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Suma Samhitha Datla, DO

Internal Medicine · San Jose

NPI 1144782152

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
2
1 carrier
Offices
2

Offices

2 locations · County of Santa Clara · El Camino Health Medical Network LLC

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

2 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Datla’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 Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026

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

$54,537

Medicare paid this office $54,537 for 224 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes94$19,651$100
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes92$14,120$69
Hospital discharge day management, more than 30 minutes112$10,652$93
Initial hospital care with moderate level of medical decision making at least 75 minutes41$5,677$135
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,800$112
See all 6 services
Every Original Medicare service billed
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes94$19,651$100
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes92$14,120$69
Hospital discharge day management, more than 30 minutes112$10,652$93
Initial hospital care with moderate level of medical decision making at least 75 minutes41$5,677$135
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,800$112
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$878$42

Who their Medicare patients are

224 Original Medicare patients in 2024. Average age 75 · Under 65 14% · 85 and older 22% · Women 49% · Also on Medicaid 59% · Health risk score 3.20. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Coronary heart disease 61% · Chronic kidney disease 60% · Diabetes 58% · Heart failure 57% · Atrial fibrillation 50% · Depression 43% · COPD 37% · Dementia 35% · Stroke 26% · Cancer 14%.

The office billed $470,779, Medicare allowed $70,952 and paid $54,537; for 615 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
2024224615753.20$470,779$54,537
2023228597742.80$137,246$51,971
2022116315752.43$83,349$29,047

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 5 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes105$22,278$94
Hospital discharge day management, more than 30 minutes145$13,037$88
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes78$8,512$61
Initial hospital care with moderate level of medical decision making at least 75 minutes43$5,603$130
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,486$99

2022: 6 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes56$11,194$82
Initial hospital care with moderate level of medical decision making at least 75 minutes41$6,342$155
Hospital discharge day management, more than 30 minutes54$4,588$83
Initial hospital observation care per day, typically 70 minutes17$2,066$122
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,430$53
Hospital observation care on day of discharge23$1,235$54

Medicaid work

$5,661 in 2024

Medicaid paid $5,661 for 709 billed services this clinician did in 2024, up to 31 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
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES289$2,726
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter189$1,436
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES219$1,227
1ST HOSP IP/OBS HIGH 7512$272
Medicaid work by year
2024709431$5,661
202312112$746
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter12$746

Drugs they prescribed that Part D paid

$19,538

Pharmacies billed $19,538 in 2024.

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

273 generic and fewer than 11 brand-name prescriptions · $19,538 in drug cost · 57 antibiotic prescriptions to 48 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
Eliquis14$8,538$569
Amoxicillin-Clavulanate Potass12$137$11
Atorvastatin18$105$6
Furosemide25$76$3
Metoprolol12$75$6
See all 7 drugs
Every Part D drug this clinician prescribed
Eliquis14$8,538$569
Amoxicillin-Clavulanate Potass12$137$11
Atorvastatin18$105$6
Furosemide25$76$3
Metoprolol12$75$6
Metoprolol15$42$3
Amlodipine Besylate13$25$2

Year by year

Part D prescribing by year
2024327120NoneNone$19,538
20235522265% (25)None$40,202
2022321123NoneNone$28,065
2021101330% (0)20%$7,604
202031120% (0)None$1,733
201920None0% (0)None$813

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

See the drugs prescribed each year

2023: 14 drugs

Part D drugs prescribed in 2023
Eliquis16$11,219$701
Amoxicillin-Clavulanate Potass26$380$15
Doxycycline Hyclate32$350$11
Clopidogrel22$282$13
Potassium Chloride14$203$15
Atorvastatin20$168$8
Pantoprazole19$157$8
Furosemide36$152$4
Methylprednisolone15$119$8
Metoprolol12$88$7
Metoprolol17$77$5
Hydrocodone-Acetaminophen14$55$4
Amlodipine Besylate15$52$3
Prednisone18$48$3

2022: 6 drugs

Part D drugs prescribed in 2022
Eliquis14$9,874$705
Rosuvastatin13$164$13
Atorvastatin23$145$6
Clopidogrel11$142$13
Furosemide20$106$5
Metoprolol15$54$4

Money from drug and device companies

$22 in 2025

Industry payments by year
202511None$22
202211None$13
202111None$16

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
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$22
1 payment
  • Meals for Lifevest · 2025-10-08 · $22
See the published payment
Every published payment
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Meals · 2025-10-08Lifevest$22
See earlier years (2022, 2021)

2022: $13

Payments by company in 2022
AmgenEvenity$13
1 payment
  • Meals for Evenity · 2022-03-28 · $13

2021: $16

Payments by company in 2021
Merck Sharp & DohmeDificid$16
1 payment
  • Meals for Dificid · 2021-10-26 · $16

Professional record

NPI
1144782152
Licence
TX T5997
Trained
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019
Group
County of Santa Clara · El Camino Health Medical Network LLC
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Internal medicine (207R00000X); Hospitalist (208M00000X)
Mailing address
2105 Forest Ave, San Jose, CA, 95128
NPI first listed
2019-04-01
NPI last updated
2025-12-22
NPI record certified
2025-12-22

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

Extra NPI addresses: 700 Lawrence Expy, Santa Clara, CA, 95051

This office lists an electronic records connection.