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Raymond T Chan, MD

Internal Medicine · San Jose

NPI 1174881726

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 · 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.

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. Chan’s office at (408) 885-5000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A130360 · Current

Licensed to practise in California · since 2014 · expires 2028-02-29 · Loma Linda University School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

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

$59,029

Medicare paid this office $59,029 for 274 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes179$19,520$70
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes97$17,977$106
Initial hospital care with moderate level of medical decision making at least 75 minutes68$10,272$147
Hospital discharge day management, more than 30 minutes89$9,532$104
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes11$660$44

Who their Medicare patients are

274 Original Medicare patients in 2024. Average age 74 · Under 65 18% · 85 and older 22% · Women 43% · Also on Medicaid 81% · Health risk score 3.26. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 59% · Chronic kidney disease 49% · Heart failure 47% · Coronary heart disease 44% · Atrial fibrillation 40% · Depression 40% · Dementia 36% · Stroke 30% · COPD 28% · Cancer 18%.

The office billed $609,952, Medicare allowed $75,690 and paid $59,029; for 637 services of 11 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
2024274637743.26$609,952$59,029
2023262587723.20$513,911$53,845
2022254517712.86$436,275$50,670
2021240584713.19$479,986$60,049
2020256520713.70$408,334$51,964
2019259571693.39$364,771$48,456
2018229387703.19$169,654$29,012
2017249435693.51$189,797$32,294
2016235412702.91$151,844$30,120
20152553642.69$18,013$4,197

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
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes167$23,116$74
Initial hospital care with moderate level of medical decision making at least 75 minutes61$9,972$156
Hospital discharge day management, more than 30 minutes77$8,761$111
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes56$8,110$110
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes29$2,326$51

2022: 7 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes166$23,378$78
Hospital discharge day management, more than 30 minutes75$9,690$118
Initial hospital care with moderate level of medical decision making at least 75 minutes40$8,645$216
Initial hospital observation care per day, typically 70 minutes13$2,263$174
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$1,956$109
Hospital observation care on day of discharge15$1,123$75
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$828$41

2021: 7 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes172$26,829$79
Initial hospital care with moderate level of medical decision making at least 75 minutes54$11,942$213
Hospital discharge day management, more than 30 minutes73$8,777$119
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes40$6,013$113
Initial hospital observation care per day, typically 70 minutes12$2,388$199
Hospital observation care on day of discharge14$1,155$82
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes11$469$43

2020: 7 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes164$21,318$78
Initial hospital care with moderate level of medical decision making at least 75 minutes43$9,520$216
Hospital discharge day management, more than 30 minutes68$8,040$115
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes28$4,524$108
Initial hospital observation care per day, typically 70 minutes12$2,597$216
Hospital observation care on day of discharge17$1,345$79
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes20$1,070$43

2019: 7 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes175$19,685$66
Initial hospital care with moderate level of medical decision making at least 75 minutes43$8,108$184
Hospital discharge day management, more than 30 minutes66$6,669$100
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes40$5,304$95
Initial hospital observation care per day, typically 70 minutes18$2,927$154
Hospital observation care on day of discharge16$1,085$68
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes21$927$36

2018: 5 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes164$16,340$65
Hospital discharge day management, more than 30 minutes35$3,534$98
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes30$3,183$94
Initial hospital care with moderate level of medical decision making at least 75 minutes14$2,342$167
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes14$490$33

2017: 6 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes145$13,489$63
Hospital discharge day management, more than 30 minutes59$5,728$95
Initial hospital care with moderate level of medical decision making at least 75 minutes25$4,489$180
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes27$3,035$89
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes39$1,842$32
Hospital observation care on day of discharge12$775$65

2016: 6 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes127$11,652$63
Hospital discharge day management, more than 30 minutes67$6,445$96
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes38$4,074$93
Initial hospital care with moderate level of medical decision making at least 75 minutes18$3,245$180
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes44$2,267$35
Hospital observation care on day of discharge13$791$61

Medicaid work

$10,946 in 2024

Medicaid paid $10,946 for 988 billed services this clinician did in 2024, up to 58 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
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES491$4,893
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES304$3,447
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter101$1,303
1ST HOSP IP/OBS HIGH 7592$1,302
Medicaid work by year
2024988458$10,946
20231,125557$12,342
20221,019565$17,128
2021895340$16,257
2020680342$11,748
2019825345$12,671
2018613471$9,112
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES602$4,845
1ST HOSP IP/OBS HIGH 75181$3,444
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter148$1,834
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES110$1,280
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES84$938

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES720$10,297
1ST HOSP IP/OBS HIGH 75151$4,262
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter111$1,767
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES18$518
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES19$284

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES602$8,277
1ST HOSP IP/OBS HIGH 75146$4,665
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter147$3,315

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES496$8,475
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter113$2,055
1ST HOSP IP/OBS HIGH 7571$1,218

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES609$8,417
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter129$2,220
1ST HOSP IP/OBS HIGH 7587$2,034

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES551$7,968
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES20$488
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter27$433
1ST HOSP IP/OBS HIGH 7515$224

Money from drug and device companies

$15 in 2023

Industry payments by year
202311None$15
201911None$51

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
AstraZeneca Pharmaceuticals LPFarxiga$15
1 payment
  • Meals for Farxiga · 2023-10-31 · $15
See the published payment
Every published payment
AstraZeneca Pharmaceuticals LPMeals · 2023-10-31Farxiga$15
See earlier years (2019)

2019: $51

Payments by company in 2019
Abbott LaboratoriesCell-Dyn 3200 System$51
1 payment
  • Meals for Cell-Dyn 3200 System · 2019-04-04 · $51

Professional record

NPI
1174881726
Licence
CA A130360California A130360: Current · expires 2028-02-29
Trained
Loma Linda University School of Medicine, 2012
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Internal medicine (207R00000X); Student in a training program (390200000X)
Mailing address
43 Eastgate Dr, Daly City, CA, 94015
NPI first listed
2012-05-01
NPI last updated
2016-12-15

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