1.83 | $134,139 | $17,504 |
| 2020 | 281 | 334 | 68 | 3.27 | $384,783 | $42,949 |
| 2019 | 455 | 593 | 69 | 2.70 | $613,677 | $61,645 |
| 2018 | 233 | 288 | 68 | 2.10 | $287,733 | $30,672 |
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: 5 services
| Emergency department visit with high level of medical decision making | 187 | $25,669 | $134 |
| Critical care, first 30-74 minutes | 84 | $15,185 | $179 |
| Emergency department visit with moderate level of medical decision making | 43 | $3,882 | $88 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 178 | $1,312 | $7 |
| X-ray of chest, 1 view | 41 | $307 | $7 |
2022: 5 services
| Emergency department visit with high level of medical decision making | 155 | $25,311 | $163 |
| Critical care, first 30-74 minutes | 33 | $7,028 | $213 |
| Emergency department visit with moderate level of medical decision making | 55 | $5,879 | $105 |
| Emergency department visit with low level of medical decision making | 35 | $1,878 | $54 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 118 | $865 | $7 |
2021: 4 services
| Emergency department visit with high level of medical decision making | 61 | $10,316 | $169 |
| Critical care, first 30-74 minutes | 13 | $3,039 | $234 |
| Emergency department visit with moderate level of medical decision making | 28 | $2,831 | $98 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 17 | $131 | $8 |
2020: 3 services
| Emergency department visit with high level of medical decision making | 143 | $22,765 | $156 |
| Emergency department visit with moderate level of medical decision making | 106 | $11,561 | $105 |
| Critical care, first 30-74 minutes | 21 | $5,005 | $238 |
2019: 5 services
| Emergency department visit with high level of medical decision making | 273 | $39,778 | $141 |
| Emergency department visit with moderate level of medical decision making | 136 | $12,855 | $91 |
| Critical care, first 30-74 minutes | 12 | $2,537 | $195 |
| Emergency department visit with low level of medical decision making | 35 | $1,762 | $48 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 62 | $479 | $7 |
2018: 4 services
| Emergency department visit with high level of medical decision making | 118 | $17,943 | $147 |
| Emergency department visit with moderate level of medical decision making | 90 | $9,011 | $97 |
| Emergency department visit with low level of medical decision making | 19 | $747 | $39 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 32 | $243 | $7 |
Medicaid work
$50,670 in 2024
Medicaid paid $50,670 for 1,802 billed services this clinician did in 2024, up to 78 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.
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 604 | $22,839 |
| EMERGENCY DEPT VISIT MOD MDM | 456 | $14,310 |
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 121 | $7,923 |
| Service | 73 | $2,734 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 381 | $1,538 |
| EMERGENCY DEPT VISIT LOW MDM | 40 | $993 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 19 | $151 |
| ELECTROLYTE PANEL | 15 | $111 |
| Creatinine; blood | 15 | $30 |
| Radiologic examination, chest; single view | 25 | $15 |
| Service | 23 | $12 |
| Blood glucose (sugar) level | 15 | $9 |
| 2024 | 1,802 | 13 | 78 | $50,670 |
| 2023 | 4,383 | 23 | 98 | $103,578 |
| 2022 | 1,944 | 14 | 50 | $54,804 |
| 2021 | 424 | 2 | 24 | $18,307 |
| 2020 | 972 | 8 | 51 | $34,324 |
| 2019 | 1,985 | 9 | 65 | $60,229 |
| 2018 | 838 | 8 | 78 | $21,663 |
See the largest Medicaid services in earlier years
2023
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 941 | $45,505 |
| EMERGENCY DEPT VISIT MOD MDM | 871 | $28,462 |
| Service | 341 | $12,915 |
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 82 | $3,674 |
| Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected | 19 | $2,710 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 437 | $1,845 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 206 | $1,653 |
| ELECTROLYTE PANEL | 181 | $1,287 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 52 | $1,026 |
| Service | 25 | $853 |
| EMERGENCY DEPT VISIT LOW MDM | 39 | $789 |
| New patient visit (45+ min) | 26 | $632 |
2022
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 459 | $23,845 |
| EMERGENCY DEPT VISIT MOD MDM | 372 | $13,306 |
| EMERGENCY DEPT VISIT LOW MDM | 447 | $10,653 |
| Service | 109 | $4,131 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 84 | $832 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 69 | $542 |
| ELECTROLYTE PANEL | 71 | $526 |
| Return visit (30+ min) | 26 | $382 |
| Service | 72 | $177 |
| Creatinine; blood | 71 | $116 |
| Blood glucose (sugar) level | 68 | $114 |
| ASSAY OF LIPASE | 12 | $86 |
2021
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 241 | $12,755 |
| EMERGENCY DEPT VISIT MOD MDM | 183 | $5,553 |
2020
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 423 | $19,485 |
| EMERGENCY DEPT VISIT MOD MDM | 377 | $10,950 |
| EMERGENCY DEPT VISIT LOW MDM | 59 | $1,762 |
| Service | 13 | $1,066 |
| Service | 14 | $555 |
| ELECTROLYTE PANEL | 27 | $219 |
| Creatinine; blood | 42 | $168 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 17 | $119 |
2019
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 682 | $28,670 |
| EMERGENCY DEPT VISIT MOD MDM | 604 | $17,214 |
| EMERGENCY DEPT VISIT LOW MDM | 382 | $7,420 |
| Service | 55 | $4,401 |
| Service | 39 | $1,389 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 170 | $813 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 29 | $290 |
| Urea nitrogen; quantitative | 12 | $32 |
| Service(s) provided between 10:00 PM and 8:00 AM at 24-hour facility, in addition to basic service | 12 | $0 |
2018
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 245 | $7,771 |
| EMERGENCY DEPT VISIT MOD MDM | 240 | $7,188 |
| Service | 84 | $3,267 |
| EMERGENCY DEPT VISIT LOW MDM | 132 | $1,784 |
| Service | 13 | $1,012 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 73 | $290 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 27 | $246 |
| Service | 24 | $105 |
Drugs they prescribed that Part D paid
$2,194
Pharmacies billed $2,194 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 8% of their Part D prescriptions (12 of 149) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.
138 generic and 11 brand-name prescriptions · $2,194 in drug cost · 47 antibiotic prescriptions to 40 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.
| Amoxicillin-Clavulanate Potass | 13 | $83 | $6 |
| Cephalexin | 12 | $46 | $4 |
| Ibuprofen | 29 | $33 | $1 |
Year by year
| 2024 | 149 | 96 | 8% (12) | 7% | $2,194 |
| 2023 | 174 | 123 | None | None | $2,916 |
| 2022 | 156 | 113 | 8% (12) | 8% | $2,390 |
| 2021 | 55 | 37 | None | None | $736 |
| 2020 | 52 | 37 | None | 0% | $575 |
| 2019 | 99 | 67 | 13% (13) | None | $1,552 |
| 2018 | 73 | 48 | None | None | $1,137 |
| 2017 | 64 | 47 | None | None | $600 |
| 2016 | 31 | 27 | None | None | $159 |
| 2015 | 19 | 15 | None | 0% | $235 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 5 drugs
| Cephalexin | 22 | $266 | $12 |
| Amoxicillin-Clavulanate Potass | 13 | $145 | $11 |
| Ciprofloxacin | 11 | $125 | $11 |
| Famotidine | 20 | $124 | $6 |
| Ibuprofen | 22 | $52 | $2 |
2022: 2 drugs
| Cephalexin | 25 | $237 | $9 |
| Ibuprofen | 13 | $25 | $2 |
Money from drug and device companies
$190 in 2025
A payment is not proof that care is biased.
| Abbvie | Vraylar | $190 | 1 payment
|
See the published payment
| Abbvie | Meals · 2025-09-17 | Vraylar | $190 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 80.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1063890945
- Licence
- CA A153244California A153244: Current · expires 2027-06-30
- Trained
- Albany Medical College of Union University, 2015
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207P00000X (207P00000X); Student in a training program (390200000X)
- Mailing address
- 388 Santana Row Apt 2507, San Jose, CA, 95128
- NPI first listed
- 2015-05-12
- NPI last updated
- 2019-09-19
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 225 N Jackson Ave, San Jose, CA, 95116