Priya Gomathi Kumaravelu, MD

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

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

35 plans · 10 carriers

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
  Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
• 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

$148,479

Medicare paid this office $148,479 for 276 people.

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

Who their Medicare patients are

276 Original Medicare patients in 2024. Average age 77 · Under 65 5% · 85 and older 23% · Women 55% · Also on Medicaid 63% · Health risk score 2.30. Above the middle of the specialty; the typical hematology-oncology clinician is at 2.04.

Conditions among them: High blood pressure 75% · Diabetes 55% · Chronic kidney disease 41% · Cancer 37% · Coronary heart disease 36% · Heart failure 32% · Atrial fibrillation 29% · Dementia 22% · COPD 20% · Stroke 19% · Depression 16%.

The office billed $417,730, Medicare allowed $193,989 and paid $148,479; for 1,149 services of 10 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 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.

$1,128 in 2024

Medicaid paid $1,128 for 596 billed services this clinician did in 2024, up to 34 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.

$2,785,702

Pharmacies billed $2,785,702 in 2024.

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

Opioids were 3% of their Part D prescriptions (28 of 937) in 2024. At or below the middle of the specialty; the typical hematology-oncology clinician is at 5%.

647 generic and 290 brand-name prescriptions · $2,785,702 in drug cost · 19 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.

Year by year

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

$2,216 in 2025

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

A payment is not proof that care is biased.

5 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

What the office says it does

Boxes the office ticked on its Medicare worksheet for 2023. Nobody checks these.

• Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record

NPI

1154514677

Licence

MI 4301086299

Group

Stanford Health Care

Video visits

Lists video visits

Gender

Female