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Y L Pham, MD

Internal Medicine · Redwood City

NPI 1245316769

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
4

Offices

4 locations · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Hospitals listed: Kaiser Foundation Hospital - South San Francisco. 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. Pham’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A82122 · Current

Licensed to practise in California · since 2003 · expires 2026-12-31 · New York University School 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.

  • Kaiser Foundation Hospital - South San FranciscoSouth San Francisco, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 4 of 5 · 74% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital - South San Francisco

Behind the star rating — Deaths: 0 better, 1 the same, 0 worse of 1 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 1 the same, 0 worse of 1 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Kaiser Foundation Hospital - South San Francisco
Clostridium Difficile (C.Diff)Infections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.04 (0 to 2.12) · 89 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.97 (0.49 to 1.46)No differentJul 2022 – Jun 2024
Death rate for stroke patientsComplications and deaths14.3 · 195 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 1,992 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.44) · 562 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.31 (0.1 to 0.53) · 589 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.37 (0.77 to 5.96) · 64 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.66 (0 to 3.39) · 26 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.31 (0.58 to 4.04) · 57 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.99 (0 to 18.96) · 27 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.49 (0 to 1.68) · 433 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.1 · 108 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.772No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.867No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.9 · 75 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.4 · 520 casesNoneJul 2023 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits21.2 · 562 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 111 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21 · 149 casesNoneJul 2023 – Jun 2025

What patients said (553 patients answered, 27% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital - South San Francisco
Cleanliness4
Nurse communication3
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital4
Share of patients giving the best answer at Kaiser Foundation Hospital - South San Francisco
Room was "always" clean74%
Nurses "always" communicated well77%
Doctors "always" communicated well82%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand78%
Doctors "always" listened carefully81%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)73%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night39%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$2,639

Medicare paid this office $2,639 for 16 people.

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

Who their Medicare patients are

16 Original Medicare patients in 2024. Average age 73 · 85 and older 0% · Health risk score 2.25. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75%.

The office billed $7,187, Medicare allowed $3,312 and paid $2,639; for 36 services of 4 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
20241636732.25$7,187$2,639
20231651743.19$8,123$3,487
20211121703.52$3,552$1,388
20201328732.83$4,316$1,815
20191834763.09$6,170$2,103
20181521712.80$3,529$1,194
20171531750.96$5,889$1,975
20161830733.30$6,196$1,770
20151128713.28$6,073$1,751

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

2019: 1 service

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,416$64

2018: 1 service

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$808$62

2016: 1 service

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$1,174$62

Medicaid work

$102 in 2024

Medicaid paid $102 for 41 billed services this clinician did in 2024, 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.

Largest Medicaid services in 2024
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES41$102
Medicaid work by year
202441113$102

Drugs they prescribed that Part D paid

$37,326

Pharmacies billed $37,326 in 2024.

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

Opioids were 3% of their Part D prescriptions (11 of 399) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.

360 generic and fewer than 11 brand-name prescriptions · $37,326 in drug cost · 86 antibiotic prescriptions to 60 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
Cefpodoxime Proxetil32$662$21
Furosemide30$423$14
Amiodarone11$328$30
Atorvastatin24$321$13
Pantoprazole17$235$14
See all 9 drugs
Every Part D drug this clinician prescribed
Cefpodoxime Proxetil32$662$21
Furosemide30$423$14
Amiodarone11$328$30
Atorvastatin24$321$13
Pantoprazole17$235$14
Metoprolol13$137$11
Prednisone15$130$9
Lisinopril11$101$9
Doxycycline Monohydrate11$94$9

Year by year

Part D prescribing by year
20243991653% (11)None$37,326
2023483163NoneNone$26,632
20225011753% (17)None$28,661
20215761963% (15)None$47,458
2020515204None20%$40,414
2019481205NoneNone$39,469
20185142035% (23)None$42,937
20175532033% (15)None$42,585
20163631377% (25)None$59,320
20154291627% (28)None$19,225
201437514412% (44)19%$16,281
20133751389% (34)None$20,887

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

See the drugs prescribed each year

2023: 10 drugs

Part D drugs prescribed in 2023
Cefpodoxime Proxetil29$750$26
Furosemide39$567$15
Atorvastatin23$479$21
Amoxicillin-Clavulanate Potass13$364$28
Amiodarone11$353$32
Pantoprazole22$302$14
Doxycycline Monohydrate27$264$10
Prednisone20$252$13
Metoprolol20$221$11
Cephalexin13$100$8

2022: 10 drugs

Part D drugs prescribed in 2022
Pradaxa12$6,632$553
Cefpodoxime Proxetil33$898$27
Furosemide47$674$14
Pantoprazole24$384$16
Doxycycline Monohydrate24$320$13
Metoprolol27$272$10
Atorvastatin16$241$15
Gabapentin14$215$15
Famotidine18$173$10
Prednisone18$124$7

2021: 13 drugs

Part D drugs prescribed in 2021
Pradaxa11$8,339$758
Cefpodoxime Proxetil39$1,042$27
Furosemide49$710$14
Hydralazine13$585$45
Pantoprazole24$485$20
Metoprolol27$363$13
Amoxicillin-Clavulanate Potass14$331$24
Gabapentin13$293$23
Prednisone25$275$11
Atorvastatin22$263$12
Doxycycline Monohydrate24$202$8
Famotidine17$146$9
Cephalexin11$102$9

2020: 12 drugs

Part D drugs prescribed in 2020
Pradaxa14$11,777$841
Cefpodoxime Proxetil30$733$24
Furosemide42$666$16
Pantoprazole29$655$23
Hydralazine15$635$42
Amoxicillin-Clavulanate Potass23$467$20
Atorvastatin23$417$18
Prednisone21$255$12
Metoprolol22$231$11
Famotidine24$182$8
Doxycycline Monohydrate18$164$9
Lisinopril12$120$10

2019: 12 drugs

Part D drugs prescribed in 2019
Pradaxa11$8,454$769
Pantoprazole25$859$34
Cefpodoxime Proxetil31$645$21
Atorvastatin18$612$34
Furosemide40$553$14
Digoxin18$532$30
Amoxicillin-Clavulanate Potass14$309$22
Metoprolol21$226$11
Prednisone23$205$9
Doxycycline Monohydrate17$173$10
Cephalexin12$90$7
Levofloxacin11$81$7

2018: 11 drugs

Part D drugs prescribed in 2018
Pradaxa12$9,782$815
Pantoprazole47$2,108$45
Atorvastatin20$902$45
Cefpodoxime Proxetil30$663$22
Furosemide36$479$13
Amoxicillin-Clavulanate Potass15$292$19
Metoprolol27$286$11
Prednisone20$174$9
Hydrocodone-Acetaminophen12$129$11
Doxycycline Monohydrate13$121$9
Warfarin11$119$11

2017: 13 drugs

Part D drugs prescribed in 2017
Combivent Respimat13$5,560$428
Cefpodoxime Proxetil44$2,135$49
Atorvastatin18$692$38
Pantoprazole18$677$38
Ventolin Hfa12$486$41
Furosemide28$431$15
Prednisone31$374$12
Amoxicillin-Clavulanate Potass18$268$15
Metoprolol27$265$10
Doxycycline Monohydrate23$216$9
Cephalexin14$128$9
Ciprofloxacin12$107$9
Levofloxacin12$90$7

2016: 9 drugs

Part D drugs prescribed in 2016
Combivent Respimat11$7,692$699
Cefpodoxime Proxetil22$1,492$68
Pantoprazole13$536$41
Furosemide20$290$15
Prednisone21$252$12
Amoxicillin-Clavulanate Potass13$207$16
Doxycycline Monohydrate16$194$12
Warfarin14$169$12
Metoprolol11$118$11

2015: 9 drugs

Part D drugs prescribed in 2015
Cefpodoxime Proxetil38$2,623$69
Pantoprazole18$677$38
Furosemide22$309$14
Doxycycline Monohydrate20$274$14
Prednisone16$196$12
Amlodipine Besylate13$192$15
Amoxicillin-Clavulanate Potass12$178$15
Metoprolol13$127$10
Lisinopril11$120$11

2014: 8 drugs

Part D drugs prescribed in 2014
Cefpodoxime Proxetil25$1,907$76
Morphine Sulfate16$433$27
Atorvastatin11$418$38
Furosemide28$416$15
Doxycycline Monohydrate15$266$18
Prednisone16$194$12
Cephalexin16$181$11
Hydrocodone-Acetaminophen12$141$12

2013: 7 drugs

Part D drugs prescribed in 2013
Cefpodoxime Proxetil23$1,770$77
Losartan12$345$29
Furosemide15$183$12
Prednisone19$180$9
Lisinopril14$143$10
Metoprolol14$139$10
Hydrocodone-Acetaminophen15$129$9

Professional record

NPI
1245316769
Licence
CA A82122California A82122: Current · expires 2026-12-31
Trained
New York University School of Medicine, 2001
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A821220
Taxonomy
Hospitalist (208M00000X)
Mailing address
1800 Harrison St Fl 7, Oakland, CA, 94612
NPI first listed
2006-10-27
NPI last updated
2021-12-13

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

This office lists an electronic records connection.