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Rachel S Sussman, MD

Family Practice · San Jose

NPI 1184064396

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
19
4 carriers
Offices
2

Offices

2 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

19 plans · 4 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Sussman’s office at (408) 995-5453 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

19 of 19 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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A133996 · Current

Licensed to practise in California · since 2014 · expires 2026-09-30 · Stanford University 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

$46,050

Medicare paid this office $46,050 for 117 people.

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

Largest Original Medicare bills
Return visit (30+ min)56$16,479$111
Long return visit (40+ min)27$5,628$144
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes22$4,760$103
Short return visit (20+ min)22$3,232$77
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit19$2,909$153
See all 10 services
Every Original Medicare service billed
Return visit (30+ min)56$16,479$111
Long return visit (40+ min)27$5,628$144
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes22$4,760$103
Short return visit (20+ min)22$3,232$77
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit19$2,909$153
Initial hospital care with moderate level of medical decision making at least 75 minutes17$2,613$154
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's40$1,554$15
Influenza vaccine split virus, preservative free12$1,054$81
Hospital discharge day management, 30 minutes or less14$961$69
Administration of influenza virus vaccine12$497$38

Who their Medicare patients are

117 Original Medicare patients in 2024. Average age 73 · Under 65 15% · 85 and older 12% · Women 62% · Also on Medicaid 25% · Health risk score 1.46. Above the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 37% · Coronary heart disease 28% · Depression 26% · Chronic kidney disease 24% · Heart failure 20% · COPD 18% · Atrial fibrillation 17% · Stroke 15% · Cancer 11% · Dementia 10%.

The office billed $171,618, Medicare allowed $59,887 and paid $46,050; for 547 services of 32 kinds; $3,179 of it was for drugs given in the office and $42,871 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
2024117547731.46$171,618$46,050
2023117418732.16$147,342$39,753
2022114358741.87$125,637$35,425
2021110324732.10$129,190$34,710
2020115305732.07$117,013$27,676
2019132430741.74$152,864$36,679
2018139456732.11$156,505$41,455

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: 9 services

Original Medicare services billed in 2023
Return visit (30+ min)41$10,708$108
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes34$8,545$104
Short return visit (20+ min)20$4,570$73
Long return visit (40+ min)17$2,727$136
Initial hospital care with moderate level of medical decision making at least 75 minutes15$2,344$156
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit12$1,871$156
Hospital discharge day management, 30 minutes or less22$1,632$71
Influenza vaccine split virus, preservative free11$791$72
Administration of influenza virus vaccine12$444$37

2022: 8 services

Original Medicare services billed in 2022
Return visit (30+ min)40$7,998$114
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$7,748$92
Initial hospital care with moderate level of medical decision making at least 75 minutes22$4,152$181
Short return visit (20+ min)23$3,967$79
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit16$2,529$158
Hospital discharge day management, 30 minutes or less15$965$64
Influenza vaccine split virus, preservative free14$960$69
Administration of influenza virus vaccine17$633$37

2021: 5 services

Original Medicare services billed in 2021
Return visit (30+ min)42$9,251$117
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes31$7,975$96
Initial hospital care with moderate level of medical decision making at least 75 minutes30$5,782$187
Short return visit (20+ min)17$2,365$84
Hospital discharge day management, 30 minutes or less27$1,859$69

2020: 4 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes33$7,162$97
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,964$186
Return visit (30+ min)36$4,490$85
Short return visit (20+ min)33$3,410$64

2019: 7 services

Original Medicare services billed in 2019
Return visit (30+ min)52$12,295$97
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes31$6,600$93
Initial hospital care with moderate level of medical decision making at least 75 minutes29$5,426$181
Short return visit (20+ min)32$3,532$61
Influenza vaccine split virus, preservative free15$823$55
Administration of influenza virus vaccine19$390$21
Administration of pneumococcal vaccine15$308$21

2018: 6 services

Original Medicare services billed in 2018
Return visit (30+ min)39$8,566$98
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes41$8,130$92
Initial hospital care with moderate level of medical decision making at least 75 minutes37$7,095$182
Short return visit (20+ min)33$5,342$64
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$2,615$65
Initial hospital observation care per day, typically 70 minutes11$1,841$167

Medicaid work

$172,893 in 2024

Medicaid paid $172,893 for 1,966 billed services this clinician did in 2024, up to 78 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-inclusive637$161,072
Short return visit (20+ min)667$5,580
Return visit (30+ min)337$4,725
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service300$1,256
Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use25$261
Medicaid work by year
20241,966578$172,893
20232,230778$183,327
20221,699787$132,481
20212,131780$175,829
20201,098763$110,393
2019548351$85,690
2018312466$50,276
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive745$176,345
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES139$2,675
Short return visit (20+ min)742$1,426
Return visit (30+ min)359$1,217
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service212$855
1ST HOSP IP/OBS HIGH 7519$625
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter14$184

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive562$127,903
Short return visit (20+ min)699$1,677
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service278$1,380
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES35$882
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter12$357
Return visit (30+ min)81$167
Short return visit32$114

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive720$169,109
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES179$2,268
Short return visit (20+ min)785$1,532
1ST HOSP IP/OBS HIGH 7533$1,395
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service259$1,110
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter24$244
Short return visit131$172

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive477$107,674
Short return visit (20+ min)426$950
1ST HOSP IP/OBS HIGH 7520$681
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES68$573
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service65$300
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter13$139
Short return visit29$77

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive375$84,863
Short return visit (20+ min)161$728
Short return visit12$99

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive215$47,751
Short return visit (20+ min)70$1,638
1ST HOSP IP/OBS HIGH 7512$653
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES15$234

Drugs they prescribed that Part D paid

$83,132

Pharmacies billed $83,132 in 2024.

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

Opioids were 7% of their Part D prescriptions (56 of 819) in 2024. A higher opioid share than 9 in 10 peers; the typical family practice clinician is at 2%. Long-acting opioids: 21% of their opioid prescriptions.

746 generic and fewer than 11 brand-name prescriptions · $83,132 in drug cost · 23 antibiotic prescriptions to 16 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
Vivitrol14$22,536$1,610
Buprenorphine-Naloxone65$9,266$143
Buprenorphine11$1,183$108
Hydrocodone-Acetaminophen33$659$20
Gabapentin37$536$14
See all 18 drugs
Every Part D drug this clinician prescribed
Vivitrol14$22,536$1,610
Buprenorphine-Naloxone65$9,266$143
Buprenorphine11$1,183$108
Hydrocodone-Acetaminophen33$659$20
Gabapentin37$536$14
Atorvastatin70$417$6
Losartan31$230$7
Cyclobenzaprine20$223$11
Clonazepam15$206$14
Escitalopram15$178$12
Trazodone19$156$8
Metoprolol11$136$12
Diazepam25$131$5
Metformin12$89$7
Lisinopril13$76$6
Amlodipine Besylate28$70$3
Chlordiazepoxide13$61$5
Lorazepam11$38$3

Year by year

Part D prescribing by year
20248191357% (56)None$83,132
20238101354% (30)None$106,722
20227191074% (27)None$73,823
20217131288% (54)None$48,507
20207151396% (42)None$49,716
20197681306% (43)None$62,201
20186191074% (25)None$58,894
201716054None19%$13,161
201630742NoneNone$10,426
2015301586% (17)None$40,873

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

See the drugs prescribed each year

2023: 19 drugs

Part D drugs prescribed in 2023
Ozempic17$36,392$2,141
Buprenorphine-Naloxone55$11,647$212
Buprenorphine12$4,391$366
Naltrexone16$1,327$83
Mirtazapine21$1,325$63
Atorvastatin61$876$14
Gabapentin32$384$12
Losartan38$336$9
Metoprolol14$288$21
Rosuvastatin14$287$21
Bupropion Xl15$272$18
Amlodipine Besylate30$260$9
Trazodone14$229$16
Metformin16$173$11
Lisinopril21$170$8
Pantoprazole13$164$13
Cyclobenzaprine17$160$9
Escitalopram12$138$11
Diazepam14$94$7

2022: 13 drugs

Part D drugs prescribed in 2022
Buprenorphine-Naloxone65$10,663$164
Buprenorphine14$4,519$323
Atorvastatin55$638$12
Gabapentin31$592$19
Rosuvastatin12$498$41
Pantoprazole20$261$13
Trazodone12$223$19
Losartan26$196$8
Metformin16$139$9
Amlodipine Besylate24$131$5
Lisinopril25$118$5
Cyclobenzaprine15$117$8
Simvastatin16$103$6

2021: 20 drugs

Part D drugs prescribed in 2021
Buprenorphine-Naloxone69$7,501$109
Buprenorphine13$4,990$384
Naltrexone11$1,233$112
Atorvastatin47$789$17
Gabapentin26$422$16
Escitalopram14$366$26
Rosuvastatin11$307$28
Losartan24$241$10
Hydrocodone-Acetaminophen17$233$14
Metformin12$214$18
Pantoprazole12$206$17
Lisinopril30$153$5
Amlodipine Besylate23$149$6
Citalopram Hbr12$105$9
Furosemide11$96$9
Trazodone13$85$7
Levothyroxine11$84$8
Simvastatin12$81$7
Cyclobenzaprine11$76$7
Naproxen13$38$3

2020: 16 drugs

Part D drugs prescribed in 2020
Buprenorphine-Naloxone34$3,900$115
Atorvastatin57$898$16
Hydrocodone-Acetaminophen16$452$28
Amlodipine Besylate36$312$9
Chlorthalidone11$296$27
Gabapentin21$294$14
Tamsulosin16$291$18
Metformin15$259$17
Pravastatin11$209$19
Losartan16$193$12
Lisinopril38$182$5
Simvastatin13$138$11
Atenolol14$110$8
Citalopram Hbr21$107$5
Escitalopram11$89$8
Furosemide15$65$4

2019: 20 drugs

Part D drugs prescribed in 2019
Buprenorphine-Naloxone32$2,986$93
Bupropion Xl12$832$69
Buprenorphine19$700$37
Mirtazapine12$621$52
Atorvastatin34$544$16
Naltrexone13$489$38
Pravastatin18$470$26
Levothyroxine13$346$27
Tamsulosin19$338$18
Hydrocodone-Acetaminophen18$300$17
Lisinopril43$295$7
Gabapentin14$254$18
Escitalopram11$203$18
Amlodipine Besylate29$175$6
Simvastatin12$155$13
Metformin15$148$10
Atenolol17$140$8
Losartan14$110$8
Citalopram Hbr14$88$6
Trazodone13$83$6

2018: 14 drugs

Part D drugs prescribed in 2018
Buprenorphine-Naloxone15$1,257$84
Levothyroxine25$467$19
Pravastatin22$403$18
Atorvastatin35$297$8
Buprenorphine21$278$13
Gabapentin19$273$14
Nortriptyline13$219$17
Tamsulosin11$212$19
Lisinopril28$151$5
Metformin26$127$5
Citalopram Hbr18$124$7
Amlodipine Besylate15$113$8
Prednisone13$93$7
Furosemide12$75$6

2017: 5 drugs

Part D drugs prescribed in 2017
Buprenorphine-Naloxone44$4,480$102
Suboxone12$4,224$352
Narcan12$1,505$125
Atorvastatin11$72$7
Losartan12$66$5

2016: 9 drugs

Part D drugs prescribed in 2016
Losartan23$224$10
Simvastatin13$202$16
Atorvastatin12$132$11
Metformin12$129$11
Trazodone15$112$7
Lisinopril13$94$7
Bupropion Xl13$88$7
Alendronate11$66$6
Sertraline12$53$4

2015: 6 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen14$257$18
Amitriptyline11$181$16
Metformin13$175$13
Levothyroxine11$173$16
Furosemide14$79$6
Trazodone13$49$4

Professional record

NPI
1184064396
Licence
CA A133996California A133996: Current · expires 2026-09-30
Trained
Stanford University School of Medicine, 2013
Group
University Healthcare Alliance · Indian Health Center of Santa Clara Valley
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X); Federal specialty code 207RA0401X (207RA0401X); Student in a training program (390200000X)
Mailing address
455 Oconnor Dr Ste 210, San Jose, CA, 95128
NPI first listed
2013-07-02
NPI last updated
2023-04-10
NPI record certified
2023-04-10

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