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Hoang H Pham, MD

Internal Medicine · San Jose

NPI 1346551819

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Offices
4

Offices

4 locations · County of Santa Clara · San Francisco Unified Physicians Group, Inc · Permanente Medical Group Inc · County of San Mateo

Looking this up.

Hospitals listed: Chinese Hospital · San Mateo Medical Center · Santa Clara Valley Medical Center · 555034. That is not proof they admit you there this week.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Pham’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

California Medical Board record

Licence A120294 · Current

Licensed to practise in California · since 2012 · expires 2028-02-29 · Creighton University School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

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.

Hospitals they work in

3 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Chinese HospitalSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPatients rate it 3 of 5 · 64% would definitely recommend it
    Overall rating: 2 of 5 starsNo measure marked better or worse than the national rate
  • San Mateo Medical CenterSan Mateo, CAAcute Care Hospital · Government - Local · Has an emergency departmentPart of San Mateo County HealthPatients rate it 3 of 5 · 68% would definitely recommend it
    No overall ratingNo measure marked better or worse than 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 it
    Overall 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 Chinese Hospital

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 7 the same, 1 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Chinese Hospital
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.02 (0 to 2.09) · 104 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.12 (0.64 to 1.61)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.3 · 28 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.6 · 71 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.1 · 66 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.7 · 81 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.5 · 569 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.44) · 766 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 749 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.34 (0.76 to 5.93) · 96 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.13 (0.4 to 3.85) · 50 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.3 (0.57 to 4.02) · 93 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.72 (0 to 18.54) · 48 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.04 (0.78 to 9.3) · 48 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.07 (0.55 to 3.59) · 58 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths1.12 (0 to 2.33) · 543 casesNo differentJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.392No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.7 · 111 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits33 · 78 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits16.3 · 64 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19 · 148 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.1 · 55 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.7 to 17.1) · 478 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.5) · 39 casesNo differentJan 2024 – Dec 2024

What patients said (160 patients answered, 21% of those asked)

Patient survey stars by topic at Chinese Hospital
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness3
Recommend hospital3
Share of patients giving the best answer at Chinese Hospital
Room was "always" clean74%
Nurses "always" communicated well77%
Doctors "always" communicated well78%
Staff "always" explained68%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand77%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications79%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night55%
"YES", patients would definitely recommend the hospital64%
Staff "always" explained possible side effects57%
Yes, staff "did" give patients information about possible symptoms93%
See every measure and the patient survey for San Mateo Medical Center

Behind the star rating — Deaths: 0 better, 2 the same, 0 worse of 2 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 3 the same, 0 worse of 3 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at San Mateo Medical Center
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.34 (0.25 to 2.43) · 45 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.97 (0.48 to 1.47)No differentJul 2022 – Jun 2024
Death rate for pneumonia patientsComplications and deaths13.9 · 25 casesNoneJul 2022 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 258 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.44) · 379 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 381 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.44 (0.82 to 6.05) · 57 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.64 (0.92 to 4.37) · 57 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.53 (0 to 1.76) · 296 casesNo differentJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.661No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.8 · 47 casesNoneJul 2023 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-2.3 · 25 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.6 · 76 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14 (10.4 to 18.9) · 167 casesNo differentJan 2022 – Dec 2024

What patients said (208 patients answered, 15% of those asked)

Patient survey stars by topic at San Mateo Medical Center
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at San Mateo Medical Center
Room was "always" clean78%
Nurses "always" communicated well76%
Doctors "always" communicated well79%
Staff "always" explained62%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital68%
Staff "always" explained possible side effects51%
Yes, staff "did" give patients information about possible symptoms86%
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.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$14,607

Medicare paid this office $14,607 for 90 people.

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

Largest Original Medicare bills
Initial hospital care with moderate level of medical decision making at least 75 minutes34$5,241$150
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$4,054$70
Hospital discharge day management, more than 30 minutes15$1,532$102
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,265$115

Who their Medicare patients are

90 Original Medicare patients in 2024. Average age 77 · Women 53% · Also on Medicaid 79% · Health risk score 2.63. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 59% · Chronic kidney disease 52% · Heart failure 39% · Coronary heart disease 34% · Depression 31% · COPD 29% · Dementia 29% · Stroke 27% · Atrial fibrillation 21%.

The office billed $115,058, Medicare allowed $18,752 and paid $14,607; for 149 services of 14 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
202490149772.63$115,058$14,607
2023122249772.45$177,331$23,521
2022159347772.73$232,996$30,359
2021227538742.96$465,233$58,400
2020258848752.67$410,169$76,765
2019209473792.64$153,489$37,430
2018321667792.43$194,271$57,559
2017308782782.75$196,343$59,100
2016246768812.33$237,795$67,840
2015296961772.43$329,552$93,577
2014268595792.31$191,349$55,845
201379159762.47$62,965$18,068

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
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes50$9,437$75
Initial hospital care with moderate level of medical decision making at least 75 minutes35$5,071$145
Hospital discharge day management, more than 30 minutes25$2,802$112
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,154$105

2022: 7 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes80$10,880$67
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,535$173
Hospital discharge day management, more than 30 minutes37$3,795$103
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more16$2,339$146
Initial hospital observation care per day, typically 70 minutes11$1,314$119
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,113$93
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$816$35

2021: 7 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes64$14,049$107
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes97$13,806$73
Initial hospital care with moderate level of medical decision making at least 75 minutes60$12,498$202
Hospital discharge day management, more than 30 minutes59$6,930$114
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,941$147
Initial hospital observation care per day, typically 70 minutes17$2,866$169
Initial hospital observation care per day, typically 50 minutes16$2,204$138

2020: 6 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes109$25,164$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes99$22,067$65
Initial hospital care with moderate level of medical decision making at least 75 minutes58$10,911$182
Hospital discharge day management, more than 30 minutes81$8,425$98
Initial hospital observation care per day, typically 70 minutes22$3,584$163
Hospital observation care on day of discharge20$1,330$66

2019: 8 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes85$12,606$88
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes87$8,806$61
Hospital discharge day management, more than 30 minutes60$5,790$92
Initial hospital care with moderate level of medical decision making at least 75 minutes15$2,448$163
Hospital discharge day management, 30 minutes or less25$1,639$63
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes13$1,506$116
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes16$1,362$85
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$1,041$33

2018: 11 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes129$18,020$62
Initial hospital care with moderate level of medical decision making at least 75 minutes55$9,490$173
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes52$7,077$91
Hospital discharge day management, more than 30 minutes55$5,698$95
Initial hospital observation care per day, typically 70 minutes21$3,497$159
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes29$3,439$119
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes17$1,792$81
Hospital observation care on day of discharge23$1,433$62
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes14$1,217$87
Hospital discharge day management, 30 minutes or less11$711$65
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes14$640$34

2017: 7 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes187$32,367$61
Initial hospital care with moderate level of medical decision making at least 75 minutes69$10,873$155
Hospital discharge day management, more than 30 minutes69$6,534$92
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes18$2,058$108
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,402$88
Hospital discharge day management, 30 minutes or less12$745$62
Hospital observation care on day of discharge11$622$57

2016: 9 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes107$20,526$65
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes49$17,378$80
Initial hospital care with moderate level of medical decision making at least 75 minutes40$7,122$178
Critical care, first 30-74 minutes18$6,489$197
Hospital discharge day management, more than 30 minutes34$3,432$98
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more15$2,564$151
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes15$2,018$84
Initial hospital observation care per day, typically 70 minutes12$1,803$150
Nursing facility discharge management, more than 30 minutes15$1,443$96

2015: 8 services

Original Medicare services billed in 2015
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes80$27,651$83
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes114$20,226$64
Critical care, first 30-74 minutes48$18,544$193
Initial hospital care with moderate level of medical decision making at least 75 minutes46$8,137$177
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more40$5,992$146
Hospital discharge day management, more than 30 minutes34$3,203$94
Initial hospital observation care per day, typically 70 minutes18$2,731$152
Nursing facility discharge management, more than 30 minutes21$1,984$94

2014: 11 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes105$14,536$64
Initial hospital care with moderate level of medical decision making at least 75 minutes52$9,093$175
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes39$7,641$83
Critical care, first 30-74 minutes20$5,490$196
Hospital discharge day management, more than 30 minutes51$4,953$97
Initial hospital observation care per day, typically 70 minutes25$4,063$156
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more12$1,808$151
Initial hospital observation care per day, typically 50 minutes12$1,451$121
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more11$1,449$63
Follow-up observation care per day, typically 25 minutes13$1,039$65
Hospital observation care on day of discharge13$853$66

2013: 5 services

Original Medicare services billed in 2013
Critical care, first 30-74 minutes21$5,698$190
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes33$3,486$62
Initial hospital care with moderate level of medical decision making at least 75 minutes17$2,974$175
Initial hospital observation care per day, typically 70 minutes11$1,759$160
Hospital discharge day management, more than 30 minutes14$1,420$95

Medicaid work

$558 in 2024

Medicaid paid $558 for 67 billed services this clinician did in 2024, up to 16 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 MINUTES67$558
Medicaid work by year
202467116$558
2023176215$1,693
2022251318$4,864
2021634532$9,896
2020226422$5,660
2019101213$2,218
201840213$898
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES164$1,519
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter12$174

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES176$3,169
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES62$1,500
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter13$195

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES291$3,812
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter137$2,682
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES152$2,036
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES14$843
1ST HOSP IP/OBS HIGH 7540$523

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES111$3,923
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES75$1,146
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter28$591
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month12$0

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES61$1,613
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES40$605

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES25$572
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES15$326

Drugs they prescribed that Part D paid

$13,484

Pharmacies billed $13,484 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 197) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.

136 generic and 61 brand-name prescriptions · $13,484 in drug cost · 41 antibiotic prescriptions.

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
Vancomycin25$689$28
Ampicillin-Sulbactam13$237$18
Metoprolol13$93$7

Year by year

Part D prescribing by year
2024197386% (11)31%$13,484
20231384410% (14)18%$13,145
2022190398% (16)None$15,868
202115462NoneNone$8,947
2020185768% (15)22%$13,678
2019244113NoneNone$11,082
20182701076% (15)22%$18,427
2017219836% (13)29%$16,145
2016243625% (12)17%$13,311
2015197598% (15)None$13,172
201410038None18%$7,304
201318837NoneNone$10,844

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Metoprolol18$263$15

2022: 3 drugs

Part D drugs prescribed in 2022
Enoxaparin13$568$44
Hydrocodone-Acetaminophen11$98$9
Furosemide13$53$4

2020: 2 drugs

Part D drugs prescribed in 2020
Quetiapine13$392$30
Atorvastatin14$337$24

2019: 4 drugs

Part D drugs prescribed in 2019
Metoprolol12$374$31
Amoxicillin-Clavulanate Potass12$246$21
Clopidogrel11$243$22
Metoprolol13$106$8

2018: 5 drugs

Part D drugs prescribed in 2018
Eliquis14$6,160$440
Atorvastatin23$210$9
Clopidogrel11$120$11
Losartan12$55$5
Furosemide19$45$2

2017: 4 drugs

Part D drugs prescribed in 2017
Eliquis29$8,469$292
Atorvastatin26$361$14
Carvedilol11$121$11
Furosemide20$83$4

2016: 3 drugs

Part D drugs prescribed in 2016
Eliquis25$4,448$178
Atorvastatin26$383$15
Metoprolol20$115$6

2015: 1 drug

Part D drugs prescribed in 2015
Atorvastatin11$137$12

2013: 3 drugs

Part D drugs prescribed in 2013
Amlodipine Besylate18$118$7
Metformin12$94$8
Simvastatin11$87$8

Money from drug and device companies

$77 in 2019

A payment is not proof that care is biased.

Payments by company
PfizerEliquis$28
2 payments
  • Meals for Eliquis · 2019-03-21 · $14
  • Meals for Chantix · 2019-01-30 · $14
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$27
1 payment
  • Meals for Lifevest · 2019-04-10 · $27
AstraZeneca Pharmaceuticals LPBrilinta$22
1 payment
  • Meals for Brilinta · 2019-05-22 · $22
See all 4 published payments
Every published payment
AstraZeneca Pharmaceuticals LPMeals · 2019-05-22Brilinta$22
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Meals · 2019-04-10Lifevest$27
PfizerMeals · 2019-03-21Eliquis$14
PfizerMeals · 2019-01-30Chantix$14

Professional record

NPI
1346551819
Licence
CA A120294California A120294: Current · expires 2028-02-29
Trained
Creighton University School of Medicine, 2010
Group
County of Santa Clara · San Francisco Unified Physicians Group, Inc · Permanente Medical Group Inc · County of San Mateo
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Hospitalist (208M00000X)
Mailing address
2105 Forest Ave, San Jose, CA, 95128
NPI first listed
2010-06-29
NPI last updated
2022-02-11
NPI record certified
2021-03-12

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

This office lists an electronic records connection.