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Rishi Thakarar, DO

Emergency Medicine · San Jose

NPI 1306296181

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
2

Offices

2 locations · Permanente Medical Group Inc · The Carolinas Emergency Group, PLLC

Looking this up.

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

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-San JoseSan Jose, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 66% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.258, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital-San Jose

Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 2 the same, 0 worse of 2 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-San Jose
Clostridium Difficile (C.Diff)Infections0.258BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.3 (0.22 to 2.37) · 181 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.89 (0.43 to 1.34)No differentJul 2022 – Jun 2024
Death rate for pneumonia patientsComplications and deaths14.2 · 27 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.6 · 271 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 2,952 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.27 (0.04 to 0.5) · 894 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 908 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.19 (0.67 to 5.72) · 176 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.63 (0 to 3.34) · 61 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.23 (0.53 to 3.92) · 168 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.11 (0 to 17.58) · 68 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.85 (0.67 to 9.03) · 63 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.74 (0.22 to 3.26) · 51 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.43 (0 to 1.53) · 630 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 48 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.843No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.88No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.611No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15 · 171 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.9 · 571 casesNoneJul 2023 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits147.1 · 28 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits21 · 639 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 48 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 157 casesNoneJul 2023 – Jun 2025

What patients said (1,294 patients answered, 21% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital-San Jose
Cleanliness4
Nurse communication2
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Kaiser Foundation Hospital-San Jose
Room was "always" clean71%
Nurses "always" communicated well70%
Doctors "always" communicated well79%
Staff "always" explained54%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)61%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect78%
"Always" quiet at night37%
"YES", patients would definitely recommend the hospital66%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms85%

Original Medicare doctor bills

$20,203

Medicare paid this office $20,203 for 164 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making88$11,401$130
Emergency department visit with moderate level of medical decision making48$4,043$84
Critical care, first 30-74 minutes24$3,409$142
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only52$362$6

Who their Medicare patients are

164 Original Medicare patients in 2024. Average age 73 · Under 65 13% · 85 and older 17% · Women 54% · Also on Medicaid 27% · Health risk score 2.13. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Depression 46% · Diabetes 45% · Chronic kidney disease 41% · Coronary heart disease 40% · Heart failure 32% · Atrial fibrillation 32% · COPD 29% · Cancer 23% · Stroke 21% · Dementia 20%.

The office billed $198,818, Medicare allowed $26,843 and paid $20,203; for 234 services of 13 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
2024164234732.13$198,818$20,203
2023330384731.96$426,187$41,097
2022527720711.90$695,343$73,722
2021568910732.46$800,913$84,601
2020454660712.74$661,026$68,368
2019135208732.20$185,526$18,367

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: 4 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making160$21,110$130
Emergency department visit with moderate level of medical decision making108$9,434$87
Critical care, first 30-74 minutes47$8,033$167
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only23$206$6

2022: 5 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making283$42,809$148
Critical care, first 30-74 minutes77$14,592$190
Emergency department visit with moderate level of medical decision making106$10,660$97
Emergency department visit with low level of medical decision making38$2,431$55
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only135$1,089$6

2021: 5 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making365$52,775$142
Critical care, first 30-74 minutes96$19,554$190
Emergency department visit with moderate level of medical decision making70$6,071$86
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only248$1,925$6
Emergency department visit with low level of medical decision making16$867$54

2020: 6 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making313$43,569$136
Critical care, first 30-74 minutes85$16,097$189
Emergency department visit with moderate level of medical decision making34$2,922$86
Critical care, each additional 30 minutes13$1,366$85
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only141$959$6
Emergency department visit with low level of medical decision making13$616$47

2019: 4 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making95$12,774$134
Critical care, first 30-74 minutes14$2,425$173
Emergency department visit with moderate level of medical decision making14$1,188$85
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only68$456$7

Medicaid work

$94,511 in 2024

Medicaid paid $94,511 for 1,591 billed services this clinician did in 2024, up to 34 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
EMERGENCY DEPT VISIT MOD MDM244$38,282
EMERGENCY DEPT VISIT LOW MDM172$26,874
EMERGENCY DEPARTMENT VISIT HIGH MDM92$13,250
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected49$6,786
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug53$1,797
Unclassified drugs261$1,389
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count188$1,261
Radiologic examination, chest; single view52$1,214
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)42$929
COMPREHENSIVE METABOLIC PANEL115$858
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report37$478
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)65$401
Medicaid work by year
20241,5912134$94,511
20233,8312345$208,419
20224,8372779$232,192
20214,1643361$199,962
20202,2732039$95,196
2019490626$18,852
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM511$65,348
EMERGENCY DEPARTMENT VISIT HIGH MDM284$58,980
EMERGENCY DEPT VISIT LOW MDM217$42,657
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected105$15,187
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM74$5,601
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report181$5,428
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count375$2,899
COMPREHENSIVE METABOLIC PANEL321$2,551
Radiologic examination, chest; single view87$2,338
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug80$1,913
Unclassified drugs950$1,316
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)39$997

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT MOD MDM715$88,291
EMERGENCY DEPARTMENT VISIT HIGH MDM460$64,050
EMERGENCY DEPT VISIT LOW MDM378$36,363
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected142$20,989
Radiologic examination, chest; single view113$3,900
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report120$3,045
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count323$2,613
COMPREHENSIVE METABOLIC PANEL263$2,186
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes13$1,747
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug45$1,489
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)30$1,341
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)34$1,205

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM441$62,850
EMERGENCY DEPARTMENT VISIT HIGH MDM417$52,570
EMERGENCY DEPT VISIT LOW MDM345$47,877
Radiologic examination, chest; single view217$4,880
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r54$3,777
Computed tomography, head or brain; without contrast material17$3,156
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)69$2,897
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count342$2,602
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug92$2,581
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected15$2,572
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report135$2,035
COMPREHENSIVE METABOLIC PANEL199$1,761

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM360$37,498
EMERGENCY DEPT VISIT MOD MDM265$32,918
EMERGENCY DEPT VISIT LOW MDM131$11,600
Radiologic examination, chest; single view132$2,620
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique55$2,206
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count278$1,851
COMPREHENSIVE METABOLIC PANEL208$1,453
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug50$1,173
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)28$1,037
Unclassified drugs453$759
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza18$420
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report38$407

2019

Largest Medicaid services in 2019
EMERGENCY DEPT VISIT LOW MDM109$9,030
EMERGENCY DEPT VISIT MOD MDM47$6,583
EMERGENCY DEPARTMENT VISIT HIGH MDM34$2,365
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count64$428
COMPREHENSIVE METABOLIC PANEL41$319
Unclassified drugs195$127

Drugs they prescribed that Part D paid

$3,871

Pharmacies billed $3,871 in 2024.

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

Opioids were 6% of their Part D prescriptions (11 of 180) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

168 generic and 12 brand-name prescriptions · $3,871 in drug cost · 37 antibiotic prescriptions to 34 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
Ondansetron Odt19$89$5
Pantoprazole11$26$2

Year by year

Part D prescribing by year
20241801246% (11)7%$3,871
202326617711% (28)None$3,860
202227819810% (27)None$5,290
20212792108% (21)9%$5,924
20201049112% (12)None$1,808
2019977319% (18)None$1,978
20184944NoneNone$889
20174943NoneNone$790
20161513NoneNone$204

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

See the drugs prescribed each year

2023: 8 drugs

Part D drugs prescribed in 2023
Ondansetron Odt27$170$6
Amoxicillin-Clavulanate Potass11$105$10
Dicyclomine13$64$5
Gabapentin11$64$6
Prednisone20$45$2
Meclizine11$45$4
Naproxen12$42$4
Oxycodone17$36$2

2022: 7 drugs

Part D drugs prescribed in 2022
Albuterol Sulfate Hfa12$399$33
Ondansetron Odt25$232$9
Cefdinir17$221$13
Prednisone32$128$4
Gabapentin17$96$6
Dicyclomine12$72$6
Oxycodone16$46$3

2021: 9 drugs

Part D drugs prescribed in 2021
Albuterol Sulfate Hfa16$689$43
Pantoprazole15$325$22
Cefdinir11$298$27
Nitrofurantoin Mono-Macro15$238$16
Ondansetron Odt22$230$10
Dicyclomine13$102$8
Cephalexin14$75$5
Prednisone26$63$2
Oxycodone14$32$2

2020: 1 drug

Part D drugs prescribed in 2020
Prednisone14$59$4

2019: 2 drugs

Part D drugs prescribed in 2019
Prednisone15$47$3
Oxycodone12$39$3

Money from drug and device companies

$141 in 2024

Industry payments by year
202411None$141
202211None$14

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
Boston ScientificNone$141
1 payment
  • Meals · 2024-02-22 · $141
See the published payment
Every published payment
Boston ScientificMeals · 2024-02-22None$141
See earlier years (2022)

2022: $14

Payments by company in 2022
Melinta TherapeuticsKimyrsa$14
1 payment
  • Meals for Kimyrsa · 2022-04-19 · $14

Professional record

NPI
1306296181
Licence
PA OT017213
Trained
Philadelphia College of Osteopathic Medicine, 2016
Group
Permanente Medical Group Inc · The Carolinas Emergency Group, PLLC
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
1001 S George St, York Hospital, York, PA, 17403
NPI first listed
2016-06-13
NPI last updated
2016-06-13

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