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Lubna F Husain, MD

Emergency Medicine · San Jose

NPI 1164666533

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Emergency Physicians Associates San Jose PC · 131 clinicians in this group

Looking this up.

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

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Husain’s office at (408) 947-2500 to ask if they take your plan before you enroll.

Hospitals they work in

1 hospital

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

  • 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

$52,561

Medicare paid this office $52,561 for 344 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making210$29,163$136
Critical care, first 30-74 minutes89$16,176$176
Emergency department visit with moderate level of medical decision making42$4,005$95
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only236$1,695$7
X-ray of chest, 1 view38$255$7
See all 6 services
Every Original Medicare service billed
Emergency department visit with high level of medical decision making210$29,163$136
Critical care, first 30-74 minutes89$16,176$176
Emergency department visit with moderate level of medical decision making42$4,005$95
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only236$1,695$7
X-ray of chest, 1 view38$255$7
X-ray of chest, 2 views13$85$7

Who their Medicare patients are

344 Original Medicare patients in 2024. Average age 74 · Under 65 17% · 85 and older 17% · Women 57% · Also on Medicaid 64% · Health risk score 2.81. Sicker patients than 9 in 10 peers; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Diabetes 51% · Chronic kidney disease 40% · Coronary heart disease 39% · Heart failure 34% · Depression 28% · Atrial fibrillation 27% · COPD 26% · Dementia 21% · Stroke 17% · Cancer 14%.

The office billed $442,235, Medicare allowed $71,135 and paid $52,561; for 707 services of 31 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
2024344707742.81$442,235$52,561
2023268538752.15$276,589$41,791
2022307541741.96$220,993$52,957
2021309603732.09$221,418$56,528
2020244424732.57$186,500$42,028
2019403904732.33$319,218$65,703
20185021,065742.12$389,097$80,402
20175691,221752.36$456,090$93,588
2016390904772.37$324,539$67,966
20155151,145762.04$419,318$90,020
2014553982732.08$435,981$85,709
2013241425722.17$191,469$37,143

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
Emergency department visit with high level of medical decision making156$23,074$143
Critical care, first 30-74 minutes71$12,483$173
Emergency department visit with moderate level of medical decision making36$3,603$92
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only178$1,330$7
X-ray of chest, 1 view36$271$8

2022: 5 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making163$27,967$171
Critical care, first 30-74 minutes72$16,116$224
Emergency department visit with moderate level of medical decision making43$4,387$100
Emergency department visit with low level of medical decision making32$1,822$57
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only198$1,438$7

2021: 6 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making170$30,942$182
Critical care, first 30-74 minutes62$15,138$244
Emergency department visit with moderate level of medical decision making39$4,150$101
Emergency department visit with low level of medical decision making43$2,716$63
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only194$1,489$7
X-ray of chest, 1 view39$319$8

2020: 6 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making129$19,858$152
Critical care, first 30-74 minutes69$16,056$223
Emergency department visit with moderate level of medical decision making17$1,631$91
Emergency department visit with low level of medical decision making28$1,484$53
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only111$887$8
X-ray of chest, 1 view24$209$9

2019: 7 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making240$35,154$143
Critical care, first 30-74 minutes100$19,490$193
Emergency department visit with moderate level of medical decision making34$3,262$93
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only273$2,151$8
Emergency department visit with low level of medical decision making36$1,544$43
X-ray of chest, 1 view78$647$8
X-ray of chest, 2 views14$139$10

2018: 7 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making249$36,282$145
Critical care, first 30-74 minutes141$27,916$193
Emergency department visit with moderate level of medical decision making72$6,915$95
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only276$2,201$8
Emergency department visit with low level of medical decision making49$2,148$44
X-ray of chest, 1 view83$696$8
X-ray of chest, 2 views39$396$10

2017: 8 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making274$39,327$141
Critical care, first 30-74 minutes186$35,505$189
Emergency department visit with moderate level of medical decision making80$7,451$92
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only348$2,732$8
Emergency department visit with low level of medical decision making42$2,133$48
X-ray of chest, 1 view, front93$769$8
X-ray of chest, 2 views, front and side35$326$9
X-ray of shoulder, minimum of 2 views14$121$9

2016: 8 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making238$35,393$143
Critical care, first 30-74 minutes90$17,835$194
Emergency department visit with moderate level of medical decision making42$4,137$99
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only251$1,973$8
Emergency department visit with low level of medical decision making30$1,663$50
X-ray of chest, 1 view, front93$785$8
X-ray of chest, 2 views, front and side15$148$10
X-ray of hip, 2-3 views11$43$4

2015: 8 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making295$44,357$146
Critical care, first 30-74 minutes125$24,621$192
Emergency department visit with moderate level of medical decision making67$6,187$91
Critical care, each additional 30 minutes22$2,652$98
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only309$2,473$8
Emergency department visit with low level of medical decision making38$1,971$48
X-ray of chest, 1 view, front107$910$8
X-ray of chest, 2 views, front and side24$237$10

2014: 6 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making382$55,856$141
Critical care, first 30-74 minutes80$15,342$192
Emergency department visit with moderate level of medical decision making70$6,641$94
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only290$2,228$7
Emergency department visit with low level of medical decision making27$1,307$48
X-ray of chest, 1 view, front24$198$8

2013: 4 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making179$25,461$139
Critical care, first 30-74 minutes35$6,435$184
Emergency department visit with moderate level of medical decision making25$2,299$92
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only153$1,097$7

Medicaid work

$109,257 in 2024

Medicaid paid $109,257 for 3,269 billed services this clinician did in 2024, up to 164 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
EMERGENCY DEPARTMENT VISIT HIGH MDM1,152$52,905
EMERGENCY DEPT VISIT MOD MDM786$26,075
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes199$11,532
Clinic visit/encounter, all-inclusive16$10,059
Service151$5,568
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only626$2,502
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count19$168
ELECTROLYTE PANEL18$143
Measurement of magnesium13$99
Short return visit (20+ min)48$94
Radiologic examination, chest; 2 views57$72
Creatinine; blood18$20
Medicaid work by year
20243,26917164$109,257
20232,41613103$82,164
20221,668675$57,365
20211,630653$59,223
2020963636$36,650
20191,9301355$94,086
20183,1761479$128,009
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPARTMENT VISIT HIGH MDM868$41,734
EMERGENCY DEPT VISIT MOD MDM688$24,163
Service236$8,854
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes93$5,090
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only366$1,429
EMERGENCY DEPT VISIT LOW MDM14$476
Service73$119
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count13$115
ELECTROLYTE PANEL13$103
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy13$45
Creatinine; blood13$19
Blood glucose (sugar) level13$15

2022

Largest Medicaid services in 2022
EMERGENCY DEPARTMENT VISIT HIGH MDM434$22,078
EMERGENCY DEPT VISIT LOW MDM718$16,890
EMERGENCY DEPT VISIT MOD MDM374$13,589
Service101$3,718
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes14$906
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only27$183

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM549$31,775
EMERGENCY DEPT VISIT LOW MDM589$13,301
EMERGENCY DEPT VISIT MOD MDM232$8,677
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes51$2,175
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only168$1,757
Service41$1,538

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM336$19,758
EMERGENCY DEPT VISIT LOW MDM273$6,425
EMERGENCY DEPT VISIT MOD MDM103$4,355
Service40$3,507
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only184$1,594
Service27$1,011

2019

Largest Medicaid services in 2019
Service272$47,857
EMERGENCY DEPARTMENT VISIT HIGH MDM334$16,066
EMERGENCY DEPT VISIT LOW MDM521$11,713
EMERGENCY DEPT VISIT MOD MDM227$7,842
COMPREHENSIVE METABOLIC PANEL30$5,269
Service82$3,013
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only225$1,485
Unclassified drugs121$322
Infusion, normal saline solution , 1000 cc13$302
Radiologic examination, chest; 2 views28$121
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count34$62
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy31$32

2018

Largest Medicaid services in 2018
EMERGENCY DEPARTMENT VISIT HIGH MDM438$31,064
EMERGENCY DEPT VISIT LOW MDM774$25,911
EMERGENCY DEPT VISIT MOD MDM563$25,543
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"87$18,004
Service321$11,742
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes51$4,926
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only454$4,287
Infusion, normal saline solution , 1000 cc31$1,892
Service119$1,532
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza40$1,314
COMPREHENSIVE METABOLIC PANEL48$848
Radiologic examination, chest; 2 views114$462

Drugs they prescribed that Part D paid

$650

Pharmacies billed $650 in 2024.

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

Opioids were 15% of their Part D prescriptions (14 of 95) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%.

86 generic and fewer than 11 brand-name prescriptions · $650 in drug cost · 46 antibiotic prescriptions to 46 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
Cephalexin18$89$5

Year by year

Part D prescribing by year
2024957315% (14)None$650
20235435NoneNone$694
20227663NoneNone$807
2021625024% (15)None$493
20203022NoneNone$330
2019745218% (13)None$797
201816110030% (49)7%$1,692
20171379129% (40)None$1,287
20161116928% (31)None$2,749
201516111126% (42)None$2,391
20141328626% (34)None$1,603
2013674334% (23)None$1,307

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Cephalexin11$83$8

2022: 1 drug

Part D drugs prescribed in 2022
Cephalexin20$102$5

2021: 1 drug

Part D drugs prescribed in 2021
Cephalexin13$80$6

2019: 2 drugs

Part D drugs prescribed in 2019
Cephalexin14$124$9
Hydrocodone-Acetaminophen11$59$5

2018: 4 drugs

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen30$137$5
Cephalexin16$116$7
Acetaminophen-Codeine16$69$4
Prednisone14$42$3

2017: 2 drugs

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen29$144$5
Cephalexin15$105$7

2016: 1 drug

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen21$123$6

2015: 4 drugs

Part D drugs prescribed in 2015
Levofloxacin15$257$17
Hydrocodone-Acetaminophen28$157$6
Ciprofloxacin18$136$8
Cephalexin11$82$7

2014: 4 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen21$133$6
Cephalexin11$97$9
Ciprofloxacin11$86$8
Prednisone12$62$5

Professional record

NPI
1164666533
Trained
Tulane University School of Medicine, 2009
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Student in a training program (390200000X)
Mailing address
3220 Vernazza Ave, San Jose, CA, 95135
NPI first listed
2009-04-28
NPI last updated
2013-07-17

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