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Frank T Kagawa, MD

Internal Medicine · San Jose

NPI 1073577623

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Office
1

Offices

1 location · County of Santa Clara · 1,000 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

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Kagawa’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026

California Medical Board record

Licence G53908 · Current

Licensed to practise in California · since 1984 · expires 2028-05-31 · University of California, San Diego School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

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.

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 it
    Overall 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.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$8,647

Medicare paid this office $8,647 for 51 people.

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

Largest Original Medicare bills
Return visit (30+ min)41$5,998$73
Telephone medical discussion with physician, 21-30 minutes17$2,168$83

Who their Medicare patients are

51 Original Medicare patients in 2024. Average age 73 · Women 59% · Also on Medicaid 65% · Health risk score 1.46. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 71% · COPD 39% · Diabetes 33% · Coronary heart disease 22%.

The office billed $77,568, Medicare allowed $12,554 and paid $8,647; for 112 services of 5 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
202451112731.46$77,568$8,647
202350119721.17$87,910$9,161
202250125721.24$70,472$9,002
202153120701.58$58,002$9,511
202056147702.03$65,627$8,657
201952150681.89$68,650$6,638
201850139681.61$80,483$7,645
201751132691.50$79,185$7,652
201659166681.47$68,408$9,859
201586216681.97$70,683$14,868
201473163671.63$32,524$7,521
2013158221631.32$41,100$9,586

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: 1 service

Original Medicare services billed in 2023
Return visit (30+ min)48$8,200$75

2022: 2 services

Original Medicare services billed in 2022
Return visit (30+ min)44$4,767$87
Telephone medical discussion with physician, 21-30 minutes37$3,603$66

2021: 2 services

Original Medicare services billed in 2021
Telephone medical discussion with physician, 21-30 minutes45$6,731$81
Return visit (30+ min)15$1,883$94

2020: 2 services

Original Medicare services billed in 2020
Telephone medical discussion with physician, 21-30 minutes47$6,997$67
Short return visit (20+ min)23$756$30

2019: 2 services

Original Medicare services billed in 2019
Short return visit (20+ min)49$5,688$44
Return visit (30+ min)13$576$36

2018: 2 services

Original Medicare services billed in 2018
Return visit (30+ min)39$5,919$60
Short return visit (20+ min)25$1,558$40

2017: 2 services

Original Medicare services billed in 2017
Return visit (30+ min)46$6,737$59
Short return visit (20+ min)13$548$42

2016: 1 service

Original Medicare services billed in 2016
Return visit (30+ min)59$9,828$60

2015: 1 service

Original Medicare services billed in 2015
Return visit (30+ min)76$8,834$59

2014: 3 services

Original Medicare services billed in 2014
Short return visit (20+ min)51$3,507$41
Return visit (30+ min)25$2,517$70
New patient visit (30+ min)14$731$52

2013: 1 service

Original Medicare services billed in 2013
Short return visit (20+ min)137$6,415$34

Medicaid work

$1,198 in 2024

Medicaid paid $1,198 for 411 billed services this clinician did in 2024, up to 24 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)200$1,198
Medication list documented in medical record (COA)118$0
Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA)93$0
Medicaid work by year
2024411324$1,198
2023190125$1,091
202283217$408
202030116$170
201972118$206
2018147224$591
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)190$1,091

2022

Largest Medicaid services in 2022
Return visit (30+ min)70$384
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 service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion13$24

2020

Largest Medicaid services in 2020
Short return visit (20+ min)30$170

2019

Largest Medicaid services in 2019
Short return visit (20+ min)72$206

2018

Largest Medicaid services in 2018
Return visit (30+ min)109$421
Short return visit (20+ min)38$170

Drugs they prescribed that Part D paid

$227,817

Pharmacies billed $227,817 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 722) in 2024. At or below the middle of the specialty; the typical internal medicine clinician is at 1%.

412 generic and 310 brand-name prescriptions · $227,817 in drug cost · 84 antibiotic prescriptions to 25 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
Dupixent15$56,130$3,742
Eliquis25$19,024$761
Atrovent Hfa21$15,764$751
Trelegy Ellipta22$13,521$615
Fluticasone Propionate Hfa16$7,200$450
See all 23 drugs
Every Part D drug this clinician prescribed
Dupixent15$56,130$3,742
Eliquis25$19,024$761
Atrovent Hfa21$15,764$751
Trelegy Ellipta22$13,521$615
Fluticasone Propionate Hfa16$7,200$450
Incruse Ellipta13$6,909$531
Ventolin Hfa39$6,199$159
Pulmicort Flexhaler11$5,446$495
Tiotropium12$4,960$413
Advair Hfa12$4,099$342
Arnuity Ellipta15$3,722$248
Albuterol Sulfate Hfa67$2,900$43
Wixela Inhub21$2,414$115
Breyna13$2,383$183
Advair Diskus14$2,132$152
Azithromycin52$335$6
Prednisone27$319$12
Fluticasone Propionate42$291$7
Amoxicillin-Clavulanate Potass23$186$8
Pantoprazole16$186$12
Atorvastatin12$132$11
Montelukast15$117$8
Famotidine12$112$9

Year by year

Part D prescribing by year
2024722520% (0)43%$227,817
2023684572% (11)None$177,474
202253651None51%$120,137
202152648None55%$119,745
202050654None52%$121,699
201943751None59%$128,967
201845751None53%$125,845
201742753None56%$86,561
201642053None53%$94,908
201549866None52%$90,658
201432857None52%$56,760
201334570None59%$64,983

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

See the drugs prescribed each year

2023: 20 drugs

Part D drugs prescribed in 2023
Dupixent11$42,627$3,875
Eliquis19$17,201$905
Atrovent Hfa17$16,349$962
Flovent Hfa29$15,357$530
Trelegy Ellipta20$13,058$653
Advair Diskus25$9,406$376
Albuterol Sulfate Hfa44$6,707$152
Incruse Ellipta13$6,526$502
Symbicort12$5,981$498
Ventolin Hfa52$4,680$90
Fluticasone-Salmeterol11$1,520$138
Fluticasone Propionate56$949$17
Azithromycin44$472$11
Prednisone40$374$9
Pantoprazole16$342$21
Montelukast16$313$20
Atorvastatin14$310$22
Amoxicillin-Clavulanate Potass19$297$16
Metoprolol11$207$19
Cyclobenzaprine14$130$9

2022: 12 drugs

Part D drugs prescribed in 2022
Atrovent Hfa19$18,625$980
Trelegy Ellipta24$15,199$633
Symbicort22$11,075$503
Flovent Hfa23$10,426$453
Advair Diskus25$10,182$407
Ventolin Hfa48$5,734$119
Albuterol Sulfate Hfa49$4,156$85
Prednisone35$410$12
Fluticasone Propionate26$354$14
Azithromycin43$276$6
Atorvastatin14$164$12
Montelukast14$123$9

2021: 13 drugs

Part D drugs prescribed in 2021
Atrovent Hfa28$16,564$592
Combivent Respimat15$13,497$900
Trelegy Ellipta22$13,428$610
Advair Diskus25$9,734$389
Symbicort22$9,340$425
Ventolin Hfa51$5,765$113
Albuterol Sulfate Hfa42$4,205$100
Pulmicort Flexhaler11$3,782$344
Fluticasone Propionate43$723$17
Prednisone30$354$12
Azithromycin28$315$11
Pantoprazole11$190$17
Atorvastatin12$155$13

2020: 13 drugs

Part D drugs prescribed in 2020
Atrovent Hfa23$17,645$767
Combivent Respimat18$16,790$933
Symbicort31$15,999$516
Spiriva26$15,828$609
Advair Diskus29$10,827$373
Trelegy Ellipta14$8,162$583
Albuterol Sulfate Hfa42$7,234$172
Ventolin Hfa33$3,179$96
Fluticasone Propionate42$636$15
Prednisone45$574$13
Azithromycin36$354$10
Amoxicillin-Clavulanate Potass11$155$14
Trazodone11$78$7

2019: 12 drugs

Part D drugs prescribed in 2019
Symbicort40$20,921$523
Combivent Respimat18$18,871$1,048
Atrovent Hfa14$16,679$1,191
Advair Diskus31$14,273$460
Spiriva21$13,972$665
Spiriva Respimat11$6,306$573
Ventolin Hfa36$4,975$138
Albuterol Sulfate Hfa21$3,701$176
Fluticasone Propionate39$459$12
Prednisone26$230$9
Azithromycin24$168$7
Amoxicillin-Clavulanate Potass11$111$10

2018: 14 drugs

Part D drugs prescribed in 2018
Combivent Respimat17$16,444$967
Symbicort32$14,662$458
Spiriva23$13,924$605
Atrovent Hfa14$13,252$947
Advair Diskus21$11,687$557
Proair Hfa31$8,367$270
Flovent Hfa12$4,154$346
Ventolin Hfa38$3,799$100
Oseltamivir Phosphate11$1,082$98
Fluticasone Propionate40$413$10
Amoxicillin-Clavulanate Potass23$304$13
Montelukast19$253$13
Azithromycin30$233$8
Prednisone22$207$9

2017: 11 drugs

Part D drugs prescribed in 2017
Advair Diskus35$14,204$406
Spiriva23$12,684$551
Atrovent Hfa13$12,152$935
Symbicort27$11,163$413
Combivent Respimat12$9,378$781
Proair Hfa29$6,389$220
Ventolin Hfa40$3,448$86
Fluticasone Propionate44$452$10
Montelukast22$287$13
Prednisone27$268$10
Azithromycin22$152$7

2016: 11 drugs

Part D drugs prescribed in 2016
Advair Diskus43$21,783$507
Spiriva24$13,636$568
Combivent Respimat13$7,523$579
Symbicort21$6,599$314
Proair Hfa27$6,092$226
Ventolin Hfa21$1,616$77
Fluticasone Propionate48$411$9
Montelukast32$378$12
Amoxicillin-Clavulanate Potass17$361$21
Prednisone16$318$20
Azithromycin33$195$6

2015: 13 drugs

Part D drugs prescribed in 2015
Advair Diskus45$20,183$449
Spiriva46$16,761$364
Atrovent Hfa11$8,676$789
Combivent Respimat19$7,576$399
Proair Hfa41$6,364$155
Symbicort15$4,248$283
Qvar11$1,744$159
Fluticasone Propionate38$565$15
Montelukast24$388$16
Amoxicillin-Clavulanate Potass20$334$17
Prednisone36$327$9
Omeprazole22$305$14
Azithromycin38$295$8

2014: 11 drugs

Part D drugs prescribed in 2014
Advair Diskus28$13,032$465
Spiriva28$12,278$438
Atrovent Hfa12$7,231$603
Proair Hfa24$4,557$190
Ventolin Hfa18$2,605$145
Fluticasone Propionate28$522$19
Amox Tr-Potassium Clavulanate13$279$21
Omeprazole12$223$19
Azithromycin27$208$8
Prednisone20$162$8
Fosinopril12$101$8

2013: 9 drugs

Part D drugs prescribed in 2013
Advair Diskus41$16,376$399
Spiriva25$13,001$520
Atrovent Hfa17$8,958$527
Flovent Hfa13$3,810$293
Proair Hfa17$2,305$136
Fluticasone Propionate36$965$27
Azithromycin25$247$10
Fosinopril12$153$13
Furosemide16$73$5

Professional record

NPI
1073577623
Licence
CA G53908California G53908: Current · expires 2028-05-31
Trained
University of California, San Diego School of Medicine, 1983
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00G539080
Taxonomy
Federal specialty code 207RP1001X (207RP1001X); Internal medicine (207R00000X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-04-12
NPI last updated
2007-08-31

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