Lee Hingula, MD
Anesthesiology · 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.
- Office
- 1
Offices
1 location · Cep America - Anesthesia PC · 849 clinicians in this group
Looking this up.
Hospitals listed: Santa Clara Valley 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. Hingula’s office at (408) 947-2500 to ask if they take your plan before you enroll.
California Medical Board record
Licence C176550 · Current
Licensed to practise in California · since 2022 · expires 2028-02-29 · Columbia University College of Physicians and Surgeons.
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
$16,580
Medicare paid this office $16,580 for 92 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 16 | $2,056 | $129 |
| Anesthesia for lens surgery | 15 | $1,830 | $122 |
Who their Medicare patients are
92 Original Medicare patients in 2024. Average age 74 · Women 54% · Also on Medicaid 62% · Health risk score 2.30. Above the middle of the specialty; the typical anesthesiology clinician is at 1.54.
Conditions among them: High blood pressure 75% · Diabetes 59% · Chronic kidney disease 42% · Coronary heart disease 32% · Heart failure 29% · Depression 23% · Atrial fibrillation 20% · COPD 18% · Cancer 15% · Stroke 14% · Dementia 12%.
The office billed $204,665, Medicare allowed $21,050 and paid $16,580; for 106 services of 39 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 | 92 | 106 | 74 | 2.30 | $204,665 | $16,580 |
| 2023 | 74 | 107 | 70 | 2.16 | $221,774 | $18,937 |
| 2022 | 205 | 258 | 73 | 2.81 | $289,143 | $28,448 |
| 2021 | 516 | 844 | 72 | 2.27 | $592,303 | $74,281 |
| 2020 | 569 | 901 | 73 | 2.29 | $553,166 | $67,917 |
| 2019 | 647 | 993 | 72 | 2.46 | $641,877 | $76,732 |
| 2018 | 593 | 926 | 73 | 2.40 | $616,500 | $71,129 |
| 2017 | 317 | 451 | 72 | 2.34 | $298,298 | $41,965 |
| 2016 | 256 | 295 | 71 | 1.94 | $234,073 | $25,928 |
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: 1 service
| Insertion of artery tube for blood sampling or infusion through skin | 12 | $461 | $38 |
2022: 5 services
| Return visit (30+ min) | 36 | $2,633 | $66 |
| Anesthesia for lens surgery | 14 | $1,896 | $135 |
| Anesthesia for access to central vein | 18 | $1,427 | $79 |
| Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | $1,355 | $123 |
| Short return visit (20+ min) | 12 | $448 | $37 |
2021: 13 services
| Return visit (30+ min) | 84 | $17,552 | $94 |
| Insertion of tube and injection of substance into middle or upper spine canal | 87 | $7,466 | $84 |
| Anesthesia for access to central vein | 68 | $5,538 | $80 |
| Anesthesia for x-ray or radiation therapy | 31 | $3,024 | $94 |
| Short return visit (20+ min) | 33 | $2,527 | $62 |
| Anesthesia for other procedure on skin of arms, legs, and front body | 33 | $2,487 | $75 |
| Long return visit (40+ min) | 13 | $1,829 | $141 |
| Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance | 24 | $1,567 | $65 |
| Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 16 | $1,348 | $84 |
| Injection of substance into lower spine canal using imaging guidance | 11 | $1,133 | $94 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 11 | $936 | $67 |
| Telephone medical discussion with physician, 11-20 minutes | 12 | $852 | $66 |
| Aspiration and/or injection of fluid from large joint | 13 | $690 | $53 |
2020: 14 services
| Short return visit (20+ min) | 91 | $9,645 | $48 |
| Insertion of tube and injection of substance into middle or upper spine canal | 83 | $7,042 | $85 |
| Anesthesia for access to central vein | 87 | $6,886 | $79 |
| Anesthesia for x-ray or radiation therapy | 45 | $4,421 | $96 |
| Return visit (30+ min) | 22 | $2,042 | $76 |
| Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm | 20 | $1,993 | $100 |
| Anesthesia for other procedure on lower abdomen outside abdominal cavity | 12 | $1,970 | $90 |
| Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance | 29 | $1,961 | $65 |
| Telephone medical discussion with physician, 11-20 minutes | 30 | $1,961 | $49 |
| New patient visit (45+ min) | 15 | $1,866 | $124 |
| Anesthesia for other procedure on skin of arms, legs, and front body | 26 | $1,846 | $71 |
| Long return visit (40+ min) | 16 | $1,693 | $106 |
| Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 18 | $1,488 | $83 |
| Anesthesia for biopsy of liver | 11 | $876 | $80 |
2019: 10 services
| Short return visit (20+ min) | 124 | $13,403 | $46 |
| Anesthesia for access to central vein | 121 | $9,569 | $78 |
| Insertion of tube and injection of substance into middle or upper spine canal | 85 | $6,991 | $82 |
| New patient visit (45+ min) | 36 | $4,197 | $117 |
| Anesthesia for x-ray or radiation therapy | 39 | $3,522 | $88 |
| Long return visit (40+ min) | 33 | $3,474 | $102 |
| Anesthesia for other procedure on skin of arms, legs, and front body | 30 | $2,302 | $77 |
| Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance | 26 | $1,597 | $61 |
| Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 20 | $1,580 | $79 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 12 | $1,491 | $93 |
2018: 14 services
| Short return visit (20+ min) | 81 | $10,374 | $45 |
| Insertion of tube and injection of substance into middle or upper spine canal | 106 | $8,650 | $82 |
| Anesthesia for access to central vein | 93 | $7,256 | $78 |
| New patient visit (45+ min) | 31 | $3,692 | $119 |
| Long return visit (40+ min) | 34 | $3,435 | $101 |
| Anesthesia for x-ray or radiation therapy | 33 | $2,684 | $79 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 14 | $2,133 | $93 |
| Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 20 | $1,774 | $89 |
| Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance | 24 | $1,541 | $64 |
| Anesthesia for x-ray or radiation therapy | 12 | $1,534 | $128 |
| Anesthesia for other procedure on skin of arms, legs, and front body | 19 | $1,391 | $73 |
| Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm | 11 | $1,217 | $111 |
| Aspiration and/or injection of fluid from large joint | 11 | $963 | $46 |
| Injection of local anesthetic for abdominal wall pain control on side using imaging guidance | 14 | $758 | $54 |
2017: 8 services
| Insertion of tube and injection of substance into middle or upper spine canal | 66 | $8,265 | $125 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 17 | $4,610 | $136 |
| Short return visit (20+ min) | 55 | $4,463 | $43 |
| New patient visit (45+ min) | 39 | $4,063 | $104 |
| Anesthesia for access to central vein | 32 | $2,477 | $75 |
| Anesthesia for procedure on gastrointestinal tract using an endoscope | 13 | $1,492 | $115 |
| Anesthesia for procedure on lower intestine using an endoscope | 12 | $1,355 | $113 |
| Long return visit (40+ min) | 11 | $1,090 | $99 |
2016: 5 services
| Injections and continuous infusion into upper or middle spinal canal | 72 | $6,466 | $90 |
| Anesthesia for access to central vein | 29 | $2,290 | $79 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 14 | $2,113 | $92 |
| Anesthesia for procedure on gastrointestinal tract using an endoscope | 19 | $1,460 | $77 |
| Short return visit (20+ min) | 17 | $1,021 | $46 |
Money from drug and device companies
$12 in 2024
A payment is not proof that care is biased.
| Ambu | None | $12 | 1 payment
|
See the published payment
| Ambu | Meals · 2024-05-03 | None | $12 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 61.2 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1710273396
- Licence
- CA C176550, NY 278484California C176550: Current · expires 2028-02-29
- Trained
- Columbia University College of Physicians and Surgeons, 2011
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207L00000X (207L00000X); Federal specialty code 207LP2900X (207LP2900X); Student in a training program (390200000X)
- Mailing address
- 1601 Cummins Dr Ste D, Modesto, CA, 95358
- NPI first listed
- 2011-06-22
- NPI last updated
- 2022-03-10
- NPI record certified
- 2022-03-10
This is when the NPI record was last certified, not a medical board exam.