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Rashid Sultan Elahi, MD

Nephrology · San Jose

NPI 1790753408

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
36
10 carriers
Office
1

Offices

1 location

Looking this up.

Hospitals listed: 552711 · 552848 · Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

36 plans · 10 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Elahi’s office at (408) 937-9009 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

36 of 36 plans

Plans whose provider directory lists this clinician
Advantage Care (HMO)Align Senior CareListedOct 1, 2026
Premier Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Senior Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A54268 · Current

Licensed to practise in California · since 1995 · expires 2028-09-30 · University of Karachi, Dow Medical College.

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 it
    Overall 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.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$147,459

Medicare paid this office $147,459 for 149 people.

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

Largest Original Medicare bills
Dialysis services, 4 or more physician visits per month (20 years or older)23$56,535$347
Dialysis services, 2-3 physician visits per month (20 years or older)30$34,006$291
Return visit (30+ min)62$17,965$123
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes48$11,586$115
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes41$9,687$76
See all 8 services
Every Original Medicare service billed
Dialysis services, 4 or more physician visits per month (20 years or older)23$56,535$347
Dialysis services, 2-3 physician visits per month (20 years or older)30$34,006$291
Return visit (30+ min)62$17,965$123
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes48$11,586$115
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes41$9,687$76
Initial hospital care with moderate level of medical decision making at least 75 minutes33$6,693$167
Short return visit (20+ min)32$3,939$84
Dialysis services, 1 physician visit per month (20 years or older)11$2,442$188

Who their Medicare patients are

149 Original Medicare patients in 2024. Average age 75 · Under 65 17% · 85 and older 24% · Women 42% · Also on Medicaid 68% · Health risk score 5.08. Above the middle of the specialty; the typical nephrology clinician is at 4.01.

Conditions among them: High blood pressure 75% · Diabetes 75% · Chronic kidney disease 75% · Coronary heart disease 50% · Heart failure 46% · Atrial fibrillation 32% · COPD 26% · Dementia 20% · Depression 19% · Stroke 13% · Cancer 12%.

The office billed $300,199, Medicare allowed $185,121 and paid $147,459; for 797 services of 16 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 by year
2024149797755.08$300,199$147,459
2023171993754.95$349,169$163,397
20221661,014744.96$344,349$158,046
2021126879734.53$330,138$154,595
20201521,388725.42$466,003$184,200
20192331,541715.51$506,796$198,005
20181961,576725.30$423,076$215,990
20172201,806714.94$487,988$220,821
20161931,778724.71$483,899$218,417
20152312,186714.88$528,030$239,135
20142572,455714.46$601,946$268,663
20133303,228714.42$755,240$330,283

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: 7 services

Original Medicare services billed in 2023
Dialysis services, 4 or more physician visits per month (20 years or older)32$67,808$331
Dialysis services, 2-3 physician visits per month (20 years or older)28$22,631$276
Return visit (30+ min)79$19,786$113
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes66$16,016$110
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes59$15,905$73
Initial hospital care with moderate level of medical decision making at least 75 minutes35$6,397$160
Short return visit (20+ min)31$4,266$89

2022: 10 services

Original Medicare services billed in 2022
Dialysis services, 4 or more physician visits per month (20 years or older)34$81,999$333
Return visit (30+ min)75$23,551$121
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes60$15,987$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes47$9,491$65
Initial hospital care with moderate level of medical decision making at least 75 minutes33$7,946$181
Dialysis services, 2-3 physician visits per month (20 years or older)15$7,796$278
New patient visit (45+ min)21$3,236$154
Short return visit (20+ min)12$1,239$89
Dialysis services, per day, less than full month service (20 years or older)11$1,000$9
Hemodialysis procedure with physician evaluation14$928$66

2021: 8 services

Original Medicare services billed in 2021
Dialysis services, 4 or more physician visits per month (20 years or older)31$80,515$335
Return visit (30+ min)75$24,529$123
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes29$9,352$94
Initial hospital care with moderate level of medical decision making at least 75 minutes31$8,606$183
Dialysis services, 2-3 physician visits per month (20 years or older)13$8,359$279
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$7,029$66
New patient visit (60+ min)14$2,965$212
New patient visit (45+ min)12$1,932$161

2020: 7 services

Original Medicare services billed in 2020
Dialysis services, 4 or more physician visits per month (20 years or older)34$79,997$267
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes45$20,813$66
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes59$20,694$95
Return visit (30+ min)74$17,597$99
Initial hospital care with moderate level of medical decision making at least 75 minutes53$14,821$185
Dialysis services, 2-3 physician visits per month (20 years or older)14$6,082$225
Hemodialysis procedure with physician evaluation13$3,574$67

2019: 9 services

Original Medicare services billed in 2019
Dialysis services, 4 or more physician visits per month (20 years or older)36$79,480$263
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes75$30,429$95
Return visit (30+ min)99$26,177$104
Initial hospital care with moderate level of medical decision making at least 75 minutes55$13,973$184
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$13,755$66
Dialysis services, 2-3 physician visits per month (20 years or older)18$8,436$222
Critical care, first 30-74 minutes11$7,193$194
New patient visit (60+ min)19$3,689$194
Dialysis services, per day, less than full month service (20 years or older)42$1,330$7

2018: 9 services

Original Medicare services billed in 2018
Dialysis services, 4 or more physician visits per month (20 years or older)39$80,722$290
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes39$27,021$74
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes65$26,083$106
Return visit (30+ min)103$24,400$111
Dialysis services, 2-3 physician visits per month (20 years or older)32$19,358$245
Initial hospital care with moderate level of medical decision making at least 75 minutes51$14,835$206
New patient visit (45+ min)16$2,661$166
Short return visit (20+ min)15$1,714$78
Dialysis services, per day, less than full month service (20 years or older)17$1,354$8

2017: 11 services

Original Medicare services billed in 2017
Dialysis services, 4 or more physician visits per month (20 years or older)44$74,409$257
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes81$26,455$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes64$26,042$65
Return visit (30+ min)97$23,389$100
Dialysis services, 2-3 physician visits per month (20 years or older)42$21,783$216
Initial hospital care with moderate level of medical decision making at least 75 minutes79$18,129$181
New patient visit (45+ min)20$3,040$152
New patient visit (60+ min)11$2,093$190
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$2,075$122
Short return visit (20+ min)17$1,770$63
Dialysis services, per day, less than full month service (20 years or older)21$1,276$7

2016: 11 services

Original Medicare services billed in 2016
Dialysis services, 4 or more physician visits per month (20 years or older)41$72,943$258
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes53$26,299$64
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes70$25,555$93
Dialysis services, 2-3 physician visits per month (20 years or older)42$22,603$217
Return visit (30+ min)88$22,574$99
Initial hospital care with moderate level of medical decision making at least 75 minutes73$17,665$180
Hemodialysis procedure with physician evaluation14$3,104$65
New patient visit (60+ min)15$2,841$189
Short return visit (20+ min)25$2,409$63
New patient visit (45+ min)11$1,542$140
Dialysis services, per day, less than full month service (20 years or older)14$1,042$7

2015: 11 services

Original Medicare services billed in 2015
Dialysis services, 4 or more physician visits per month (20 years or older)43$82,708$258
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes75$32,112$65
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes86$31,170$93
Return visit (30+ min)99$20,414$101
Dialysis services, 2-3 physician visits per month (20 years or older)43$20,010$217
Initial hospital care with moderate level of medical decision making at least 75 minutes83$19,536$181
Short return visit (20+ min)43$4,755$68
New patient visit (45+ min)26$3,939$151
New patient visit (60+ min)18$3,417$190
Dialysis services, per day, less than full month service (20 years or older)25$2,532$7
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$2,442$122

2014: 14 services

Original Medicare services billed in 2014
Dialysis services, 4 or more physician visits per month (20 years or older)51$80,276$256
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes112$42,144$92
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes95$34,843$64
Initial hospital care with moderate level of medical decision making at least 75 minutes110$24,822$180
Dialysis services, 2-3 physician visits per month (20 years or older)48$21,472$217
Return visit (30+ min)91$18,878$97
Critical care, first 30-74 minutes22$11,142$195
Short return visit (20+ min)72$8,140$67
Hemodialysis procedure with physician evaluation26$4,646$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$4,138$122
New patient visit (60+ min)20$3,768$188
New patient visit (45+ min)24$3,420$142
Long return visit (40+ min)20$2,667$133
Dialysis services, per day, less than full month service (20 years or older)28$2,236$7

2013: 14 services

Original Medicare services billed in 2013
Dialysis services, 4 or more physician visits per month (20 years or older)47$97,838$253
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes128$54,517$62
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes146$46,904$90
Initial hospital care with moderate level of medical decision making at least 75 minutes137$30,481$174
Return visit (30+ min)107$21,943$98
Dialysis services, 2-3 physician visits per month (20 years or older)36$14,649$212
Hemodialysis procedure with physician evaluation52$13,937$62
Critical care, first 30-74 minutes28$12,350$190
Short return visit (20+ min)89$11,476$65
New patient visit (60+ min)34$6,333$186
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$4,527$119
Long return visit (40+ min)25$3,448$133
New patient visit (45+ min)23$3,358$146
Dialysis services, per day, less than full month service (20 years or older)51$2,331$7

Medicaid work

$10,380 in 2024

Medicaid paid $10,380 for 246 billed services this clinician did in 2024, up to 24 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
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month168$8,310
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month21$1,073
Return visit (30+ min)57$996
Medicaid work by year
2024246324$10,380
2023577433$15,355
2022520330$14,809
2021486226$17,896
2020329224$21,032
2019446227$18,222
2018484329$20,421
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month314$12,629
Return visit (30+ min)193$1,810
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month31$850
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES39$67

2022

Largest Medicaid services in 2022
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month303$14,431
Return visit (30+ min)147$231
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES70$146

2021

Largest Medicaid services in 2021
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month295$17,647
Return visit (30+ min)191$248

2020

Largest Medicaid services in 2020
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month239$20,842
Return visit (30+ min)90$190

2019

Largest Medicaid services in 2019
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month262$17,829
Return visit (30+ min)184$392

2018

Largest Medicaid services in 2018
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month269$18,127
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month24$1,539
Return visit (30+ min)191$755

Drugs they prescribed that Part D paid

$113,005

Pharmacies billed $113,005 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 779) in 2024. At or below the middle of the specialty; the typical nephrology clinician is at 0%.

661 generic and 118 brand-name prescriptions · $113,005 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.

Largest Part D drug costs
Veltassa15$14,650$977
Lokelma15$11,718$781
Sevelamer Carbonate74$8,943$121
Prosol50$8,356$167
Calcium Acetate32$1,673$52
See all 18 drugs
Every Part D drug this clinician prescribed
Veltassa15$14,650$977
Lokelma15$11,718$781
Sevelamer Carbonate74$8,943$121
Prosol50$8,356$167
Calcium Acetate32$1,673$52
Calcitriol114$1,317$12
Hydralazine44$892$20
Losartan74$555$7
Amlodipine Besylate99$473$5
Metoprolol25$361$14
Allopurinol29$312$11
Furosemide34$153$5
Lisinopril26$148$6
Clonidine19$114$6
Minoxidil11$85$8
Spironolactone14$72$5
Hydrochlorothiazide17$40$2
Metoprolol14$11$1

Year by year

Part D prescribing by year
20247791140% (0)15%$113,005
20237391240% (0)16%$160,409
20227661170% (0)10%$129,825
20217561150% (0)14%$121,929
20208011010% (0)20%$156,315
2019802970% (0)20%$166,760
2018790920% (0)21%$158,221
20171,027940% (0)38%$333,552
20161,1331030% (0)43%$321,586
20151,3341050% (0)None$350,826
20141,2261090% (0)45%$264,797
20131,1511120% (0)None$208,037

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

See the drugs prescribed each year

2023: 16 drugs

Part D drugs prescribed in 2023
Renvela16$42,688$2,668
Sevelamer Carbonate61$19,335$317
Cinacalcet14$17,853$1,275
Veltassa11$10,949$995
Prosol38$6,956$183
Calcium Acetate40$5,437$136
Calcitriol126$1,811$14
Midodrine15$1,768$118
Metoprolol37$995$27
Hydralazine33$975$30
Losartan73$798$11
Amlodipine Besylate55$582$11
Allopurinol15$306$20
Furosemide44$256$6
Lisinopril18$246$14
Hydrochlorothiazide26$186$7

2022: 17 drugs

Part D drugs prescribed in 2022
Renvela12$42,990$3,582
Sevelamer Carbonate70$18,097$259
Cinacalcet15$13,433$896
Clinisol50$10,427$209
Calcium Acetate57$5,539$97
Procrit12$3,230$269
Calcitriol114$1,605$14
Losartan99$1,129$11
Hydralazine37$759$21
Metoprolol21$505$24
Amlodipine Besylate62$501$8
Allopurinol23$445$19
Furosemide34$242$7
Potassium Chloride14$166$12
Carvedilol20$153$8
Metoprolol13$111$9
Hydrochlorothiazide21$91$4

2021: 20 drugs

Part D drugs prescribed in 2021
Renvela17$53,983$3,175
Sevelamer Carbonate44$24,776$563
Clinisol61$11,889$195
Prosol34$6,114$180
Calcium Acetate38$2,835$75
Calcitriol109$2,041$19
Midodrine16$926$58
Losartan65$792$12
Metoprolol29$667$23
Hydralazine40$630$16
Allopurinol39$468$12
Amlodipine Besylate70$408$6
Ramipril15$313$21
Furosemide22$255$12
Lisinopril22$196$9
Carvedilol17$191$11
Potassium Chloride15$178$12
Clonidine14$101$7
Hydrochlorothiazide22$83$4
Metoprolol16$68$4

2020: 19 drugs

Part D drugs prescribed in 2020
Renvela24$64,533$2,689
Sevelamer Carbonate52$28,599$550
Clinisol53$9,873$186
Procrit15$6,519$435
Prosol26$5,575$214
Calcium Acetate58$4,699$81
Calcitriol131$2,625$20
Midodrine23$959$42
Losartan61$749$12
Potassium Chloride31$701$23
Metoprolol29$625$22
Hydralazine26$542$21
Amlodipine Besylate58$355$6
Allopurinol35$320$9
Furosemide31$251$8
Clonidine17$225$13
Lisinopril19$180$9
Carvedilol15$148$10
Metoprolol37$99$3

2019: 16 drugs

Part D drugs prescribed in 2019
Renvela44$68,202$1,550
Sevelamer Carbonate58$35,596$614
Clinisol50$9,295$186
Prosol57$7,941$139
Calcium Acetate80$6,166$77
Calcitriol126$2,298$18
Metoprolol22$715$32
Hydralazine20$624$31
Losartan58$501$9
Allopurinol40$424$11
Amlodipine Besylate58$406$7
Lisinopril35$280$8
Furosemide35$246$7
Clonidine13$177$14
Carvedilol11$116$11
Metoprolol34$112$3

2018: 17 drugs

Part D drugs prescribed in 2018
Renvela54$82,554$1,529
Sevelamer Carbonate48$24,371$508
Sensipar12$20,001$1,667
Clinisol33$6,216$188
Calcium Acetate98$5,601$57
Prosol49$5,548$113
Calcitriol90$2,599$29
Plenamine18$1,417$79
Metoprolol16$649$41
Hydralazine31$559$18
Losartan55$389$7
Allopurinol37$388$10
Amlodipine Besylate46$299$7
Lisinopril61$283$5
Metoprolol43$227$5
Clonidine12$163$14
Furosemide21$144$7

2017: 20 drugs

Part D drugs prescribed in 2017
Renvela111$151,094$1,361
Sensipar67$104,968$1,567
Procrit22$19,526$888
Intralipid52$17,973$346
Prosol71$16,524$233
Calcium Acetate73$4,846$66
Clinisol45$4,233$94
Calcitriol109$1,932$18
Dextrose in Water24$1,086$45
Metoprolol28$667$24
Hydralazine40$657$16
Valsartan14$516$37
Amlodipine Besylate82$366$4
Allopurinol33$344$10
Lisinopril73$333$5
Clonidine30$177$6
Losartan21$159$8
Metoprolol34$132$4
Furosemide12$59$5
Gabapentin11$55$5

2016: 17 drugs

Part D drugs prescribed in 2016
Renvela122$155,106$1,271
Sensipar68$92,794$1,365
Prosol121$35,892$297
Dextrose in Water81$7,760$96
Calcium Acetate64$6,737$105
Calcitriol117$2,093$18
Hydralazine57$930$16
Metoprolol48$756$16
Amlodipine Besylate102$610$6
Allopurinol36$473$13
Valsartan17$358$21
Potassium Chloride26$294$11
Lisinopril74$276$4
Clonidine36$198$5
Losartan21$123$6
Furosemide24$120$5
Metoprolol27$96$4

2015: 25 drugs

Part D drugs prescribed in 2015
Renvela136$168,040$1,236
Sensipar85$92,108$1,084
Prosol104$31,132$299
Velphoro16$20,127$1,258
Intralipid25$4,931$197
Calcium Acetate34$4,248$125
Clinisol44$3,623$82
Cyclosporine Modified12$3,160$263
Clonidine17$2,760$162
Dextrose in Water52$2,301$44
Calcitriol97$2,240$23
Metoprolol43$894$21
Valsartan22$804$37
Amlodipine Besylate148$685$5
Hydralazine62$639$10
Lisinopril91$482$5
Allopurinol40$475$12
Losartan38$307$8
Furosemide57$239$4
Metoprolol51$236$5
Clonidine32$197$6
Potassium Chloride16$194$12
Minoxidil13$77$6
Gabapentin17$72$4
Losartan-Hydrochlorothiazide12$62$5

2014: 23 drugs

Part D drugs prescribed in 2014
Renvela119$118,459$995
Sensipar66$50,448$764
Prosol127$31,756$250
Clinisol53$6,298$119
Calcium Acetate51$6,243$122
Diovan23$4,089$178
Intralipid13$3,349$258
Cyclosporine Modified12$2,917$243
Clonidine12$2,625$219
Calcitriol105$2,541$24
Dextrose in Water51$2,168$43
Hydralazine51$863$17
Metoprolol32$743$23
Amlodipine Besylate129$729$6
Labetalol14$450$32
Lisinopril82$432$5
Mycophenolate Mofetil12$426$35
Losartan18$315$18
Furosemide46$219$5
Clonidine25$181$7
Metoprolol38$179$5
Allopurinol19$118$6
Losartan-Hydrochlorothiazide11$111$10

2013: 29 drugs

Part D drugs prescribed in 2013
Renvela122$110,045$902
Sensipar49$32,970$673
Aranesp15$12,885$859
Prosol29$10,246$353
Calcium Acetate63$7,316$116
Clonidine30$5,518$184
Diovan19$3,000$158
Cyclosporine Modified12$2,920$243
Calcitriol94$2,232$24
Azor12$1,986$165
Metoprolol58$1,513$26
Dextrose in Water29$1,163$40
Lisinopril130$913$7
Amlodipine Besylate106$849$8
Minoxidil27$573$21
Labetalol12$536$45
Losartan38$478$13
Mycophenolate Mofetil13$464$36
Nifedipine Er11$430$39
Hydralazine25$397$16
Lidocaine-Prilocaine14$354$25
Furosemide50$243$5
Clonidine21$176$8
Pravastatin12$161$13
Hydrochlorothiazide21$157$7
Isosorbide Mononitrate Er11$154$14
Losartan-Hydrochlorothiazide12$144$12
Metoprolol29$125$4
Allopurinol14$57$4

Money from drug and device companies

$697 in 2025

Industry payments by year
20251117None$697
202468None$288
2023611None$288
202245None$110
202111None$32
202033None$66
2019715None$451

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

A payment is not proof that care is biased.

Payments by company
Akebia TherapeuticsVafseo$151
2 payments
  • Meals for Vafseo · 2025-06-18 · $125
  • Meals for Vafseo · 2025-05-28 · $27
Otsuka America PharmaceuticalVoyxact$151
2 payments
  • Meals for Voyxact · 2025-12-09 · $125
  • Meals for Jynarque · 2025-08-13 · $26
Travere TherapeuticsFilspari$132
2 payments
  • Meals for Filspari · 2025-11-12 · $130
  • Education for Filspari · 2025-08-06 · $2
Bayer Healthcare PharmaceuticalsKerendia$74
3 payments
  • Meals for Kerendia · 2025-09-24 · $27
  • Meals for Kerendia · 2025-05-14 · $23
  • Meals for Kerendia · 2025-01-29 · $24
ArdelyxIbsrela$40
2 payments
  • Meals for Ibsrela · 2025-09-03 · $19
  • Meals for Ibsrela · 2025-04-30 · $21
Calliditas Therapeutics USTarpeyo$31
1 payment
  • Meals for Tarpeyo · 2025-02-12 · $31
See all 17 published payments
Every published payment
Otsuka America PharmaceuticalMeals · 2025-12-09Voyxact$125
Travere TherapeuticsMeals · 2025-11-12Filspari$130
Xeris PharmaceuticalsMeals · 2025-10-29Keveyis$18
Bayer Healthcare PharmaceuticalsMeals · 2025-09-24Kerendia$27
ArdelyxMeals · 2025-09-03Ibsrela$19
Apellis PharmaceuticalsMeals · 2025-08-27Empaveli$18
Otsuka America PharmaceuticalMeals · 2025-08-13Jynarque$26
Travere TherapeuticsEducation · 2025-08-06Filspari$2
Aurinia Pharma U.S.Meals · 2025-07-30Lupkynis$25
Akebia TherapeuticsMeals · 2025-06-18Vafseo$125
ANI PharmaceuticalsMeals · 2025-06-18Purified Cortrophin Gel$31
Novartis PharmaceuticalsMeals · 2025-06-04Fabhalta$25
Akebia TherapeuticsMeals · 2025-05-28Vafseo$27
Bayer Healthcare PharmaceuticalsMeals · 2025-05-14Kerendia$23
ArdelyxMeals · 2025-04-30Ibsrela$21
Calliditas Therapeutics USMeals · 2025-02-12Tarpeyo$31
Bayer Healthcare PharmaceuticalsMeals · 2025-01-29Kerendia$24
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $288

Payments by company in 2024
Bayer Healthcare PharmaceuticalsKerendia$98
1 payment
  • Meals for Kerendia · 2024-09-07 · $98
Calliditas Therapeutics USTarpeyo$54
2 payments
  • Meals for Tarpeyo · 2024-10-16 · $29
  • Meals for Tarpeyo · 2024-01-10 · $26
ArdelyxIbsrela$50
2 payments
  • Meals for Ibsrela · 2024-11-20 · $27
  • Meals for Ibsrela · 2024-03-06 · $23
AstraZeneca Pharmaceuticals LPFarxiga$30
1 payment
  • Meals for Farxiga · 2024-02-14 · $30
Ultragenyx PharmaceuticalCrysvita$29
1 payment
  • Meals for Crysvita · 2024-01-31 · $29
Novartis PharmaceuticalsFabhalta$27
1 payment
  • Meals for Fabhalta · 2024-10-09 · $27

2023: $288

Payments by company in 2023
AstraZeneca Pharmaceuticals LPLokelma$91
4 payments
  • Meals for Lokelma · 2023-05-11 · $21
  • Meals for Lokelma · 2023-04-26 · $24
  • Meals for Farxiga · 2023-03-09 · $23
  • Meals for Lokelma · 2023-02-08 · $23
Vifor PharmaKorsuva$56
2 payments
  • Meals for Korsuva · 2023-08-10 · $36
  • Meals for Veltassa · 2023-06-14 · $21
Calliditas Therapeutics USTarpeyo$53
2 payments
  • Meals for Tarpeyo · 2023-10-25 · $25
  • Meals for Tarpeyo · 2023-05-03 · $28
Bayer Healthcare PharmaceuticalsKerendia$33
1 payment
  • Meals for Kerendia · 2023-09-20 · $33
ArdelyxIbsrela$27
1 payment
  • Meals for Ibsrela · 2023-12-20 · $27
Travere TherapeuticsNone$27
1 payment
  • Meals · 2023-06-21 · $27

2022: $110

Payments by company in 2022
Vifor PharmaVeltassa$48
2 payments
  • Meals for Veltassa · 2022-12-07 · $25
  • Meals for Veltassa · 2022-11-30 · $24
Otsuka America PharmaceuticalJynarque$23
1 payment
  • Meals for Jynarque · 2022-10-05 · $23
AmgenParsabiv$21
1 payment
  • Meals for Parsabiv · 2022-02-21 · $21
AstraZeneca Pharmaceuticals LPLokelma$18
1 payment
  • Meals for Lokelma · 2022-12-21 · $18

2021: $32

Payments by company in 2021
AmgenParsabiv$32
1 payment
  • Meals for Parsabiv · 2021-10-27 · $32

2020: $66

Payments by company in 2020
Fresenius USA MarketingVelphoro$24
1 payment
  • Meals for Velphoro · 2020-01-22 · $24
AmgenParsabiv$23
1 payment
  • Meals for Parsabiv · 2020-03-11 · $23
AstraZeneca Pharmaceuticals LPLokelma$18
1 payment
  • Meals for Lokelma · 2020-02-05 · $18

2019: $451

Payments by company in 2019
RelypsaVeltassa$125
1 payment
  • Meals for Veltassa · 2019-04-10 · $125
AmgenAranesp$102
4 payments
  • Meals for Aranesp · 2019-11-20 · $31
  • Meals for Aranesp · 2019-09-04 · $24
  • Meals for Aranesp · 2019-06-12 · $22
  • Meals for Aranesp · 2019-02-13 · $25
AstraZeneca Pharmaceuticals LPLokelma$79
4 payments
  • Meals for Lokelma · 2019-11-13 · $20
  • Meals for Lokelma · 2019-07-17 · $20
  • Meals for Lokelma · 2019-05-02 · $20
  • Meals for Lokelma · 2019-02-20 · $20
Fresenius USA MarketingVelphoro$69
3 payments
  • Meals for Velphoro · 2019-10-02 · $23
  • Meals for Velphoro · 2019-06-26 · $23
  • Meals for Velphoro · 2019-03-06 · $22
Medtronic VascularEndurant$26
1 payment
  • Meals for Endurant · 2019-02-07 · $26
GlaxoSmithKlineBenlysta$25
1 payment
  • Meals for Benlysta · 2019-02-06 · $25
Alexion PharmaceuticalsSoliris$25
1 payment
  • Meals for Soliris · 2019-04-10 · $25

Checkups this office reported

7 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

Medicare’s overall office score
100.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Checkup rates this office reported to Medicare
Advance care plan on fileOlder patients with an advance care plan or a documented conversation about one100%That's most of the people this applied to.221
Blood pressure under controlPeople with high blood pressure whose reading was in a healthy range92%That's most of the people this applied to.39
Diabetes poorly controlledPeople with diabetes whose blood sugar stayed very high16%That's few of the people this applied to. Better on this measure.111
Medications listed in the chartVisits where the current medication list was documented100%That's most of the people this applied to.857
Patients can see their records onlinePatients who were given electronic access to their health information92%That's most of the people this applied to.167
Prescriptions sent electronicallyPrescriptions sent to the pharmacy by computer instead of paper100%That's most of the people this applied to.103
Weight checked, with a follow-up planPatients whose BMI was recorded and followed up if needed100%That's most of the people this applied to.304

What the office says it does

Boxes the office ticked on its Medicare worksheet for 2023. Nobody checks these.

  • Agreed to federal review of their records system
  • Did a security review of patient data
  • ONC-ACB Surveillance Attestation
  • Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
  • Exempt from electronic case reporting
  • Exempt from immunization registry reporting
  • Exempt from query of the prescription drug monitoring program (pdmp)
  • Exempt from support electronic referral loops by receiving and reconciling health information
  • Exempt from support electronic referral loops by sending health information

Professional record

NPI
1790753408
Licence
AZ 25375, CA A54268California A54268: Current · expires 2028-09-30
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207RN0300X (207RN0300X); Internal medicine (207R00000X)
Mailing address
200 Jose Figueres Ave, Suite 270, San Jose, CA, 95116
NPI first listed
2006-03-09
NPI last updated
2009-05-18

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