Rishi Raj, MD

1 location · Stanford Health Care · 3,152 clinicians in this group

Hospitals listed: Good Samaritan Hospital · Stanford Health Care. That is not proof they admit you there this week.

1 plan · 1 carrier

Licence C148274 · Current

Licensed to practise in California · since 2017 · expires 2027-03-31 · Tamil Nadu Dr. M.G.R. Medical University, Christian Medical College, Vellore.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

1 licence

• Illinois 036131528Licensed Physician And Surgeon · since 2012 · expires 2017-07-31
  Not RenewedNo 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.

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
  Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, 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 it
  Overall 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

$44,891

Medicare paid this office $44,891 for 141 people.

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

Who their Medicare patients are

141 Original Medicare patients in 2024. Average age 72 · Women 55% · Also on Medicaid 34% · Health risk score 2.44. Above the middle of the specialty; the typical pulmonary disease clinician is at 2.13.

Conditions among them: High blood pressure 75% · Heart failure 33% · Chronic kidney disease 33% · Coronary heart disease 32% · Atrial fibrillation 31% · Stroke 31% · COPD 30% · Diabetes 28% · Cancer 24% · Depression 18% · Dementia 16%.

The office billed $382,779, Medicare allowed $57,331 and paid $44,891; for 282 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

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.

$11,738 in 2024

Medicaid paid $11,738 for 115 billed services this clinician did in 2024, up to 15 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.

$1,423,312

Pharmacies billed $1,423,312 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 219) in 2024. At or below the middle of the specialty; the typical pulmonary disease clinician is at 0%.

84 generic and 135 brand-name prescriptions · $1,423,312 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.

Year by year

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

$402 in 2025

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Research money

Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.

Medicare did not publish checkup rates for this clinician.

NPI

1730296575

Licence

CA C148274, IL 036.131528California C148274: Current · expires 2027-03-31Illinois 036131528: Not Renewed

Group

Stanford Health Care

Video visits

Lists video visits

Gender

Male