Heetabh Patel, MD
Diagnostic Radiology · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 7
- 3 carriers
- Office
- 1
Offices
1 location · County of Santa Clara · 1,000 clinicians in this group
Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.
Plans that list them
7 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Patel’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
7 of 7 plans
| Aetna Medicare Eagle (PPO) | Aetna Medicare | Listed | Sep 8, 2026 |
| Aetna Medicare Enhanced (PPO) | Aetna Medicare | Listed | Sep 8, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
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
$24,663
Medicare paid this office $24,663 for 555 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Ct scan of abdomen and pelvis with contrast | 19 | $1,360 | $72 |
| X-ray of chest, 1 view | 141 | $1,088 | $7 |
| Low dose ct scan of chest for lung cancer screening | 15 | $852 | $57 |
| Mri scan of brain without contrast | 14 | $698 | $50 |
| Ct scan of chest with contrast | 12 | $618 | $48 |
See all 18 services
| Ct scan of abdomen and pelvis with contrast | 19 | $1,360 | $72 |
| X-ray of chest, 1 view | 141 | $1,088 | $7 |
| Low dose ct scan of chest for lung cancer screening | 15 | $852 | $57 |
| Mri scan of brain without contrast | 14 | $698 | $50 |
| Ct scan of chest with contrast | 12 | $618 | $48 |
| Ct scan head or brain without contrast | 19 | $601 | $32 |
| Limited ultrasound scan of abdomen | 19 | $393 | $21 |
| X-ray of knee, 4 or more views | 22 | $359 | $10 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 30 | $331 | $10 |
| Imaging guidance for procedure, 60 minutes or less | 18 | $233 | $13 |
| X-ray of chest, 2 views | 24 | $200 | $8 |
| X-ray of hip, 2-3 views | 20 | $196 | $9 |
| Dxa bone density measurement of hip, pelvis, spine | 17 | $178 | $10 |
| X-ray of knee, 3 views | 18 | $154 | $7 |
| X-ray of shoulder, minimum of 2 views | 12 | $104 | $8 |
| X-ray of ankle, minimum of 3 views | 12 | $98 | $8 |
| X-ray of knee, 1-2 views | 12 | $92 | $7 |
| X-ray of foot, minimum of 3 views | 12 | $78 | $6 |
Who their Medicare patients are
555 Original Medicare patients in 2024. Average age 72 · Under 65 15% · 85 and older 14% · Women 52% · Also on Medicaid 72% · Health risk score 2.24. Above the middle of the specialty; the typical diagnostic radiology clinician is at 1.7.
Conditions among them: High blood pressure 75% · Diabetes 44% · Chronic kidney disease 33% · Coronary heart disease 29% · COPD 26% · Depression 26% · Heart failure 25% · Atrial fibrillation 21% · Stroke 21% · Dementia 17% · Cancer 16%.
The office billed $309,302, Medicare allowed $31,769 and paid $24,663; for 782 services of 120 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 | 555 | 782 | 72 | 2.24 | $309,302 | $24,663 |
| 2023 | 1,522 | 4,011 | 77 | 2.21 | $518,010 | $93,692 |
| 2022 | 596 | 3,340 | 76 | 2.05 | $291,161 | $50,458 |
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: 43 services
| Ct scan head or brain without contrast | 190 | $6,289 | $32 |
| Ct scan of abdomen and pelvis without contrast | 84 | $5,584 | $66 |
| Ct scan of abdomen and pelvis with contrast | 71 | $5,194 | $72 |
| X-ray of chest, 1 view | 476 | $3,894 | $7 |
| Ct scan of blood vessels of chest with contrast | 43 | $2,959 | $69 |
| Ct scan of chest without contrast | 53 | $2,327 | $43 |
| Mri scan of lower spinal canal without contrast | 14 | $2,289 | $163 |
| Aspiration of fluid from chest cavity using imaging guidance | 23 | $2,254 | $90 |
| Mri scan of leg joint without contrast | 12 | $2,198 | $157 |
| Nuclear medicine study from skull base to mid-thigh with ct scan | 19 | $1,773 | $93 |
| Ct scan of blood vessels of neck with contrast | 25 | $1,692 | $68 |
| Drainage of fluid from abdominal cavity using imaging guidance | 17 | $1,681 | $88 |
| Mri scan of brain without contrast | 28 | $1,598 | $57 |
| Ct scan of upper spine without contrast | 38 | $1,452 | $38 |
| Ct scan of chest without contrast | 11 | $1,377 | $125 |
| Ct scan of blood vessels of head with contrast | 18 | $1,259 | $70 |
| Ct scan of abdominal aorta and both leg arteries with contrast | 13 | $1,228 | $94 |
| Review by radiologist of ct guidance for needle placement | 19 | $1,115 | $59 |
| X-ray of chest, 2 views | 123 | $1,005 | $8 |
| Ct scan of abdomen and pelvis before and after contrast | 12 | $928 | $77 |
| Ultrasound of leg arteries or artery grafts | 30 | $925 | $31 |
| Ct scan of chest with contrast | 20 | $915 | $46 |
| Ct scan of leg without contrast | 17 | $674 | $40 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 24 | $658 | $27 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 58 | $644 | $10 |
| Ct scan of face without contrast | 15 | $505 | $34 |
| Complete ultrasound scan behind abdominal cavity | 17 | $494 | $29 |
| Limited ultrasound scan of abdomen | 18 | $373 | $21 |
| Ultrasonic guidance for needle placement | 13 | $330 | $24 |
| X-ray of hip, 2-3 views | 25 | $228 | $9 |
| Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 17 | $212 | $0 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 14 | $207 | $15 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 12 | $194 | $16 |
| Ultrasound study of arm and leg arteries | 16 | $159 | $10 |
| Ultrasonic guidance for blood vessel access | 13 | $151 | $12 |
| X-ray of knee, 4 or more views | 14 | $132 | $9 |
| X-ray of shoulder, minimum of 2 views | 18 | $131 | $7 |
| X-ray of knee, 3 views | 15 | $123 | $6 |
| X-ray of foot, minimum of 3 views | 16 | $116 | $6 |
| X-ray of knee, 1-2 views | 15 | $103 | $7 |
| X-ray of abdomen, 1 view | 12 | $96 | $7 |
| X-ray of ankle, minimum of 3 views | 12 | $92 | $7 |
| X-ray of pelvis, 1-2 views | 11 | $78 | $7 |
2022: 15 services
| Ct scan of chest without contrast | 29 | $3,455 | $119 |
| Ct scan head or brain without contrast | 83 | $2,861 | $33 |
| Ct scan of abdomen and pelvis without contrast | 41 | $2,855 | $70 |
| Ct scan of abdomen and pelvis without contrast | 17 | $2,773 | $163 |
| Mri scan of lower spinal canal without contrast | 11 | $1,911 | $174 |
| X-ray of chest, 1 view | 205 | $1,810 | $8 |
| Ct scan of abdomen and pelvis with contrast | 24 | $1,791 | $75 |
| Ct scan of chest without contrast | 39 | $1,718 | $44 |
| Ct scan of blood vessels of chest with contrast | 22 | $1,620 | $74 |
| Aspiration of fluid from chest cavity using imaging guidance | 12 | $1,153 | $89 |
| Ct scan of upper spine without contrast | 21 | $843 | $40 |
| Ct scan of blood vessels of neck with contrast | 11 | $749 | $68 |
| Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 25 | $216 | $0 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 17 | $189 | $10 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 11 | $170 | $15 |
Medicaid work
$2,927 in 2024
Medicaid paid $2,927 for 348 billed services this clinician did in 2024, up to 25 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.
| Radiologic examination, chest; single view | 170 | $836 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older | 28 | $655 |
| Injection, lidocaine hydrochloride, 1 mg | 14 | $630 |
| X-RAY EXAM OF FOOT | 55 | $345 |
| Radiologic examination, chest; 2 views | 30 | $295 |
| Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time | 14 | $99 |
| X-RAY EXAM OF ANKLE | 15 | $67 |
| External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report | 22 | $0 |
| 2024 | 348 | 8 | 25 | $2,927 |
| 2023 | 296 | 4 | 56 | $3,725 |
| 2022 | 249 | 4 | 57 | $4,779 |
See the largest Medicaid services in earlier years
2023
| Computed tomography, head or brain; without contrast material | 70 | $2,023 |
| Radiologic examination, chest; single view | 200 | $1,113 |
| CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | 12 | $517 |
| Radiologic examination, chest; 2 views | 14 | $73 |
2022
| CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | 37 | $1,635 |
| CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | 28 | $1,529 |
| Computed tomography, head or brain; without contrast material | 45 | $939 |
| Radiologic examination, chest; single view | 139 | $676 |
Money from drug and device companies
$448 in 2025
| 2025 | 4 | 6 | None | $448 |
| 2024 | 2 | 3 | None | $341 |
| 2022 | 3 | 3 | None | $1,337 |
| 2021 | 1 | 2 | None | $41 |
| 2020 | 1 | 1 | None | $127 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Stryker | Artix Mt | $160 | 2 payments
|
| Boston Scientific | Obsidio | $142 | 2 payments
|
| Argon Medical Devices | Clot Management | $112 | 1 payment
|
| Cordis US | Mynx Control | $35 | 1 payment
|
See all 6 published payments
| Stryker | Meals · 2025-12-17 | Artix Mt | $125 |
| Stryker | Meals · 2025-11-05 | Flowtriever | $35 |
| Boston Scientific | Meals · 2025-10-18 | Obsidio | $58 |
| Boston Scientific | Travel · 2025-10-18 | Obsidio | $83 |
| Argon Medical Devices | Meals · 2025-09-17 | Clot Management | $112 |
| Cordis US | Meals · 2025-09-16 | Mynx Control | $35 |
See earlier years (2024, 2022, 2021, 2020)
2024: $341
| Terumo Medical | Azur Cx Detachable | $198 | 2 payments
|
| Boston Scientific | Therasphere Y90 Glass Microspheres 10 Gbq | $143 | 1 payment
|
2022: $1,337
| Medtronic | Endurant Iis | $1,057 | 1 payment
|
| Cardiovascular Systems | Diamondback Peripheral | $160 | 1 payment
|
| Silk Road Medical | Enroute Transcarotid Stent | $120 | 1 payment
|
2021: $41
| Bard Peripheral Vascular | Rotarex | $41 | 2 payments
|
2020: $127
| Terumo Medical | None | $127 | 1 payment
|
Professional record
- NPI
- 1841677317
- Trained
- University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb), 2015
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 2085R0204X (2085R0204X)
- Mailing address
- 5820 Owens Dr Fl 2, Pleasanton, CA, 94588
- NPI first listed
- 2015-05-04
- NPI last updated
- 2026-07-24
- NPI record certified
- 2026-07-24
This is when the NPI record was last certified, not a medical board exam.