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Jason E Williams, MD

Gastroenterology · San Jose

NPI 1083894257

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
22
4 carriers
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

22 plans · 4 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Williams’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

22 of 22 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A96986 · Current

Licensed to practise in California · since 2006 · expires 2027-09-30 · Duke University School of Medicine.

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 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

$19,282

Medicare paid this office $19,282 for 121 people.

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

Largest Original Medicare bills
Removal of polyps or growths of large bowel using an endoscope with mechanical snare25$5,034$201
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes30$3,389$113
Return visit (30+ min)32$2,971$71
Biopsy of large bowel using a flexible endoscope25$1,855$74
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope15$1,450$97
See all 6 services
Every Original Medicare service billed
Removal of polyps or growths of large bowel using an endoscope with mechanical snare25$5,034$201
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes30$3,389$113
Return visit (30+ min)32$2,971$71
Biopsy of large bowel using a flexible endoscope25$1,855$74
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope15$1,450$97
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito47$217$5

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy52More than 64% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux36More than 59% of doctors who do this

Who their Medicare patients are

121 Original Medicare patients in 2024. Average age 71 · Women 55% · Also on Medicaid 87% · Health risk score 2.38. Sicker patients than 9 in 10 peers; the typical gastroenterology clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 49% · Chronic kidney disease 30% · Heart failure 29% · Depression 25% · Coronary heart disease 21% · COPD 19% · Atrial fibrillation 18% · Cancer 13% · Stroke 12% · Dementia 10%.

The office billed $273,536, Medicare allowed $26,643 and paid $19,282; for 237 services of 23 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
2024121237712.38$273,536$19,282
2023155321701.72$317,972$25,381
2022116244691.58$197,829$16,569
2021182358681.89$302,221$24,524
2020139252692.11$193,878$17,175
2019197390691.97$307,514$28,865
2018108190681.89$133,722$14,530
20173275681.72$41,969$4,734
2016154276651.99$236,689$26,682
2015156298671.87$266,348$29,478
2014142240681.43$240,038$24,721
2013157249681.60$152,861$23,197

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: 8 services

Original Medicare services billed in 2023
Return visit (30+ min)46$4,311$72
Removal of polyps or growths of large bowel using an endoscope with mechanical snare21$4,031$192
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$3,438$127
Biopsy of large bowel using a flexible endoscope24$3,420$142
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope27$2,312$83
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope17$1,755$98
Diagnostic exam of large bowel using a flexible endoscope11$1,688$141
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito82$394$4

2022: 6 services

Original Medicare services billed in 2022
Return visit (30+ min)47$5,552$90
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$2,472$145
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$1,145$82
Biopsy of large bowel using a flexible endoscope12$843$70
Telephone medical discussion with physician, 5-10 minutes29$706$22
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito44$179$4

2021: 9 services

Original Medicare services billed in 2021
Removal of polyps or growths of large bowel using an endoscope with mechanical snare27$5,239$194
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes25$3,632$145
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope31$3,063$93
Telephone medical discussion with physician, 5-10 minutes65$2,493$30
Biopsy of large bowel using a flexible endoscope28$2,346$84
Return visit (30+ min)20$2,278$108
Diagnostic exam of large bowel using a flexible endoscope11$1,584$144
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope13$1,040$80
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito74$361$5

2020: 8 services

Original Medicare services billed in 2020
Removal of polyps or growths of large bowel using an endoscope with mechanical snare15$2,959$197
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,923$146
Telephone medical discussion with physician, 11-20 minutes49$2,621$46
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$1,495$107
Telephone medical discussion with physician, 21-30 minutes18$1,215$64
Return visit (30+ min)22$1,185$49
Biopsy of large bowel using a flexible endoscope15$905$60
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito42$215$5

2019: 9 services

Original Medicare services billed in 2019
Removal of polyps or growths of large bowel using an endoscope with mechanical snare25$5,302$212
New patient visit (45+ min)37$3,765$102
Biopsy of large bowel using a flexible endoscope37$3,639$98
Return visit (30+ min)44$3,031$56
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope25$2,701$93
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,613$101
Short return visit (20+ min)40$2,051$41
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope12$1,385$115
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito75$391$5

2018: 7 services

Original Medicare services billed in 2018
Removal of polyps or growths of large bowel using an endoscope with mechanical snare15$3,370$225
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$1,974$116
New patient visit (45+ min)18$1,844$102
Return visit (30+ min)26$1,837$66
Biopsy of large bowel using a flexible endoscope17$969$57
Short return visit (20+ min)19$906$43
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito39$182$5

2017: 2 services

Original Medicare services billed in 2017
Return visit (30+ min)15$737$46
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito11$58$5

2016: 9 services

Original Medicare services billed in 2016
Return visit (30+ min)57$4,279$57
Removal of polyps or growths of large bowel using an endoscope with mechanical snare19$4,078$215
Biopsy of large bowel using a flexible endoscope30$3,649$122
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes28$3,243$112
Diagnostic exam of large bowel using a flexible endoscope13$2,175$167
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope17$1,845$109
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope21$1,750$83
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,204$93
Short return visit (20+ min)24$866$35

2015: 7 services

Original Medicare services billed in 2015
Biopsy of large bowel using a flexible endoscope38$5,178$133
Removal of polyps or growths of large bowel using an endoscope with mechanical snare19$4,801$253
Return visit (30+ min)61$4,452$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes32$3,362$102
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes23$2,548$82
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope19$2,295$109
Short return visit (20+ min)12$444$34

2014: 6 services

Original Medicare services billed in 2014
Removal of polyps or growths of large bowel using an endoscope with mechanical snare25$5,951$238
Biopsy of large bowel using a flexible endoscope32$3,628$113
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope30$2,959$99
Return visit (30+ min)41$2,921$64
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$2,795$116
Short return visit (20+ min)17$395$22

2013: 8 services

Original Medicare services billed in 2013
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes32$3,828$116
Removal of polyps or growths of large bowel using an endoscope with mechanical snare14$3,784$270
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope28$3,545$127
New patient visit (45+ min)30$2,988$100
Short return visit (20+ min)40$2,221$35
Biopsy of large bowel using a flexible endoscope13$1,583$122
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope12$1,222$102
Return visit (30+ min)16$810$48

Medicaid work

$28,039 in 2024

Medicaid paid $28,039 for 2,697 billed services this clinician did in 2024, up to 42 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
Service291$6,866
COLONOSCOPY AND BIOPSY205$6,566
COLONOSCOPY W/LESION REMOVAL95$4,479
Upper gastrointestinal endoscopy with biopsy180$3,792
Return visit (30+ min)172$2,020
TISSUE EXAM BY PATHOLOGIST405$1,748
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES36$787
OFF/OP CNSLTJ NEW/EST MOD 4062$706
DIAGNOSTIC COLONOSCOPY12$384
5% dextrose/normal saline (500 ml = 1 unit)199$237
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older303$212
Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)93$203
Medicaid work by year
20242,6971842$28,039
20232,1211445$21,414
20226901040$7,672
20217071026$7,749
2020218620$3,641
2019443726$3,368
20181,0121329$16,539
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
COLONOSCOPY W/LESION REMOVAL107$7,008
COLONOSCOPY AND BIOPSY199$3,732
TISSUE EXAM BY PATHOLOGIST430$2,731
Upper gastrointestinal endoscopy with biopsy118$2,717
Service279$1,817
Return visit (30+ min)160$1,003
OFF/OP CNSLTJ NEW/EST MOD 4039$752
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES27$623
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older356$538
5% dextrose/normal saline (500 ml = 1 unit)242$256
Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)94$211
Short return visit (20+ min)12$15

2022

Largest Medicaid services in 2022
COLONOSCOPY AND BIOPSY59$2,014
COLONOSCOPY W/LESION REMOVAL26$1,645
Return visit (30+ min)151$1,141
TISSUE EXAM BY PATHOLOGIST43$1,088
Upper gastrointestinal endoscopy with biopsy18$857
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES15$462
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older282$313
New patient visit (45+ min)13$84
Short return visit (20+ min)26$59
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)57$9

2021

Largest Medicaid services in 2021
Upper gastrointestinal endoscopy with biopsy64$2,774
Short return visit (20+ min)184$1,092
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older204$1,007
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES20$677
TISSUE EXAM BY PATHOLOGIST14$560
COLONOSCOPY AND BIOPSY25$446
COLONOSCOPY W/LESION REMOVAL12$392
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)34$315
IP/OBS CONSLTJ NEW/EST SF 3526$244
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)124$242

2020

Largest Medicaid services in 2020
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)120$1,898
COLONOSCOPY AND BIOPSY14$1,039
New patient visit (45+ min)28$422
Return visit (30+ min)16$199
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)24$42
Short return visit (20+ min)16$41

2019

Largest Medicaid services in 2019
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)113$806
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES32$716
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older86$588
Return visit (30+ min)64$523
Short return visit (20+ min)95$456
New patient visit (45+ min)13$153
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)40$126

2018

Largest Medicaid services in 2018
Service180$6,168
TISSUE EXAM BY PATHOLOGIST142$2,329
COLONOSCOPY AND BIOPSY39$1,562
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older230$1,533
OFF/OP CNSLTJ NEW/EST MOD 4088$1,180
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES41$1,156
COLONOSCOPY W/LESION REMOVAL14$1,035
Upper gastrointestinal endoscopy with biopsy29$757
Short return visit (20+ min)53$272
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)90$235
New patient visit (45+ min)12$119
Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)25$113

Drugs they prescribed that Part D paid

$172,209

Pharmacies billed $172,209 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 252) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.

178 generic and 74 brand-name prescriptions · $172,209 in drug cost · 38 antibiotic prescriptions.

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
Xifaxan36$109,027$3,029
Vemlidy12$16,633$1,386
Linzess12$14,298$1,191
Entecavir21$11,847$564
Tenofovir Disoproxil23$2,141$93
See all 7 drugs
Every Part D drug this clinician prescribed
Xifaxan36$109,027$3,029
Vemlidy12$16,633$1,386
Linzess12$14,298$1,191
Entecavir21$11,847$564
Tenofovir Disoproxil23$2,141$93
Omeprazole36$278$8
Spironolactone11$152$14

Year by year

Part D prescribing by year
2024252620% (0)29%$172,209
2023311860% (0)31%$261,026
2022325860% (0)28%$193,057
2021313970% (0)29%$155,755
20203441000% (0)30%$205,859
20194251200% (0)28%$146,483
2018360790% (0)40%$328,180
2017340950% (0)45%$337,809
2016279700% (0)37%$247,762
201525377None38%$137,022
2014161550% (0)51%$78,648
2013143530% (0)52%$44,565

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

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Xifaxan51$170,956$3,352
Entecavir22$14,216$646
Tenofovir Disoproxil32$11,074$346
Omeprazole54$1,229$23
Peg-3350 and Electrolytes22$488$22
Propranolol11$387$35
Gavilyte-G15$297$20

2022: 9 drugs

Part D drugs prescribed in 2022
Xifaxan40$112,411$2,810
Tenofovir Disoproxil34$17,822$524
Vemlidy14$17,646$1,260
Entecavir39$7,272$186
Lactulose17$1,213$71
Omeprazole63$937$15
Spironolactone14$255$18
Peg-3350 and Electrolytes12$171$14
Furosemide11$63$6

2021: 9 drugs

Part D drugs prescribed in 2021
Xifaxan36$97,317$2,703
Vemlidy13$15,517$1,194
Adefovir Dipivoxil12$8,806$734
Tenofovir Disoproxil34$7,359$216
Entecavir45$5,166$115
Omeprazole44$657$15
Propranolol15$452$30
Peg-3350 and Electrolytes16$208$13
Gavilyte-G11$162$15

2020: 9 drugs

Part D drugs prescribed in 2020
Xifaxan43$107,988$2,511
Tenofovir Disoproxil70$21,922$313
Vemlidy13$14,806$1,139
Adefovir Dipivoxil12$9,004$750
Entecavir49$5,690$116
Propranolol14$665$48
Peg-3350 and Electrolytes22$280$13
Omeprazole30$238$8
Gavilyte-G11$188$17

2019: 12 drugs

Part D drugs prescribed in 2019
Xifaxan21$49,048$2,336
Viread12$16,509$1,376
Vemlidy12$12,940$1,078
Tenofovir Disoproxil96$12,174$127
Adefovir Dipivoxil12$8,959$747
Entecavir48$4,631$96
Propranolol15$980$65
Lactulose18$909$50
Peg-3350 and Electrolytes50$671$13
Omeprazole39$440$11
Gavilyte-G15$188$13
Pantoprazole12$140$12

2018: 13 drugs

Part D drugs prescribed in 2018
Viread55$63,108$1,147
Xifaxan20$43,307$2,165
Tenofovir Disoproxil33$16,161$490
Entecavir42$13,752$327
Vemlidy12$12,433$1,036
Adefovir Dipivoxil11$8,760$796
Polyethylene Glycol 335011$1,762$160
Lactulose18$1,234$69
Propranolol14$613$44
Spironolactone18$372$21
Peg-3350 and Electrolytes22$344$16
Omeprazole20$159$8
Furosemide12$70$6

2017: 10 drugs

Part D drugs prescribed in 2017
Viread59$91,249$1,547
Entecavir53$31,132$587
Xifaxan14$24,836$1,774
Baraclude14$19,083$1,363
Lactulose27$953$35
Peg-3350 and Electrolytes36$523$15
Spironolactone15$274$18
Omeprazole24$243$10
Gavilyte-G14$199$14
Furosemide13$55$4

2016: 9 drugs

Part D drugs prescribed in 2016
Entecavir55$55,657$1,012
Viread27$51,067$1,891
Baraclude12$15,643$1,304
Xifaxan11$15,093$1,372
Omeprazole34$437$13
Lactulose15$396$26
Spironolactone12$194$16
Peg 3350-Electrolyte13$130$10
Furosemide12$53$4

2015: 9 drugs

Part D drugs prescribed in 2015
Entecavir35$46,554$1,330
Adefovir Dipivoxil13$21,295$1,638
Viread17$18,243$1,073
Xifaxan11$16,589$1,508
Lansoprazole12$1,514$126
Lactulose19$524$28
Omeprazole23$274$12
Peg 3350-Electrolyte21$227$11
Pantoprazole11$196$18

2014: 4 drugs

Part D drugs prescribed in 2014
Baraclude22$34,124$1,551
Viread12$7,221$602
Omeprazole20$275$14
Peg 3350-Electrolyte12$135$11

2013: 6 drugs

Part D drugs prescribed in 2013
Baraclude12$18,459$1,538
Hepsera15$16,188$1,079
Nexium15$4,179$279
Omeprazole32$412$13
Peg 3350-Electrolyte20$266$13
Peg-3350 and Electrolytes11$179$16

Money from drug and device companies

$31 in 2023

A payment is not proof that care is biased.

Payments by company
Erbe USAErbe Vio3$31
1 payment
  • Meals for Erbe Vio3 · 2023-06-29 · $31
See the published payment
Every published payment
Erbe USAMeals · 2023-06-29Erbe Vio3$31

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
1083894257
Licence
CA A96986California A96986: Current · expires 2027-09-30
Trained
Duke University School of Medicine, 2005
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RG0100X (207RG0100X); Internal medicine (207R00000X)
Mailing address
751 S Bascom Ave, Santa Clara Valley Medical Center, San Jose, CA, 95128
NPI first listed
2007-11-06
NPI last updated
2012-07-03

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