Rashi Agarwal, MD
Psychiatry · San Jose
- 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 · County of Santa Clara · 1,000 clinicians in this group
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. Agarwal’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$23,366
Medicare paid this office $23,366 for 40 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 50 minutes | 31 | $12,401 | $104 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 25 | $6,184 | $67 |
| Hospital discharge day management, more than 30 minutes | 25 | $2,836 | $101 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 15 | $1,945 | $108 |
Who their Medicare patients are
40 Original Medicare patients in 2024. Average age 51 · Women 38% · Health risk score 1.37. Above the middle of the specialty; the typical psychiatry clinician is at 1.35.
Conditions among them: High blood pressure 65% · Diabetes 35%.
The office billed $244,338, Medicare allowed $31,246 and paid $23,366; for 257 services of 4 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 | 40 | 257 | 51 | 1.37 | $244,338 | $23,366 |
| 2023 | 45 | 269 | 49 | 1.24 | $251,384 | $24,966 |
| 2022 | 33 | 196 | 50 | 1.33 | $187,015 | $18,431 |
| 2021 | 39 | 252 | 53 | 1.49 | $246,314 | $27,478 |
| 2020 | 38 | 198 | 56 | 1.48 | $176,929 | $20,399 |
| 2019 | 44 | 289 | 55 | 1.24 | $235,031 | $27,900 |
| 2018 | 17 | 89 | 57 | 2.00 | $57,508 | $8,306 |
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
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 31 | $10,159 | $107 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 24 | $8,469 | $68 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 20 | $3,399 | $154 |
| Hospital discharge day management, more than 30 minutes | 26 | $2,785 | $103 |
2022: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 23 | $7,336 | $97 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 18 | $6,022 | $72 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 13 | $2,593 | $173 |
| Hospital discharge day management, more than 30 minutes | 16 | $1,701 | $106 |
2021: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 29 | $12,479 | $117 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 23 | $8,248 | $80 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 15 | $3,422 | $228 |
| Hospital discharge day management, more than 30 minutes | 22 | $2,851 | $124 |
2020: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 31 | $9,865 | $103 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 18 | $5,041 | $78 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 12 | $2,932 | $209 |
| Hospital discharge day management, more than 30 minutes | 21 | $2,309 | $110 |
2019: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 32 | $15,165 | $92 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 31 | $5,389 | $163 |
| Hospital discharge day management, more than 30 minutes | 28 | $3,029 | $95 |
2018: 1 service
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 15 | $5,055 | $94 |
Drugs they prescribed that Part D paid
$20,596
Pharmacies billed $20,596 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 129) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.
120 generic and fewer than 11 brand-name prescriptions · $20,596 in drug cost.
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.
| Divalproex | 17 | $107 | $6 |
Year by year
| 2024 | 129 | 27 | 0% (0) | None | $20,596 |
| 2023 | 150 | 24 | 0% (0) | None | $6,921 |
| 2022 | 94 | 23 | 0% (0) | None | $7,547 |
| 2021 | 149 | 34 | 0% (0) | None | $5,918 |
| 2020 | 139 | 34 | 0% (0) | None | $4,225 |
| 2019 | 158 | 33 | 0% (0) | None | $6,629 |
| 2018 | 127 | 39 | 0% (0) | 13% | $7,846 |
| 2017 | 149 | 46 | None | 10% | $10,551 |
| 2016 | 52 | 17 | 0% (0) | None | $1,928 |
| 2015 | 113 | 14 | 0% (0) | None | $1,999 |
| 2014 | 261 | 15 | 0% (0) | 16% | $22,649 |
| 2013 | 22 | None | 0% (0) | None | $3,903 |
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
| Divalproex | 11 | $416 | $38 |
2021: 2 drugs
| Divalproex | 14 | $223 | $16 |
| Benztropine Mesylate | 11 | $69 | $6 |
2020: 2 drugs
| Divalproex | 13 | $123 | $9 |
| Quetiapine | 12 | $78 | $7 |
2019: 2 drugs
| Divalproex | 13 | $145 | $11 |
| Amlodipine Besylate | 12 | $33 | $3 |
2017: 1 drug
| Divalproex | 17 | $330 | $19 |
2015: 4 drugs
| Venlafaxine Hcl Er | 11 | $98 | $9 |
| Risperidone | 12 | $82 | $7 |
| Sertraline | 11 | $70 | $6 |
| Clonazepam | 12 | $48 | $4 |
2014: 12 drugs
| Abilify | 13 | $12,062 | $928 |
| Quetiapine | 11 | $2,740 | $249 |
| Venlafaxine Hcl Er | 21 | $1,711 | $81 |
| Trazodone | 11 | $829 | $75 |
| Mirtazapine | 23 | $328 | $14 |
| Haloperidol | 12 | $265 | $22 |
| Risperidone | 22 | $249 | $11 |
| Sertraline | 27 | $204 | $8 |
| Clonazepam | 33 | $163 | $5 |
| Zolpidem | 15 | $113 | $8 |
| Diazepam | 19 | $96 | $5 |
| Lorazepam | 11 | $79 | $7 |
Money from drug and device companies
$84 in 2019
A payment is not proof that care is biased.
| Medtronic USA | Osteocool Rf Ablation | $84 | 1 payment
|
See the published payment
| Medtronic USA | Meals · 2019-03-14 | Osteocool Rf Ablation | $84 |
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
- 1376981878
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Student in a training program (390200000X)
- Mailing address
- 517 N Fair Oaks Ave, Sunnyvale, CA, 94085
- NPI first listed
- 2013-06-06
- NPI last updated
- 2013-06-06
This is when the NPI record was last certified, not a medical board exam.