Rajeev R Malireddy, MD
Internal Medicine · Peridot
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 1
- 1 carrier
- Offices
- 5
Offices
5 locations · San Carlos Apache Healthcare Corporation · Galen Inpatient Physicians PC · Quantum Bay Area Hospitalist Medical Group Inc
Looking this up.
Hospitals listed: 051561 · Adventist Health Clearlake · Adventist Health St Helena · Good Samaritan Hospital · San Carlos Apache Healthcare Corporation. That is not proof they admit you there this week.
Plans that list them
1 plan · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Malireddy’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence A137500 · Current
Licensed to practise in California · since 2015 · expires 2027-05-31 · Saint Louis University School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Hospitals they work in
4 hospitals
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Adventist Health ClearlakeClearlake, CACritical Access Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Adventist Health, which runs 28 hospitals in 3 statesPatients rate it 4 of 5 · 67% would definitely recommend itOverall rating: 2 of 5 starsNo measure marked better or worse than the national rate
- Adventist Health St HelenaSaint Helena, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Adventist Health, which runs 28 hospitals in 3 statesPatients rate it 3 of 5 · 77% would definitely recommend itOverall rating: 4 of 5 starsWorse than the national rate — Postoperative respiratory failure rate: 15.08 (9.46 to 20.69) · 531 cases, Jul 2022 – Jun 2024
- 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 itOverall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
- San Carlos Apache Healthcare CorporationPeridot, AZCritical Access Hospital · Tribal · Has an emergency departmentNo overall ratingNo measure marked better or worse than the national rate
See every measure and the patient survey for Adventist Health Clearlake
Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 6 the same, 0 worse of 6 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Death rate for COPD patientsComplications and deaths | 8.5 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 12.6 · 74 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.1 · 132 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 9.7 · 52 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 4.2 · 358 cases | None | Jul 2024 – Jun 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0 | No different | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.497 | No different | Oct 2024 – Sep 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.7 · 79 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -34.6 · 78 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 0.7 · 130 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.4 · 127 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.4 · 49 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 14.4 (10.8 to 19) · 488 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.5) · 35 cases | No different | Jan 2024 – Dec 2024 |
What patients said (179 patients answered, 19% of those asked)
| Cleanliness | 5 |
| Nurse communication | 4 |
| Doctor communication | 2 |
| Communication about medicines | 3 |
| Discharge information | 5 |
| Overall hospital rating | 3 |
| Quietness | 3 |
| Recommend hospital | 4 |
| Room was "always" clean | 84% |
| Nurses "always" communicated well | 82% |
| Doctors "always" communicated well | 70% |
| Staff "always" explained | 63% |
| Yes, staff "did" give patients this information | 91% |
| Yes, staff "did" give patients information about help after discharge | 88% |
| Doctors "always" explained things so they could understand | 70% |
| Doctors "always" listened carefully | 69% |
| Doctors "always" treated them with courtesy and respect | 73% |
| Patients who gave a rating of "9" or "10" (high) | 65% |
| Staff "always" explained new medications | 72% |
| Nurses "always" explained things so they could understand | 81% |
| Nurses "always" listened carefully | 77% |
| Nurses "always" treated them with courtesy and respect | 89% |
| "Always" quiet at night | 54% |
| "YES", patients would definitely recommend the hospital | 67% |
| Staff "always" explained possible side effects | 54% |
| Yes, staff "did" give patients information about possible symptoms | 93% |
See every measure and the patient survey for Adventist Health St Helena
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 0 better, 4 the same, 0 worse of 4 measures. Readmissions: 1 better, 8 the same, 1 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Postoperative respiratory failure rateComplications and deaths | 15.08 (9.46 to 20.69) · 531 cases | Worse | Jul 2022 – Jun 2024 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.91 (0 to 1.92) · 430 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.22 (0.89 to 1.55) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 152.62 (102.81 to 202.43) · 69 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 8.3 · 37 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.3 · 201 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11.5 · 152 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 13.3 · 126 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.5 · 38 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.5 · 953 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.27 (0.06 to 0.48) · 2,438 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.32 (0.12 to 0.53) · 2,875 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.42 (1.24 to 5.59) · 1,095 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 2.59 (1.12 to 4.05) · 550 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.66 (1.18 to 4.13) · 1,041 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.91 (3.32 to 10.5) · 529 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.7 (0.19 to 3.2) · 91 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.51 (0 to 1.32) · 2,008 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.9 · 56 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.568 | No different | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.362 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 16 · 194 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.1 · 153 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 37.2 · 236 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -41 · 178 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -33.9 · 127 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.5 · 116 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.5 (3.8 to 7.9) · 150 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 11.2 (8.2 to 14.8) · 150 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.2 · 59 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.1 · 32 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.5 (10.5 to 17.4) · 1,276 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.2) · 841 cases | No different | Jan 2024 – Dec 2024 |
What patients said (573 patients answered, 28% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 3 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 4 |
| Quietness | 1 |
| Recommend hospital | 4 |
| Room was "always" clean | 75% |
| Nurses "always" communicated well | 79% |
| Doctors "always" communicated well | 78% |
| Staff "always" explained | 59% |
| Yes, staff "did" give patients this information | 85% |
| Yes, staff "did" give patients information about help after discharge | 81% |
| Doctors "always" explained things so they could understand | 73% |
| Doctors "always" listened carefully | 78% |
| Doctors "always" treated them with courtesy and respect | 85% |
| Patients who gave a rating of "9" or "10" (high) | 75% |
| Staff "always" explained new medications | 73% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 78% |
| Nurses "always" treated them with courtesy and respect | 88% |
| "Always" quiet at night | 34% |
| "YES", patients would definitely recommend the hospital | 77% |
| Staff "always" explained possible side effects | 45% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
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.
| Clostridium Difficile (C.Diff)Infections | 0.337 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.75 (0 to 1.67) · 1,340 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.84 (0.54 to 1.14) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 143.59 (98.7 to 188.49) · 98 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 1.7 · 45 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 7.1 · 100 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 12.7 · 270 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11.3 · 573 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 15.6 · 820 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 8.5 · 482 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.3 · 3,711 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.12 (0 to 0.3) · 8,866 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.2 (0.01 to 0.38) · 9,051 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 2.65 (0.74 to 4.56) · 1,929 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.8 (0.21 to 3.39) · 670 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.33 (0.88 to 3.78) · 1,836 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 6.73 (0 to 13.46) · 669 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.58 (3.96 to 11.19) · 654 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.59 (0.13 to 3.04) · 496 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.27 (0 to 0.87) · 7,373 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.1 · 152 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 1.08 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.542 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.484 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 1.565 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15.8 · 327 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 24.2 · 703 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 61.1 · 289 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 36.3 · 665 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 25.4 · 856 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 19 · 978 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 6.3 · 144 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 12.3 · 46 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 21.2 · 135 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.8 (10.1 to 18.6) · 129 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1.2 (0.9 to 1.5) · 531 cases | No different | Jan 2024 – Dec 2024 |
What patients said (704 patients answered, 24% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 2 |
| Quietness | 1 |
| Recommend hospital | 3 |
| Room was "always" clean | 66% |
| Nurses "always" communicated well | 75% |
| Doctors "always" communicated well | 71% |
| Staff "always" explained | 54% |
| Yes, staff "did" give patients this information | 83% |
| Yes, staff "did" give patients information about help after discharge | 81% |
| Doctors "always" explained things so they could understand | 66% |
| Doctors "always" listened carefully | 69% |
| Doctors "always" treated them with courtesy and respect | 78% |
| Patients who gave a rating of "9" or "10" (high) | 63% |
| Staff "always" explained new medications | 68% |
| Nurses "always" explained things so they could understand | 69% |
| Nurses "always" listened carefully | 73% |
| Nurses "always" treated them with courtesy and respect | 82% |
| "Always" quiet at night | 38% |
| "YES", patients would definitely recommend the hospital | 67% |
| Staff "always" explained possible side effects | 40% |
| Yes, staff "did" give patients information about possible symptoms | 86% |
See every measure and the patient survey for San Carlos Apache Healthcare Corporation
Behind the star rating — Deaths: 0 better, 1 the same, 0 worse of 1 measures. Readmissions: 0 better, 1 the same, 0 worse of 1 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.6 · 71 cases | None | Jul 2024 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -4.8 · 28 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.9 · 26 cases | None | Jul 2023 – Jun 2025 |
Original Medicare doctor bills
$81,266
Medicare paid this office $81,266 for 279 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 | 130 | $15,865 | $60 |
| Critical care, first 30-74 minutes | 38 | $15,633 | $165 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 102 | $14,400 | $136 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 90 | $14,024 | $92 |
| Hospital discharge day management, more than 30 minutes | 135 | $12,869 | $89 |
See all 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 130 | $15,865 | $60 |
| Critical care, first 30-74 minutes | 38 | $15,633 | $165 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 102 | $14,400 | $136 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 90 | $14,024 | $92 |
| Hospital discharge day management, more than 30 minutes | 135 | $12,869 | $89 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 52 | $5,709 | $94 |
Who their Medicare patients are
279 Original Medicare patients in 2024. Average age 74 · Under 65 15% · 85 and older 15% · Women 56% · Also on Medicaid 62% · Health risk score 1.99. At or below the middle of the specialty; the typical hospitalist clinician is at 2.49.
Conditions among them: High blood pressure 75% · Diabetes 49% · COPD 48% · Coronary heart disease 45% · Heart failure 41% · Chronic kidney disease 37% · Depression 33% · Atrial fibrillation 32% · Stroke 21% · Cancer 18% · Dementia 18%.
The office billed $610,524, Medicare allowed $103,112 and paid $81,266; for 864 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
| 2024 | 279 | 864 | 74 | 1.99 | $610,524 | $81,266 |
| 2023 | 196 | 437 | 75 | 2.04 | $267,156 | $43,685 |
| 2022 | 137 | 407 | 72 | 2.36 | $186,379 | $34,988 |
| 2021 | 161 | 348 | 74 | 2.26 | $155,797 | $35,759 |
| 2020 | 338 | 377 | 74 | 2.49 | $175,902 | $56,784 |
| 2019 | 405 | 462 | 74 | 2.16 | $115,504 | $48,634 |
| 2018 | 477 | 543 | 73 | 2.16 | $305,910 | $65,835 |
| 2017 | 233 | 387 | 74 | 2.10 | $139,338 | $36,874 |
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: 6 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 86 | $13,018 | $151 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 49 | $7,694 | $62 |
| Hospital discharge day management, more than 30 minutes | 62 | $6,018 | $90 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 48 | $5,273 | $98 |
| Critical care, first 30-74 minutes | 12 | $5,219 | $168 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 32 | $5,025 | $95 |
2022: 8 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 72 | $12,825 | $176 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 29 | $5,329 | $54 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 14 | $3,754 | $82 |
| Hospital discharge day management, more than 30 minutes | 31 | $2,729 | $80 |
| Initial hospital observation care per day, typically 30 minutes | 28 | $2,538 | $75 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 22 | $2,450 | $98 |
| Hospital observation care on day of discharge | 27 | $1,695 | $55 |
| Follow-up observation care per day, typically 15 minutes | 23 | $1,537 | $31 |
2021: 6 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 90 | $16,457 | $177 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 27 | $4,349 | $55 |
| Hospital discharge day management, more than 30 minutes | 40 | $3,764 | $86 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 33 | $3,725 | $103 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 16 | $3,445 | $82 |
| Initial hospital observation care per day, typically 30 minutes | 11 | $873 | $79 |
2020: 4 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 207 | $40,047 | $187 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 84 | $9,563 | $114 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 15 | $1,395 | $61 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 14 | $1,341 | $96 |
2019: 4 services
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 180 | $20,370 | $110 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 76 | $12,683 | $163 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 119 | $9,831 | $81 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 20 | $2,052 | $59 |
2018: 7 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 230 | $37,701 | $163 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 138 | $11,466 | $81 |
| Initial hospital observation care per day, typically 70 minutes | 34 | $5,088 | $150 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 23 | $2,355 | $59 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 20 | $2,206 | $110 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 20 | $2,109 | $84 |
| Initial hospital observation care per day, typically 30 minutes | 20 | $1,611 | $81 |
2017: 7 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 86 | $14,118 | $164 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 51 | $8,207 | $85 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 43 | $4,218 | $59 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 35 | $2,858 | $82 |
| Hospital discharge day management, 30 minutes or less | 26 | $1,539 | $59 |
| Hospital discharge day management, more than 30 minutes | 14 | $1,229 | $88 |
| Initial hospital observation care per day, typically 30 minutes | 15 | $1,210 | $81 |
Medicaid work
$31,862 in 2024
Medicaid paid $31,862 for 493 billed services this clinician did in 2024, up to 22 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 | 179 | $11,075 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 139 | $9,314 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 76 | $7,571 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 67 | $2,391 |
| 1ST HOSP IP/OBS HIGH 75 | 32 | $1,510 |
| 2024 | 493 | 5 | 22 | $31,862 |
| 2023 | 420 | 4 | 23 | $31,363 |
| 2022 | 355 | 7 | 19 | $26,592 |
| 2021 | 514 | 5 | 29 | $40,964 |
| 2020 | 342 | 4 | 26 | $17,234 |
| 2019 | 109 | 2 | 28 | $9,772 |
| 2018 | 118 | 1 | 28 | $8,216 |
See the largest Medicaid services in earlier years
2023
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 131 | $14,201 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 156 | $9,171 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 98 | $6,990 |
| 1ST HOSP IP/OBS HIGH 75 | 35 | $1,001 |
2022
| 1ST HOSP IP/OBS HIGH 75 | 67 | $10,344 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 145 | $7,652 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 44 | $3,157 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 15 | $1,816 |
| OBSERVATION CARE DISCHARGE | 33 | $1,618 |
| INITIAL OBSERVATION CARE | 31 | $1,567 |
| Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Typically, 15 minutes are spent at the bedside and on the patient's hospital floor or unit. | 20 | $438 |
2021
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 148 | $12,594 |
| 1ST HOSP IP/OBS HIGH 75 | 97 | $9,173 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 164 | $8,821 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 59 | $6,713 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 46 | $3,663 |
2020
| 1ST HOSP IP/OBS HIGH 75 | 240 | $8,771 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 58 | $3,764 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 27 | $3,066 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 17 | $1,633 |
2019
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 81 | $8,344 |
| 1ST HOSP IP/OBS SF/LOW 40 | 28 | $1,427 |
2018
| 1ST HOSP IP/OBS HIGH 75 | 118 | $8,216 |
Drugs they prescribed that Part D paid
$24,886
Pharmacies billed $24,886 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 4% of their Part D prescriptions (14 of 356) in 2024. At or below the middle of the specialty; the typical hospitalist clinician is at 4%.
293 generic and fewer than 11 brand-name prescriptions · $24,886 in drug cost · 81 antibiotic prescriptions to 55 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.
| Albuterol Sulfate Hfa | 19 | $519 | $27 |
| Cefuroxime | 21 | $212 | $10 |
| Atorvastatin | 22 | $116 | $5 |
| Furosemide | 23 | $65 | $3 |
| Prednisone | 12 | $46 | $4 |
See all 6 drugs
| Albuterol Sulfate Hfa | 19 | $519 | $27 |
| Cefuroxime | 21 | $212 | $10 |
| Atorvastatin | 22 | $116 | $5 |
| Furosemide | 23 | $65 | $3 |
| Prednisone | 12 | $46 | $4 |
| Azithromycin | 14 | $36 | $3 |
Year by year
| 2024 | 356 | 114 | 4% (14) | None | $24,886 |
| 2023 | 86 | 38 | None | 28% | $7,522 |
| 2022 | 77 | 31 | 0% (0) | 18% | $5,096 |
| 2021 | 91 | 27 | 0% (0) | 25% | $6,302 |
| 2020 | 44 | 13 | 0% (0) | 34% | $1,867 |
| 2019 | 25 | None | 0% (0) | None | $682 |
| 2018 | 45 | 14 | None | None | $2,833 |
| 2017 | 39 | 19 | None | 28% | $4,264 |
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
| Prednisone | 12 | $54 | $4 |
Professional record
- NPI
- 1467884775
- Licence
- CA A137500, MI 4301111222California A137500: Current · expires 2027-05-31
- Trained
- Saint Louis University School of Medicine, 2013
- Group
- San Carlos Apache Healthcare Corporation · Galen Inpatient Physicians PC · Quantum Bay Area Hospitalist Medical Group Inc
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Hospitalist (208M00000X); Internal medicine (207R00000X); Student in a training program (390200000X)
- Mailing address
- 21195 Grenola Dr, Cupertino, CA, 95014
- NPI first listed
- 2013-08-09
- NPI last updated
- 2021-11-08
- NPI record certified
- 2021-11-08
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 300 North Ave, Battle Creek, MI, 49017 · 21195 Grenola Dr, Cupertino, CA, 95014 · 408 Hazen St, Paw Paw, MI, 49079
This office lists an electronic records connection.