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Elaine Lee Hsia, DO

Family Practice · San Jose

NPI 1710472279

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
1 carrier
Offices
2

Offices

2 locations · Permanente Medical Group Inc · Valley Medical Group-Renton

Looking this up.

Hospitals listed: Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Hsia’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026

State licence records

1 licence

  • Washington DO.OP.61166424Osteopathic Physician & Surgeon License · since 2021 · expires 2026-10-20
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

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.

  • Valley Medical CenterRenton, WAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of UW Medicine, which runs 4 hospitalsPatients rate it 3 of 5 · 71% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.69 (1.38 to 1.99), Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 3.51 (2.89 to 4.13) · 5,445 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.4 (10.8 to 19) · 208 cases, Jan 2024 – Dec 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.441, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.513, Oct 2024 – Sep 2025
See every measure and the patient survey for Valley Medical Center

Behind the star rating — Deaths: 1 better, 4 the same, 2 worse of 7 measures. Safety: 1 better, 4 the same, 1 worse of 6 measures. Readmissions: 2 better, 5 the same, 2 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Valley Medical Center
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.69 (1.38 to 1.99)WorseJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths3.51 (2.89 to 4.13) · 5,445 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.4 (10.8 to 19) · 208 casesWorseJan 2024 – Dec 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.441BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.513BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.8 (0 to 1.75) · 1,237 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths175.11 (128.65 to 221.56) · 92 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths9.8 · 107 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.1 · 132 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths16.2 · 511 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths19.4 · 399 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.6 · 506 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 3,498 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.15 (0 to 0.34) · 6,246 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.32 (0.13 to 0.51) · 6,227 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.2 (1.2 to 5.2) · 1,469 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.9 (0.27 to 3.53) · 540 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.64 (1.17 to 4.12) · 1,452 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.56 (0 to 13.24) · 571 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths3.55 (0 to 7.13) · 497 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.65 (0.17 to 3.13) · 312 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.5 · 30 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.003No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.81No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.869No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 199 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.9 · 924 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-28.9 · 102 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-5 · 555 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits13.1 · 386 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.8 · 638 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.3 (2.9 to 6.3) · 208 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.5 · 25 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.2 · 279 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.6 (9.9 to 15.9) · 2,650 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.9 to 1.3) · 760 casesNo differentJan 2024 – Dec 2024

What patients said (904 patients answered, 17% of those asked)

Patient survey stars by topic at Valley Medical Center
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness4
Recommend hospital4
Share of patients giving the best answer at Valley Medical Center
Room was "always" clean73%
Nurses "always" communicated well75%
Doctors "always" communicated well79%
Staff "always" explained57%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand73%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night59%
"YES", patients would definitely recommend the hospital71%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$36,863

Medicare paid this office $36,863 for 134 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)91$13,550$90
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit65$9,277$143
Short return visit (20+ min)60$5,012$68
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use13$3,477$267
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's48$998$12
See all 8 services
Every Original Medicare service billed
Return visit (30+ min)91$13,550$90
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit65$9,277$143
Short return visit (20+ min)60$5,012$68
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use13$3,477$267
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's48$998$12
Influenza vaccine split virus, preservative free16$659$41
Administration of influenza virus vaccine18$641$36
Administration of pneumococcal vaccine12$427$36

Procedures Medicare counted

Procedure volume Medicare published
Removal of skin lesions1-10None

Who their Medicare patients are

134 Original Medicare patients in 2024. Average age 73 · Women 62% · Also on Medicaid 15% · Health risk score 1.01. At or below the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 58% · Diabetes 25% · Chronic kidney disease 17% · Cancer 13% · Depression 13% · COPD 9% · Atrial fibrillation 9% · Dementia 9% · Coronary heart disease 8%.

The office billed $97,755, Medicare allowed $48,005 and paid $36,863; for 485 services of 33 kinds; $4,223 of it was for drugs given in the office and $32,640 for care.

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

Original Medicare by year
2024134485731.01$97,755$36,863
2023154345741.02$79,333$22,872
2022182459741.10$86,280$30,708
202167131730.99$23,450$9,943

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

Original Medicare services billed in 2023
Return visit (30+ min)92$8,068$68
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit39$5,027$129
Short return visit (20+ min)59$3,939$53
New patient visit (45+ min)11$561$51
Urinalysis, manual test11$38$3

2022: 6 services

Original Medicare services billed in 2022
Return visit (30+ min)79$10,597$86
Short return visit (20+ min)105$8,531$65
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit29$4,183$144
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage19$1,299$68
Administration of influenza virus vaccine21$702$33
Urinalysis, manual test19$86$3

2021: 4 services

Original Medicare services billed in 2021
Return visit (30+ min)27$3,136$108
Short return visit (20+ min)26$1,847$71
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage11$664$60
Administration of influenza virus vaccine13$251$19

Medicaid work

$19,312 in 2024

Medicaid paid $19,312 for 402 billed services this clinician did in 2024, up to 34 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.

Largest Medicaid services in 2024
Return visit (30+ min)276$13,788
Short return visit (20+ min)126$5,524
Medicaid work by year
2024402234$19,312
2023450240$23,662
2022644237$34,208
202161217$3,585
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)281$15,693
Short return visit (20+ min)169$7,969

2022

Largest Medicaid services in 2022
Return visit (30+ min)298$18,087
Short return visit (20+ min)346$16,121

2021

Largest Medicaid services in 2021
Return visit (30+ min)49$2,997
Short return visit (20+ min)12$589

Drugs they prescribed that Part D paid

$288,563

Pharmacies billed $288,563 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 2% of their Part D prescriptions (87 of 4,565) in 2024. Above the middle of the specialty; the typical family practice clinician is at 2%.

4,155 generic and 363 brand-name prescriptions · $288,563 in drug cost · 67 antibiotic prescriptions to 50 people · 42 antipsychotic prescriptions to people over 65.

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.

Largest Part D drug costs
Ozempic35$47,922$1,369
Jardiance32$46,893$1,465
Xarelto17$27,933$1,643
Eliquis21$21,599$1,029
Januvia21$20,512$977
See all 86 drugs
Every Part D drug this clinician prescribed
Ozempic35$47,922$1,369
Jardiance32$46,893$1,465
Xarelto17$27,933$1,643
Eliquis21$21,599$1,029
Januvia21$20,512$977
Qvar Redihaler11$4,270$388
Atorvastatin444$2,968$7
Lantus Solostar31$2,900$94
Gabapentin127$2,220$17
Amlodipine Besylate287$2,082$7
Losartan209$1,900$9
Albuterol Sulfate Hfa60$1,644$27
Lisinopril224$1,555$7
Levothyroxine146$1,304$9
Omeprazole71$1,298$18
Pantoprazole89$1,037$12
Metoprolol87$1,036$12
Tamsulosin58$962$17
Hydroxyzine20$888$44
Metformin113$884$8
Pravastatin90$862$10
Famotidine85$846$10
Ultra-Fine Short Pen Needle13$835$64
Allopurinol66$829$13
Montelukast43$701$16
Benazepril28$691$25
Bupropion Xl25$646$26
Duloxetine32$645$20
Metformin Hcl Er101$639$6
Clopidogrel42$625$15
Oxybutynin Chloride16$580$36
Telmisartan16$563$35
Hydrocodone-Acetaminophen37$562$15
Potassium Chloride27$547$20
Diclofenac21$500$24
Valacyclovir22$492$22
Chlorthalidone19$475$25
Synthroid11$471$43
Rosuvastatin78$470$6
Quetiapine32$458$14
Azelastine15$426$28
Fluticasone Propionate41$405$10
Furosemide70$392$6
Cyclobenzaprine17$375$22
Simvastatin53$374$7
Trazodone36$358$10
Propranolol30$357$12
Metoprolol27$355$13
Venlafaxine Hcl Er23$349$15
Acetaminophen-Codeine11$334$30
Ondansetron Odt25$314$13
Hydrochlorothiazide81$308$4
Losartan-Hydrochlorothiazide27$306$11
Glipizide34$284$8
Citalopram Hbr20$260$13
Glipizide Er11$259$24
Alendronate50$252$5
Escitalopram27$251$9
Triamcinolone Acetonide26$246$9
Glimepiride25$220$9
Sertraline56$220$4
Fluoxetine25$208$8
Diltiazem 24hr Er (Cd)16$205$13
Isosorbide Mononitrate Er13$197$15
Baclofen18$189$10
Ibuprofen27$187$7
Donepezil13$174$13
Olmesartan Medoxomil13$169$13
Divalproex12$164$14
Zolpidem11$154$14
Triamterene-Hydrochlorothiazid21$135$6
Meloxicam17$133$8
Hydroxyzine Pamoate19$124$7
Acyclovir11$115$10
Lovastatin15$107$7
Oxycodone13$94$7
Atenolol22$78$4
Amoxicillin-Clavulanate Potass14$69$5
Lorazepam25$67$3
Tramadol19$65$3
Doxycycline Hyclate13$64$5
Tizanidine12$63$5
Carvedilol17$52$3
Azithromycin15$50$3
Doxazosin Mesylate12$33$3
Prednisone24$32$1

Year by year

Part D prescribing by year
20244,5654072% (87)8%$288,563
20232,8493322% (50)11%$262,146
20221,7502715% (89)10%$113,204
20213871274% (16)17%$22,708
2020563117None20%$44,856
20195023NoneNone$1,558

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 65 drugs

Part D drugs prescribed in 2023
Jardiance28$43,344$1,548
Eliquis31$38,662$1,247
Ozempic26$26,908$1,035
Lantus Solostar20$10,174$509
Losartan120$2,120$18
Levothyroxine103$1,944$19
Atorvastatin176$1,861$11
Gabapentin67$1,656$25
Pravastatin69$1,324$19
Lisinopril125$1,277$10
Telmisartan-Amlodipine11$1,213$110
Amlodipine Besylate147$1,106$8
Omeprazole70$1,072$15
Albuterol Sulfate Hfa38$1,007$26
Pregabalin19$973$51
Famotidine52$924$18
Metoprolol46$892$19
Glipizide Er16$875$55
Metformin63$865$14
Metformin Hcl Er54$749$14
Diclofenac26$737$28
Tamsulosin34$730$21
Bupropion Xl30$688$23
Allopurinol38$637$17
Benazepril15$611$41
Fluoxetine27$597$22
Rosuvastatin49$589$12
Clopidogrel24$573$24
Metoprolol34$546$16
Oxycodone17$500$29
Pantoprazole43$479$11
Diltiazem 24hr Er (Cd)16$458$29
Oxybutynin Chloride12$439$37
Triamterene-Hydrochlorothiazid18$437$24
Duloxetine19$412$22
Hydrochlorothiazide69$387$6
Montelukast16$378$24
Doxazosin Mesylate19$337$18
Furosemide50$330$7
Valsartan12$328$27
Chlorthalidone12$326$27
Simvastatin35$316$9
Nystatin14$313$22
Sertraline35$312$9
Escitalopram21$258$12
Fluticasone Propionate20$238$12
Glimepiride12$206$17
Hydroxyzine16$195$12
Olanzapine11$188$17
Ketoconazole12$165$14
Triamcinolone Acetonide16$164$10
Alendronate20$155$8
Hydrocodone-Acetaminophen15$147$10
Trazodone12$144$12
Zolpidem11$142$13
Lamotrigine12$142$12
Carvedilol13$138$11
Venlafaxine Hcl Er11$116$11
Citalopram Hbr11$110$10
Fluconazole12$104$9
Lorazepam18$87$5
Atenolol16$73$5
Amoxicillin-Clavulanate Potass11$67$6
Azithromycin14$65$5
Ibuprofen12$62$5

2022: 49 drugs

Part D drugs prescribed in 2022
Eliquis11$17,344$1,577
Jardiance15$12,157$810
Lantus Solostar13$9,548$734
Albuterol Sulfate Hfa44$1,664$38
Levothyroxine92$1,454$16
Gabapentin56$1,169$21
Atorvastatin69$742$11
Pravastatin36$629$17
Oxycodone17$614$36
Losartan58$580$10
Amoxicillin-Clavulanate Potass34$548$16
Omeprazole28$539$19
Famotidine20$522$26
Lisinopril56$504$9
Acetaminophen-Codeine16$468$29
Diclofenac19$450$24
Clopidogrel18$444$25
Duloxetine15$439$29
Hydrocodone-Acetaminophen45$419$9
Metoprolol23$392$17
Pantoprazole20$387$19
Prednisone29$360$12
Enulose17$359$21
Amlodipine Besylate78$353$5
Sumatriptan11$351$32
Allopurinol13$350$27
Sertraline29$324$11
Trazodone24$315$13
Bupropion Xl16$312$20
Tamsulosin14$250$18
Fluticasone Propionate23$237$10
Metformin Hcl Er26$209$8
Alendronate16$205$13
Doxycycline Hyclate13$192$15
Metoprolol16$183$11
Hydrochlorothiazide35$176$5
Fluoxetine13$167$13
Furosemide26$156$6
Carvedilol11$152$14
Metformin29$152$5
Lorazepam20$125$6
Lactulose16$122$8
Cephalexin12$114$10
Montelukast14$111$8
Simvastatin26$101$4
Zolpidem11$95$9
Warfarin11$94$9
Azithromycin13$88$7
Sulfamethoxazole-Trimethoprim13$48$4

2021: 7 drugs

Part D drugs prescribed in 2021
Albuterol Sulfate Hfa15$633$42
Levothyroxine17$310$18
Atorvastatin21$306$15
Omeprazole13$283$22
Escitalopram13$216$17
Lisinopril15$198$13
Metformin16$101$6

2020: 11 drugs

Part D drugs prescribed in 2020
Novolog Flexpen15$10,409$694
Xulane12$1,056$88
Albuterol Sulfate Hfa14$616$44
Atorvastatin32$563$18
Levothyroxine16$462$29
Omeprazole32$453$14
Metformin27$144$5
Lisinopril17$105$6
Amlodipine Besylate16$60$4
Prednisone11$42$4
Furosemide11$40$4

Money from drug and device companies

$13 in 2019

A payment is not proof that care is biased.

Payments by company
Merck Sharp & DohmeNexplanon$13
1 payment
  • Meals for Nexplanon · 2019-01-10 · $13
See the published payment
Every published payment
Merck Sharp & DohmeMeals · 2019-01-10Nexplanon$13

Professional record

NPI
1710472279
Licence
MI 5101023959, WA OP61166424Washington DO.OP.61166424: Active
Trained
Michigan State University College of Osteopathic Medicine, 2018
Group
Permanente Medical Group Inc · Valley Medical Group-Renton
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
276 International Cir Bldg 1, San Jose, CA, 95119
NPI first listed
2018-06-27
NPI last updated
2026-02-04
NPI record certified
2026-02-04

This is when the NPI record was last certified, not a medical board exam.

This office lists an electronic records connection.