Suhui Chi, OD
Optometry · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 6
- 2 carriers
- 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.
Plans that list them
6 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Chi’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
6 of 6 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
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
$6,424
Medicare paid this office $6,424 for 175 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Established patient complete exam of visual system | 39 | $1,881 | $48 |
| Return visit (30+ min) | 22 | $1,395 | $63 |
| Photography of the retina | 95 | $1,383 | $15 |
Who their Medicare patients are
175 Original Medicare patients in 2024. Average age 72 · Under 65 13% · 85 and older 6% · Women 61% · Also on Medicaid 78% · Health risk score 1.56. Sicker patients than 9 in 10 peers; the typical optometry clinician is at 0.97.
Conditions among them: High blood pressure 75% · Diabetes 75% · Chronic kidney disease 25% · Coronary heart disease 21% · Depression 18% · Heart failure 17% · Atrial fibrillation 12% · Cancer 7% · COPD 7% · Stroke 6%.
The office billed $95,755, Medicare allowed $10,878 and paid $6,424; for 183 services of 10 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 | 175 | 183 | 72 | 1.56 | $95,755 | $6,424 |
| 2023 | 145 | 146 | 71 | 1.40 | $65,419 | $5,222 |
| 2022 | 235 | 239 | 71 | 1.37 | $110,602 | $7,561 |
| 2021 | 299 | 316 | 71 | 1.47 | $155,800 | $11,690 |
| 2020 | 287 | 302 | 70 | 1.66 | $154,790 | $11,102 |
| 2019 | 451 | 473 | 71 | 1.57 | $268,379 | $19,812 |
| 2018 | 131 | 135 | 69 | 1.82 | $84,500 | $6,614 |
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: 2 services
| Return visit (30+ min) | 46 | $3,291 | $72 |
| Photography of the retina | 88 | $1,153 | $13 |
2022: 3 services
| Return visit (30+ min) | 104 | $5,539 | $53 |
| Photography of the retina | 112 | $1,262 | $11 |
| Short return visit | 11 | $266 | $24 |
2021: 5 services
| Established patient complete exam of visual system | 119 | $5,632 | $47 |
| Return visit (30+ min) | 38 | $2,974 | $78 |
| Photography of the retina | 126 | $1,800 | $14 |
| Established patient problem focused exam of visual system | 14 | $621 | $44 |
| Short return visit (20+ min) | 12 | $440 | $37 |
2020: 3 services
| Established patient complete exam of visual system | 166 | $9,008 | $54 |
| Photography of the retina | 106 | $1,186 | $11 |
| Established patient problem focused exam of visual system | 24 | $743 | $30 |
2019: 4 services
| Established patient complete exam of visual system | 248 | $14,967 | $60 |
| Photography of the retina | 179 | $2,512 | $14 |
| New patient complete exam of visual system | 14 | $851 | $61 |
| Established patient problem focused exam of visual system | 19 | $817 | $43 |
2018: 3 services
| Established patient complete exam of visual system | 63 | $4,509 | $70 |
| Photography of the retina | 51 | $912 | $18 |
| Established patient problem focused exam of visual system | 14 | $689 | $49 |
Medicaid work
$190,723 in 2024
Medicaid paid $190,723 for 1,110 billed services this clinician did in 2024, up to 56 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.
| Clinic visit/encounter, all-inclusive | 353 | $178,961 |
| Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 26 | $11,735 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 102 | $26 |
| Pain severity quantified; no pain present (COA) (ONC) | 37 | $0 |
| Medication list documented in medical record (COA) | 171 | $0 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 147 | $0 |
| Return visit (30+ min) | 260 | $0 |
| Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 14 | $0 |
| 2024 | 1,110 | 8 | 56 | $190,723 |
| 2023 | 1,438 | 5 | 51 | $154,048 |
| 2022 | 834 | 3 | 65 | $14,106 |
| 2021 | 403 | 4 | 33 | $1,645 |
| 2020 | 519 | 2 | 43 | $954 |
| 2019 | 612 | 2 | 48 | $610 |
| 2018 | 518 | 2 | 37 | $246 |
See the largest Medicaid services in earlier years
2023
| Clinic visit/encounter, all-inclusive | 311 | $153,749 |
| Return visit (30+ min) | 641 | $150 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 428 | $149 |
| Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM) | 39 | $0 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 19 | $0 |
2022
| Clinic visit/encounter, all-inclusive | 24 | $11,751 |
| Return visit (30+ min) | 376 | $1,672 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 434 | $683 |
2021
| Return visit (30+ min) | 76 | $673 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 284 | $562 |
| Service | 12 | $409 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 31 | $0 |
2020
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 287 | $575 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 232 | $379 |
2019
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 212 | $309 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 400 | $301 |
2018
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 343 | $147 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 175 | $100 |
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.
Professional record
- NPI
- 1265645816
- Licence
- CA 11557T
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 152W00000X (152W00000X)
- Mailing address
- 5254 Rhonda Dr, San Jose, CA, 95129
- NPI first listed
- 2007-05-08
- NPI last updated
- 2007-07-08
This is when the NPI record was last certified, not a medical board exam.