Ronald M Jou, MD
General Surgery · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 25
- 6 carriers
- Office
- 1
Offices
1 location · County of Santa Clara · 1,000 clinicians in this group
Looking this up.
Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.
Plans that list them
25 plans · 6 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Jou’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
25 of 25 plans
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence A96471 · Current
Licensed to practise in California · since 2006 · expires 2028-06-30 · University of California San Francisco 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.
- Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend itOverall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center
Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| SSI - Colon SurgeryInfections | 2.572 | Worse | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.563 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.256 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.369 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.25 (0.3 to 2.2) · 1,535 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.07 (0.76 to 1.38) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 214.59 (167.38 to 261.8) · 108 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.8 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6 · 141 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.2 · 124 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.3 · 501 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.9 · 653 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 348 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3 · 4,502 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.24 (0.04 to 0.43) · 9,014 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.34 (0.15 to 0.52) · 9,216 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.54 (2.51 to 6.58) · 1,421 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.54 (0 to 3.2) · 288 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.66 to 3.56) · 1,446 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.61 (4.09 to 19.14) · 294 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.29 (3.39 to 11.2) · 299 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.9 (0.45 to 3.36) · 333 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 0.78) · 7,538 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 5.4 · 94 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.735 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 2.573 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.6 · 185 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.1 · 951 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 56.3 · 128 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 6.4 · 644 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 1.3 · 699 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.3 · 921 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.7 (3.9 to 8.1) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 12.6 (9.4 to 16.5) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 94 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.4 · 54 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.3 · 242 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.2 (9.9 to 17.4) · 702 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 195 cases | No different | Jan 2024 – Dec 2024 |
What patients said (4,032 patients answered, 29% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 70% |
| Nurses "always" communicated well | 73% |
| Doctors "always" communicated well | 76% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 82% |
| Yes, staff "did" give patients information about help after discharge | 82% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 82% |
| Patients who gave a rating of "9" or "10" (high) | 67% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 83% |
Original Medicare doctor bills
$16,647
Medicare paid this office $16,647 for 94 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Short return visit (20+ min) | 23 | $2,453 | $60 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 11 | $892 | $69 |
| Short return visit | 18 | $887 | $28 |
| New patient visit (30+ min) | 12 | $775 | $65 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 13 | $659 | $44 |
Procedures Medicare counted
| Colonoscopy | 1-10 | None |
| Hernia repair - groin (open) | 1-10 | None |
| Removal of skin lesions | 1-10 | None |
| Removal of tissue | 1-10 | None |
Who their Medicare patients are
94 Original Medicare patients in 2024. Average age 70 · Under 65 25% · 85 and older 17% · Women 51% · Also on Medicaid 76% · Health risk score 2.62. Above the middle of the specialty; the typical general surgery clinician is at 1.69.
Conditions among them: High blood pressure 75% · Diabetes 47% · Depression 38% · Chronic kidney disease 34% · Heart failure 29% · Atrial fibrillation 29% · Coronary heart disease 26% · Dementia 20% · COPD 19% · Stroke 16% · Cancer 15%.
The office billed $191,963, Medicare allowed $21,863 and paid $16,647; for 206 services of 37 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 | 94 | 206 | 70 | 2.62 | $191,963 | $16,647 |
| 2023 | 91 | 194 | 71 | 2.94 | $124,619 | $13,564 |
| 2022 | 87 | 180 | 71 | 2.37 | $178,788 | $16,937 |
| 2021 | 83 | 128 | 74 | 2.57 | $157,787 | $16,401 |
| 2020 | 113 | 193 | 72 | 2.22 | $243,908 | $26,512 |
| 2019 | 162 | 368 | 72 | 2.06 | $401,219 | $45,076 |
| 2018 | 106 | 202 | 70 | 1.87 | $198,833 | $26,381 |
| 2017 | 78 | 163 | 72 | 2.35 | $166,084 | $23,479 |
| 2016 | 148 | 386 | 70 | 2.00 | $335,975 | $44,819 |
| 2015 | 144 | 318 | 69 | 2.86 | $336,923 | $41,556 |
| 2014 | 186 | 392 | 68 | 2.28 | $376,220 | $53,054 |
| 2013 | 104 | 172 | 66 | 2.41 | $130,743 | $20,729 |
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
| Short return visit | 18 | $1,340 | $31 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 20 | $1,140 | $46 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 11 | $1,131 | $75 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 11 | $799 | $73 |
| Short return visit (20+ min) | 15 | $796 | $50 |
2022: 5 services
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 16 | $1,748 | $109 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 22 | $1,696 | $65 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 28 | $1,575 | $38 |
| Short return visit | 15 | $903 | $31 |
| Short return visit (20+ min) | 13 | $794 | $53 |
2021: 4 services
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 20 | $2,975 | $142 |
| Short return visit (20+ min) | 16 | $1,056 | $62 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 15 | $867 | $41 |
| Short return visit | 16 | $620 | $34 |
2020: 4 services
| Critical care, first 30-74 minutes | 12 | $8,426 | $222 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 13 | $1,947 | $150 |
| Short return visit (20+ min) | 28 | $1,359 | $45 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 13 | $812 | $43 |
2019: 8 services
| Critical care, first 30-74 minutes | 16 | $9,367 | $195 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 44 | $3,727 | $35 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 22 | $2,733 | $119 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 24 | $2,254 | $64 |
| Hospital discharge day management, 30 minutes or less | 18 | $1,194 | $66 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 13 | $1,095 | $84 |
| Short return visit (20+ min) | 22 | $979 | $39 |
| New patient visit (30+ min) | 11 | $551 | $50 |
2018: 4 services
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 30 | $1,888 | $35 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 12 | $1,467 | $122 |
| Hospital discharge day management, 30 minutes or less | 14 | $936 | $67 |
| Short return visit (20+ min) | 11 | $599 | $46 |
2017: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 24 | $2,325 | $61 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 12 | $881 | $34 |
| Short return visit (20+ min) | 13 | $531 | $35 |
2016: 8 services
| Critical care, first 30-74 minutes | 19 | $16,278 | $185 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 47 | $5,125 | $60 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 38 | $1,809 | $32 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 23 | $1,732 | $75 |
| Short return visit (20+ min) | 28 | $1,532 | $39 |
| Hospital discharge day management, more than 30 minutes | 12 | $1,087 | $91 |
| Return visit (30+ min) | 14 | $926 | $66 |
| Short return visit | 12 | $257 | $18 |
2015: 8 services
| Critical care, first 30-74 minutes | 21 | $11,175 | $189 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 38 | $4,386 | $61 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 17 | $1,889 | $111 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 28 | $1,389 | $33 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 15 | $1,300 | $87 |
| Return visit (30+ min) | 17 | $1,084 | $60 |
| Short return visit (20+ min) | 17 | $659 | $37 |
| Short return visit | 14 | $329 | $21 |
2014: 10 services
| Critical care, first 30-74 minutes | 26 | $10,946 | $195 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 56 | $5,221 | $61 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 27 | $2,362 | $84 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 12 | $1,681 | $120 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 27 | $1,562 | $35 |
| Short return visit (20+ min) | 34 | $1,410 | $39 |
| Return visit (30+ min) | 12 | $909 | $70 |
| New patient visit (30+ min) | 16 | $895 | $56 |
| Hospital discharge day management, 30 minutes or less | 12 | $669 | $56 |
| Short return visit | 16 | $290 | $16 |
2013: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 15 | $1,179 | $59 |
| New patient visit (30+ min) | 18 | $1,155 | $64 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 13 | $1,129 | $87 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 19 | $858 | $31 |
| Short return visit | 20 | $472 | $21 |
Medicaid work
$3,408 in 2024
Medicaid paid $3,408 for 706 billed services this clinician did in 2024, up to 32 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.
| Short return visit (20+ min) | 127 | $2,713 |
| Short return visit | 46 | $688 |
| New patient visit (30+ min) | 12 | $7 |
| Medication list documented in medical record (COA) | 226 | $0 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 120 | $0 |
| Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM) | 21 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 139 | $0 |
| Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM) | 15 | $0 |
| 2024 | 706 | 8 | 32 | $3,408 |
| 2023 | 71 | 3 | 16 | $376 |
| 2021 | 14 | 1 | 14 | $44 |
| 2020 | 53 | 1 | 20 | $324 |
| 2019 | 117 | 3 | 24 | $1,110 |
| 2018 | 94 | 5 | 18 | $1,563 |
See the largest Medicaid services in earlier years
2023
| Short return visit | 46 | $274 |
| Short return visit (20+ min) | 13 | $102 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 12 | $0 |
2021
| Short return visit (20+ min) | 14 | $44 |
2020
| Short return visit (20+ min) | 53 | $324 |
2019
| SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES | 76 | $664 |
| New patient visit (30+ min) | 13 | $383 |
| Short return visit (20+ min) | 28 | $62 |
2018
| SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES | 30 | $498 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 28 | $462 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 12 | $297 |
| OFF/OP CONSLTJ NEW/EST SF 20 | 12 | $158 |
| New patient visit (30+ min) | 12 | $148 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 80.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1548456718
- Licence
- CA A96471California A96471: Current · expires 2028-06-30
- Trained
- University of California, San Francisco School of Medicine, 2005
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Surgery (208600000X)
- Mailing address
- 751 S Bascom Ave, San Jose, CA, 95128
- NPI first listed
- 2007-09-20
- NPI last updated
- 2013-09-27
This is when the NPI record was last certified, not a medical board exam.