Anthony Lim, MD
Emergency Medicine · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Cep America - California · 1,278 clinicians in this group
Hospitals listed: Good Samaritan Hospital. 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. Lim’s office at (408) 559-2011 to ask if they take your plan before you enroll.
California Medical Board record
Licence A164965 · Current
Licensed to practise in California · since 2019 · expires 2027-08-31 · University of California, Davis School of Medicine.
Matched on the licence number without its letter prefix; check the name before relying on it.
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.
- 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
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% |
Original Medicare doctor bills
$90,405
Medicare paid this office $90,405 for 590 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with high level of medical decision making | 354 | $54,086 | $149 |
| Critical care, first 30-74 minutes | 100 | $19,283 | $193 |
| Emergency department visit with moderate level of medical decision making | 104 | $10,660 | $100 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 333 | $2,620 | $7 |
Procedures Medicare counted
| Removal of nail tissue | 1-10 | None |
Who their Medicare patients are
590 Original Medicare patients in 2024. Average age 79 · Under 65 5% · 85 and older 29% · Women 61% · Also on Medicaid 27% · Health risk score 1.92. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 75% · Coronary heart disease 40% · Diabetes 39% · Heart failure 36% · Atrial fibrillation 35% · Chronic kidney disease 33% · Depression 28% · Dementia 25% · Stroke 21% · Cancer 20% · COPD 19%.
The office billed $749,958, Medicare allowed $118,121 and paid $90,405; for 982 services of 29 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 | 590 | 982 | 79 | 1.92 | $749,958 | $90,405 |
| 2023 | 710 | 1,270 | 78 | 2.02 | $897,134 | $116,606 |
| 2022 | 236 | 440 | 77 | 1.99 | $274,835 | $39,752 |
| 2021 | 29 | 52 | 74 | 2.22 | $45,926 | $5,453 |
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: 4 services
| Emergency department visit with high level of medical decision making | 385 | $61,652 | $156 |
| Critical care, first 30-74 minutes | 178 | $35,119 | $197 |
| Emergency department visit with moderate level of medical decision making | 113 | $11,345 | $100 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 465 | $3,427 | $7 |
2022: 6 services
| Emergency department visit with high level of medical decision making | 126 | $22,397 | $175 |
| Critical care, first 30-74 minutes | 43 | $9,930 | $226 |
| Emergency department visit with moderate level of medical decision making | 32 | $3,540 | $107 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 172 | $1,316 | $7 |
| Emergency department visit with low level of medical decision making | 16 | $992 | $62 |
| X-ray of chest, 1 view | 11 | $89 | $8 |
2021: 1 service
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 13 | $89 | $7 |
Medicaid work
$117,671 in 2024
Medicaid paid $117,671 for 2,718 billed services this clinician did in 2024, up to 80 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.
| Service | 705 | $28,140 |
| EMERGENCY DEPT VISIT MOD MDM | 454 | $21,929 |
| Service | 118 | $21,195 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 299 | $16,260 |
| COMPREHENSIVE METABOLIC PANEL | 138 | $9,055 |
| Service | 57 | $7,235 |
| Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected | 38 | $4,778 |
| Unlisted special service, procedure or report | 27 | $3,250 |
| Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) | 58 | $2,790 |
| Radiologic examination, chest; single view | 136 | $2,188 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 88 | $578 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 80 | $119 |
| 2024 | 2,718 | 19 | 80 | $117,671 |
| 2023 | 3,123 | 16 | 81 | $114,280 |
| 2022 | 726 | 10 | 54 | $37,540 |
| 2021 | 34 | 1 | 18 | $3,437 |
See the largest Medicaid services in earlier years
2023
| Service | 452 | $33,329 |
| EMERGENCY DEPT VISIT MOD MDM | 570 | $23,720 |
| Service | 623 | $21,779 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 361 | $17,794 |
| Unlisted special service, procedure or report | 57 | $7,800 |
| COMPREHENSIVE METABOLIC PANEL | 198 | $5,769 |
| Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique | 48 | $966 |
| Radiologic examination, chest; single view | 127 | $943 |
| Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) | 14 | $939 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 161 | $893 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug | 26 | $190 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 100 | $68 |
2022
| Service | 43 | $7,965 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 106 | $6,150 |
| Unlisted special service, procedure or report | 52 | $6,025 |
| EMERGENCY DEPT VISIT MOD MDM | 116 | $4,599 |
| EMERGENCY DEPT VISIT LOW MDM | 162 | $4,151 |
| Service | 106 | $4,130 |
| COMPREHENSIVE METABOLIC PANEL | 49 | $3,684 |
| Radiologic examination, chest; single view | 26 | $649 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 15 | $171 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 51 | $15 |
2021
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 34 | $3,437 |
Drugs they prescribed that Part D paid
$8,141
Pharmacies billed $8,141 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 23% of their Part D prescriptions (57 of 249) in 2024. A higher opioid share than 9 in 10 peers; the typical emergency medicine clinician is at 12%.
224 generic and fewer than 11 brand-name prescriptions · $8,141 in drug cost · 64 antibiotic prescriptions to 59 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.
| Ondansetron Odt | 41 | $634 | $15 |
| Albuterol Sulfate Hfa | 12 | $296 | $25 |
| Hydrocodone-Acetaminophen | 42 | $174 | $4 |
| Cephalexin | 22 | $161 | $7 |
| Nitrofurantoin Mono-Macro | 14 | $134 | $10 |
See all 7 drugs
| Ondansetron Odt | 41 | $634 | $15 |
| Albuterol Sulfate Hfa | 12 | $296 | $25 |
| Hydrocodone-Acetaminophen | 42 | $174 | $4 |
| Cephalexin | 22 | $161 | $7 |
| Nitrofurantoin Mono-Macro | 14 | $134 | $10 |
| Azithromycin | 11 | $35 | $3 |
| Prednisone | 11 | $19 | $2 |
Year by year
| 2024 | 249 | 188 | 23% (57) | None | $8,141 |
| 2023 | 210 | 170 | 20% (41) | 8% | $6,245 |
| 2022 | 75 | 61 | None | None | $1,757 |
| 2021 | 41 | 31 | None | None | $360 |
| 2020 | 38 | 26 | None | None | $473 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 4 drugs
| Cephalexin | 32 | $430 | $13 |
| Ondansetron | 12 | $253 | $21 |
| Ondansetron Odt | 16 | $197 | $12 |
| Hydrocodone-Acetaminophen | 34 | $136 | $4 |
2022: 1 drug
| Cephalexin | 14 | $145 | $10 |
Money from drug and device companies
$15 in 2024
| 2024 | 1 | 1 | None | $15 |
| 2023 | 1 | 1 | None | $90 |
| 2019 | 1 | 1 | None | $13 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| ACADIA Pharmaceuticals | Nuplazid | $15 | 1 payment
|
See the published payment
| ACADIA Pharmaceuticals | Meals · 2024-11-21 | Nuplazid | $15 |
See earlier years (2023, 2019)
2023: $90
| Boston Scientific | Resolution 360 Clip | $90 | 1 payment
|
2019: $13
| Celularity | Ultramist | $13 | 1 payment
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 94.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1477058675
- Licence
- CA 164965California A164965: Current · expires 2027-08-31
- Trained
- University of California, Davis School of Medicine, 2018
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207P00000X (207P00000X)
- Mailing address
- 155 N Fresno St, Fresno, CA, 93701
- NPI first listed
- 2018-03-28
- NPI last updated
- 2019-09-06
This is when the NPI record was last certified, not a medical board exam.