Niusha Rafie, MD
Diagnostic Radiology · 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.
- Offices
- 2
Offices
2 locations · 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. Rafie’s office at (408) 851-1000 to ask if they take your plan before you enroll.
California Medical Board record
Licence A96782 · Current
Licensed to practise in California · since 2006 · expires 2028-08-31 · "Pecs University Medical School" English Program.
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.
- 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
$4,114
Medicare paid this office $4,114 for 76 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Screening mammography | 14 | $2,204 | $85 |
| X-ray of chest, 1 view | 30 | $226 | $7 |
Who their Medicare patients are
76 Original Medicare patients in 2024. Average age 70 · Under 65 28% · 85 and older 14% · Women 46% · Also on Medicaid 62% · Health risk score 2.94. Sicker patients than 9 in 10 peers; the typical diagnostic radiology clinician is at 1.7.
Conditions among them: High blood pressure 75% · Diabetes 51% · Chronic kidney disease 43% · Coronary heart disease 39% · Heart failure 33% · Depression 30% · Stroke 26% · Dementia 25% · Atrial fibrillation 24% · COPD 18% · Cancer 17%.
The office billed $26,649, Medicare allowed $4,745 and paid $4,114; for 112 services of 24 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 | 76 | 112 | 70 | 2.94 | $26,649 | $4,114 |
| 2023 | 73 | 115 | 69 | 2.52 | $31,533 | $4,668 |
| 2022 | 73 | 107 | 69 | 2.13 | $31,698 | $4,739 |
| 2021 | 57 | 96 | 69 | 1.96 | $34,392 | $5,986 |
| 2020 | 39 | 57 | 67 | 2.05 | $11,805 | $2,049 |
| 2019 | 52 | 82 | 69 | 2.08 | $24,984 | $3,737 |
| 2018 | 42 | 57 | 67 | 1.78 | $16,772 | $2,613 |
| 2017 | 54 | 85 | 71 | 2.91 | $18,790 | $3,889 |
| 2016 | 45 | 65 | 71 | 2.51 | $10,526 | $1,501 |
| 2015 | 41 | 53 | 71 | 2.85 | $9,291 | $1,055 |
| 2014 | 45 | 62 | 71 | 1.82 | $9,694 | $1,661 |
| 2013 | 34 | 44 | 73 | 1.69 | $6,519 | $1,104 |
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: 3 services
| Screening mammography | 13 | $2,089 | $84 |
| Ct scan head or brain without contrast | 12 | $306 | $25 |
| X-ray of chest, 1 view | 26 | $207 | $7 |
2022: 3 services
| Screening mammography | 16 | $2,588 | $86 |
| Ct scan head or brain without contrast | 12 | $327 | $27 |
| X-ray of chest, 1 view | 19 | $139 | $7 |
2021: 1 service
| X-ray of chest, 1 view | 15 | $150 | $8 |
2020: 1 service
| X-ray of chest, 1 view | 14 | $111 | $8 |
2019: 2 services
| Screening mammography | 13 | $2,270 | $87 |
| X-ray of chest, 1 view | 13 | $116 | $8 |
2018: 1 service
| X-ray of chest, 1 view | 12 | $111 | $8 |
2017: 2 services
| Ct scan head or brain without contrast | 13 | $517 | $37 |
| X-ray of chest, 1 view, front | 15 | $103 | $6 |
2016: 1 service
| X-ray of chest, 1 view, front | 22 | $182 | $7 |
2015: 1 service
| X-ray of chest, 1 view, front | 20 | $153 | $7 |
2014: 1 service
| X-ray of chest, 1 view, front | 17 | $124 | $7 |
2013: 1 service
| X-ray of chest, 1 view, front | 15 | $95 | $6 |
Medicaid work
$37,647 in 2024
Medicaid paid $37,647 for 531 billed services this clinician did in 2024, up to 40 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.
| Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | 373 | $34,065 |
| Radiologic examination, chest; 2 views | 71 | $1,716 |
| Computed tomography, head or brain; without contrast material | 13 | $1,228 |
| Radiologic examination, chest; single view | 74 | $639 |
| 2024 | 531 | 4 | 40 | $37,647 |
| 2023 | 381 | 4 | 30 | $155 |
| 2022 | 417 | 4 | 28 | $338 |
| 2021 | 229 | 1 | 30 | $109 |
| 2020 | 82 | 2 | 14 | $44 |
| 2019 | 79 | 1 | 15 | $0 |
| 2018 | 88 | 1 | 21 | $0 |
See the largest Medicaid services in earlier years
2023
| Computed tomography, head or brain; without contrast material | 14 | $88 |
| Radiologic examination, chest; single view | 50 | $48 |
| Radiologic examination, chest; 2 views | 27 | $19 |
| Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | 290 | $0 |
2022
| Radiologic examination, chest; single view | 78 | $202 |
| Computed tomography, head or brain; without contrast material | 20 | $109 |
| Radiologic examination, chest; 2 views | 33 | $27 |
| Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | 286 | $0 |
2021
| Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | 229 | $109 |
2020
| Radiologic examination, chest; single view | 58 | $44 |
| Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | 24 | $0 |
2019
| Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | 79 | $0 |
2018
| Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | 88 | $0 |
Professional record
- NPI
- 1396844395
- Licence
- AL A96782, CA A96782California A96782: Current · expires 2028-08-31
- Gender
- Female
More record details
- Sole proprietor
- No
- Medicaid ID
- CA 00A967820
- Taxonomy
- Diagnostic radiology (2085R0202X); Federal specialty code 174400000X (174400000X)
- Mailing address
- Po Box 1764, Lodi, CA, 95241
- NPI first listed
- 2006-09-22
- NPI last updated
- 2008-03-06
This is when the NPI record was last certified, not a medical board exam.