Esequiel Rodriguez, MD
Pediatric Medicine · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 17
- 3 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
17 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Rodriguez’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
17 of 17 plans
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence A80459 · Current
Licensed to practise in California · since 2002 · expires 2028-04-30 · Stanford 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.
- 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
$2,324
Medicare paid this office $2,324 for 32 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Short return visit (20+ min) | 16 | $1,016 | $53 |
Who their Medicare patients are
32 Original Medicare patients in 2024. Average age 74 · Health risk score 1.70. Above the middle of the specialty; the typical pediatric medicine clinician is at 1.4.
Conditions among them: High blood pressure 75% · Chronic kidney disease 41% · Diabetes 38%.
The office billed $22,793, Medicare allowed $3,060 and paid $2,324; for 38 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 | 32 | 38 | 74 | 1.70 | $22,793 | $2,324 |
| 2023 | 23 | 31 | 74 | 2.10 | $20,409 | $2,002 |
| 2022 | 20 | 20 | 67 | 1.45 | $15,146 | $1,432 |
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: 1 service
| Short return visit (20+ min) | 14 | $760 | $51 |
2022: 1 service
| Short return visit (20+ min) | 13 | $690 | $53 |
Medicaid work
$247,989 in 2024
Medicaid paid $247,989 for 4,041 billed services this clinician did in 2024, up to 57 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 | 437 | $228,224 |
| Short return visit (20+ min) | 745 | $11,290 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 357 | $5,223 |
| Change of cystostomy tube; simple | 154 | $1,724 |
| Service | 43 | $1,466 |
| Service | 33 | $62 |
| Pain severity quantified; no pain present (COA) (ONC) | 179 | $0 |
| Medication list documented in medical record (COA) | 729 | $0 |
| Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA) | 494 | $0 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 418 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 439 | $0 |
| Catheter, suprapubic/cystoscopic | 13 | $0 |
| 2024 | 4,041 | 12 | 57 | $247,989 |
| 2023 | 2,204 | 8 | 63 | $255,742 |
| 2022 | 1,242 | 7 | 44 | $130,161 |
| 2021 | 2,863 | 20 | 48 | $333,375 |
| 2020 | 3,004 | 18 | 89 | $369,639 |
| 2019 | 5,685 | 23 | 101 | $551,107 |
| 2018 | 5,685 | 22 | 74 | $559,073 |
See the largest Medicaid services in earlier years
2023
| Clinic visit/encounter, all-inclusive | 480 | $239,318 |
| Short return visit (20+ min) | 554 | $6,523 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 631 | $6,185 |
| Service | 96 | $3,222 |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age | 15 | $494 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 187 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 184 | $0 |
| Catheter, drainage | 57 | $0 |
2022
| Clinic visit/encounter, all-inclusive | 240 | $118,137 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 475 | $4,868 |
| Service | 116 | $3,956 |
| Short return visit (20+ min) | 139 | $2,518 |
| Return visit (30+ min) | 13 | $682 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 129 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 130 | $0 |
2021
| Service | 125 | $165,219 |
| Service | 91 | $56,230 |
| Return visit (30+ min) | 231 | $21,751 |
| Short return visit (20+ min) | 436 | $19,461 |
| Clinic visit/encounter, all-inclusive | 40 | $19,447 |
| New patient visit (30+ min) | 179 | $13,474 |
| Service | 360 | $12,216 |
| US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | 157 | $11,907 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 159 | $7,507 |
| Ringers lactate infusion, up to 1000 cc | 238 | $1,433 |
| Cefazolin sodium injection | 174 | $1,195 |
| 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-r | 14 | $1,050 |
2020
| Service | 117 | $207,947 |
| Service | 55 | $42,916 |
| New patient visit (30+ min) | 601 | $37,961 |
| Short return visit (20+ min) | 717 | $28,759 |
| Return visit (30+ min) | 195 | $17,332 |
| Service | 353 | $11,927 |
| US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | 125 | $9,948 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 64 | $5,260 |
| Service | 14 | $1,973 |
| Cefazolin sodium injection | 201 | $1,794 |
| Ringers lactate infusion, up to 1000 cc | 127 | $914 |
| Telehealth originating site facility fee | 22 | $738 |
2019
| Service | 164 | $191,827 |
| Short return visit (20+ min) | 1,111 | $144,092 |
| New patient visit (30+ min) | 1,156 | $67,786 |
| Service | 82 | $37,305 |
| Return visit (30+ min) | 279 | $26,039 |
| US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | 256 | $20,417 |
| Service | 586 | $19,880 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 136 | $10,078 |
| ORCHIOPEXY INGUINAL OR SCROTAL APPROACH | 33 | $9,490 |
| Service | 54 | $7,669 |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age | 13 | $4,297 |
| Injection, ondansetron hydrochloride, per 1 mg | 302 | $2,176 |
2018
| Short return visit (20+ min) | 1,326 | $360,474 |
| New patient visit (30+ min) | 1,046 | $56,745 |
| Service | 56 | $32,277 |
| US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | 299 | $23,809 |
| Return visit (30+ min) | 286 | $21,477 |
| Service | 616 | $20,705 |
| Service | 126 | $17,190 |
| ORCHIOPEXY INGUINAL OR SCROTAL APPROACH | 14 | $4,451 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 56 | $3,678 |
| Cefazolin sodium injection | 357 | $2,329 |
| OFF/OP CNSLTJ NEW/EST MOD 40 | 25 | $2,237 |
| Service | 85 | $2,201 |
Money from drug and device companies
$44 in 2020
| 2020 | 2 | 2 | None | $44 |
| 2019 | 7 | 8 | None | $163 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Allergan | Avycaz | $24 | 1 payment
|
| Alexion Pharmaceuticals | Strensiq | $20 | 1 payment
|
See all 2 published payments
| Alexion Pharmaceuticals | Meals · 2020-11-09 | Strensiq | $20 |
| Allergan | Meals · 2020-01-29 | Avycaz | $24 |
See earlier years (2019)
2019: $163
| Rochester Medical | None | $37 | 2 payments
|
| Novo Nordisk | Norditropin | $28 | 1 payment
|
| Palette Life Sciences | Deflux | $24 | 1 payment
|
| Cure Medical | Cure Catheter | $23 | 1 payment
|
| Retrophin | (815) Thiola | $20 | 1 payment
|
| Conmed | Airseal | $15 | 1 payment
|
| Richard Wolf Medical Instruments | None | $15 | 1 payment
|
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
- 1316987159
- Licence
- CA A80459California A80459: Current · expires 2028-04-30
- Trained
- Stanford University School of Medicine, 2001
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 2088P0231X (2088P0231X); Urology (208800000X)
- Mailing address
- 9300 Valley Childrens Pl # 16, Madera, CA, 93636
- NPI first listed
- 2006-06-08
- NPI last updated
- 2020-03-09
- NPI record certified
- 2020-03-09
This is when the NPI record was last certified, not a medical board exam.