Edward K Chaw, DO
Physical Medicine and Rehabilitation · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 19
- 4 carriers
- Office
- 1
- Since medical school
- 20 years
- Graduated 2006
Offices
1 location · County of Santa Clara · 1,000 clinicians in this group
Hospitals listed: Santa Clara Valley Medical Center · Stanford Health Care · 05t038. That is not proof they admit you there this week.
Plans that list them
19 plans · 4 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Chaw’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
19 of 19 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 |
| 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| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |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 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
Hospitals they work in
2 hospitals
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
- Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend itOverall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
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% |
See every measure and the patient survey for Stanford Health Care
Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 5.31 (4.24 to 6.37) · 8,661 cases | Worse | Jul 2022 – Jun 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 14.1 (12.7 to 15.7) · 2,191 cases | Worse | Jan 2024 – Dec 2024 |
| Postoperative respiratory failure rateComplications and deaths | 4.08 (1.95 to 6.21) · 5,296 cases | Better | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.317 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.446 | Better | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.241 | Better | Oct 2024 – Sep 2025 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.7 (0.6 to 0.9) · 3,348 cases | Better | Jan 2024 – Dec 2024 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.06 (0.45 to 1.67) · 5,374 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.86 (0.72 to 1) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 166.09 (137.88 to 194.3) · 470 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 1.1 · 192 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6.4 · 146 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 9.7 · 253 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 6.3 · 880 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 10.3 · 935 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 8.7 · 501 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 2.1 · 7,730 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.13 (0 to 0.27) · 20,799 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.28 (0.14 to 0.43) · 23,182 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 0.94 (0.2 to 1.68) · 5,694 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.36 (1.54 to 3.19) · 7,846 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.2 (3.76 to 6.64) · 5,603 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.38 (0.23 to 2.53) · 2,211 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.52 (0.21 to 0.83) · 19,915 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.6 · 416 cases | None | Apr 2023 – Mar 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.869 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.857 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 0.368 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 16.2 · 247 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.5 · 1,021 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 47.8 · 258 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -1.6 · 990 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 20.8 · 976 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.5 · 959 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.2 (4.4 to 6.2) · 2,191 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.1 · 425 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 9.6 · 158 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.6 · 183 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.7 (10.4 to 15.4) · 4,578 cases | No different | Jan 2022 – Dec 2024 |
What patients said (6,810 patients answered, 25% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 2 |
| Recommend hospital | 5 |
| Room was "always" clean | 75% |
| Nurses "always" communicated well | 82% |
| Doctors "always" communicated well | 81% |
| Staff "always" explained | 63% |
| Yes, staff "did" give patients this information | 89% |
| Yes, staff "did" give patients information about help after discharge | 89% |
| Doctors "always" explained things so they could understand | 76% |
| Doctors "always" listened carefully | 80% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 79% |
| Staff "always" explained new medications | 76% |
| Nurses "always" explained things so they could understand | 77% |
| Nurses "always" listened carefully | 79% |
| Nurses "always" treated them with courtesy and respect | 88% |
| "Always" quiet at night | 53% |
| "YES", patients would definitely recommend the hospital | 83% |
| Staff "always" explained possible side effects | 50% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
Original Medicare doctor bills
$32,356
Medicare paid this office $32,356 for 76 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 | 49 | $12,750 | $71 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 29 | $8,910 | $106 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 22 | $3,437 | $149 |
| Hospital discharge day management, more than 30 minutes | 26 | $2,841 | $105 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 23 | $1,502 | $43 |
Who their Medicare patients are
76 Original Medicare patients in 2024. Average age 74 · Women 47% · Also on Medicaid 28% · Health risk score 1.73. Above the middle of the specialty; the typical physical medicine and rehabilitation clinician is at 1.53.
Conditions among them: High blood pressure 75% · Depression 41% · Diabetes 39% · Coronary heart disease 34% · Atrial fibrillation 30% · Heart failure 29% · Dementia 28% · Chronic kidney disease 20% · Stroke 18%.
The office billed $320,005, Medicare allowed $41,154 and paid $32,356; for 402 services of 14 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 | 76 | 402 | 74 | 1.73 | $320,005 | $32,356 |
| 2023 | 74 | 518 | 72 | 1.59 | $375,168 | $41,219 |
| 2022 | 71 | 358 | 72 | 1.95 | $282,453 | $33,136 |
| 2021 | 65 | 472 | 70 | 2.08 | $382,625 | $48,519 |
| 2020 | 75 | 639 | 72 | 2.10 | $503,641 | $60,043 |
| 2019 | 75 | 582 | 71 | 2.37 | $361,477 | $49,443 |
| 2018 | 71 | 508 | 65 | 1.85 | $243,831 | $40,460 |
| 2017 | 39 | 293 | 68 | 1.84 | $130,172 | $22,622 |
| 2016 | 46 | 506 | 67 | 1.44 | $179,763 | $36,787 |
| 2015 | 42 | 411 | 67 | 2.77 | $118,610 | $28,964 |
| 2014 | 64 | 330 | 67 | 1.85 | $91,366 | $24,117 |
| 2013 | 53 | 289 | 64 | 2.10 | $68,022 | $19,859 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 53 | $17,493 | $73 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 30 | $10,860 | $112 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 36 | $4,335 | $46 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 17 | $3,079 | $162 |
| Hospital discharge day management, more than 30 minutes | 19 | $2,276 | $108 |
| Long return visit (40+ min) | 11 | $1,463 | $122 |
2022: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 51 | $14,588 | $77 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 24 | $9,186 | $109 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 13 | $2,734 | $210 |
| Hospital discharge day management, more than 30 minutes | 17 | $2,203 | $116 |
| Return visit (30+ min) | 11 | $1,191 | $92 |
2021: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 32 | $18,992 | $116 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 47 | $15,746 | $78 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 25 | $5,503 | $220 |
| Hospital discharge day management, more than 30 minutes | 20 | $2,376 | $119 |
| Extended inpatient or observation hospital service, first hour | 15 | $2,219 | $106 |
| Return visit (30+ min) | 12 | $1,395 | $93 |
2020: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 49 | $25,080 | $107 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 59 | $22,401 | $74 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 29 | $6,130 | $204 |
| Hospital discharge day management, more than 30 minutes | 31 | $3,460 | $108 |
| Extended inpatient or observation hospital service, first hour | 11 | $1,636 | $96 |
2019: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 45 | $21,088 | $94 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 55 | $13,944 | $65 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 33 | $6,562 | $173 |
| Hospital discharge day management, more than 30 minutes | 29 | $2,910 | $97 |
| Extended inpatient or observation hospital service, first hour | 21 | $2,479 | $83 |
2018: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 50 | $18,543 | $64 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 31 | $10,280 | $93 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 29 | $5,800 | $181 |
| Hospital discharge day management, more than 30 minutes | 27 | $2,666 | $99 |
2017: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 33 | $12,359 | $64 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 21 | $5,422 | $92 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 14 | $2,503 | $179 |
| Hospital discharge day management, more than 30 minutes | 14 | $1,375 | $98 |
2016: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 38 | $19,869 | $64 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 21 | $7,222 | $93 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 18 | $3,425 | $180 |
| Hospital discharge day management, more than 30 minutes | 26 | $2,820 | $97 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 17 | $1,469 | $33 |
| Extended inpatient or observation hospital service, first hour | 11 | $1,121 | $80 |
2015: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 31 | $14,400 | $63 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 24 | $6,165 | $91 |
| Hospital discharge day management, more than 30 minutes | 19 | $2,003 | $95 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 19 | $1,797 | $34 |
2014: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 33 | $10,645 | $64 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 24 | $5,360 | $92 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 13 | $2,338 | $180 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 26 | $1,770 | $35 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 14 | $1,704 | $122 |
2013: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 23 | $9,093 | $61 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 19 | $3,851 | $90 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 13 | $2,152 | $166 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 23 | $1,584 | $34 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 12 | $1,446 | $121 |
Medicaid work
$1,729 in 2023
Medicaid paid $1,729 for 64 billed services this clinician did in 2023, up to 14 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 | 64 | $1,729 |
| 2023 | 64 | 1 | 14 | $1,729 |
| 2022 | 202 | 1 | 13 | $3,490 |
| 2021 | 133 | 2 | 15 | $4,834 |
See the largest Medicaid services in earlier years
2022
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 202 | $3,490 |
2021
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 103 | $3,726 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 30 | $1,108 |
Drugs they prescribed that Part D paid
$16,599
Pharmacies billed $16,599 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 8% of their Part D prescriptions (17 of 207) in 2024. At or below the middle of the specialty; the typical physical medicine and rehabilitation clinician is at 12%.
181 generic and fewer than 11 brand-name prescriptions · $16,599 in drug cost.
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.
| Baclofen | 27 | $698 | $26 |
| Gabapentin | 32 | $528 | $16 |
Year by year
| 2024 | 207 | 44 | 8% (17) | None | $16,599 |
| 2023 | 254 | 49 | 5% (13) | None | $20,386 |
| 2022 | 185 | 33 | 7% (13) | None | $14,418 |
| 2021 | 147 | 29 | None | None | $12,854 |
| 2020 | 177 | 37 | 10% (17) | None | $21,663 |
| 2019 | 200 | 42 | 6% (11) | None | $18,547 |
| 2018 | 169 | 42 | None | 18% | $11,643 |
| 2017 | 119 | 25 | None | None | $9,956 |
| 2016 | 155 | 27 | None | None | $10,292 |
| 2015 | 109 | 23 | None | None | $9,197 |
| 2014 | 128 | 18 | None | None | $9,822 |
| 2013 | 64 | None | None | 20% | $3,890 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 3 drugs
| Gabapentin | 32 | $2,782 | $87 |
| Baclofen | 17 | $1,398 | $82 |
| Dantrolene | 14 | $728 | $52 |
2022: 3 drugs
| Gabapentin | 24 | $2,310 | $96 |
| Baclofen | 18 | $1,548 | $86 |
| Dantrolene | 25 | $1,225 | $49 |
2021: 1 drug
| Dantrolene | 12 | $450 | $38 |
2020: 3 drugs
| Baclofen | 11 | $454 | $41 |
| Gabapentin | 11 | $257 | $23 |
| Oxycodone | 11 | $205 | $19 |
2019: 3 drugs
| Baclofen | 14 | $739 | $53 |
| Midodrine | 14 | $520 | $37 |
| Gabapentin | 15 | $236 | $16 |
2018: 3 drugs
| Enoxaparin | 11 | $1,387 | $126 |
| Baclofen | 18 | $643 | $36 |
| Gabapentin | 11 | $179 | $16 |
2017: 1 drug
| Baclofen | 14 | $328 | $23 |
2016: 3 drugs
| Baclofen | 20 | $479 | $24 |
| Levetiracetam | 11 | $288 | $26 |
| Gabapentin | 14 | $128 | $9 |
2015: 1 drug
| Gabapentin | 11 | $958 | $87 |
Money from drug and device companies
$21 in 2021
A payment is not proof that care is biased.
| 180 Medical | Gentlecath | $21 | 1 payment
|
See the published payment
| 180 Medical | Meals · 2021-01-29 | Gentlecath | $21 |
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
- 1679742472
- Licence
- CA 20A10144
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 208100000X (208100000X)
- Mailing address
- 751 S Bascom Ave, Rehabilitation Center, San Jose, CA, 95128
- NPI first listed
- 2008-02-26
- NPI last updated
- 2018-11-09
This is when the NPI record was last certified, not a medical board exam.