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Daljeet S Rai, MD

Family Practice · San Jose

NPI 1174609788

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
18
3 carriers
Offices
4

Offices

4 locations · University Healthcare Alliance · Indian Health Center of Santa Clara Valley

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

18 plans · 3 carriers

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

18 of 18 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
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

California Medical Board record

Licence G53264 · Current

Licensed to practise in California · since 1984 · expires 2027-12-31 · University of Southern California Keck School of Medicine.

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

$33,938

Medicare paid this office $33,938 for 107 people.

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

Largest Original Medicare bills
Return visit (30+ min)40$8,741$104
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes36$7,058$102
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,390$154
Long return visit (40+ min)11$2,653$156
Hospital discharge day management, more than 30 minutes23$2,505$104
See all 10 services
Every Original Medicare service billed
Return visit (30+ min)40$8,741$104
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes36$7,058$102
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,390$154
Long return visit (40+ min)11$2,653$156
Hospital discharge day management, more than 30 minutes23$2,505$104
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit16$2,449$153
Influenza vaccine split virus, preservative free13$1,064$82
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's29$777$15
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$741$57
Administration of influenza virus vaccine13$497$38

Procedures Medicare counted

Procedure volume Medicare published
Removal or shaving of skin growth1-10None
Skin biopsy1-10None

Who their Medicare patients are

107 Original Medicare patients in 2024. Average age 74 · Under 65 12% · 85 and older 20% · Women 53% · Also on Medicaid 34% · Health risk score 2.05. Sicker patients than 9 in 10 peers; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 40% · Coronary heart disease 34% · Chronic kidney disease 30% · Atrial fibrillation 29% · Heart failure 25% · Depression 21% · Dementia 20% · Cancer 15% · COPD 15% · Stroke 15%.

The office billed $133,598, Medicare allowed $44,988 and paid $33,938; for 391 services of 30 kinds; $1,861 of it was for drugs given in the office and $32,076 for care.

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
2024107391742.05$133,598$33,938
2023109366762.00$128,629$34,787
2022129387752.04$147,302$39,597
2021127447752.19$174,530$50,124
2020141600752.33$244,210$62,385
2019163457752.15$157,219$37,941
2018157420752.24$152,334$39,252
2017209557742.30$179,486$47,039
2016154387762.55$132,781$35,187
2015134319731.62$93,669$29,804
2014174423742.10$114,142$37,663
2013178419751.93$89,515$40,022

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: 10 services

Original Medicare services billed in 2023
Return visit (30+ min)38$10,349$109
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes31$4,989$94
Initial hospital care with moderate level of medical decision making at least 75 minutes25$3,790$152
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit18$2,806$156
Hospital discharge day management, more than 30 minutes18$1,872$104
Long return visit (40+ min)11$1,819$152
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,604$70
Short return visit (20+ min)11$1,075$77
Influenza vaccine split virus, preservative free14$1,000$71
Administration of influenza virus vaccine13$480$37

2022: 8 services

Original Medicare services billed in 2022
Return visit (30+ min)47$11,583$108
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes49$9,762$91
Initial hospital care with moderate level of medical decision making at least 75 minutes31$5,543$179
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit12$1,901$158
Hospital discharge day management, 30 minutes or less17$1,101$65
Hospital discharge day management, more than 30 minutes11$1,064$97
Influenza vaccine split virus, preservative free12$819$68
Administration of influenza virus vaccine12$448$37

2021: 6 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes53$21,717$111
Initial hospital care with moderate level of medical decision making at least 75 minutes53$10,365$196
Return visit (30+ min)32$6,094$107
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit15$2,454$164
Hospital discharge day management, 30 minutes or less29$2,013$69
Short return visit (20+ min)15$1,401$88

2020: 8 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes70$33,391$105
Initial hospital care with moderate level of medical decision making at least 75 minutes62$13,367$200
Return visit (30+ min)26$3,871$86
Hospital discharge day management, 30 minutes or less32$2,631$73
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$2,113$70
Short return visit (20+ min)13$1,143$57
Influenza vaccine split virus, preservative free12$726$60
Administration of influenza virus vaccine12$251$21

2019: 9 services

Original Medicare services billed in 2019
Return visit (30+ min)48$9,837$96
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes52$7,861$95
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,694$178
Hospital discharge day management, 30 minutes or less36$2,306$64
Short return visit (20+ min)29$2,217$58
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,723$66
Influenza vaccine split virus, preservative free16$876$55
Administration of influenza virus vaccine16$328$21
Administration of pneumococcal vaccine12$246$21

2018: 9 services

Original Medicare services billed in 2018
Initial hospital care with moderate level of medical decision making at least 75 minutes46$8,368$182
Return visit (30+ min)40$6,992$91
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes38$6,460$94
Hospital discharge day management, 30 minutes or less33$2,273$67
Long return visit (40+ min)11$1,971$116
Short return visit (20+ min)19$1,500$60
Influenza vaccine split virus, preservative free15$780$52
Administration of influenza virus vaccine17$437$26
Administration of pneumococcal vaccine11$283$26

2017: 6 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes74$11,592$93
Initial hospital care with moderate level of medical decision making at least 75 minutes58$10,645$175
Return visit (30+ min)42$6,782$86
Hospital discharge day management, 30 minutes or less71$4,704$66
Long return visit (40+ min)20$3,182$118
Short return visit (20+ min)23$1,384$51

2016: 7 services

Original Medicare services billed in 2016
Initial hospital care with moderate level of medical decision making at least 75 minutes48$8,703$178
Return visit (30+ min)31$6,288$90
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes43$6,204$93
Hospital discharge day management, 30 minutes or less43$2,827$66
Short return visit (20+ min)27$2,098$55
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,222$64
Administration of influenza virus vaccine11$412$32

2015: 9 services

Original Medicare services billed in 2015
Return visit (30+ min)33$6,250$89
Initial hospital care with moderate level of medical decision making at least 75 minutes27$4,970$184
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes30$3,202$97
Hospital discharge day management, 30 minutes or less38$2,622$69
Short return visit (20+ min)30$2,437$61
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$2,287$67
Pneumococcal vaccine, 13-valent13$2,168$167
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes11$2,058$187
Administration of pneumococcal vaccine13$413$32

2014: 7 services

Original Medicare services billed in 2014
Initial hospital care with moderate level of medical decision making at least 75 minutes50$9,058$178
Return visit (30+ min)32$6,174$83
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes61$6,100$92
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes45$4,866$64
Hospital discharge day management, 30 minutes or less60$4,058$65
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes18$3,345$186
Short return visit (20+ min)26$2,219$62

2013: 6 services

Original Medicare services billed in 2013
Initial hospital care with moderate level of medical decision making at least 75 minutes56$10,429$174
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes67$7,608$90
Return visit (30+ min)35$7,252$86
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes41$4,288$62
Hospital discharge day management, 30 minutes or less35$2,232$64
Short return visit (20+ min)19$1,287$56

Medicaid work

$151,494 in 2024

Medicaid paid $151,494 for 1,252 billed services this clinician did in 2024, up to 86 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
Clinic visit/encounter, all-inclusive579$146,110
Short return visit (20+ min)566$3,895
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES54$866
Return visit (30+ min)53$623
Medicaid work by year
20241,252486$151,494
20231,9235111$204,936
20222,2489115$186,475
20213,57512147$275,519
20202,16711109$145,172
20192,51110155$275,150
20181,81211134$226,351
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive855$200,793
Short return visit (20+ min)825$2,243
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES59$945
Return visit (30+ min)171$642
1ST HOSP IP/OBS HIGH 7513$312

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive777$179,370
Short return visit (20+ min)883$2,353
1ST HOSP IP/OBS HIGH 7554$1,970
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES113$1,831
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter14$334
Short return visit150$300
Return visit (30+ min)50$257
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy157$60
Service50$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive1,073$254,236
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES262$4,793
1ST HOSP IP/OBS HIGH 75114$4,604
ANTEPARTUM CARE ONLY 4-6 VISITS51$3,401
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter85$2,168
Service49$2,108
Short return visit (20+ min)683$1,895
Prenatal care, at-risk enhanced service; antepartum management18$931
Short return visit372$833
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use43$335
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy556$214
Service269$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive583$129,618
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES446$6,336
ANTEPARTUM CARE ONLY 4-6 VISITS45$2,814
1ST HOSP IP/OBS HIGH 7583$2,647
Service32$1,377
Short return visit (20+ min)413$975
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter49$919
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use40$300
Short return visit105$108
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy257$79
Service114$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive1,147$262,026
ANTEPARTUM CARE ONLY 4-6 VISITS124$7,755
Short return visit (20+ min)598$2,330
Short return visit178$935
Service15$645
1ST HOSP IP/OBS HIGH 7515$601
TD VACC NO PRESV 7 YRS+ IM14$358
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use31$352
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy325$147
Service64$0

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive906$203,642
Short return visit (20+ min)438$9,227
ANTEPARTUM CARE ONLY 4-6 VISITS72$4,467
Service97$4,174
1ST HOSP IP/OBS HIGH 7545$1,473
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter56$1,269
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES41$1,183
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use31$545
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use13$180
Short return visit14$109
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy99$83

Drugs they prescribed that Part D paid

$50,833

Pharmacies billed $50,833 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 755) in 2024. At or below the middle of the specialty; the typical family practice clinician is at 2%.

674 generic and fewer than 11 brand-name prescriptions · $50,833 in drug cost · 15 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.

Largest Part D drug costs
Eliquis12$10,887$907
Duloxetine16$864$54
Atorvastatin81$773$10
Gabapentin12$440$37
Losartan45$426$9
See all 19 drugs
Every Part D drug this clinician prescribed
Eliquis12$10,887$907
Duloxetine16$864$54
Atorvastatin81$773$10
Gabapentin12$440$37
Losartan45$426$9
Levothyroxine36$319$9
Omeprazole13$294$23
Amlodipine Besylate42$268$6
Rosuvastatin20$210$11
Oxybutynin Chloride Er13$196$15
Simvastatin24$189$8
Lisinopril39$180$5
Metoprolol13$178$14
Finasteride11$149$14
Tamsulosin21$139$7
Metformin18$107$6
Hydrochlorothiazide23$104$5
Benazepril13$99$8
Lorazepam12$23$2

Year by year

Part D prescribing by year
2024755940% (0)None$50,833
202374893NoneNone$50,071
2022757113NoneNone$54,305
2021705103NoneNone$40,037
2020864126None13%$42,508
20198201532% (18)None$33,980
20188981674% (36)None$51,731
20177651323% (21)None$41,751
20169581022% (16)None$54,098
20151,0081233% (28)16%$53,461
2014901992% (14)19%$52,986
20139441174% (38)18%$55,828

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

See the drugs prescribed each year

2023: 16 drugs

Part D drugs prescribed in 2023
Atorvastatin84$1,064$13
Duloxetine20$867$43
Losartan44$549$12
Gabapentin16$435$27
Levothyroxine30$352$12
Tamsulosin26$340$13
Lisinopril42$324$8
Amlodipine Besylate46$297$6
Rosuvastatin14$168$12
Metformin20$156$8
Hydrochlorothiazide25$153$6
Simvastatin13$119$9
Trazodone14$89$6
Meloxicam21$59$3
Paroxetine11$44$4
Lorazepam12$24$2

2022: 17 drugs

Part D drugs prescribed in 2022
Atorvastatin90$1,209$13
Losartan51$558$11
Levothyroxine28$470$17
Gabapentin21$393$19
Lisinopril41$325$8
Duloxetine14$314$22
Tamsulosin31$305$10
Amlodipine Besylate33$280$8
Famotidine15$195$13
Omeprazole11$170$15
Hydrochlorothiazide29$149$5
Metformin Hcl Er12$148$12
Simvastatin18$147$8
Metformin14$122$9
Zolpidem12$89$7
Atenolol13$73$6
Sertraline13$59$5

2021: 19 drugs

Part D drugs prescribed in 2021
Eliquis13$10,665$820
Atorvastatin83$901$11
Losartan50$626$13
Gabapentin17$524$31
Levothyroxine20$413$21
Lisinopril53$347$7
Benazepril14$246$18
Amlodipine Besylate30$210$7
Famotidine14$176$13
Zolpidem24$156$6
Metformin Hcl Er11$148$13
Escitalopram17$130$8
Tamsulosin14$128$9
Hydrochlorothiazide25$127$5
Metformin15$94$6
Atenolol13$92$7
Metoprolol11$85$8
Furosemide15$71$5
Simvastatin11$39$4

2020: 24 drugs

Part D drugs prescribed in 2020
Eliquis13$9,357$720
Farxiga16$5,328$333
Losartan54$1,100$20
Atorvastatin66$1,001$15
Pravastatin24$847$35
Levothyroxine33$831$25
Simvastatin19$447$24
Gabapentin17$443$26
Benazepril15$335$22
Tamsulosin23$333$14
Lisinopril43$309$7
Escitalopram25$289$12
Amlodipine Besylate44$268$6
Clopidogrel15$245$16
Omeprazole18$222$12
Metformin Hcl Er11$199$18
Metformin20$169$8
Glipizide Er13$168$13
Famotidine16$150$9
Zolpidem18$132$7
Hydrochlorothiazide13$108$8
Trazodone18$92$5
Metoprolol16$89$6
Lorazepam14$63$4

2019: 21 drugs

Part D drugs prescribed in 2019
Atorvastatin74$1,416$19
Losartan48$780$16
Levothyroxine45$659$15
Tamsulosin26$620$24
Amlodipine Besylate40$468$12
Digox12$464$39
Pravastatin21$447$21
Gabapentin15$412$27
Fluticasone Propionate17$340$20
Simvastatin23$327$14
Metformin30$254$8
Hydrocodone-Acetaminophen16$240$15
Benazepril13$233$18
Donepezil18$232$13
Ranitidine11$232$21
Escitalopram21$210$10
Lisinopril22$191$9
Fluoxetine12$152$13
Atenolol14$121$9
Hydrochlorothiazide15$119$8
Metformin Hcl Er11$114$10

2018: 22 drugs

Part D drugs prescribed in 2018
Spiriva13$3,574$275
Atorvastatin83$1,647$20
Levothyroxine67$842$13
Hydrocodone-Acetaminophen19$655$34
Losartan47$596$13
Amlodipine Besylate42$577$14
Tamsulosin22$475$22
Pravastatin17$446$26
Metformin27$407$15
Gabapentin11$372$34
Fluticasone Propionate26$361$14
Ranitidine23$223$10
Bupropion12$207$17
Lisinopril24$187$8
Simvastatin18$173$10
Escitalopram12$156$13
Benazepril11$129$12
Hydrochlorothiazide17$115$7
Jantoven11$113$10
Sertraline12$93$8
Furosemide14$87$6
Lorazepam13$40$3

2017: 20 drugs

Part D drugs prescribed in 2017
Atorvastatin68$1,421$21
Levothyroxine68$1,116$16
Losartan49$587$12
Metformin26$333$13
Warfarin15$320$21
Amlodipine Besylate27$288$11
Pravastatin15$285$19
Fluticasone Propionate16$241$15
Sertraline22$211$10
Benazepril17$169$10
Escitalopram12$158$13
Lisinopril24$146$6
Gabapentin13$120$9
Omeprazole12$114$9
Bupropion11$112$10
Jantoven14$109$8
Hydrochlorothiazide22$105$5
Furosemide18$90$5
Simvastatin12$81$7
Lorazepam11$24$2

2016: 30 drugs

Part D drugs prescribed in 2016
Advair Diskus24$10,455$436
Spiriva15$5,128$342
Duloxetine16$1,924$120
Proair Hfa15$1,258$84
Atorvastatin49$1,008$21
Levothyroxine52$912$18
Losartan37$434$12
Fluticasone Propionate25$294$12
Amlodipine Besylate29$279$10
Potassium Chloride18$272$15
Pravastatin18$270$15
Doxazosin Mesylate11$241$22
Omeprazole19$228$12
Benazepril23$226$10
Lisinopril40$222$6
Metoprolol14$220$16
Spironolactone15$187$12
Pantoprazole19$141$7
Gabapentin25$139$6
Furosemide38$129$3
Metformin23$129$6
Hydrochlorothiazide20$118$6
Warfarin12$115$10
Atenolol19$115$6
Mirtazapine18$109$6
Simvastatin13$93$7
Escitalopram13$92$7
Sertraline12$64$5
Metoprolol11$36$3
Citalopram Hbr11$34$3

2015: 28 drugs

Part D drugs prescribed in 2015
Lyrica12$5,069$422
Spiriva11$3,488$317
Proair Hfa16$1,180$74
Atorvastatin57$1,112$20
Tamsulosin23$539$23
Levothyroxine36$481$13
Losartan40$428$11
Hydrocodone-Acetaminophen18$375$21
Fluticasone Propionate21$352$17
Warfarin18$344$19
Lisinopril51$309$6
Doxazosin Mesylate13$289$22
Potassium Chloride18$285$16
Amlodipine Besylate39$275$7
Benazepril40$261$7
Furosemide58$221$4
Losartan-Hydrochlorothiazide13$219$17
Pantoprazole20$183$9
Omeprazole17$130$8
Alendronate15$125$8
Atenolol13$119$9
Simvastatin16$115$7
Hydrochlorothiazide17$103$6
Metformin12$100$8
Gemfibrozil11$91$8
Glipizide14$85$6
Metoprolol18$77$4
Citalopram Hbr11$38$3

2014: 27 drugs

Part D drugs prescribed in 2014
Oxytrol12$5,044$420
Spiriva13$3,807$293
Proair Hfa22$1,324$60
Metoprolol14$773$55
Atorvastatin37$647$17
Losartan46$621$14
Fosinopril16$530$33
Fluticasone Propionate35$487$14
Levothyroxine38$449$12
Metformin16$333$21
Phenobarbital12$292$24
Amlodipine Besylate31$267$9
Simvastatin17$267$16
Potassium Chloride15$253$17
Benazepril26$230$9
Lisinopril31$223$7
Tamsulosin14$203$14
Hydrochlorothiazide44$202$5
Alendronate17$168$10
Clonidine16$159$10
Warfarin12$142$12
Omeprazole17$133$8
Fluoxetine16$119$7
Glipizide12$110$9
Gemfibrozil11$108$10
Furosemide28$90$3
Citalopram Hbr12$45$4

2013: 25 drugs

Part D drugs prescribed in 2013
Spiriva18$4,882$271
Levemir12$4,621$385
Atorvastatin28$942$34
Proair Hfa13$923$71
Losartan36$873$24
Fluticasone Propionate27$629$23
Fosinopril12$490$41
Simvastatin39$442$11
Levothyroxine38$404$11
Lisinopril30$363$12
Amlodipine Besylate37$360$10
Omeprazole30$341$11
Alendronate27$286$11
Hydrocodone-Acetaminophen20$284$14
Tamsulosin17$260$15
Lorazepam24$259$11
Metformin17$252$15
Hydrochlorothiazide28$187$7
Fluoxetine13$169$13
Benazepril25$167$7
Pravastatin14$166$12
Glipizide16$150$9
Citalopram Hbr17$116$7
Furosemide25$101$4
Warfarin13$96$7

Money from drug and device companies

$17 in 2023

Industry payments by year
202311None$17
202111None$12
201911None$14

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
GlaxoSmithKlineArexvy$17
1 payment
  • Meals for Arexvy · 2023-09-01 · $17
See the published payment
Every published payment
GlaxoSmithKlineMeals · 2023-09-01Arexvy$17
See earlier years (2021, 2019)

2021: $12

Payments by company in 2021
Roche DiagnosticsHarmony Products$12
1 payment
  • Meals for Harmony Products · 2021-05-17 · $12

2019: $14

Payments by company in 2019
Roche DiagnosticsRs Harmony Test Related Products$14
1 payment
  • Meals for Rs Harmony Test Related Products · 2019-03-08 · $14

Professional record

NPI
1174609788
Licence
CA G53264California G53264: Current · expires 2027-12-31
Trained
University of Southern California Keck School of Medicine, 1983
Group
University Healthcare Alliance · Indian Health Center of Santa Clara Valley
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
455 Oconnor Dr, Ste 210, San Jose, CA, 95128
NPI first listed
2006-10-27
NPI last updated
2012-02-02

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