Abdalla Mohamed, MD
Internal Medicine · Gilroy
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 6
- 2 carriers
- Offices
- 5
Offices
5 locations · 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
6 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Mohamed’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
6 of 6 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
State licence records
1 licence
- New Jersey 25MA10590800Medical Doctor · since 2019 · expires 2027-06-30ActiveNo board action on this licenceCheck it with the state
We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.
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 itOverall 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.
| SSI - Colon SurgeryInfections | 2.572 | Worse | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.563 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.256 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.369 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.25 (0.3 to 2.2) · 1,535 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.07 (0.76 to 1.38) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 214.59 (167.38 to 261.8) · 108 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.8 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6 · 141 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.2 · 124 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.3 · 501 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.9 · 653 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 348 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3 · 4,502 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.24 (0.04 to 0.43) · 9,014 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.34 (0.15 to 0.52) · 9,216 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.54 (2.51 to 6.58) · 1,421 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.54 (0 to 3.2) · 288 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.66 to 3.56) · 1,446 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.61 (4.09 to 19.14) · 294 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.29 (3.39 to 11.2) · 299 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.9 (0.45 to 3.36) · 333 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 0.78) · 7,538 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 5.4 · 94 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.735 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 2.573 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.6 · 185 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.1 · 951 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 56.3 · 128 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 6.4 · 644 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 1.3 · 699 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.3 · 921 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.7 (3.9 to 8.1) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 12.6 (9.4 to 16.5) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 94 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.4 · 54 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.3 · 242 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.2 (9.9 to 17.4) · 702 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 195 cases | No different | Jan 2024 – Dec 2024 |
What patients said (4,032 patients answered, 29% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 70% |
| Nurses "always" communicated well | 73% |
| Doctors "always" communicated well | 76% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 82% |
| Yes, staff "did" give patients information about help after discharge | 82% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 82% |
| Patients who gave a rating of "9" or "10" (high) | 67% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 83% |
Original Medicare doctor bills
$7,727
Medicare paid this office $7,727 for 36 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 17 | $1,881 | $111 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 13 | $1,094 | $68 |
Procedures Medicare counted
| Colonoscopy | 35 | More than 57% of doctors who do this |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 80 | More than 72% of doctors who do this |
Who their Medicare patients are
36 Original Medicare patients in 2024. Average age 77 · Women 47% · Also on Medicaid 44% · Health risk score 1.95. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 53% · Heart failure 39% · Atrial fibrillation 39% · Coronary heart disease 36% · Depression 33% · Chronic kidney disease 31%.
The office billed $99,681, Medicare allowed $9,810 and paid $7,727; for 73 services of 22 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
| 2024 | 36 | 73 | 77 | 1.95 | $99,681 | $7,727 |
| 2020 | 48 | 169 | 72 | 5.31 | $43,921 | $13,325 |
| 2019 | 52 | 138 | 73 | 2.22 | $24,461 | $10,099 |
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
2020: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 25 | $6,950 | $88 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 24 | $3,418 | $62 |
2019: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 35 | $4,823 | $61 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 23 | $3,826 | $87 |
Medicaid work
$420 in 2024
Medicaid paid $420 for 54 billed services this clinician did in 2024, up to 18 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.
| Service | 17 | $357 |
| Service | 18 | $64 |
| TISSUE EXAM BY PATHOLOGIST | 19 | $0 |
| 2024 | 54 | 3 | 18 | $420 |
| 2023 | 14 | 1 | 12 | $268 |
| 2020 | 117 | 2 | 20 | $3,220 |
| 2019 | 83 | 1 | 16 | $2,736 |
See the largest Medicaid services in earlier years
2023
| INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES | 14 | $268 |
2020
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 64 | $2,078 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 53 | $1,142 |
2019
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 83 | $2,736 |
Money from drug and device companies
$580 in 2025
| 2025 | 5 | 5 | None | $580 |
| 2024 | 6 | 6 | None | $108 |
| 2023 | 6 | 9 | None | $400 |
| 2022 | 1 | 1 | None | $28 |
| 2021 | 2 | 2 | None | $45 |
| 2020 | 2 | 6 | None | $416 |
| 2019 | 4 | 5 | None | $340 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Inari Medical | Flowtriever Catheter, S | $194 | 1 payment
|
| Boston Scientific | Exalt Model D | $150 | 1 payment
|
| Medtronic | Nexpowder | $125 | 1 payment
|
| Steris | Trufreeze | $92 | 1 payment
|
| Abbvie | Rinvoq | $19 | 1 payment
|
See all 5 published payments
| Medtronic | Meals · 2025-05-08 | Nexpowder | $125 |
| Boston Scientific | Meals · 2025-05-04 | Exalt Model D | $150 |
| Steris | Meals · 2025-05-04 | Trufreeze | $92 |
| Abbvie | Meals · 2025-03-05 | Rinvoq | $19 |
| Inari Medical | Meals · 2025-01-30 | Flowtriever Catheter, S | $194 |
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)
2024: $108
| Blueprint Medicines | Ayvakit | $20 | 1 payment
|
| Regeneron Healthcare Solutions | Dupixent | $19 | 1 payment
|
| Boston Scientific | Exalt Model D | $18 | 1 payment
|
| Janssen Biotech | Stelara | $17 | 1 payment
|
| AstraZeneca Pharmaceuticals LP | Andexxa | $17 | 1 payment
|
| Ardelyx | Ibsrela | $17 | 1 payment
|
2023: $400
| Abbvie | Rinvoq | $241 | 2 payments
|
| Boston Scientific | Axios | $55 | 1 payment
|
| Takeda Pharmaceuticals U.S.A. | Entyvio | $34 | 2 payments
|
| Salix Pharmaceuticals a division of Bausch Health US | Xifaxan | $34 | 2 payments
|
| Ardelyx | Ibsrela | $21 | 1 payment
|
| Sandoz | Hyrimoz | $16 | 1 payment
|
2022: $28
| Bayer HealthCare Pharmaceuticals | Stivarga | $28 | 1 payment
|
2021: $45
| Medtronic | Barrx | $30 | 1 payment
|
| AbbVie | Creon | $15 | 1 payment
|
2020: $416
| AbbVie | Mavyret | $304 | 5 payments
|
| Eisai | Lenvima | $112 | 1 payment
|
2019: $340
| Gilead Sciences | Epclusa | $109 | 1 payment
|
| Janssen Scientific Affairs | Stelara | $108 | 1 payment
|
| AbbVie | Creon | $68 | 2 payments
|
| Olympus America | Olympus Emr & Esd Devices | $55 | 1 payment
|
Professional record
- NPI
- 1174079990
- Licence
- NJ 25MA10590800New Jersey 25MA10590800: Active
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 207RG0100X (207RG0100X); Internal medicine (207R00000X)
- Mailing address
- Po Box 416457, Boston, MA, 02241
- NPI first listed
- 2016-08-31
- NPI last updated
- 2023-06-27
- NPI record certified
- 2023-06-27
This is when the NPI record was last certified, not a medical board exam.