James Mastriana, MD
Emergency 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. Mastriana’s office at (408) 851-1000 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-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
$17,120
Medicare paid this office $17,120 for 189 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Short return visit (20+ min) | 69 | $4,510 | $64 |
| New patient visit (30+ min) | 48 | $3,605 | $75 |
| Return visit (30+ min) | 40 | $3,116 | $76 |
| New patient visit (45+ min) | 26 | $2,348 | $90 |
| X-ray of chest, 2 views | 21 | $527 | $25 |
See all 7 services
| Short return visit (20+ min) | 69 | $4,510 | $64 |
| New patient visit (30+ min) | 48 | $3,605 | $75 |
| Return visit (30+ min) | 40 | $3,116 | $76 |
| New patient visit (45+ min) | 26 | $2,348 | $90 |
| X-ray of chest, 2 views | 21 | $527 | $25 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 17 | $199 | $12 |
| Urinalysis, manual test | 19 | $68 | $3 |
Who their Medicare patients are
189 Original Medicare patients in 2024. Average age 74 · Under 65 9% · 85 and older 13% · Women 61% · Also on Medicaid 21% · Health risk score 1.12. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 74% · Coronary heart disease 25% · Depression 25% · Diabetes 24% · Chronic kidney disease 21% · COPD 18% · Atrial fibrillation 18% · Cancer 17% · Heart failure 10% · Stroke 8%.
The office billed $60,927, Medicare allowed $27,517 and paid $17,120; for 329 services of 39 kinds; $280 of it was for drugs given in the office and $16,839 for care.
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 | 189 | 329 | 74 | 1.12 | $60,927 | $17,120 |
| 2023 | 202 | 332 | 72 | 1.74 | $157,542 | $25,826 |
| 2022 | 13 | 18 | 71 | 1.71 | $14,347 | $1,985 |
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: 9 services
| Emergency department visit with high level of medical decision making | 75 | $11,405 | $148 |
| Return visit (30+ min) | 29 | $3,065 | $106 |
| New patient visit (30+ min) | 25 | $2,328 | $93 |
| Emergency department visit with moderate level of medical decision making | 21 | $1,955 | $93 |
| Short return visit (20+ min) | 24 | $1,795 | $75 |
| New patient visit (45+ min) | 13 | $1,582 | $122 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 63 | $397 | $6 |
| X-ray of chest, 2 views | 12 | $342 | $28 |
| Urinalysis, manual test | 19 | $65 | $3 |
2022: 1 service
| Emergency department visit with high level of medical decision making | 12 | $1,853 | $154 |
Medicaid work
$90,985 in 2024
Medicaid paid $90,985 for 718 billed services this clinician did in 2024, up to 116 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.
| Global fee urgent care centers | 718 | $90,985 |
| 2024 | 718 | 1 | 116 | $90,985 |
| 2023 | 962 | 5 | 93 | $58,768 |
See the largest Medicaid services in earlier years
2023
| Global fee urgent care centers | 414 | $48,337 |
| EMERGENCY DEPT VISIT MOD MDM | 292 | $6,389 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 174 | $3,470 |
| Service | 12 | $425 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 70 | $148 |
Drugs they prescribed that Part D paid
$1,969
Pharmacies billed $1,969 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
150 generic and fewer than 11 brand-name prescriptions · $1,969 in drug cost · 56 antibiotic prescriptions to 48 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.
| Fluticasone Propionate | 30 | $297 | $10 |
| Doxycycline Hyclate | 16 | $107 | $7 |
Year by year
| 2024 | 157 | 126 | None | None | $1,969 |
| 2023 | 111 | 91 | None | None | $1,072 |
| 2020 | 43 | 29 | None | None | $322 |
| 2019 | 51 | 35 | 24% (12) | 0% | $402 |
| 2018 | 89 | 56 | 23% (20) | None | $870 |
| 2017 | 85 | 60 | 22% (19) | None | $1,113 |
| 2016 | 56 | 35 | None | None | $1,330 |
| 2015 | 12 | None | 0% (0) | None | $417 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 2 drugs
| Fluticasone Propionate | 19 | $246 | $13 |
| Cephalexin | 13 | $66 | $5 |
2019: 1 drug
| Ondansetron Odt | 13 | $161 | $12 |
2018: 1 drug
| Ondansetron Odt | 18 | $217 | $12 |
2017: 1 drug
| Ondansetron Odt | 12 | $83 | $7 |
Money from drug and device companies
$29 in 2024
| 2024 | 1 | 1 | None | $29 |
| 2020 | 1 | 1 | None | $125 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| CSL Behring | Kcentra | $29 | 1 payment
|
See the published payment
| CSL Behring | Meals · 2024-01-25 | Kcentra | $29 |
See earlier years (2020)
2020: $125
| Portola Pharmaceuticals | Andexxa | $125 | 1 payment
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 94.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1396131066
- Licence
- CA 20A19532, OH 34.013347, PA OS023081
- Trained
- Lake Erie College of Osteopathic Medicine, Bradenton, 2015
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 207P00000X (207P00000X); Federal specialty code 207PE0004X (207PE0004X); Student in a training program (390200000X)
- Mailing address
- 130 S Bryn Mawr Ave, Bryn Mawr, PA, 19010
- NPI first listed
- 2015-04-09
- NPI last updated
- 2023-11-10
- NPI record certified
- 2023-11-10
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 206 2nd St E, Bradenton, FL, 34208 · 101 Bodin Cir, Travis Afb, CA, 94535