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Gary G Zhao, MD

Hematology/Oncology · San Jose

NPI 1124114285

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
24
5 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 · Stanford Health Care. That is not proof they admit you there this week.

Plans that list them

24 plans · 5 carriers

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

24 of 24 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
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 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 A83349 · Current

Licensed to practise in California · since 2003 · expires 2028-09-30 · Shanghai Medical University.

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

Hospitals they work in

2 hospitals

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
  • 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 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%
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

$50,796

Medicare paid this office $50,796 for 429 people.

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

Largest Original Medicare bills
Return visit (30+ min)201$20,865$79
Short return visit (20+ min)202$13,220$50
Long return visit (40+ min)30$4,039$112
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$3,059$71
New patient visit (45+ min)31$2,923$94
See all 9 services
Every Original Medicare service billed
Return visit (30+ min)201$20,865$79
Short return visit (20+ min)202$13,220$50
Long return visit (40+ min)30$4,039$112
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$3,059$71
New patient visit (45+ min)31$2,923$94
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$2,699$117
Telephone medical discussion with physician, 5-10 minutes52$1,230$22
Telephone medical discussion with physician, 21-30 minutes18$996$55
New patient visit (30+ min)16$839$52

Who their Medicare patients are

429 Original Medicare patients in 2024. Average age 73 · Under 65 12% · 85 and older 11% · Women 50% · Also on Medicaid 79% · Health risk score 2.05. Above the middle of the specialty; the typical hematology-oncology clinician is at 2.04.

Conditions among them: High blood pressure 75% · Cancer 51% · Diabetes 47% · Chronic kidney disease 27% · Coronary heart disease 22% · Heart failure 22% · Depression 17% · COPD 16% · Atrial fibrillation 16% · Stroke 8% · Dementia 7%.

The office billed $475,258, Medicare allowed $73,597 and paid $50,796; for 764 services of 14 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
2024429764732.05$475,258$50,796
2023390815721.83$509,902$55,970
2022224466711.77$250,102$31,883
2021178411712.24$172,700$28,848
2020159398692.19$176,081$23,338
20193849691.73$32,593$3,692
20186293722.27$53,988$5,254
2017207478692.19$269,047$31,106
2016157346682.09$127,745$21,351
2015146332681.86$110,294$21,579
2014144401681.76$116,152$27,795
201393193681.70$56,683$16,070

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)171$18,098$72
Short return visit (20+ min)224$17,020$49
Long return visit (40+ min)34$7,900$118
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes31$3,976$124
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$3,922$74
New patient visit (45+ min)18$2,176$121
New patient visit (30+ min)12$833$69
Telephone medical discussion with physician, 5-10 minutes13$422$30

2022: 8 services

Original Medicare services billed in 2022
Return visit (30+ min)87$9,941$83
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$5,890$103
Short return visit (20+ min)58$3,346$57
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes33$3,287$100
Telephone medical discussion with physician, 5-10 minutes77$2,828$24
Long return visit (40+ min)14$2,425$135
Telephone medical discussion with physician, 21-30 minutes14$1,095$78
Short return visit12$364$30

2021: 7 services

Original Medicare services billed in 2021
Telephone medical discussion with physician, 21-30 minutes73$8,323$90
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$7,206$118
Telephone medical discussion with physician, 5-10 minutes97$4,803$32
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes21$2,188$104
Telephone medical discussion with physician, 11-20 minutes30$1,888$57
Return visit (30+ min)16$1,561$92
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$1,526$80

2020: 6 services

Original Medicare services billed in 2020
Telephone medical discussion with physician, 11-20 minutes94$7,420$47
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$4,830$110
Telephone medical discussion with physician, 21-30 minutes31$2,629$71
Return visit (30+ min)47$2,340$42
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes19$2,020$106
Telephone medical discussion with physician, 5-10 minutes40$1,121$24

2019: 1 service

Original Medicare services billed in 2019
Return visit (30+ min)27$1,873$67

2018: 2 services

Original Medicare services billed in 2018
Return visit (30+ min)29$1,298$45
Short return visit (20+ min)14$224$16

2017: 8 services

Original Medicare services billed in 2017
Return visit (30+ min)127$15,184$60
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$5,078$91
Short return visit (20+ min)56$2,500$36
Long return visit (40+ min)18$1,836$97
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$1,741$102
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,634$63
New patient visit (45+ min)17$1,631$96
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes17$1,479$87

2016: 6 services

Original Medicare services billed in 2016
Return visit (30+ min)110$12,140$61
Short return visit (20+ min)52$2,675$41
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,897$90
Long return visit (40+ min)19$1,575$79
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,197$63
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$948$86

2015: 4 services

Original Medicare services billed in 2015
Return visit (30+ min)95$12,056$59
Long return visit (40+ min)60$5,369$87
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$1,041$87
Short return visit (20+ min)15$527$33

2014: 4 services

Original Medicare services billed in 2014
Return visit (30+ min)100$15,950$63
Long return visit (40+ min)42$4,365$97
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,678$122
Short return visit (20+ min)23$1,023$39

2013: 2 services

Original Medicare services billed in 2013
Long return visit (40+ min)56$8,171$91
Return visit (30+ min)45$4,406$64

Medicaid work

$28,542 in 2024

Medicaid paid $28,542 for 4,659 billed services this clinician did in 2024, up to 169 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)921$13,488
Short return visit (20+ min)983$10,879
Long return visit (40+ min)122$2,656
OFF/OP CNSLTJ NEW/EST MOD 4029$673
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES41$516
New patient visit (30+ min)17$228
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES18$85
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count12$18
Pain severity quantified; no pain present (COA) (ONC)23$0
Medication list documented in medical record (COA)941$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)226$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)350$0
Medicaid work by year
20244,65916169$28,542
20232,59010130$16,479
2022801597$6,884
2021654554$7,611
20205625120$5,192
20191,2038116$8,339
20181,471891$11,727
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)898$6,439
Short return visit (20+ min)1,188$5,096
Long return visit (40+ min)201$2,832
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES106$1,458
Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian 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; 21-30 minutes of medical discussion16$373
OFF/OP CNSLTJ NEW/EST MOD 4014$267
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count15$14
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)105$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)14$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)33$0

2022

Largest Medicaid services in 2022
Return visit (30+ min)518$5,380
Short return visit (20+ min)210$1,089
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES22$206
Short return visit37$139
Long return visit (40+ min)14$70

2021

Largest Medicaid services in 2021
Return visit (30+ min)464$5,525
Short return visit (20+ min)99$985
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES35$420
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count43$370
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES13$310

2020

Largest Medicaid services in 2020
Return visit (30+ min)315$2,424
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES80$1,079
Short return visit (20+ min)132$921
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES18$618
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count17$150

2019

Largest Medicaid services in 2019
Return visit (30+ min)891$4,922
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES48$1,434
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count122$1,050
Service15$512
HEPATIC FUNCTION PANEL84$279
ELECTROLYTE PANEL14$111
Blood glucose (sugar) level15$26
Creatinine; blood14$4

2018

Largest Medicaid services in 2018
Return visit (30+ min)794$5,158
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count233$2,055
Service48$1,637
Short return visit (20+ min)232$1,340
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES61$808
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES13$305
OFF/OP CNSLTJ NEW/EST MOD 4024$251
HEPATIC FUNCTION PANEL66$173

Drugs they prescribed that Part D paid

$2,987,000

Pharmacies billed $2,987,000 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

507 generic and 228 brand-name prescriptions · $2,987,000 in drug cost.

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
Tagrisso66$1,031,970$15,636
Xtandi27$344,896$12,774
Imbruvica17$196,955$11,586
Gilotrif14$152,976$10,927
Abiraterone Acetate113$123,138$1,090
See all 16 drugs
Every Part D drug this clinician prescribed
Tagrisso66$1,031,970$15,636
Xtandi27$344,896$12,774
Imbruvica17$196,955$11,586
Gilotrif14$152,976$10,927
Abiraterone Acetate113$123,138$1,090
Imatinib Mesylate24$33,646$1,402
Posaconazole14$14,195$1,014
Prednisone121$618$5
Bicalutamide39$508$13
Hydroxyurea26$468$18
Prochlorperazine Maleate20$297$15
Loperamide16$110$7
Omeprazole20$76$4
Alendronate12$71$6
Ondansetron23$66$3
Gabapentin13$37$3

Year by year

Part D prescribing by year
202473592None31%$2,987,000
2023681762% (11)28%$2,479,052
2022613784% (23)34%$2,364,991
2021556732% (13)38%$2,348,355
2020555814% (20)37%$2,217,369
2019601913% (20)29%$1,697,371
2018531785% (28)35%$1,957,168
2017574834% (23)36%$1,922,985
2016609804% (25)41%$1,862,838
2015543639% (48)44%$1,318,853
20145696212% (70)None$889,475
20134576212% (54)38%$918,414

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

See the drugs prescribed each year

2023: 21 drugs

Part D drugs prescribed in 2023
Tagrisso45$754,078$16,757
Alecensa11$206,852$18,805
Abiraterone Acetate63$198,092$3,144
Sprycel12$195,361$16,280
Xtandi14$184,129$13,152
Votrient13$162,118$12,471
Gilotrif14$149,507$10,679
Posaconazole13$22,748$1,750
Imatinib Mesylate20$8,029$401
Eliquis11$6,749$614
Aprepitant11$5,488$499
Bicalutamide64$1,566$24
Hydroxyurea29$778$27
Anastrozole27$555$21
Prednisone62$479$8
Prochlorperazine Maleate32$458$14
Acyclovir12$296$25
Loperamide19$290$15
Alendronate23$216$9
Dexamethasone34$165$5
Ondansetron26$69$3

2022: 23 drugs

Part D drugs prescribed in 2022
Tagrisso34$472,856$13,908
Xtandi22$255,569$11,617
Alecensa12$196,198$16,350
Sprycel11$169,192$15,381
Gilotrif14$142,522$10,180
Votrient12$134,187$11,182
Imbruvica12$123,406$10,284
Posaconazole12$58,075$4,840
Abiraterone Acetate24$51,209$2,134
Venclexta11$30,639$2,785
Eliquis11$6,285$571
Bicalutamide70$1,147$16
Hydroxyurea27$454$17
Alendronate30$383$13
Prednisone43$376$9
Acyclovir14$346$25
Anastrozole17$314$18
Prochlorperazine Maleate14$232$17
Dexamethasone28$208$7
Hydrocodone-Acetaminophen18$174$10
Ondansetron14$138$10
Levofloxacin12$137$11
Omeprazole13$59$5

2021: 18 drugs

Part D drugs prescribed in 2021
Tagrisso34$509,224$14,977
Xtandi34$392,365$11,540
Zytiga30$214,043$7,135
Rozlytrek12$201,592$16,799
Votrient11$157,350$14,305
Gilotrif14$137,041$9,789
Imbruvica14$134,055$9,575
Abiraterone Acetate32$22,369$699
Prednisone63$585$9
Bicalutamide29$578$20
Anastrozole18$554$31
Hydroxyurea24$389$16
Prochlorperazine Maleate19$333$18
Alendronate33$155$5
Gabapentin12$124$10
Omeprazole18$121$7
Dexamethasone15$101$7
Ondansetron14$63$5

2020: 21 drugs

Part D drugs prescribed in 2020
Xtandi42$471,742$11,232
Zytiga31$235,182$7,587
Sprycel14$190,750$13,625
Tagrisso12$179,977$14,998
Lorbrena11$178,493$16,227
Votrient13$174,142$13,396
Ibrance11$146,529$13,321
Venclexta12$128,022$10,669
Gilotrif13$120,049$9,235
Entecavir22$9,942$452
Aprepitant14$7,292$521
Prochlorperazine Maleate24$395$16
Anastrozole16$394$25
Prednisone41$338$8
Bicalutamide26$327$13
Hydroxyurea15$267$18
Dexamethasone36$201$6
Ondansetron20$196$10
Alendronate36$193$5
Hydrocodone-Acetaminophen14$100$7
Omeprazole12$55$5

2019: 20 drugs

Part D drugs prescribed in 2019
Xtandi23$264,341$11,493
Inlyta15$188,857$12,590
Tagrisso12$184,856$15,405
Votrient14$177,638$12,688
Sprycel13$167,101$12,854
Zytiga23$129,844$5,645
Gilotrif13$111,158$8,551
Tenofovir Disoproxil11$2,465$224
Entecavir15$944$63
Bicalutamide38$820$22
Prochlorperazine Maleate42$466$11
Hydroxyurea12$437$36
Prednisone47$394$8
Ondansetron39$318$8
Gabapentin33$305$9
Dexamethasone39$227$6
Hydrocodone-Acetaminophen13$136$10
Acyclovir11$88$8
Alendronate13$84$6
Omeprazole20$60$3

2018: 16 drugs

Part D drugs prescribed in 2018
Tagrisso25$383,519$15,341
Xtandi30$328,414$10,947
Zytiga32$326,960$10,217
Tarceva23$174,886$7,604
Sprycel12$145,517$12,126
Ferriprox11$130,317$11,847
Megestrol Acetate12$640$53
Prednisone69$576$8
Bicalutamide23$534$23
Hydrocodone-Acetaminophen17$248$15
Prochlorperazine Maleate35$233$7
Ondansetron24$214$9
Anastrozole14$173$12
Dexamethasone18$161$9
Gabapentin22$152$7
Omeprazole29$123$4

2017: 19 drugs

Part D drugs prescribed in 2017
Zytiga41$363,350$8,862
Xtandi23$234,632$10,201
Votrient19$208,747$10,987
Nexavar16$166,231$10,389
Tarceva23$159,974$6,955
Imatinib Mesylate14$116,333$8,310
Procrit13$51,967$3,997
Aprepitant13$6,553$504
Enoxaparin11$6,438$585
Hydroxyurea18$600$33
Ondansetron43$466$11
Prednisone46$383$8
Anastrozole32$381$12
Bicalutamide15$341$23
Prochlorperazine Maleate47$263$6
Omeprazole49$234$5
Hydrocodone-Acetaminophen16$208$13
Dexamethasone29$115$4
Gabapentin12$78$6

2016: 18 drugs

Part D drugs prescribed in 2016
Votrient39$378,900$9,715
Zytiga44$328,253$7,460
Xtandi23$218,528$9,501
Tarceva29$197,793$6,820
Sprycel12$139,350$11,613
Imatinib Mesylate11$94,280$8,571
Neupogen23$38,893$1,691
Exemestane12$7,413$618
Hydroxyurea29$824$28
Bicalutamide34$796$23
Megestrol Acetate17$740$44
Ondansetron28$598$21
Anastrozole33$496$15
Prednisone46$393$9
Omeprazole53$231$4
Hydrocodone-Acetaminophen12$222$19
Prochlorperazine Maleate29$174$6
Dexamethasone24$110$5

2015: 15 drugs

Part D drugs prescribed in 2015
Votrient41$295,035$7,196
Zytiga42$271,708$6,469
Tarceva37$243,446$6,580
Inlyta17$175,292$10,311
Thalomid13$104,623$8,048
Neupogen25$65,681$2,627
Enoxaparin21$11,843$564
Anastrozole22$524$24
Bicalutamide23$498$22
Hydrocodone-Acetaminophen21$389$19
Prednisone36$332$9
Ondansetron18$230$13
Prochlorperazine Maleate27$174$6
Dexamethasone46$145$3
Omeprazole26$134$5

2014: 18 drugs

Part D drugs prescribed in 2014
Votrient33$259,035$7,850
Tarceva21$130,982$6,237
Zytiga17$122,563$7,210
Thalomid13$100,376$7,721
Neupogen50$96,255$1,925
Enoxaparin34$32,327$951
Morphine Sulfate Er12$788$66
Hydrocodone-Acetaminophen32$585$18
Anastrozole21$572$27
Oxycodone-Acetaminophen15$555$37
Prochlorperazine Maleate51$378$7
Bicalutamide12$318$26
Ondansetron24$271$11
Prednisone25$258$10
Omeprazole37$240$6
Dexamethasone76$221$3
Gabapentin12$94$8
Lorazepam12$26$2

2013: 14 drugs

Part D drugs prescribed in 2013
Votrient33$225,641$6,838
Tarceva28$163,005$5,822
Thalomid13$94,298$7,254
Zytiga14$89,496$6,393
Sutent13$71,922$5,532
Bicalutamide22$2,224$101
Megestrol Acetate18$1,330$74
Anastrozole17$663$39
Prochlorperazine Maleate56$345$6
Hydrocodone-Acetaminophen27$336$12
Ondansetron14$232$17
Omeprazole20$199$10
Prednisone23$131$6
Dexamethasone24$71$3

Money from drug and device companies

$231 in 2025

Industry payments by year
202512None$231
202223None$50
202113None$40
201933None$63

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
AstraZeneca Pharmaceuticals LPLynparza$231
2 payments
  • Meals for Lynparza · 2025-07-17 · $125
  • Meals for Lynparza · 2025-06-12 · $106
See all 2 published payments
Every published payment
AstraZeneca Pharmaceuticals LPMeals · 2025-07-17Lynparza$125
AstraZeneca Pharmaceuticals LPMeals · 2025-06-12Lynparza$106
See earlier years (2022, 2021, 2019)

2022: $50

Payments by company in 2022
Acrotech BiopharmaBeleodaq$26
2 payments
  • Education for Beleodaq · 2022-03-03 · $14
  • Education for Beleodaq · 2022-01-06 · $12
Foundation MedicineFoundationone$24
1 payment
  • Meals for Foundationone · 2022-05-16 · $24

2021: $40

Payments by company in 2021
Acrotech BiopharmaBeleodaq$40
3 payments
  • Education for Beleodaq · 2021-09-29 · $12
  • Education for Beleodaq · 2021-08-23 · $14
  • Education for Beleodaq · 2021-03-18 · $14

2019: $63

Payments by company in 2019
ExelixisCabometyx$39
1 payment
  • Meals for Cabometyx · 2019-02-16 · $39
Seattle GeneticsAdcetris$12
1 payment
  • Education for Adcetris · 2019-04-02 · $12
PfizerIbrance$12
1 payment
  • Education for Ibrance · 2019-03-26 · $12

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
1124114285
Licence
CA A83349California A83349: Current · expires 2028-09-30
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A833490
Taxonomy
Federal specialty code 207RH0003X (207RH0003X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-10-05
NPI last updated
2007-09-12

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