Skip to main content
UniHealth

Doctor search

Nicholas Brian K Monaco, MD

Nephrology · San Jose

NPI 1457404816

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
27
7 carriers
Offices
2

Offices

2 locations · El Camino Health Medical Network LLC · 202 clinicians in this group

Looking this up.

Hospitals listed: 552738 · El Camino Health · Good Samaritan Hospital · Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

27 plans · 7 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Monaco’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

27 of 27 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
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
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A54966 · Current

Licensed to practise in California · since 1995 · expires 2027-03-31 · First Leningrad Medical Institute of I.P. Pavlova.

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

Hospitals they work in

3 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • El Camino HealthMountain View, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of El Camino Health, which runs 2 hospitalsPatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.291, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
  • Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
  • 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 it
    Overall 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 El Camino Health

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 1 better, 9 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.

Every scored measure at El Camino Health
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.291BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.393BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0.12 to 1.79) · 2,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.38 (125.03 to 209.73) · 96 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 68 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 185 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 200 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 814 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 842 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 361 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 4,633 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.34) · 11,474 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,626 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.14 (1.39 to 4.9) · 2,814 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2 (0.61 to 3.39) · 1,327 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.8 to 3.43) · 2,641 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.39 (4.18 to 14.6) · 1,287 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.57 (3.47 to 9.68) · 1,308 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.14 (0.71 to 3.57) · 827 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.6 (0.05 to 1.15) · 9,460 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 122 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.993No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.706No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.376No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.5 · 218 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 962 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits3.8 · 200 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-17 · 922 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18.6 · 860 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.7 · 827 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4.5 to 8.2) · 313 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (10.6 to 16.5) · 313 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.7 · 237 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (10 to 16.1) · 1,639 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.8 to 1.1) · 1,619 casesNo differentJan 2024 – Dec 2024

What patients said (1,535 patients answered, 22% of those asked)

Patient survey stars by topic at El Camino Health
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at El Camino Health
Room was "always" clean75%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Good Samaritan Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 1 worse of 8 measures. Readmissions: 0 better, 5 the same, 4 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Good Samaritan Hospital
Clostridium Difficile (C.Diff)Infections0.337BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.75 (0 to 1.67) · 1,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.84 (0.54 to 1.14)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths143.59 (98.7 to 188.49) · 98 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.7 · 45 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.7 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 573 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.6 · 820 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.5 · 482 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 3,711 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.12 (0 to 0.3) · 8,866 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.01 to 0.38) · 9,051 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.65 (0.74 to 4.56) · 1,929 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.8 (0.21 to 3.39) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.33 (0.88 to 3.78) · 1,836 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.73 (0 to 13.46) · 669 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.58 (3.96 to 11.19) · 654 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.59 (0.13 to 3.04) · 496 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.27 (0 to 0.87) · 7,373 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.1 · 152 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.08No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.542No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.484No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.565No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 327 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24.2 · 703 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits61.1 · 289 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits36.3 · 665 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits25.4 · 856 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19 · 978 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.3 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.3 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.2 · 135 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.8 (10.1 to 18.6) · 129 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 531 casesNo differentJan 2024 – Dec 2024

What patients said (704 patients answered, 24% of those asked)

Patient survey stars by topic at Good Samaritan Hospital
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Good Samaritan Hospital
Room was "always" clean66%
Nurses "always" communicated well75%
Doctors "always" communicated well71%
Staff "always" explained54%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night38%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms86%
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.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$95,502

Medicare paid this office $95,502 for 337 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes140$39,630$105
Initial hospital care with moderate level of medical decision making at least 75 minutes131$19,759$143
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes121$16,176$68
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes90$9,925$109
Hospital discharge day management, more than 30 minutes21$2,326$106
See all 6 services
Every Original Medicare service billed
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes140$39,630$105
Initial hospital care with moderate level of medical decision making at least 75 minutes131$19,759$143
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes121$16,176$68
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes90$9,925$109
Hospital discharge day management, more than 30 minutes21$2,326$106
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$1,007$44

Who their Medicare patients are

337 Original Medicare patients in 2024. Average age 78 · Under 65 10% · 85 and older 32% · Women 51% · Also on Medicaid 40% · Health risk score 3.78. At or below the middle of the specialty; the typical nephrology clinician is at 4.01.

Conditions among them: High blood pressure 75% · Chronic kidney disease 70% · Diabetes 60% · Heart failure 57% · Coronary heart disease 55% · Atrial fibrillation 45% · Depression 34% · Dementia 34% · COPD 28% · Stroke 22% · Cancer 20%.

The office billed $338,375, Medicare allowed $124,768 and paid $95,502; for 940 services of 17 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
2024337940783.78$338,375$95,502
20233471,008783.57$339,977$95,720
2022334908773.90$328,101$88,982
2021306587773.05$383,988$63,243
2020284800762.97$647,677$77,372
2019327958753.04$520,338$79,249
20184271,249772.65$424,377$108,905
20175601,312772.96$405,991$119,435
20165521,455782.49$467,972$141,756
20153711,140782.59$342,916$120,750
20143381,174782.56$328,442$118,490
20133381,181772.13$317,899$116,290

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: 7 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes152$29,213$104
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes165$22,550$70
Initial hospital care with moderate level of medical decision making at least 75 minutes96$15,199$152
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes68$8,325$114
Hospital discharge day management, more than 30 minutes56$6,068$105
Hemodialysis procedure with physician evaluation26$3,655$64
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes36$1,864$45

2022: 8 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes143$28,573$91
Initial hospital care with moderate level of medical decision making at least 75 minutes93$16,565$171
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes91$12,062$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes77$9,670$121
Hemodialysis procedure with physician evaluation37$5,030$67
Critical care, first 30-74 minutes13$3,860$193
Initial hospital observation care per day, typically 70 minutes22$3,404$155
Hospital discharge day management, more than 30 minutes20$1,975$94

2021: 10 services

Original Medicare services billed in 2021
Initial hospital care with moderate level of medical decision making at least 75 minutes83$15,759$185
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes83$14,456$99
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes77$9,498$70
Initial hospital observation care per day, typically 70 minutes34$5,881$168
Hospital discharge day management, more than 30 minutes49$4,988$102
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes37$4,333$117
Initial hospital observation care per day, typically 50 minutes20$2,019$101
Hemodialysis procedure with physician evaluation11$1,396$66
Hospital observation care on day of discharge13$886$68
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$588$37

2020: 8 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes110$18,296$101
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes127$16,798$71
Hospital discharge day management, more than 30 minutes117$13,149$109
Initial hospital care with moderate level of medical decision making at least 75 minutes63$12,737$199
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes52$6,678$128
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes37$2,912$37
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes13$1,295$100
Hospital discharge day management, 30 minutes or less12$835$70

2019: 10 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes110$20,363$91
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes131$16,024$64
Hospital discharge day management, more than 30 minutes114$11,927$99
Initial hospital care with moderate level of medical decision making at least 75 minutes47$8,408$175
Initial hospital observation care per day, typically 70 minutes30$4,921$159
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes53$3,685$35
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$3,134$121
Hospital observation care on day of discharge33$2,360$67
Hospital discharge day management, 30 minutes or less25$1,821$67
Return visit (30+ min)13$510$39

2018: 10 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes162$29,320$90
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes190$25,504$64
Initial hospital care with moderate level of medical decision making at least 75 minutes91$16,095$177
Hospital discharge day management, more than 30 minutes165$15,786$96
Initial hospital observation care per day, typically 70 minutes55$8,762$159
Hospital observation care on day of discharge50$3,361$65
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes21$2,302$33
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$1,971$116
Hospital discharge day management, 30 minutes or less21$1,369$65
Follow-up observation care per day, typically 25 minutes19$1,222$64

2017: 11 services

Original Medicare services billed in 2017
Initial hospital care with moderate level of medical decision making at least 75 minutes160$28,984$173
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes210$28,320$64
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes180$27,916$90
Hospital discharge day management, more than 30 minutes103$9,976$96
Initial hospital observation care per day, typically 70 minutes38$6,257$165
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes30$3,659$118
Hospital discharge day management, 30 minutes or less40$2,580$65
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes26$2,382$34
Hospital observation care on day of discharge27$1,763$65
Follow-up observation care per day, typically 25 minutes19$1,685$65
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes15$1,339$89

2016: 11 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes255$50,515$90
Initial hospital care with moderate level of medical decision making at least 75 minutes189$34,215$171
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes142$16,428$63
Hospital discharge day management, more than 30 minutes162$16,319$95
Initial hospital observation care per day, typically 70 minutes60$10,212$160
Hospital discharge day management, 30 minutes or less42$2,815$65
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes27$2,139$35
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$1,903$91
Initial hospital observation care per day, typically 50 minutes11$1,316$120
Hospital observation care on day of discharge20$1,299$65
Follow-up observation care per day, typically 35 minutes11$1,074$83

2015: 7 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes223$59,967$97
Initial hospital care with moderate level of medical decision making at least 75 minutes140$26,683$184
Hospital discharge day management, more than 30 minutes175$18,358$101
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes72$7,520$68
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,537$128
Hospital observation care on day of discharge20$1,341$67
Hospital discharge day management, 30 minutes or less19$1,301$68

2014: 9 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes210$51,877$92
Hospital discharge day management, more than 30 minutes153$15,767$97
Critical care, first 30-74 minutes44$14,549$191
Initial hospital care with moderate level of medical decision making at least 75 minutes72$14,074$178
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes94$10,762$64
Initial hospital observation care per day, typically 70 minutes20$3,171$159
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,561$116
Hospital discharge day management, 30 minutes or less23$1,509$66
Hospital observation care on day of discharge20$1,308$65

2013: 11 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes195$51,400$88
Initial hospital care with moderate level of medical decision making at least 75 minutes91$17,746$169
Critical care, first 30-74 minutes52$14,392$187
Hospital discharge day management, more than 30 minutes108$10,469$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes81$7,671$61
Initial hospital observation care per day, typically 70 minutes27$4,015$149
Hospital discharge day management, 30 minutes or less54$3,525$63
Hospital observation care on day of discharge32$2,075$63
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,376$115
Follow-up observation care per day, typically 35 minutes13$1,151$89
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes14$563$31

Medicaid work

$5,339 in 2024

Medicaid paid $5,339 for 359 billed services this clinician did in 2024, up to 24 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
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES229$2,722
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES80$1,907
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter50$710
Medicaid work by year
2024359324$5,339
202353112$476
202241115$494
2021458319$7,469
2020685622$13,547
2019225422$2,718
201843216$1,410
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES53$476

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES41$494

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES184$3,290
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES206$2,770
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter68$1,409

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES326$6,298
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES168$3,011
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter140$2,981
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES12$567
1ST HOSP IP/OBS HIGH 7514$413
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES25$277

2019

Largest Medicaid services in 2019
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter72$1,230
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES113$940
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES26$376
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter14$173

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES27$854
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter16$555

Drugs they prescribed that Part D paid

$17,501

Pharmacies billed $17,501 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 4% of their Part D prescriptions (11 of 304) in 2024. A higher opioid share than 9 in 10 peers; the typical nephrology clinician is at 0%.

270 generic and fewer than 11 brand-name prescriptions · $17,501 in drug cost · 38 antibiotic prescriptions to 31 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.

Largest Part D drug costs
Pantoprazole20$145$7
Hydralazine21$125$6
Furosemide21$47$2
Amlodipine Besylate13$9$1

Year by year

Part D prescribing by year
20243041064% (11)None$17,501
20233971164% (15)None$24,756
202218466NoneNone$12,960
20211856310% (18)None$12,448
20203171159% (28)None$18,511
20193951526% (25)14%$18,837
20183391318% (26)14%$14,629
20172741268% (22)None$10,089
20163401307% (22)14%$15,515
20155691765% (26)None$21,958
20144541377% (32)15%$22,379
20137681604% (33)None$36,852

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 9 drugs

Part D drugs prescribed in 2023
Pantoprazole27$292$11
Amlodipine Besylate32$176$6
Metoprolol12$128$11
Cefuroxime12$124$10
Tamsulosin20$117$6
Furosemide24$110$5
Cephalexin12$101$8
Hydrocodone-Acetaminophen12$73$6
Prednisone13$35$3

2022: 2 drugs

Part D drugs prescribed in 2022
Furosemide12$35$3
Amlodipine Besylate13$32$2

2021: 1 drug

Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen11$87$8

2020: 4 drugs

Part D drugs prescribed in 2020
Pantoprazole21$172$8
Hydrocodone-Acetaminophen16$101$6
Furosemide21$97$5
Amlodipine Besylate11$37$3

2019: 11 drugs

Part D drugs prescribed in 2019
Sevelamer Carbonate13$2,587$199
Amiodarone13$310$24
Cefuroxime20$275$14
Pantoprazole21$213$10
Allopurinol11$189$17
Prednisone19$165$9
Amlodipine Besylate16$162$10
Clopidogrel11$102$9
Hydrocodone-Acetaminophen17$88$5
Furosemide15$69$5
Metoprolol12$42$4

2018: 9 drugs

Part D drugs prescribed in 2018
Cefuroxime17$244$14
Hydralazine13$144$11
Cephalexin17$116$7
Hydrocodone-Acetaminophen16$115$7
Furosemide19$86$5
Metoprolol15$80$5
Pantoprazole13$76$6
Prednisone11$70$6
Amlodipine Besylate16$64$4

2017: 4 drugs

Part D drugs prescribed in 2017
Atorvastatin14$173$12
Pantoprazole15$160$11
Cephalexin13$70$5
Hydrocodone-Acetaminophen11$60$5

2016: 6 drugs

Part D drugs prescribed in 2016
Levofloxacin24$186$8
Pantoprazole19$162$9
Atorvastatin11$110$10
Prednisone16$99$6
Metoprolol19$95$5
Furosemide14$44$3

2015: 12 drugs

Part D drugs prescribed in 2015
Pantoprazole34$400$12
Hydralazine25$321$13
Amoxicillin-Clavulanate Potass15$230$15
Levofloxacin33$225$7
Pravastatin11$187$17
Hydrocodone-Acetaminophen15$173$12
Metoprolol27$132$5
Amlodipine Besylate26$127$5
Cephalexin13$112$9
Carvedilol14$65$5
Furosemide22$56$3
Prednisone11$46$4

2014: 9 drugs

Part D drugs prescribed in 2014
Hydralazine19$323$17
Levofloxacin22$304$14
Amlodipine Besylate28$179$6
Pantoprazole12$141$12
Furosemide26$118$5
Benazepril15$93$6
Metoprolol17$91$5
Glipizide18$73$4
Prednisone15$64$4

2013: 18 drugs

Part D drugs prescribed in 2013
Renvela12$7,361$613
Advair Diskus13$3,861$297
Metronidazole14$825$59
Hydralazine32$604$19
Amlodipine Besylate55$425$8
Levetiracetam17$396$23
Gabapentin26$341$13
Hydrocodone-Acetaminophen24$283$12
Levofloxacin32$273$9
Pantoprazole19$206$11
Furosemide40$198$5
Tamsulosin13$187$14
Metoprolol34$182$5
Carvedilol21$150$7
Benazepril14$112$8
Glipizide22$82$4
Cephalexin11$80$7
Prednisone21$65$3

Money from drug and device companies

$400 in 2025

Industry payments by year
202533None$400
202322None$176
202223None$329
202111None$125

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
Vantive US HealthcareRenal - Pd$143
1 payment
  • Meals for Renal - Pd · 2025-09-17 · $143
Calliditas Therapeutics USTarpeyo$132
1 payment
  • Meals for Tarpeyo · 2025-10-09 · $132
Akebia TherapeuticsVafseo$125
1 payment
  • Meals for Vafseo · 2025-06-18 · $125
See all 3 published payments
Every published payment
Calliditas Therapeutics USMeals · 2025-10-09Tarpeyo$132
Vantive US HealthcareMeals · 2025-09-17Renal - Pd$143
Akebia TherapeuticsMeals · 2025-06-18Vafseo$125
See earlier years (2023, 2022, 2021)

2023: $176

Payments by company in 2023
AmgenProlia$101
1 payment
  • Meals for Prolia · 2023-04-13 · $101
Bayer Healthcare PharmaceuticalsKerendia$75
1 payment
  • Meals for Kerendia · 2023-03-08 · $75

2022: $329

Payments by company in 2022
AstraZeneca Pharmaceuticals LPFarxiga$225
2 payments
  • Meals for Farxiga · 2022-11-30 · $125
  • Meals · 2022-04-05 · $100
Vifor PharmaNone$104
1 payment
  • Meals · 2022-07-28 · $104

2021: $125

Payments by company in 2021
Bayer HealthCare PharmaceuticalsKerendia$125
1 payment
  • Meals for Kerendia · 2021-12-11 · $125

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
83.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1457404816
Licence
AR T2006-186, CA A54966California A54966: Current · expires 2027-03-31
Gender
Male
More record details
Sole proprietor
Yes
Medicaid ID
AR 164697001
Taxonomy
Federal specialty code 207RN0300X (207RN0300X)
Mailing address
333 Santana Row Apt 237, San Jose, CA, 95128
NPI first listed
2007-01-19
NPI last updated
2023-07-21
NPI record certified
2023-06-15

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