Pritul R Patel, MD
Anesthesiology · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 1
- 1 carrier
- Office
- 1
Offices
1 location · Cep America - Anesthesia PC · 849 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
1 plan · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Patel’s office at (408) 947-2500 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
California Medical Board record
Licence A131369 · Current
Licensed to practise in California · since 2014 · expires 2027-08-31 · University of Illinois College of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
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
$13,019
Medicare paid this office $13,019 for 50 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Who their Medicare patients are
50 Original Medicare patients in 2024. Average age 78 · Women 42% · Also on Medicaid 42% · Health risk score 2.24. Above the middle of the specialty; the typical anesthesiology clinician is at 1.54.
Conditions among them: High blood pressure 75% · Coronary heart disease 48% · Diabetes 46% · Atrial fibrillation 42% · Chronic kidney disease 40% · Heart failure 38% · Depression 24%.
The office billed $152,157, Medicare allowed $16,298 and paid $13,019; for 81 services of 38 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 | 50 | 81 | 78 | 2.24 | $152,157 | $13,019 |
| 2023 | 39 | 64 | 69 | 2.62 | $123,170 | $15,548 |
| 2022 | 69 | 136 | 72 | 1.84 | $236,330 | $28,421 |
| 2021 | 72 | 139 | 72 | 2.72 | $239,523 | $31,129 |
| 2020 | 52 | 101 | 68 | 3.28 | $160,337 | $22,622 |
| 2019 | 99 | 248 | 71 | 2.94 | $232,700 | $43,316 |
| 2018 | 98 | 248 | 71 | 2.56 | $252,879 | $41,984 |
| 2017 | 172 | 306 | 68 | 2.81 | $531,606 | $87,714 |
| 2016 | 176 | 466 | 70 | 3.08 | $623,977 | $81,064 |
| 2015 | 174 | 488 | 69 | 2.46 | $681,869 | $89,316 |
| 2014 | 48 | 113 | 72 | 2.21 | $192,835 | $26,355 |
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
2022: 2 services
| Critical care, first 30-74 minutes | 24 | $16,575 | $230 |
| Insertion of artery tube for blood sampling or infusion through skin | 11 | $432 | $39 |
2021: 3 services
| Critical care, first 30-74 minutes | 26 | $12,312 | $237 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 11 | $1,364 | $76 |
| Insertion of artery tube for blood sampling or infusion through skin | 15 | $594 | $40 |
2020: 1 service
| Insertion of artery tube for blood sampling or infusion through skin | 15 | $600 | $40 |
2019: 2 services
| Critical care, first 30-74 minutes | 58 | $31,331 | $189 |
| Critical care, each additional 30 minutes | 11 | $1,810 | $95 |
2018: 3 services
| Critical care, first 30-74 minutes | 45 | $18,790 | $186 |
| Critical care, each additional 30 minutes | 11 | $4,791 | $94 |
| Insertion of artery tube for blood sampling or infusion through skin | 23 | $878 | $38 |
2017: 4 services
| Critical care, first 30-74 minutes | 24 | $18,303 | $251 |
| Anesthesia for procedure on chest with 1 lung inflated | 13 | $7,265 | $559 |
| Anesthesia for placement or revision of blood flow shunt | 13 | $5,656 | $377 |
| Insertion of artery tube for blood sampling or infusion through skin | 47 | $2,752 | $59 |
2016: 7 services
| Critical care, first 30-74 minutes | 126 | $52,033 | $188 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 28 | $2,565 | $61 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 15 | $1,555 | $104 |
| Ultrasound of heart with probe in esophagus, with report | 14 | $1,445 | $103 |
| Insertion of artery tube for blood sampling or infusion through skin | 24 | $1,088 | $44 |
| Ultrasound of heart blood flow, valves and chambers | 12 | $188 | $16 |
| Ultrasound of heart with color-depicted blood flow, rate and valve function | 13 | $35 | $3 |
2015: 8 services
| Critical care, first 30-74 minutes | 110 | $51,804 | $188 |
| Anesthesia for procedure on heart and large blood vessels using heart-lung machine (1 year or older) | 11 | $10,766 | $979 |
| Ultrasound of heart with probe in esophagus, with report | 24 | $2,480 | $103 |
| Insertion of tube in pulmonary artery for monitoring | 19 | $2,081 | $110 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 13 | $1,352 | $61 |
| Insertion of artery tube for blood sampling or infusion through skin | 24 | $1,046 | $44 |
| Ultrasound of heart blood flow, valves and chambers | 24 | $376 | $16 |
| Ultrasound of heart with color-depicted blood flow, rate and valve function | 24 | $71 | $3 |
2014: 4 services
| Ultrasound of heart with probe in esophagus, with report | 13 | $1,149 | $88 |
| Insertion of artery tube for blood sampling or infusion through skin | 13 | $602 | $43 |
| Ultrasound of heart blood flow, valves and chambers | 13 | $202 | $16 |
| Ultrasound of heart with color-depicted blood flow, rate and valve function | 11 | $32 | $3 |
Medicaid work
$3,537 in 2023
Medicaid paid $3,537 for 39 billed services this clinician did in 2023, up to 13 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.
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 39 | $3,537 |
| 2023 | 39 | 1 | 13 | $3,537 |
| 2021 | 41 | 2 | 13 | $3,592 |
See the largest Medicaid services in earlier years
2021
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 28 | $2,991 |
| Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor) | 13 | $601 |
Money from drug and device companies
$135 in 2025
A payment is not proof that care is biased.
| Intuitive Surgical | Da Vinci Surgical System | $135 | 1 payment
|
See the published payment
| Intuitive Surgical | Meals · 2025-12-09 | Da Vinci Surgical System | $135 |
Professional record
- NPI
- 1174853477
- Licence
- CA A131369, IL 125064938California A131369: Current · expires 2027-08-31
- Trained
- University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb), 2008
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207L00000X (207L00000X)
- Mailing address
- Po Box 31309, Los Angeles, CA, 90031
- NPI first listed
- 2010-01-08
- NPI last updated
- 2018-04-10
This is when the NPI record was last certified, not a medical board exam.