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Rand S Barnard, MD

Internal Medicine · San Jose

NPI 1790866838

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 · County of Santa Clara · 1,000 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. Barnard’s office at (408) 885-5000 to ask if they take your plan before you enroll.

California Medical Board record

Licence G63501 · Current

Licensed to practise in California · since 1988 · expires 2028-02-29 · University of Colorado School of Medicine.

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

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

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

$13,384

Medicare paid this office $13,384 for 59 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes37$6,642$68
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$1,879$111
Hospital discharge day management, more than 30 minutes20$1,857$93
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes18$1,596$38

Who their Medicare patients are

59 Original Medicare patients in 2024. Average age 75 · Women 48% · Also on Medicaid 80% · Health risk score 3.75. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 59% · Heart failure 44% · Depression 44% · Chronic kidney disease 42% · COPD 42% · Dementia 42% · Coronary heart disease 39% · Atrial fibrillation 34% · Stroke 31%.

The office billed $146,038, Medicare allowed $18,259 and paid $13,384; for 194 services of 10 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
202459194753.75$146,038$13,384
202397310723.16$245,947$26,172
202249137751.82$116,762$13,846
202161181713.45$150,631$18,797
2020155512713.87$436,436$52,135
2019161413703.62$281,865$35,905
2018126458713.30$217,013$36,811
2017149497713.87$230,048$38,822
2016145485712.91$196,271$37,871
2015140508672.95$176,699$42,575
2014160505682.58$144,705$36,092
2013104316682.73$105,325$31,145

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: 6 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes62$10,652$75
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes33$4,006$121
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$3,236$112
Hospital discharge day management, more than 30 minutes27$3,079$110
Hospital discharge day management, 30 minutes or less26$1,849$71
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes26$1,806$46

2022: 4 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes31$4,601$81
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$2,338$117
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$2,273$152
Hospital discharge day management, more than 30 minutes11$1,346$122

2021: 6 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes22$4,581$117
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$4,557$80
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$2,342$138
Hospital discharge day management, more than 30 minutes18$2,226$117
Initial hospital observation care per day, typically 50 minutes13$1,828$141
Hospital observation care on day of discharge12$917$76

2020: 8 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes64$17,655$112
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes72$10,461$76
Hospital discharge day management, more than 30 minutes48$5,392$110
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes39$5,364$138
Initial hospital care with moderate level of medical decision making at least 75 minutes20$4,071$194
Initial hospital observation care per day, typically 50 minutes27$3,044$113
Hospital observation care on day of discharge21$1,511$69
Hospital discharge day management, 30 minutes or less16$1,214$76

2019: 9 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes64$7,556$66
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes38$7,482$94
Hospital discharge day management, more than 30 minutes48$4,725$98
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes32$3,715$116
Initial hospital observation care per day, typically 50 minutes30$3,450$115
Initial hospital care with moderate level of medical decision making at least 75 minutes13$2,432$174
Hospital observation care on day of discharge31$2,076$67
Hospital discharge day management, 30 minutes or less13$882$68
Follow-up observation care per day, typically 25 minutes11$742$62

2018: 10 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes67$12,086$65
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$7,980$93
Hospital discharge day management, more than 30 minutes40$4,014$98
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes29$3,544$118
Initial hospital observation care per day, typically 50 minutes17$2,197$116
Initial hospital care with moderate level of medical decision making at least 75 minutes11$1,924$175
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes18$1,014$35
Hospital observation care on day of discharge13$1,003$67
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes14$988$71
Hospital discharge day management, 30 minutes or less12$802$67

2017: 8 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes84$13,048$64
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes23$5,702$93
Hospital discharge day management, more than 30 minutes48$4,688$98
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes41$4,089$97
Initial hospital observation care per day, typically 50 minutes22$2,801$122
Initial hospital care with moderate level of medical decision making at least 75 minutes11$1,994$181
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$1,362$35
Hospital observation care on day of discharge18$1,261$66

2016: 8 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes80$14,076$63
Hospital discharge day management, more than 30 minutes68$6,675$95
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes34$3,942$116
Initial hospital care with moderate level of medical decision making at least 75 minutes15$2,624$164
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes17$2,500$93
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes23$1,221$35
Hospital observation care on day of discharge19$1,120$59
Hospital discharge day management, 30 minutes or less11$723$66

2015: 6 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes69$11,682$62
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes41$9,242$91
Initial hospital care with moderate level of medical decision making at least 75 minutes40$6,549$160
Hospital discharge day management, more than 30 minutes59$5,812$95
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes30$3,452$105
Hospital observation care on day of discharge19$1,221$64

2014: 8 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes80$13,260$61
Hospital discharge day management, more than 30 minutes52$4,787$89
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes46$4,098$89
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes24$3,604$92
Initial hospital care with moderate level of medical decision making at least 75 minutes19$3,140$165
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$1,689$32
Hospital discharge day management, 30 minutes or less19$1,179$62
Short return visit (20+ min)18$839$47

2013: 6 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes46$10,066$90
Initial hospital care with moderate level of medical decision making at least 75 minutes52$9,516$173
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes28$3,983$62
Hospital discharge day management, more than 30 minutes38$3,603$95
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,664$111
Hospital discharge day management, 30 minutes or less16$1,088$64

Medicaid work

$1,565 in 2024

Medicaid paid $1,565 for 115 billed services this clinician did in 2024, up to 18 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
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES115$1,565
Medicaid work by year
2024115118$1,565
2023315420$2,659
2022141222$2,707
2021181419$2,261
2020499424$11,273
2019364427$5,722
2018524430$9,178
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES277$2,277
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES13$198
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter13$147
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter12$38

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES114$1,837
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES27$870

2021

Largest Medicaid services in 2021
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES60$1,168
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES76$902
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter14$108
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES31$82

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES294$5,996
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES102$3,185
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES61$1,264
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter42$828

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES216$2,841
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES99$2,260
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter25$461
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES24$160

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES317$4,825
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES129$2,754
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter64$1,348
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter14$250

Professional record

NPI
1790866838
Licence
CA G63501California G63501: Current · expires 2028-02-29
Trained
University of Colorado School of Medicine, Denver, 1987
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00G635010
Taxonomy
Internal medicine (207R00000X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-10-17
NPI last updated
2007-09-10

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