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Shilpi Gupta, MD

Internal Medicine · San Jose

NPI 1467864363

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Quantum Bay Area Hospitalist Medical Group Inc · County of Santa Clara

Looking this up.

Hospitals listed: El Camino Health. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Gupta’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A145036 · Current

Licensed to practise in California · since 2016 · expires 2028-06-30 · Saba University School of Medicine.

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

Hospitals they work in

1 hospital

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

  • 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
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%

Original Medicare doctor bills

$77,898

Medicare paid this office $77,898 for 308 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 35 minutes204$31,789$70
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes108$23,504$105
Hospital discharge day management, more than 30 minutes107$11,595$104
Initial hospital care with moderate level of medical decision making at least 75 minutes49$7,878$154
Advance care planning, first 30 minutes31$2,235$68

Who their Medicare patients are

308 Original Medicare patients in 2024. Average age 78 · Under 65 11% · 85 and older 30% · Women 53% · Also on Medicaid 72% · Health risk score 2.44. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 64% · Coronary heart disease 44% · Heart failure 43% · Chronic kidney disease 43% · Dementia 39% · Atrial fibrillation 37% · COPD 31% · Stroke 30% · Depression 29% · Cancer 14%.

The office billed $315,549, Medicare allowed $98,098 and paid $77,898; for 883 services of 7 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
2024308883782.44$315,549$77,898
2023348882782.41$282,439$73,858
2022303817772.50$294,270$76,345
2021191523762.58$195,610$49,766
2020303895752.87$313,349$88,116
2019333846742.62$363,792$75,280
2018327838743.11$305,958$76,907
2017125321742.92$97,219$27,536

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

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes282$43,679$71
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes86$13,631$107
Initial hospital care with moderate level of medical decision making at least 75 minutes50$7,943$156
Hospital discharge day management, more than 30 minutes61$6,295$103
Advance care planning, first 30 minutes12$821$68

2022: 5 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes234$54,629$94
Hospital discharge day management, more than 30 minutes73$7,417$99
Initial hospital care with moderate level of medical decision making at least 75 minutes27$5,169$178
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes41$5,034$65
Hospital discharge day management, 30 minutes or less23$1,516$66

2021: 4 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes150$36,717$95
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes34$4,056$68
Initial hospital care with moderate level of medical decision making at least 75 minutes20$3,662$183
Hospital discharge day management, more than 30 minutes23$2,302$100

2020: 4 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes250$64,581$101
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes63$8,346$70
Hospital discharge day management, more than 30 minutes78$8,202$104
Initial hospital care with moderate level of medical decision making at least 75 minutes21$4,069$194

2019: 7 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes130$24,727$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes150$21,987$65
Initial hospital care with moderate level of medical decision making at least 75 minutes65$11,714$180
Hospital discharge day management, more than 30 minutes111$11,041$98
Initial hospital observation care per day, typically 70 minutes11$1,826$166
Hospital discharge day management, 30 minutes or less15$998$67
Hospital observation care on day of discharge13$865$67

2018: 6 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes181$24,644$65
Initial hospital care with moderate level of medical decision making at least 75 minutes97$17,503$180
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes104$16,644$94
Hospital discharge day management, more than 30 minutes122$12,508$98
Initial hospital observation care per day, typically 70 minutes19$3,163$166
Hospital observation care on day of discharge16$1,129$66

2017: 4 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes78$10,818$65
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,658$177
Hospital discharge day management, more than 30 minutes54$5,302$98
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes33$3,833$93

Medicaid work

$11,701 in 2024

Medicaid paid $11,701 for 723 billed services this clinician did in 2024, up to 37 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 MINUTES507$8,083
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter122$2,560
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES94$1,058
Medicaid work by year
2024723337$11,701
20231,042350$11,814
20221,098444$20,357
2021516234$13,160
2020820340$17,068
2019526423$13,175
2018436429$11,656
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES845$8,245
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter109$2,556
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES88$1,013

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES922$16,744
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter50$1,388
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter60$1,141
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES66$1,085

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES471$11,772
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter45$1,388

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES701$14,379
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter69$1,642
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES50$1,047

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES329$7,124
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter90$2,602
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES82$2,201
1ST HOSP IP/OBS HIGH 7525$1,248

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES260$6,271
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter70$2,233
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES78$1,839
1ST HOSP IP/OBS HIGH 7528$1,313

Drugs they prescribed that Part D paid

$13,066

Pharmacies billed $13,066 in 2024.

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

380 generic and fewer than 11 brand-name prescriptions · $13,066 in drug cost · 74 antibiotic prescriptions to 66 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
Cephalexin11$226$21
Atorvastatin26$125$5
Amoxicillin-Clavulanate Potass28$122$4
Pantoprazole22$114$5
Losartan13$66$5
See all 11 drugs
Every Part D drug this clinician prescribed
Cephalexin11$226$21
Atorvastatin26$125$5
Amoxicillin-Clavulanate Potass28$122$4
Pantoprazole22$114$5
Losartan13$66$5
Hydralazine11$62$6
Metoprolol23$57$2
Clopidogrel11$54$5
Furosemide21$48$2
Amlodipine Besylate18$29$2
Prednisone18$22$1

Year by year

Part D prescribing by year
2024411150NoneNone$13,066
2023367149NoneNone$16,230
2022254109NoneNone$17,136
202123092None10%$7,344
2020253105None17%$11,328
2019327143NoneNone$18,466
2018258987% (19)14%$14,318
201710340NoneNone$3,144

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
Atorvastatin31$232$7
Amoxicillin-Clavulanate Potass23$220$10
Pantoprazole17$207$12
Amlodipine Besylate20$169$8
Metoprolol23$168$7
Hydralazine15$149$10
Clopidogrel12$121$10
Furosemide16$62$4
Prednisone11$26$2

2022: 7 drugs

Part D drugs prescribed in 2022
Eliquis17$9,663$568
Amoxicillin-Clavulanate Potass13$229$18
Atorvastatin23$139$6
Pantoprazole11$110$10
Amlodipine Besylate14$72$5
Furosemide12$56$5
Metoprolol11$43$4

2021: 5 drugs

Part D drugs prescribed in 2021
Pantoprazole17$223$13
Amoxicillin-Clavulanate Potass13$88$7
Amlodipine Besylate18$86$5
Ciprofloxacin15$84$6
Metoprolol14$43$3

2020: 7 drugs

Part D drugs prescribed in 2020
Amoxicillin-Clavulanate Potass19$205$11
Pantoprazole21$115$5
Atorvastatin17$97$6
Furosemide17$65$4
Amlodipine Besylate19$60$3
Metoprolol14$49$4
Prednisone11$38$3

2019: 8 drugs

Part D drugs prescribed in 2019
Atorvastatin26$164$6
Hydralazine11$159$14
Amoxicillin-Clavulanate Potass18$158$9
Pantoprazole18$137$8
Amlodipine Besylate23$105$5
Ciprofloxacin16$98$6
Metoprolol18$52$3
Furosemide14$49$3

2018: 4 drugs

Part D drugs prescribed in 2018
Amoxicillin-Clavulanate Potass12$129$11
Atorvastatin14$120$9
Hydrocodone-Acetaminophen14$101$7
Metoprolol17$65$4

Money from drug and device companies

$21 in 2025

Industry payments by year
202511None$21
202322None$44
201911None$21

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
Novo NordiskWegovy$21
1 payment
  • Meals for Wegovy · 2025-04-10 · $21
See the published payment
Every published payment
Novo NordiskMeals · 2025-04-10Wegovy$21
See earlier years (2023, 2019)

2023: $44

Payments by company in 2023
BioXcel TherapeuticsIgalmi$22
1 payment
  • Meals for Igalmi · 2023-05-12 · $22
Alexion PharmaceuticalsUltomiris$22
1 payment
  • Meals for Ultomiris · 2023-06-28 · $22

2019: $21

Payments by company in 2019
AstraZeneca Pharmaceuticals LPImfinzi$21
1 payment
  • Meals for Imfinzi · 2019-05-10 · $21

Professional record

NPI
1467864363
Licence
CA A145036California A145036: Current · expires 2028-06-30
Group
Quantum Bay Area Hospitalist Medical Group Inc · County of Santa Clara
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Hospitalist (208M00000X); Internal medicine (207R00000X); Student in a training program (390200000X)
Mailing address
155 N Fresno St, Fresno, CA, 93701
NPI first listed
2014-05-27
NPI last updated
2017-09-07

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