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Anushree Agarwal, MD

Cardiovascular Disease (Cardiology) · San Francisco

NPI 1396944104

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
1 carrier
Offices
2

Offices

2 locations · University of California San Francisco · Regents of the University of California

Looking this up.

Hospitals listed: UCSF Medical Center. That is not proof they admit you there this week.

Plans that list them

9 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Agarwal’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
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence A130602 · Current

Licensed to practise in California · since 2014 · expires 2027-09-30 · Maharashtra University of Health Sciences, Indira Gandhi Medical College, Nagpur.

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

State licence records

1 licence

  • Illinois 125053728Temporary Medical Permit · since 2007 · expires 2010-06-25Specialty on the licence: Internal Medicine
    CancelledNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

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.

  • UCSF Medical CenterSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of UCSF Helen Diller Family Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 81% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 4.9 (3.79 to 6.02) · 7,590 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 12.8 (11.3 to 14.4) · 2,019 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 139.4 (110.22 to 168.58) · 452 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.622, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.626, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.491, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.7 to 1) · 2,336 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for UCSF Medical Center

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 3 better, 5 the same, 3 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 UCSF Medical Center
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.9 (3.79 to 6.02) · 7,590 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.8 (11.3 to 14.4) · 2,019 casesWorseJan 2024 – Dec 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths139.4 (110.22 to 168.58) · 452 casesBetterJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.622BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.626BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.491BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.7 to 1) · 2,336 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.24 (0.58 to 1.9) · 4,689 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.89 to 1.2)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.9 · 89 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.5 · 85 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.1 · 132 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.6 · 454 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 618 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 380 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.7 · 5,000 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.22 (0.06 to 0.38) · 15,965 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.05 to 0.35) · 17,859 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.85 (0 to 1.83) · 4,184 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2 (1.1 to 2.9) · 6,516 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.35 (4.49 to 10.21) · 3,989 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5 (3.22 to 6.77) · 4,087 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.95 (0.74 to 3.15) · 2,034 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.95 (0.63 to 1.28) · 15,431 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 399 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.899No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.689No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.224No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16 · 156 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20 · 564 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits60.3 · 160 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-9.7 · 550 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits44.1 · 660 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 667 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (4.8 to 6.7) · 2,019 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6 · 421 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.5 · 53 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 107 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.9 (11.3 to 17.1) · 3,247 casesNo differentJan 2022 – Dec 2024

What patients said (3,181 patients answered, 25% of those asked)

Patient survey stars by topic at UCSF Medical Center
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at UCSF Medical Center
Room was "always" clean71%
Nurses "always" communicated well80%
Doctors "always" communicated well80%
Staff "always" explained61%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital81%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$4,065

Medicare paid this office $4,065 for 23 people. Most of that is long return visits and Botox.

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

Largest Original Medicare bills
Long return visit (40+ min)16$2,976$106

Who their Medicare patients are

23 Original Medicare patients in 2024. Average age 49 · Health risk score 1.05. At or below the middle of the specialty; the typical cardiology clinician is at 1.71.

Conditions among them: High blood pressure 61%.

The office billed $28,316, Medicare allowed $5,892 and paid $4,065; for 55 services of 8 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
20242355491.05$28,316$4,065
20232226501.13$20,123$3,009
202277207581.57$113,837$9,080
2021113278621.53$150,319$15,037
2020117314621.78$176,653$16,762
2019111315611.78$179,057$20,647
2018125285652.37$158,459$20,204
20173259611.72$34,138$5,890

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: 1 service

Original Medicare services billed in 2023
Long return visit (40+ min)18$2,606$124

2022: 4 services

Original Medicare services billed in 2022
Long return visit (40+ min)15$2,658$116
Ultrasound of heart for congenital defect41$1,937$45
Ultrasound of heart blood flow, valves and chambers, follow-up40$229$5
Ultrasound of heart with color-depicted blood flow, rate and valve function41$103$2

2021: 6 services

Original Medicare services billed in 2021
Long return visit (40+ min)17$3,445$128
Ultrasound of heart for congenital defect40$2,196$54
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$2,124$92
Return visit (30+ min)14$1,113$65
Ultrasound of heart blood flow, valves and chambers, follow-up41$260$6
Ultrasound of heart with color-depicted blood flow, rate and valve function41$114$3

2020: 6 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$3,956$94
Ultrasound of heart for congenital defect50$2,755$49
Long return visit (40+ min)17$2,240$90
Ultrasound of heart blood flow, valves and chambers29$454$15
Ultrasound of heart blood flow, valves and chambers, follow-up25$161$6
Ultrasound of heart with color-depicted blood flow, rate and valve function50$150$3

2019: 6 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$4,618$92
Initial hospital care with moderate level of medical decision making at least 75 minutes18$3,628$181
Long return visit (40+ min)26$2,821$83
Ultrasound of heart for congenital defect41$2,346$55
Ultrasound of heart blood flow, valves and chambers42$732$16
Ultrasound of heart with color-depicted blood flow, rate and valve function44$136$3

2018: 8 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes19$4,447$93
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,961$180
New patient visit (60+ min)16$2,350$147
Long return visit (40+ min)15$2,196$91
Ultrasound of heart for congenital defect35$1,823$51
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function14$923$66
Ultrasound of heart blood flow, valves and chambers35$562$16
Ultrasound of heart with color-depicted blood flow, rate and valve function38$109$3

Medicaid work

$2,029 in 2024

Medicaid paid $2,029 for 14 billed services this clinician did in 2024, up to 13 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
Long return visit (40+ min)14$2,029
Medicaid work by year
202414113$2,029
2022130317$4,893
2021119325$3,473
2020112415$5,350
201986416$8,800
201838313$1,250
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Complete transthoracic echocardiography for congenital cardiac anomalies41$3,520
DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD44$919
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)45$455

2021

Largest Medicaid services in 2021
Complete transthoracic echocardiography for congenital cardiac anomalies40$2,672
DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD39$683
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)40$117

2020

Largest Medicaid services in 2020
Complete transthoracic echocardiography for congenital cardiac anomalies27$2,344
Long return visit (40+ min)15$1,678
DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD29$677
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)41$651

2019

Largest Medicaid services in 2019
Long return visit (40+ min)40$4,484
Complete transthoracic echocardiography for congenital cardiac anomalies15$2,201
DOPPLER ECHO COMPLETE15$1,568
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)16$547

2018

Largest Medicaid services in 2018
Complete transthoracic echocardiography for congenital cardiac anomalies13$837
DOPPLER ECHO COMPLETE12$376
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)13$37

Drugs they prescribed that Part D paid

$16,098

Pharmacies billed $16,098 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 105) in 2024. At or below the middle of the specialty; the typical cardiology clinician is at 0%.

92 generic and 13 brand-name prescriptions · $16,098 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.

Largest Part D drug costs
Metoprolol18$264$15
Spironolactone11$103$9

Year by year

Part D prescribing by year
2024105140% (0)12%$16,098
202353None0% (0)None$7,021
202268160% (0)16%$10,669
202142150% (0)None$2,956
2020154320% (0)24%$97,294
201915031None35%$134,484
2018109240% (0)16%$57,397
201516NoneNone0%$1,089
2014100200% (0)None$2,278
201314148None8%$8,282

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
Furosemide13$109$8

2022: 2 drugs

Part D drugs prescribed in 2022
Metoprolol20$129$6
Furosemide12$30$2

2021: 1 drug

Part D drugs prescribed in 2021
Metoprolol18$168$9

2020: 2 drugs

Part D drugs prescribed in 2020
Metoprolol16$159$10
Atorvastatin13$121$9

2019: 4 drugs

Part D drugs prescribed in 2019
Opsumit12$117,882$9,823
Metoprolol19$303$16
Furosemide19$47$2
Clopidogrel11$41$4

2018: 4 drugs

Part D drugs prescribed in 2018
Metoprolol15$232$15
Lisinopril12$90$8
Furosemide19$81$4
Clopidogrel11$45$4

2014: 1 drug

Part D drugs prescribed in 2014
Lisinopril16$102$6

2013: 2 drugs

Part D drugs prescribed in 2013
Clopidogrel16$531$33
Lisinopril18$137$8

Money from drug and device companies

$73 in 2025

Industry payments by year
202513None$73
202411None$18
202311None$36
202111None$18
202011None$28

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Baxter HealthcareHillrom - Cardiac Ambulatory Monitor$73
3 payments
  • Meals for Hillrom - Cardiac Ambulatory Monitor · 2025-12-17 · $22
  • Meals for Hillrom - Cardiac Ambulatory Monitor · 2025-10-06 · $21
  • Meals for Hillrom - Carnation Ambulatory Monitor · 2025-02-19 · $30
See all 3 published payments
Every published payment
Baxter HealthcareMeals · 2025-12-17Hillrom - Cardiac Ambulatory Monitor$22
Baxter HealthcareMeals · 2025-10-06Hillrom - Cardiac Ambulatory Monitor$21
Baxter HealthcareMeals · 2025-02-19Hillrom - Carnation Ambulatory Monitor$30
See earlier years (2024, 2023, 2021, 2020)

2024: $18

Payments by company in 2024
Sanofi-Aventis U.S.Multaq$18
1 payment
  • Meals for Multaq · 2024-01-17 · $18

2023: $36

Payments by company in 2023
Baxter HealthcareHillrom - Cardiac Ambulatory Monitor$36
1 payment
  • Meals for Hillrom - Cardiac Ambulatory Monitor · 2023-08-09 · $36

2021: $18

Payments by company in 2021
DePuy Synthes SalesSpine & Trauma 3d Navigation$18
1 payment
  • Meals for Spine & Trauma 3d Navigation · 2021-08-28 · $18

2020: $28

Payments by company in 2020
Actelion Pharmaceuticals USOpsumit$28
1 payment
  • Meals for Opsumit · 2020-01-30 · $28

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
74.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1396944104
Licence
CA A130602, IL 125-053728California A130602: Current · expires 2027-09-30Illinois 125053728: Cancelled
Group
University of California San Francisco · Regents of the University of California
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
IL 036126024
Taxonomy
Federal specialty code 207RA0002X (207RA0002X); Internal medicine (207R00000X); Cardiology (207RC0000X)
Mailing address
960 N 12th St, Suite 400, Milwaukee, WI, 53233
NPI first listed
2007-07-12
NPI last updated
2019-02-22

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