Bali Kumar Gupta, MD
Internal Medicine · Santa Clara
- 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 · Permanente Medical Group Inc · 10,928 clinicians in this group
Hospitals listed: Kaiser Foundation Hospital-Santa Clara. 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. Gupta’s office at (408) 851-1000 to ask if they take your plan before you enroll.
State licence records
1 licence
- New Jersey 25MA11549800Medical Doctor · since 2022 · expires 2025-06-30ExpiredNo board action on this licenceCheck it with the state
We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 99.3 / 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.
- Kaiser Foundation Hospital-Santa ClaraSanta Clara, 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 · 75% would definitely recommend itOverall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.38, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital-Santa Clara
Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 2 better, 4 the same, 0 worse of 6 measures. Readmissions: 0 better, 1 the same, 1 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Clostridium Difficile (C.Diff)Infections | 0.38 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.01 (0 to 2.09) · 181 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.02 (0.61 to 1.42) | No different | Jul 2022 – Jun 2024 |
| Death rate for stroke patientsComplications and deaths | 10.5 · 312 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.8 · 3,736 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.2 (0 to 0.43) · 910 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.26 (0.05 to 0.48) · 1,036 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.53 (2.03 to 7.03) · 235 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.57 (0 to 3.25) · 83 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.5 (0.82 to 4.18) · 178 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.73 (3.81 to 19.64) · 74 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.31 (1.3 to 9.32) · 94 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.75 (0.22 to 3.28) · 37 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.34 (0 to 1.34) · 819 cases | No different | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.72 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 1.049 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.598 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.926 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 13 · 589 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.7 · 828 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 107.6 · 27 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.9 · 642 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 7.8 · 249 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.6 · 181 cases | None | Jul 2023 – Jun 2025 |
What patients said (572 patients answered, 25% of those asked)
| Cleanliness | 4 |
| Nurse communication | 3 |
| Doctor communication | 4 |
| Communication about medicines | 2 |
| Discharge information | 4 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 72% |
| Nurses "always" communicated well | 75% |
| Doctors "always" communicated well | 80% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 88% |
| Yes, staff "did" give patients information about help after discharge | 88% |
| Doctors "always" explained things so they could understand | 74% |
| Doctors "always" listened carefully | 79% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 70% |
| Staff "always" explained new medications | 72% |
| Nurses "always" explained things so they could understand | 72% |
| Nurses "always" listened carefully | 71% |
| Nurses "always" treated them with courtesy and respect | 82% |
| "Always" quiet at night | 44% |
| "YES", patients would definitely recommend the hospital | 75% |
| Staff "always" explained possible side effects | 42% |
| Yes, staff "did" give patients information about possible symptoms | 89% |
Original Medicare doctor bills
$20,409
Medicare paid this office $20,409 for 126 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 77 | $10,754 | $62 |
| Hospital discharge day management, more than 30 minutes | 27 | $2,533 | $94 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 18 | $2,508 | $139 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 15 | $1,599 | $107 |
| Hospital discharge day management, 30 minutes or less | 21 | $1,418 | $68 |
Who their Medicare patients are
126 Original Medicare patients in 2024. Average age 74 · Under 65 18% · 85 and older 21% · Women 60% · Also on Medicaid 37% · Health risk score 2.65. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 51% · Chronic kidney disease 48% · Heart failure 44% · Depression 44% · COPD 38% · Coronary heart disease 34% · Atrial fibrillation 34% · Dementia 31% · Stroke 30% · Cancer 20%.
The office billed $84,717, Medicare allowed $26,040 and paid $20,409; for 277 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 | 126 | 277 | 74 | 2.65 | $84,717 | $20,409 |
| 2023 | 303 | 536 | 76 | 2.75 | $202,538 | $48,389 |
| 2022 | 109 | 213 | 75 | 2.42 | $78,627 | $20,022 |
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: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 92 | $13,605 | $65 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 121 | $13,258 | $107 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 60 | $8,791 | $144 |
| Hospital discharge day management, more than 30 minutes | 55 | $5,285 | $96 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 26 | $4,760 | $99 |
| Hospital discharge day management, 30 minutes or less | 16 | $1,099 | $69 |
2022: 5 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 36 | $6,066 | $169 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 17 | $4,052 | $86 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 21 | $3,918 | $59 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 12 | $1,351 | $113 |
| Hospital discharge day management, more than 30 minutes | 11 | $992 | $90 |
Medicaid work
$6,714 in 2024
Medicaid paid $6,714 for 135 billed services this clinician did in 2024, up to 21 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.
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 122 | $5,163 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 13 | $1,550 |
| 2024 | 135 | 2 | 21 | $6,714 |
| 2023 | 146 | 3 | 18 | $14,135 |
| 2022 | 63 | 2 | 17 | $1,274 |
See the largest Medicaid services in earlier years
2023
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 81 | $8,197 |
| 1ST HOSP IP/OBS HIGH 75 | 31 | $4,085 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 34 | $1,854 |
2022
| INITIAL OBSERVATION CARE | 12 | $968 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 51 | $306 |
Professional record
- NPI
- 1316409634
- Licence
- NJ 25MA11549800New Jersey 25MA11549800: Expired
- Trained
- Drexel University College of Medicine, 2019
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Internal medicine (207R00000X); Student in a training program (390200000X)
- Mailing address
- 700 Lawrence Expy, Santa Clara, CA, 95051
- NPI first listed
- 2019-04-04
- NPI last updated
- 2024-09-24
- NPI record certified
- 2024-09-24
This is when the NPI record was last certified, not a medical board exam.
This office lists an electronic records connection.