Jayasree Kizhakkepat Pisharam, MD
Internal Medicine · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 2
Offices
2 locations · County of Santa Clara · Quantum Healthcare Medical Associates Inc
Hospitals listed: San Ramon Regional Medical Center. That is not proof they admit you there this week.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Pisharam’s office to ask if they take your plan before you enroll.
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.
- San Ramon Regional Medical CenterSan Ramon, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 3 of 5 · 65% would definitely recommend itOverall rating: 4 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for San Ramon Regional Medical Center
Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 0 better, 4 the same, 0 worse of 4 measures. Readmissions: 0 better, 7 the same, 1 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.94 (0 to 1.97) · 507 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.83 (0.44 to 1.22) | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 8.1 · 36 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.8 · 87 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 10.2 · 195 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 11.7 · 284 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.5 · 63 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.2 · 1,118 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.18 (0 to 0.4) · 2,515 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.29 (0.08 to 0.49) · 2,618 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.62 (1.26 to 5.98) · 588 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.5 (0 to 3.14) · 282 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.34 (0.72 to 3.97) · 598 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.12 (0.84 to 15.4) · 258 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 4.08 (0.25 to 7.91) · 225 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 2.02 (0.52 to 3.52) · 241 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.32 (0 to 1.29) · 2,110 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.8 · 73 cases | None | Apr 2023 – Mar 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.553 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 1.104 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 13.9 · 84 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 21.2 · 186 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 39.6 · 79 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -10.3 · 227 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -5.2 · 305 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.6 · 314 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.9 · 84 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.7 · 37 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.8 (9.4 to 17.3) · 86 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1.1 (0.8 to 1.5) · 256 cases | No different | Jan 2024 – Dec 2024 |
What patients said (642 patients answered, 25% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 2 |
| Quietness | 2 |
| Recommend hospital | 3 |
| Room was "always" clean | 70% |
| Nurses "always" communicated well | 75% |
| Doctors "always" communicated well | 75% |
| Staff "always" explained | 56% |
| Yes, staff "did" give patients this information | 84% |
| Yes, staff "did" give patients information about help after discharge | 83% |
| Doctors "always" explained things so they could understand | 69% |
| Doctors "always" listened carefully | 75% |
| Doctors "always" treated them with courtesy and respect | 80% |
| Patients who gave a rating of "9" or "10" (high) | 65% |
| Staff "always" explained new medications | 70% |
| Nurses "always" explained things so they could understand | 69% |
| Nurses "always" listened carefully | 72% |
| Nurses "always" treated them with courtesy and respect | 83% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 65% |
| Staff "always" explained possible side effects | 41% |
| Yes, staff "did" give patients information about possible symptoms | 85% |
Original Medicare doctor bills
$63,945
Medicare paid this office $63,945 for 266 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 | 199 | $33,818 | $70 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 74 | $13,972 | $106 |
| Hospital discharge day management, 30 minutes or less | 135 | $10,125 | $73 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 32 | $5,036 | $153 |
Who their Medicare patients are
266 Original Medicare patients in 2024. Average age 78 · Under 65 13% · 85 and older 29% · Women 47% · Also on Medicaid 74% · Health risk score 2.59. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 64% · Heart failure 47% · Chronic kidney disease 41% · Coronary heart disease 40% · Dementia 38% · Atrial fibrillation 37% · COPD 30% · Stroke 29% · Depression 26% · Cancer 12%.
The office billed $254,263, Medicare allowed $80,465 and paid $63,945; for 797 services of 6 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 | 266 | 797 | 78 | 2.59 | $254,263 | $63,945 |
| 2023 | 254 | 764 | 79 | 2.37 | $235,834 | $62,599 |
| 2022 | 167 | 503 | 77 | 2.61 | $170,619 | $44,407 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 196 | $35,105 | $71 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 69 | $12,863 | $107 |
| Hospital discharge day management, 30 minutes or less | 96 | $7,224 | $74 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 38 | $5,977 | $157 |
2022: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 130 | $32,604 | $95 |
| Hospital discharge day management, 30 minutes or less | 76 | $5,136 | $68 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 21 | $3,536 | $64 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 11 | $1,001 | $91 |
Medicaid work
$8,828 in 2024
Medicaid paid $8,828 for 671 billed services this clinician did in 2024, up to 30 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 | 514 | $5,909 |
| Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter | 109 | $1,472 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 48 | $1,447 |
| 2024 | 671 | 3 | 30 | $8,828 |
| 2023 | 814 | 3 | 48 | $12,082 |
| 2022 | 556 | 2 | 31 | $10,659 |
See the largest Medicaid services in earlier years
2023
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 657 | $9,607 |
| Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter | 87 | $1,368 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 70 | $1,107 |
2022
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 469 | $9,467 |
| Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter | 87 | $1,192 |
Drugs they prescribed that Part D paid
$19,452
Pharmacies billed $19,452 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 3% of their Part D prescriptions (11 of 377) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.
331 generic and fewer than 11 brand-name prescriptions · $19,452 in drug cost · 72 antibiotic prescriptions to 69 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.
| Eliquis | 11 | $5,991 | $545 |
| Cefdinir | 21 | $189 | $9 |
| Cephalexin | 22 | $75 | $3 |
| Pantoprazole | 14 | $70 | $5 |
| Atorvastatin | 20 | $60 | $3 |
See all 9 drugs
| Eliquis | 11 | $5,991 | $545 |
| Cefdinir | 21 | $189 | $9 |
| Cephalexin | 22 | $75 | $3 |
| Pantoprazole | 14 | $70 | $5 |
| Atorvastatin | 20 | $60 | $3 |
| Clopidogrel | 14 | $52 | $4 |
| Amlodipine Besylate | 25 | $52 | $2 |
| Famotidine | 14 | $43 | $3 |
| Tamsulosin | 11 | $43 | $4 |
Year by year
| 2024 | 377 | 151 | 3% (11) | None | $19,452 |
| 2023 | 360 | 120 | None | 8% | $19,104 |
| 2022 | 155 | 65 | None | None | $6,029 |
| 2021 | 402 | 56 | 0% (0) | 18% | $44,189 |
| 2020 | 261 | 33 | 0% (0) | None | $51,614 |
| 2019 | 512 | 52 | 0% (0) | 23% | $45,524 |
| 2018 | 178 | 25 | 0% (0) | None | $12,025 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 10 drugs
| Eliquis | 13 | $6,897 | $531 |
| Atorvastatin | 35 | $242 | $7 |
| Pantoprazole | 28 | $237 | $8 |
| Amlodipine Besylate | 21 | $134 | $6 |
| Clopidogrel | 18 | $103 | $6 |
| Famotidine | 12 | $102 | $8 |
| Losartan | 13 | $74 | $6 |
| Metoprolol | 18 | $60 | $3 |
| Furosemide | 14 | $41 | $3 |
| Prednisone | 12 | $26 | $2 |
2022: 2 drugs
| Azithromycin | 12 | $91 | $8 |
| Amlodipine Besylate | 11 | $61 | $6 |
2021: 8 drugs
| Atorvastatin | 27 | $569 | $21 |
| Metoprolol | 19 | $450 | $24 |
| Pantoprazole | 14 | $262 | $19 |
| Simvastatin | 12 | $170 | $14 |
| Tamsulosin | 12 | $145 | $12 |
| Amlodipine Besylate | 24 | $117 | $5 |
| Hydrochlorothiazide | 14 | $76 | $5 |
| Lisinopril | 13 | $71 | $5 |
2020: 3 drugs
| Gabapentin | 24 | $214 | $9 |
| Lithium Carbonate | 16 | $96 | $6 |
| Amlodipine Besylate | 11 | $63 | $6 |
2019: 14 drugs
| Advair Diskus | 20 | $8,847 | $442 |
| Januvia | 14 | $7,301 | $521 |
| Nifedipine Er | 14 | $290 | $21 |
| Hydralazine | 15 | $202 | $13 |
| Gabapentin | 24 | $184 | $8 |
| Pantoprazole | 23 | $153 | $7 |
| Montelukast | 11 | $111 | $10 |
| Losartan | 13 | $105 | $8 |
| Atorvastatin | 13 | $84 | $6 |
| Lisinopril | 23 | $81 | $4 |
| Hydrochlorothiazide | 12 | $63 | $5 |
| Metoprolol | 13 | $56 | $4 |
| Furosemide | 12 | $45 | $4 |
| Amlodipine Besylate | 17 | $39 | $2 |
2018: 2 drugs
| Amlodipine Besylate | 14 | $54 | $4 |
| Famotidine | 15 | $37 | $2 |
Professional record
- NPI
- 1700381191
- Group
- County of Santa Clara · Quantum Healthcare Medical Associates Inc
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Internal medicine (207R00000X)
- Mailing address
- 2601 Ocean Pkwy, Brooklyn, NY, 11235
- NPI first listed
- 2018-03-27
- NPI last updated
- 2024-12-06
- NPI record certified
- 2024-12-06
This is when the NPI record was last certified, not a medical board exam.