Gloria A Jimenez, DO
General Surgery · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 4
- 1 carrier
- 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
4 plans · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Jimenez’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| 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 |
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
$23,419
Medicare paid this office $23,419 for 177 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 63 | $6,771 | $107 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 54 | $4,047 | $64 |
| Emergency department visit with moderate level of medical decision making | 13 | $1,328 | $102 |
| Hospital discharge day management, more than 30 minutes | 14 | $1,317 | $94 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 12 | $515 | $40 |
Procedures Medicare counted
| Colonoscopy | 1-10 | None |
| Removal of tissue | 1-10 | None |
Who their Medicare patients are
177 Original Medicare patients in 2024. Average age 75 · Under 65 12% · 85 and older 24% · Women 58% · Also on Medicaid 60% · Health risk score 1.98. Above the middle of the specialty; the typical general surgery clinician is at 1.69.
Conditions among them: High blood pressure 75% · Diabetes 50% · Chronic kidney disease 37% · Dementia 35% · Depression 33% · Coronary heart disease 32% · Heart failure 30% · Stroke 30% · Atrial fibrillation 28% · COPD 21% · Cancer 19%.
The office billed $166,458, Medicare allowed $30,500 and paid $23,419; for 236 services of 29 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 | 177 | 236 | 75 | 1.98 | $166,458 | $23,419 |
| 2023 | 189 | 274 | 76 | 1.85 | $158,475 | $30,805 |
| 2022 | 179 | 299 | 77 | 1.57 | $126,430 | $24,051 |
| 2021 | 147 | 229 | 76 | 1.56 | $112,378 | $20,232 |
| 2020 | 119 | 182 | 75 | 1.66 | $116,480 | $19,167 |
| 2019 | 201 | 265 | 74 | 1.86 | $180,086 | $31,812 |
| 2018 | 221 | 273 | 73 | 2.44 | $176,675 | $35,206 |
| 2017 | 157 | 206 | 71 | 2.25 | $160,444 | $28,330 |
| 2016 | 144 | 185 | 72 | 2.21 | $221,064 | $28,751 |
| 2015 | 177 | 238 | 74 | 2.06 | $223,490 | $33,136 |
| 2014 | 98 | 134 | 71 | 1.81 | $102,542 | $16,824 |
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: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 93 | $8,294 | $70 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 59 | $6,582 | $110 |
| Hospital discharge day management, more than 30 minutes | 15 | $1,529 | $102 |
| Emergency department visit with moderate level of medical decision making | 13 | $1,206 | $93 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 14 | $834 | $44 |
2022: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 89 | $9,322 | $62 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 24 | $2,754 | $115 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 14 | $2,403 | $172 |
| Hospital discharge day management, 30 minutes or less | 15 | $990 | $66 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 24 | $963 | $32 |
2021: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 51 | $5,422 | $64 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 22 | $2,708 | $123 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 12 | $2,366 | $182 |
| Hospital discharge day management, 30 minutes or less | 27 | $1,736 | $64 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 17 | $723 | $34 |
2020: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 53 | $4,521 | $66 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 26 | $3,145 | $121 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 15 | $1,956 | $85 |
| Hospital discharge day management, 30 minutes or less | 11 | $757 | $69 |
2019: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 104 | $7,844 | $62 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 23 | $2,723 | $118 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 14 | $2,557 | $183 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 25 | $2,033 | $81 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 16 | $1,460 | $91 |
| Hospital discharge day management, 30 minutes or less | 16 | $1,062 | $66 |
2018: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 96 | $7,495 | $70 |
| Critical care, first 30-74 minutes | 28 | $6,005 | $200 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 40 | $3,852 | $96 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 23 | $2,397 | $92 |
| Hospital discharge day management, 30 minutes or less | 14 | $1,013 | $72 |
2017: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 77 | $6,785 | $77 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 34 | $3,718 | $106 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 22 | $2,993 | $111 |
2016: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 59 | $3,703 | $58 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 11 | $1,805 | $164 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 16 | $1,779 | $111 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 16 | $1,697 | $85 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 19 | $1,403 | $74 |
2015: 4 services
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 43 | $5,051 | $110 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 72 | $4,788 | $59 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 22 | $3,651 | $166 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 14 | $1,453 | $85 |
2014: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 39 | $2,684 | $57 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 15 | $2,462 | $164 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 21 | $2,332 | $111 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 13 | $1,062 | $82 |
Medicaid work
$1,805 in 2024
Medicaid paid $1,805 for 78 billed services this clinician did in 2024, up to 17 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.
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 78 | $1,805 |
| 2024 | 78 | 1 | 17 | $1,805 |
| 2023 | 448 | 2 | 26 | $8,558 |
| 2022 | 352 | 2 | 23 | $7,227 |
| 2021 | 127 | 2 | 16 | $2,307 |
| 2020 | 61 | 1 | 19 | $1,419 |
| 2019 | 258 | 1 | 22 | $5,247 |
| 2018 | 243 | 1 | 22 | $5,316 |
See the largest Medicaid services in earlier years
2023
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 408 | $7,379 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 40 | $1,180 |
2022
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 338 | $6,976 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 14 | $252 |
2021
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 115 | $2,128 |
| Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter | 12 | $180 |
2020
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 61 | $1,419 |
2019
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 258 | $5,247 |
2018
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 243 | $5,316 |
Money from drug and device companies
$786 in 2019
A payment is not proof that care is biased.
| Medical Device Business Services | Echelon Flex Stapler | $786 | 7 payments
|
See all 7 published payments
| Medical Device Business Services | Meals · 2019-09-27 | Echelon Flex Stapler | $32 |
| Medical Device Business Services | Meals · 2019-09-27 | Echelon Flex Stapler | $45 |
| Medical Device Business Services | Meals · 2019-09-27 | Echelon Flex Stapler | $40 |
| Medical Device Business Services | Travel · 2019-09-26 | Echelon Flex Stapler | $209 |
| Medical Device Business Services | Travel · 2019-09-26 | Echelon Flex Stapler | $236 |
| Medical Device Business Services | Travel · 2019-09-26 | Echelon Flex Stapler | $191 |
| Medical Device Business Services | Meals · 2019-09-26 | Echelon Flex Stapler | $33 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 87.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1396908869
- Licence
- CA 20A10668
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Surgery (208600000X); Student in a training program (390200000X)
- Mailing address
- 555 Capitol Mall, Suite 260, Sacramento, CA, 95814
- NPI first listed
- 2008-07-05
- NPI last updated
- 2013-07-26
This is when the NPI record was last certified, not a medical board exam.