Shally Garg, MD
Internal Medicine · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 1
- 1 carrier
- Office
- 1
- Since medical school
- 14 years
- University of Nevada School of Medicine, 2012
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
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. Garg’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
California Medical Board record
Licence A130056 · Current
Licensed to practise in California · since 2014 · expires 2027-11-30 · University of Nevada School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
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.
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
$35,609
Medicare paid this office $35,609 for 113 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 | 79 | $16,984 | $70 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 53 | $7,476 | $141 |
| Hospital discharge day management, more than 30 minutes | 47 | $4,935 | $105 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 17 | $2,777 | $107 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 12 | $975 | $44 |
See all 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 79 | $16,984 | $70 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 53 | $7,476 | $141 |
| Hospital discharge day management, more than 30 minutes | 47 | $4,935 | $105 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 17 | $2,777 | $107 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 12 | $975 | $44 |
| Hospital discharge day management, 30 minutes or less | 11 | $822 | $75 |
Who their Medicare patients are
113 Original Medicare patients in 2024. Average age 73 · Under 65 17% · 85 and older 16% · Women 50% · Also on Medicaid 80% · Health risk score 3.40. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 54% · Heart failure 46% · Chronic kidney disease 46% · Coronary heart disease 42% · Dementia 33% · COPD 32% · Depression 32% · Atrial fibrillation 29% · Stroke 27% · Cancer 22%.
The office billed $380,648, Medicare allowed $46,084 and paid $35,609; for 414 services of 12 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 | 113 | 414 | 73 | 3.40 | $380,648 | $35,609 |
| 2023 | 83 | 249 | 72 | 3.16 | $217,258 | $22,922 |
| 2022 | 83 | 182 | 72 | 3.39 | $174,296 | $20,111 |
| 2021 | 62 | 149 | 72 | 3.89 | $144,213 | $17,278 |
| 2020 | 102 | 401 | 69 | 3.58 | $328,156 | $42,175 |
| 2019 | 171 | 544 | 70 | 2.99 | $342,094 | $48,310 |
| 2018 | 125 | 448 | 70 | 3.52 | $221,621 | $36,987 |
| 2017 | 130 | 432 | 71 | 3.38 | $207,577 | $35,612 |
| 2016 | 184 | 793 | 70 | 3.44 | $318,111 | $64,295 |
| 2015 | 47 | 156 | 68 | 2.76 | $61,157 | $14,405 |
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
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 51 | $10,379 | $75 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 31 | $5,318 | $172 |
| Hospital discharge day management, more than 30 minutes | 28 | $3,240 | $112 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $1,287 | $107 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 15 | $1,265 | $51 |
2022: 4 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 33 | $7,234 | $219 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 28 | $4,241 | $74 |
| Hospital discharge day management, more than 30 minutes | 31 | $3,816 | $116 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 14 | $983 | $41 |
2021: 3 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 27 | $5,805 | $215 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 23 | $3,800 | $76 |
| Hospital discharge day management, more than 30 minutes | 22 | $2,601 | $113 |
2020: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 58 | $15,260 | $80 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 38 | $8,835 | $221 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 27 | $7,561 | $115 |
| Hospital discharge day management, more than 30 minutes | 37 | $4,449 | $117 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 16 | $920 | $42 |
| Hospital observation care on day of discharge | 11 | $897 | $82 |
2019: 9 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 87 | $13,808 | $66 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 52 | $9,766 | $181 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 32 | $7,293 | $95 |
| Hospital discharge day management, more than 30 minutes | 56 | $5,674 | $100 |
| Initial hospital observation care per day, typically 70 minutes | 15 | $2,482 | $165 |
| Initial hospital observation care per day, typically 50 minutes | 19 | $2,227 | $117 |
| Hospital observation care on day of discharge | 30 | $2,102 | $68 |
| Follow-up observation care per day, typically 25 minutes | 12 | $1,200 | $67 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 15 | $856 | $33 |
2018: 10 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 78 | $13,191 | $65 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 38 | $6,115 | $161 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 20 | $4,660 | $91 |
| Hospital discharge day management, more than 30 minutes | 37 | $3,753 | $99 |
| Initial hospital observation care per day, typically 70 minutes | 11 | $1,841 | $167 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 17 | $1,822 | $101 |
| Initial hospital observation care per day, typically 50 minutes | 12 | $1,465 | $122 |
| Hospital observation care on day of discharge | 18 | $1,203 | $67 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 11 | $818 | $31 |
| Hospital discharge day management, 30 minutes or less | 11 | $735 | $67 |
2017: 9 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 61 | $11,167 | $65 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 42 | $7,142 | $166 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 21 | $4,767 | $93 |
| Initial hospital observation care per day, typically 50 minutes | 19 | $2,314 | $122 |
| Hospital discharge day management, more than 30 minutes | 20 | $2,062 | $98 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 26 | $1,677 | $35 |
| Hospital discharge day management, 30 minutes or less | 25 | $1,656 | $66 |
| Hospital observation care on day of discharge | 22 | $1,593 | $66 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 13 | $1,464 | $113 |
2016: 8 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 85 | $18,163 | $64 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 54 | $16,475 | $92 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 66 | $11,166 | $167 |
| Hospital discharge day management, 30 minutes or less | 60 | $4,010 | $66 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 21 | $2,351 | $112 |
| Hospital discharge day management, more than 30 minutes | 24 | $2,334 | $97 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 27 | $2,327 | $34 |
| Hospital observation care on day of discharge | 27 | $1,778 | $66 |
2015: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 18 | $4,434 | $92 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 19 | $3,410 | $179 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 20 | $2,699 | $64 |
Medicaid work
$5,428 in 2024
Medicaid paid $5,428 for 537 billed services this clinician did in 2024, up to 25 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 | 380 | $2,927 |
| 1ST HOSP IP/OBS HIGH 75 | 82 | $1,620 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 75 | $881 |
| 2024 | 537 | 3 | 25 | $5,428 |
| 2023 | 373 | 3 | 24 | $4,443 |
| 2022 | 80 | 3 | 17 | $1,857 |
| 2021 | 106 | 3 | 24 | $1,889 |
| 2020 | 312 | 3 | 30 | $5,448 |
| 2019 | 517 | 3 | 25 | $10,218 |
| 2018 | 477 | 3 | 31 | $7,946 |
See the largest Medicaid services in earlier years
2023
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 271 | $2,617 |
| 1ST HOSP IP/OBS HIGH 75 | 63 | $1,183 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 39 | $643 |
2022
| 1ST HOSP IP/OBS HIGH 75 | 38 | $756 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 25 | $644 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 17 | $456 |
2021
| 1ST HOSP IP/OBS HIGH 75 | 25 | $819 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 60 | $576 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 21 | $495 |
2020
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 187 | $2,712 |
| 1ST HOSP IP/OBS HIGH 75 | 72 | $1,888 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 53 | $848 |
2019
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 371 | $6,755 |
| 1ST HOSP IP/OBS HIGH 75 | 66 | $1,905 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 80 | $1,559 |
2018
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 383 | $5,899 |
| 1ST HOSP IP/OBS HIGH 75 | 78 | $1,628 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 16 | $418 |
Drugs they prescribed that Part D paid
$14,928
Pharmacies billed $14,928 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
101 generic and fewer than 11 brand-name prescriptions · $14,928 in drug cost · 13 antibiotic prescriptions.
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.
Year by year
| 2024 | 135 | 56 | None | None | $14,928 |
| 2023 | 91 | 38 | None | None | $20,204 |
| 2022 | 104 | 46 | None | None | $7,316 |
| 2021 | 102 | 28 | None | 25% | $12,220 |
| 2020 | 151 | 46 | None | None | $25,384 |
| 2019 | 128 | 52 | None | None | $10,662 |
| 2018 | 203 | 53 | None | None | $14,264 |
| 2017 | 226 | 53 | None | 23% | $26,088 |
| 2016 | 274 | 83 | None | None | $31,613 |
| 2015 | 70 | 24 | 0% (0) | 27% | $4,932 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2018: 1 drug
| Atorvastatin | 20 | $279 | $14 |
2017: 3 drugs
| Atorvastatin | 15 | $185 | $12 |
| Furosemide | 15 | $99 | $7 |
| Amlodipine Besylate | 16 | $82 | $5 |
2016: 1 drug
| Furosemide | 16 | $40 | $3 |
Professional record
- NPI
- 1639437916
- Licence
- CA A130056California A130056: Current · expires 2027-11-30
- Trained
- University of Nevada School of Medicine, 2012 · 14 years ago
- Gender
- Female
More record details
- Sole proprietor
- Yes
- Taxonomy
- Internal medicine (207R00000X); Student in a training program (390200000X)
- Mailing address
- 751 S Bascom Ave, San Jose, CA, 95128
- NPI first listed
- 2012-04-24
- NPI last updated
- 2016-07-13
This is when the NPI record was last certified, not a medical board exam.