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Misha Amoils

Otolaryngology · San Jose

NPI 1902162563

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
26
6 carriers
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.

Plans that list them

26 plans · 6 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Misha Amoils’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

26 of 26 plans

Plans whose provider directory lists this clinician
Aetna Medicare Eagle (PPO)Aetna MedicareListedSep 8, 2026
Aetna Medicare Enhanced (PPO)Aetna MedicareListedSep 8, 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
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
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 A126426 · Current

Licensed to practise in California · since 2013 · expires 2028-09-30 · University of California San Francisco School of Medicine.

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

$12,157

Medicare paid this office $12,157 for 63 people.

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

Largest Original Medicare bills
New patient visit (30+ min)26$1,472$57
Diagnostic exam of voice box using a flexible endoscope18$1,181$62
Short return visit (20+ min)15$836$52
Diagnostic exam of nasal passages using an endoscope14$764$55

Who their Medicare patients are

63 Original Medicare patients in 2024. Average age 72 · Women 56% · Also on Medicaid 75% · Health risk score 1.78. Sicker patients than 9 in 10 peers; the typical otolaryngology clinician is at 1.19.

Conditions among them: High blood pressure 73% · Diabetes 43% · Chronic kidney disease 27% · Depression 25% · Coronary heart disease 22% · Atrial fibrillation 19% · Heart failure 17% · COPD 17%.

The office billed $147,956, Medicare allowed $16,378 and paid $12,157; for 127 services of 26 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
202463127721.78$147,956$12,157
202353101701.88$113,816$7,792
202272136701.32$134,859$12,511
20213662671.82$35,301$4,141
202078144711.24$126,371$11,768
201998214691.68$196,114$17,418
201893194701.80$138,409$16,867
20174693701.99$49,091$6,893

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: 3 services

Original Medicare services billed in 2023
Short return visit (20+ min)33$1,582$45
Diagnostic exam of voice box using a flexible endoscope17$900$50
Diagnostic exam of nasal passages using an endoscope12$434$36

2022: 3 services

Original Medicare services billed in 2022
Short return visit (20+ min)64$3,983$58
Diagnostic exam of voice box using a flexible endoscope31$1,948$61
Diagnostic exam of nasal passages using an endoscope13$829$59

2021: 2 services

Original Medicare services billed in 2021
Short return visit (20+ min)26$1,692$58
Diagnostic exam of voice box using a flexible endoscope13$968$65

2020: 4 services

Original Medicare services billed in 2020
Diagnostic exam of voice box using a flexible endoscope14$844$60
Short return visit36$799$19
Short return visit (20+ min)13$692$43
Telephone medical discussion with physician, 11-20 minutes14$611$41

2019: 5 services

Original Medicare services billed in 2019
Diagnostic exam of voice box using a flexible endoscope38$2,244$58
New patient visit (15+ min)34$1,255$37
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes15$1,253$84
Diagnostic exam of nasal passages using an endoscope17$1,009$46
Short return visit33$843$22

2018: 6 services

Original Medicare services billed in 2018
New patient visit (15+ min)46$1,748$38
Diagnostic exam of voice box using a flexible endoscope29$1,635$56
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes14$1,257$90
Diagnostic exam of nasal passages using an endoscope14$1,100$50
Short return visit (20+ min)19$825$41
Short return visit14$319$21

2017: 2 services

Original Medicare services billed in 2017
Diagnostic exam of voice box using a flexible endoscope19$1,297$62
New patient visit (15+ min)23$1,042$45

Medicaid work

$1,851 in 2024

Medicaid paid $1,851 for 969 billed services this clinician did in 2024, up to 49 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
New patient visit (30+ min)25$433
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)83$418
Short return visit (20+ min)39$414
Diagnostic flexible fiberoptic laryngoscopy13$339
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES29$247
Pain severity quantified; no pain present (COA) (ONC)23$0
Medication list documented in medical record (COA)315$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)183$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)28$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)202$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)29$0
Medicaid work by year
20249691149$1,851
2023374751$3,250
2022613367$4,926
2021260353$1,329
2020208625$2,101
2019681535$5,243
2018518535$3,361
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Short return visit (20+ min)217$1,529
Diagnostic flexible fiberoptic laryngoscopy36$734
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)51$454
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES28$345
New patient visit (30+ min)16$187
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)13$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)13$0

2022

Largest Medicaid services in 2022
Short return visit (20+ min)430$2,124
Diagnostic flexible fiberoptic laryngoscopy82$1,855
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)101$947

2021

Largest Medicaid services in 2021
Short return visit (20+ min)210$889
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)34$257
Diagnostic flexible fiberoptic laryngoscopy16$182

2020

Largest Medicaid services in 2020
Diagnostic flexible fiberoptic laryngoscopy33$889
OFF/OP CONSLTJ NEW/EST SF 2066$601
Short return visit50$226
Short return visit (20+ min)35$223
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)12$106
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES12$56

2019

Largest Medicaid services in 2019
Diagnostic flexible fiberoptic laryngoscopy148$2,720
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)111$1,166
OFF/OP CONSLTJ NEW/EST SF 20198$946
Short return visit210$323
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES14$89

2018

Largest Medicaid services in 2018
Diagnostic flexible fiberoptic laryngoscopy90$1,256
OFF/OP CONSLTJ NEW/EST SF 20239$1,248
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)83$718
Short return visit (20+ min)59$104
Short return visit47$36

Money from drug and device companies

$63 in 2025

A payment is not proof that care is biased.

Payments by company
Smith+NephewTula$63
2 payments
  • Meals for Tula · 2025-04-18 · $28
  • Meals for Tula · 2025-02-13 · $35
See all 2 published payments
Every published payment
Smith+NephewMeals · 2025-04-18Tula$28
Smith+NephewMeals · 2025-02-13Tula$35

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.

Professional record

NPI
1902162563
Licence
CA A126426California A126426: Current · expires 2028-09-30
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Otolaryngology (207Y00000X)
Mailing address
572 Lakeview Way, Emerald Hills, CA, 94062
NPI first listed
2012-04-09
NPI last updated
2024-03-04
NPI record certified
2024-03-04

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