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Rachana M Palnitkar, MD

Infectious Disease · Los Gatos

NPI 1508050790

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
29
8 carriers
Office
1

Offices

1 location

Looking this up.

Hospitals listed: 757662 · El Camino Health · Good Samaritan Hospital · Sequoia Hospital. That is not proof they admit you there this week.

Plans that list them

29 plans · 8 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Palnitkar’s office at (408) 374-5340 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

29 of 29 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 Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership 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 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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A111367 · Current

Licensed to practise in California · since 2010 · expires 2028-03-31 · University of Mumbai, Topiwala National Medical College.

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
  • Sequoia HospitalRedwood City, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 4 of 5 · 81% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Death rate among surgical inpatients with serious treatable complications: 104.12 (51.8 to 156.44) · 56 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 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%
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 Sequoia Hospital

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 1 better, 4 the same, 0 worse of 5 measures. Readmissions: 3 better, 6 the same, 0 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 Sequoia Hospital
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths104.12 (51.8 to 156.44) · 56 casesBetterJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.95 (0 to 1.98) · 472 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.91 (0.58 to 1.24)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.8 · 68 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.5 · 72 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.1 · 258 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.5 · 171 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.3 · 81 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 1,231 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.23 (0.01 to 0.44) · 3,018 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.23 (0.03 to 0.44) · 3,164 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.59 (0.47 to 4.71) · 1,402 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.47 (0.04 to 2.9) · 926 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.68 (0.21 to 3.16) · 1,310 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.54 (4.42 to 14.67) · 978 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.98 (1.61 to 8.36) · 924 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.69 (0.19 to 3.19) · 192 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.57 (0 to 1.43) · 2,501 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.5 · 332 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.702No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.853No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.2 · 67 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.3 · 295 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-27.1 · 76 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-22.3 · 304 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-4.6 · 178 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.3 · 180 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 305 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 41 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 29 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.1 (9.7 to 17.7) · 129 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 713 casesNo differentJan 2024 – Dec 2024

What patients said (631 patients answered, 27% of those asked)

Patient survey stars by topic at Sequoia Hospital
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Sequoia Hospital
Room was "always" clean78%
Nurses "always" communicated well80%
Doctors "always" communicated well82%
Staff "always" explained60%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully81%
Doctors "always" treated them with courtesy and respect89%
Patients who gave a rating of "9" or "10" (high)77%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night55%
"YES", patients would definitely recommend the hospital81%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms91%

Original Medicare doctor bills

$200,722

Medicare paid this office $200,722 for 540 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 minutes327$100,536$99
Initial hospital care with moderate level of medical decision making at least 75 minutes477$72,208$144
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes157$14,335$66
Short return visit (20+ min)54$7,074$80
Return visit (30+ min)26$4,151$115
See all 6 services
Every Original Medicare service billed
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes327$100,536$99
Initial hospital care with moderate level of medical decision making at least 75 minutes477$72,208$144
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes157$14,335$66
Short return visit (20+ min)54$7,074$80
Return visit (30+ min)26$4,151$115
New patient visit (45+ min)14$1,925$138

Who their Medicare patients are

540 Original Medicare patients in 2024. Average age 78 · Under 65 5% · 85 and older 26% · Women 49% · Also on Medicaid 31% · Health risk score 2.79. At or below the middle of the specialty; the typical infectious disease clinician is at 3.

Conditions among them: High blood pressure 75% · Diabetes 55% · Chronic kidney disease 53% · Heart failure 52% · Coronary heart disease 51% · Atrial fibrillation 45% · Depression 33% · Dementia 31% · COPD 30% · Cancer 23% · Stroke 20%.

The office billed $350,069, Medicare allowed $255,953 and paid $200,722; for 1,882 services of 10 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
20245401,882782.79$350,069$200,722
20235541,863772.48$350,375$216,499
20225691,922782.47$352,465$222,173
20215461,833782.59$325,595$215,926
20205072,035782.53$329,325$234,449
20194371,851782.71$291,073$204,314
20183781,426772.59$229,359$154,835
20173601,645772.71$253,288$171,256
20163551,883772.62$278,705$192,983
20153011,698772.47$244,042$173,584
20142231,209752.37$171,048$124,155
20132221,151762.50$159,267$111,849

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 50 minutes357$114,204$106
Initial hospital care with moderate level of medical decision making at least 75 minutes476$80,537$155
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes119$11,974$71
Short return visit (20+ min)44$5,507$82
Return visit (30+ min)19$2,566$122

2022: 6 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes337$105,311$92
Initial hospital care with moderate level of medical decision making at least 75 minutes519$99,960$177
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes97$7,975$64
Short return visit (20+ min)35$4,299$86
Return visit (30+ min)15$2,214$123
New patient visit (45+ min)12$1,907$159

2021: 6 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes361$102,674$96
Initial hospital care with moderate level of medical decision making at least 75 minutes478$92,437$185
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes111$10,176$67
Short return visit (20+ min)34$4,777$88
Return visit (30+ min)25$3,062$122
New patient visit (45+ min)14$2,282$163

2020: 6 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes344$130,202$97
Initial hospital care with moderate level of medical decision making at least 75 minutes438$87,345$188
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes92$8,433$67
Return visit (30+ min)26$3,313$104
New patient visit (45+ min)12$1,905$159
Short return visit (20+ min)20$1,633$74

2019: 5 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes307$120,883$93
Initial hospital care with moderate level of medical decision making at least 75 minutes359$68,783$181
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes91$7,169$65
Return visit (30+ min)23$2,880$103
New patient visit (45+ min)12$1,837$153

2018: 4 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes260$80,566$91
Initial hospital care with moderate level of medical decision making at least 75 minutes305$58,598$177
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes114$9,259$63
Return visit (30+ min)23$2,414$97

2017: 5 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes287$102,630$90
Initial hospital care with moderate level of medical decision making at least 75 minutes303$56,589$174
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes71$7,776$62
Short return visit (20+ min)22$1,794$62
Return visit (30+ min)11$1,070$97

2016: 5 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes275$124,677$91
Initial hospital care with moderate level of medical decision making at least 75 minutes270$54,585$177
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes80$8,443$63
Short return visit (20+ min)32$2,965$66
New patient visit (45+ min)12$1,626$136

2015: 4 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes255$117,099$92
Initial hospital care with moderate level of medical decision making at least 75 minutes228$45,071$178
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes54$6,578$64
Short return visit (20+ min)36$3,350$67

2014: 4 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes193$88,801$92
Initial hospital care with moderate level of medical decision making at least 75 minutes157$29,319$180
Short return visit (20+ min)36$3,406$65
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,345$64

2013: 5 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes177$70,944$90
Initial hospital care with moderate level of medical decision making at least 75 minutes137$27,327$175
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes72$7,989$62
Short return visit (20+ min)30$3,213$66
Short return visit11$672$42

Medicaid work

$5,453 in 2024

Medicaid paid $5,453 for 302 billed services this clinician did in 2024, up to 23 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
1ST HOSP IP/OBS HIGH 75101$2,996
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES201$2,457
Medicaid work by year
2024302223$5,453
2023651231$12,513
2022608229$10,793
2021265228$5,390
2020209220$4,934
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES461$7,825
1ST HOSP IP/OBS HIGH 75190$4,688

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES404$6,578
1ST HOSP IP/OBS HIGH 75204$4,215

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES171$3,214
1ST HOSP IP/OBS HIGH 7594$2,176

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES163$3,659
1ST HOSP IP/OBS HIGH 7546$1,275

Drugs they prescribed that Part D paid

$131,858

Pharmacies billed $131,858 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 423) in 2024. At or below the middle of the specialty; the typical infectious disease clinician is at 0%.

373 generic and 50 brand-name prescriptions · $131,858 in drug cost · 322 antibiotic prescriptions to 74 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
Biktarvy19$91,243$4,802
Vancomycin36$5,614$156
Daptomycin12$4,138$345
Meropenem32$3,866$121
Ceftriaxone48$3,592$75
See all 13 drugs
Every Part D drug this clinician prescribed
Biktarvy19$91,243$4,802
Vancomycin36$5,614$156
Daptomycin12$4,138$345
Meropenem32$3,866$121
Ceftriaxone48$3,592$75
Ampicillin-Sulbactam31$2,014$65
Amoxicillin-Clavulanate Potass41$1,078$26
Atovaquone-Proguanil14$993$71
Sulfamethoxazole-Trimethoprim17$327$19
Levofloxacin15$258$17
Valacyclovir18$184$10
Cephalexin15$182$12
Ciprofloxacin19$81$4

Year by year

Part D prescribing by year
2024423840% (0)12%$131,858
2023267670% (0)13%$120,953
2022205420% (0)12%$88,441
2021222470% (0)14%$115,450
2020244510% (0)18%$150,398
2019229750% (0)21%$96,054
2018162570% (0)29%$68,051
2017145550% (0)39%$71,915
2016197700% (0)22%$82,644
2015183550% (0)32%$54,895
2014143390% (0)23%$54,583
2013132430% (0)None$30,694

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
Daptomycin18$10,513$584
Vancomycin29$6,457$223
Efavirenz13$5,823$448
Atovaquone-Proguanil13$1,124$86
Itraconazole13$945$73
Cephalexin23$886$39
Levofloxacin15$566$38
Ciprofloxacin17$431$25
Amoxicillin-Clavulanate Potass14$336$24

2022: 9 drugs

Part D drugs prescribed in 2022
Genvoya13$49,628$3,818
Efavirenz16$5,781$361
Ceftriaxone24$3,771$157
Vancomycin13$2,479$191
Emtricitabine-Tenofovir Disop11$1,046$95
Itraconazole13$753$58
Cephalexin16$672$42
Valacyclovir13$662$51
Cefazolin16$372$23

2021: 9 drugs

Part D drugs prescribed in 2021
Genvoya11$39,766$3,615
Efavirenz13$8,251$635
Vancomycin25$3,455$138
Cefazolin20$1,571$79
Itraconazole13$926$71
Valacyclovir12$909$76
Ceftriaxone12$497$41
Cephalexin11$383$35
Amoxicillin14$331$24

2020: 10 drugs

Part D drugs prescribed in 2020
Efavirenz23$20,895$908
Ertapenem13$18,369$1,413
Vancomycin14$5,587$399
Ceftriaxone26$3,011$116
Rifampin28$1,681$60
Itraconazole12$1,037$86
Ethambutol20$929$46
Valacyclovir12$831$69
Sodium Chloride13$610$47
Azithromycin11$404$37

2019: 6 drugs

Part D drugs prescribed in 2019
Ampicillin19$2,695$142
Atovaquone-Proguanil31$2,036$66
Itraconazole13$1,088$84
Valacyclovir11$669$61
Azithromycin16$219$14
Ciprofloxacin25$105$4

2018: 6 drugs

Part D drugs prescribed in 2018
Ampicillin-Sulbactam19$2,480$131
Atovaquone-Proguanil15$1,242$83
Valacyclovir14$971$69
Sodium Chloride13$284$22
Ciprofloxacin17$63$4
Azithromycin12$60$5

2017: 4 drugs

Part D drugs prescribed in 2017
Atovaquone-Proguanil21$1,879$89
Valacyclovir11$653$59
Sodium Chloride14$375$27
Ciprofloxacin13$60$5

2016: 7 drugs

Part D drugs prescribed in 2016
Ampicillin19$7,830$412
Vancomycin14$6,003$429
Ceftriaxone21$1,133$54
Azithromycin17$945$56
Atovaquone-Proguanil16$870$54
Valacyclovir14$577$41
Ciprofloxacin22$99$4

2015: 6 drugs

Part D drugs prescribed in 2015
Ceftriaxone17$7,139$420
Ethambutol14$1,917$137
Azithromycin19$1,665$88
Atovaquone-Proguanil14$1,086$78
Rifampin11$656$60
Ciprofloxacin13$55$4

2014: 5 drugs

Part D drugs prescribed in 2014
Ethambutol17$842$50
Azithromycin19$824$43
Valacyclovir14$484$35
Amox Tr-Potassium Clavulanate12$347$29
Sulfamethoxazole-Trimethoprim12$58$5

2013: 2 drugs

Part D drugs prescribed in 2013
Valacyclovir14$770$55
Sulfamethoxazole-Trimethoprim20$215$11

Money from drug and device companies

$125 in 2025

Industry payments by year
202511None$125
201922None$148

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
Melinta TherapeuticsRezzayo$125
1 payment
  • Meals for Rezzayo · 2025-01-16 · $125
See the published payment
Every published payment
Melinta TherapeuticsMeals · 2025-01-16Rezzayo$125
See earlier years (2019)

2019: $148

Payments by company in 2019
InsmedNone$125
1 payment
  • Meals · 2019-11-13 · $125
Edwards LifesciencesClearsight System$23
1 payment
  • Meals for Clearsight System · 2019-01-23 · $23

Checkups this office reported

7 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

Medicare’s overall office score
71.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Checkup rates this office reported to Medicare
Checked for fall riskOlder patients screened for fall risk87%That's most of the people this applied to.83
Medications listed in the chartVisits where the current medication list was documented100%That's most of the people this applied to.248
Patients can see their records onlinePatients who were given electronic access to their health information2%That's few of the people this applied to.84
Prescriptions sent electronicallyPrescriptions sent to the pharmacy by computer instead of paper100%That's most of the people this applied to.110
Risky medications in older adultsOlder patients given a medication that is risky at their age0%That's few of the people this applied to. Better on this measure.85
Screening for High Blood Pressure and Follow-Up DocumentedAs Medicare defines this measure66%224
Weight checked, with a follow-up planPatients whose BMI was recorded and followed up if needed88%That's most of the people this applied to.162

What the office says it does

Boxes the office ticked on its Medicare worksheet for 2023. Nobody checks these.

  • Agreed to federal review of their records system
  • COVID-19 Vaccine Achievement for Practice Staff
  • Did a security review of patient data
  • High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides
  • ONC-ACB Surveillance Attestation
  • Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
  • Records advance care plans
  • Exempt from electronic case reporting
  • Exempt from immunization registry reporting
  • Exempt from query of the prescription drug monitoring program (pdmp)
  • Exempt from support electronic referral loops by receiving and reconciling health information
  • Exempt from support electronic referral loops by sending health information

Professional record

NPI
1508050790
Licence
CA A111367California A111367: Current · expires 2028-03-31
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207RI0200X (207RI0200X)
Mailing address
14901 National Ave, Suite 202, Los Gatos, CA, 95032
NPI first listed
2007-08-30
NPI last updated
2024-02-22
NPI record certified
2024-02-22

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