Anusha Bhargavi Pinjala, MD
Internal Medicine · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 7
- 3 carriers
- Office
- 1
- Since medical school
- 15 years
- Graduated 2011
Offices
1 location · County of Santa Clara · 1,000 clinicians in this group
Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.
Plans that list them
7 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Pinjala’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
7 of 7 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
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.
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
$39,718
Medicare paid this office $39,718 for 201 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 35 minutes | 145 | $25,287 | $70 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 59 | $6,697 | $114 |
| Hospital discharge day management, more than 30 minutes | 58 | $6,101 | $105 |
Who their Medicare patients are
201 Original Medicare patients in 2024. Average age 74 · Under 65 17% · 85 and older 24% · Women 46% · Also on Medicaid 68% · Health risk score 2.83. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 57% · Coronary heart disease 52% · Chronic kidney disease 49% · Heart failure 47% · Atrial fibrillation 41% · Dementia 34% · Depression 33% · Stroke 29% · COPD 24% · Cancer 14%.
The office billed $406,948, Medicare allowed $50,379 and paid $39,718; for 501 services of 6 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 | 201 | 501 | 74 | 2.83 | $406,948 | $39,718 |
| 2023 | 208 | 520 | 74 | 2.95 | $410,302 | $43,989 |
| 2022 | 218 | 537 | 73 | 2.64 | $452,081 | $49,671 |
| 2021 | 45 | 102 | 72 | 2.11 | $82,993 | $10,040 |
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 | 149 | $29,810 | $76 |
| Hospital discharge day management, more than 30 minutes | 55 | $5,891 | $107 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 34 | $3,946 | $116 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 19 | $3,278 | $173 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 12 | $790 | $49 |
2022: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 142 | $25,304 | $73 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 57 | $11,712 | $205 |
| Hospital discharge day management, more than 30 minutes | 64 | $6,850 | $107 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 15 | $869 | $41 |
| Hospital observation care on day of discharge | 11 | $805 | $73 |
2021: 1 service
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 28 | $5,239 | $79 |
Medicaid work
$7,133 in 2024
Medicaid paid $7,133 for 703 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.
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 597 | $5,848 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 92 | $1,189 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 14 | $96 |
| 2024 | 703 | 3 | 40 | $7,133 |
| 2023 | 992 | 4 | 49 | $9,915 |
| 2022 | 841 | 3 | 33 | $13,691 |
| 2021 | 99 | 1 | 26 | $1,777 |
See the largest Medicaid services in earlier years
2023
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 815 | $7,676 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 128 | $1,447 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 34 | $652 |
| 1ST HOSP IP/OBS HIGH 75 | 15 | $140 |
2022
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 685 | $10,289 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 93 | $1,801 |
| 1ST HOSP IP/OBS HIGH 75 | 63 | $1,600 |
2021
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 99 | $1,777 |
Drugs they prescribed that Part D paid
$9,694
Pharmacies billed $9,694 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
151 generic and 24 brand-name prescriptions · $9,694 in drug cost · 28 antibiotic prescriptions to 21 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.
| Furosemide | 11 | $37 | $3 |
Year by year
| 2024 | 175 | 62 | None | 14% | $9,694 |
| 2023 | 185 | 62 | None | None | $12,035 |
| 2022 | 365 | 86 | None | None | $29,436 |
| 2021 | 116 | 36 | 0% (0) | None | $12,958 |
| 2020 | 55 | 22 | None | None | $1,420 |
| 2019 | 78 | 16 | None | None | $4,028 |
| 2018 | 27 | None | None | None | $655 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2022: 8 drugs
| Atorvastatin | 28 | $257 | $9 |
| Diclofenac | 15 | $189 | $13 |
| Pantoprazole | 11 | $185 | $17 |
| Hydralazine | 12 | $175 | $15 |
| Metoprolol | 15 | $116 | $8 |
| Levothyroxine | 14 | $107 | $8 |
| Amlodipine Besylate | 24 | $99 | $4 |
| Furosemide | 13 | $69 | $5 |
2019: 1 drug
| Metoprolol | 11 | $67 | $6 |
Money from drug and device companies
$21 in 2020
| 2020 | 1 | 1 | None | $21 |
| 2019 | 2 | 2 | None | $29 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| AbbVie | Humira | $21 | 1 payment
|
See the published payment
| AbbVie | Meals · 2020-10-02 | Humira | $21 |
See earlier years (2019)
2019: $29
| AbbVie | Venclexta | $18 | 1 payment
|
| Incyte | Jakafi | $11 | 1 payment
|
Professional record
- NPI
- 1427543511
- Licence
- NE 8247
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Internal medicine (207R00000X)
- Mailing address
- 751 S Bascom Ave Ste 2e001, San Jose, CA, 95128
- NPI first listed
- 2018-06-29
- NPI last updated
- 2022-12-01
- NPI record certified
- 2022-12-01
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 7710 Mercy Road, Omaha, NE, 68124