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Rakesh Sondekoppam Vijayashankar, MD

Anesthesiology · Stanford

NPI 1083269187

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
22 years
Graduated 2004

Offices

1 location · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Vijayashankar’s office at (650) 723-4000 to ask if they take your plan before you enroll.

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.

  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 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 Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$29,420

Medicare paid this office $29,420 for 172 people.

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

Largest Original Medicare bills
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,423$95
Daily hospital management of continuous spinal drug administration18$1,381$46
Insertion of tube and injection of substance into middle or upper spine canal17$991$58
Insertion of artery tube for blood sampling or infusion through skin18$615$34
Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter11$597$54
See all 6 services
Every Original Medicare service billed
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,423$95
Daily hospital management of continuous spinal drug administration18$1,381$46
Insertion of tube and injection of substance into middle or upper spine canal17$991$58
Insertion of artery tube for blood sampling or infusion through skin18$615$34
Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter11$597$54
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)12$438$36

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Insertion of tube and injection of substance into middle or upper spine canal–4155482017
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)––37263012
Insertion of artery tube for blood sampling or infusion through skin–3120201418
Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter–1417––11
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)–––1616–
Injection of anesthetic agent into thoracic vertebra using imaging guidance, single site––1113––

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

172 Original Medicare patients in 2024. Average age 73 · Women 52% · Also on Medicaid 13% · Health risk score 1.56. Above the middle of the specialty; the typical anesthesiology clinician is at 1.54.

Conditions among them: High blood pressure 75% · Depression 34% · Diabetes 31% · Coronary heart disease 30% · Chronic kidney disease 28% · Cancer 26% · Atrial fibrillation 21% · Heart failure 19% · COPD 16% · Stroke 15% · Dementia 8%.

The office billed $251,181, Medicare allowed $37,745 and paid $29,420; for 241 services of 66 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
2024172241731.56$251,181$29,420
2023177289701.58$230,042$29,190
2022239501691.55$312,456$39,946
2021276606701.73$344,350$44,139
2020240476701.96$317,804$45,047
20193773681.93$46,875$6,830

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: 7 services

Original Medicare services billed in 2023
Anesthesia for procedure for total knee joint replacement13$3,413$263
Daily hospital management of continuous spinal drug administration29$2,598$46
Insertion of tube and injection of substance into middle or upper spine canal20$1,325$66
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)28$1,287$43
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$844$37
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)16$826$52
Insertion of artery tube for blood sampling or infusion through skin14$459$33

2022: 9 services

Original Medicare services billed in 2022
Daily hospital management of continuous spinal drug administration57$5,965$48
Insertion of tube and injection of substance into middle or upper spine canal48$3,182$66
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes36$2,761$51
Ultrasonic guidance for needle placement44$1,003$23
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes13$968$74
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)26$778$30
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)16$763$48
Insertion of artery tube for blood sampling or infusion through skin20$669$33
Injection of anesthetic agent into thoracic vertebra using imaging guidance, single site13$651$50

2021: 10 services

Original Medicare services billed in 2021
Daily hospital management of continuous spinal drug administration83$8,951$49
Insertion of tube and injection of substance into middle or upper spine canal55$3,780$69
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes33$2,939$54
Ultrasonic guidance for needle placement66$1,637$24
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)35$1,158$31
Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter16$845$50
Insertion of artery tube for blood sampling or infusion through skin20$681$34
Injection of anesthetic agent into thoracic vertebra using imaging guidance, single site11$654$59
Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)13$533$41
Injection of anesthetic agent and/or steroid into other nerve or branch17$450$24

2020: 7 services

Original Medicare services billed in 2020
Daily hospital management of continuous spinal drug administration63$6,455$50
Anesthesia for procedure for total knee joint replacement16$4,614$288
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes39$3,263$55
Insertion of tube and injection of substance into middle or upper spine canal41$2,878$70
Insertion of artery tube for blood sampling or infusion through skin31$1,074$35
Ultrasonic guidance for needle placement31$771$25
Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter14$708$51

Money from drug and device companies

$750 in 2023

Industry payments by year
202312$750$750
202015None$647
201911None$32

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
CIVCO Medical InstrumentsNone$750
2 payments
  • Consulting · 2023-10-04 · $250
  • Consulting · 2023-02-22 · $500
See all 2 published payments
Every published payment
CIVCO Medical InstrumentsConsulting · 2023-10-04None$250
CIVCO Medical InstrumentsConsulting · 2023-02-22None$500
See earlier years (2020, 2019)

2020: $647

Payments by company in 2020
Pacira PharmaceuticalsExparel$647
5 payments
  • Travel for Exparel · 2020-01-22 · $527
  • Travel for Exparel · 2020-01-22 · $28
  • Travel for Exparel · 2020-01-22 · $34
  • Travel for Exparel · 2020-01-22 · $28
  • Travel for Exparel · 2020-01-22 · $31

2019: $32

Payments by company in 2019
Pacira PharmaceuticalsExparel$32
1 payment
  • Meals for Exparel · 2019-11-24 · $32

Professional record

NPI
1083269187
Licence
IA SP-0233
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207L00000X (207L00000X)
Mailing address
300 Pasteur Drive, Stanford, CA, 94305
NPI first listed
2019-08-06
NPI last updated
2024-10-29
NPI record certified
2024-10-24

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

Extra NPI addresses: 200 Hawkins Dr, Iowa City, IA, 52242