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Kazuko L Shem, MD

Physical Medicine and Rehabilitation · San Jose

NPI 1932204641

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
25
6 carriers
Office
1
Since medical school
32 years
University of California, San Francisco School of Medicine, 1994

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

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

Plans that list them

25 plans · 6 carriers

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

25 of 25 plans

Plans whose provider directory lists this clinician
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
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 A54607 · Current

Licensed to practise in California · since 1995 · expires 2027-05-31 · University of California San Francisco School of Medicine.

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

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Physical Medicine and Rehabilitation - Pain Medicine
  • American Board of Physical Medicine and Rehabilitation - Physical Medicine and Rehabilitation
  • American Board of Physical Medicine and Rehabilitation - Spinal Cord Injury Medicine

Hospitals they work in

2 hospitals

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
  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
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%
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 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 Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$47,556

Medicare paid this office $47,556 for 420 people.

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

Largest Original Medicare bills
Short return visit (20+ min)229$15,751$51
Return visit (30+ min)135$13,838$79
Long return visit (40+ min)46$7,420$122
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$1,777$71
New patient visit (45+ min)14$1,565$112
See all 10 services
Every Original Medicare service billed
Short return visit (20+ min)229$15,751$51
Return visit (30+ min)135$13,838$79
Long return visit (40+ min)46$7,420$122
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$1,777$71
New patient visit (45+ min)14$1,565$112
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes27$1,278$44
New patient visit (30+ min)15$784$52
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic38$717$12
Short return visit11$338$31
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's15$226$15

Who their Medicare patients are

420 Original Medicare patients in 2024. Average age 62 · Under 65 47% · 85 and older 3% · Women 42% · Also on Medicaid 64% · Health risk score 2.12. Above the middle of the specialty; the typical physical medicine and rehabilitation clinician is at 1.53.

Conditions among them: High blood pressure 58% · Diabetes 34% · Depression 27% · Stroke 25% · Coronary heart disease 20% · Heart failure 16% · Chronic kidney disease 16% · Atrial fibrillation 16% · Dementia 10% · COPD 9% · Cancer 8%.

The office billed $459,022, Medicare allowed $66,788 and paid $47,556; for 783 services of 32 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
2024420783622.12$459,022$47,556
2023411711611.97$410,227$44,968
2022280419601.91$234,238$27,232
2021241403611.99$215,309$25,831
2020252399612.22$182,363$20,436
2019322594602.06$364,658$36,057
2018296515592.05$248,747$27,154
2017260432592.02$187,588$19,677
2016254407592.00$137,227$19,996
2015237432582.13$103,680$20,665
2014233445581.81$80,773$18,190
2013235468562.06$71,607$18,031

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
Short return visit (20+ min)229$16,524$53
Return visit (30+ min)127$12,437$78
Long return visit (40+ min)29$4,255$129
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes47$3,037$46
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes21$2,371$74
Short return visit27$686$25

2022: 7 services

Original Medicare services billed in 2022
Short return visit (20+ min)152$9,381$55
Return visit (30+ min)81$8,095$87
Long return visit (40+ min)17$2,290$127
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,562$74
Telephone medical discussion with physician, 5-10 minutes25$686$26
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes11$620$41
Short return visit14$430$31

2021: 9 services

Original Medicare services billed in 2021
Return visit (30+ min)68$7,841$87
Short return visit (20+ min)63$3,430$52
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$2,257$81
Long return visit (40+ min)11$2,055$137
Telephone medical discussion with physician, 11-20 minutes29$1,699$51
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes20$1,159$43
Short return visit20$637$32
Telephone medical discussion with physician, 5-10 minutes18$447$25
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic17$331$12

2020: 8 services

Original Medicare services billed in 2020
Telephone medical discussion with physician, 11-20 minutes62$3,104$46
Short return visit (20+ min)62$3,014$40
Return visit (30+ min)33$2,879$69
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$2,495$78
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes36$1,711$41
Telephone medical discussion with physician, 21-30 minutes12$942$72
Telephone medical discussion with physician, 5-10 minutes29$691$24
Short return visit29$501$17

2019: 6 services

Original Medicare services billed in 2019
Return visit (30+ min)177$15,773$60
Short return visit (20+ min)90$4,056$40
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$1,458$66
Long return visit (40+ min)12$1,318$101
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes29$1,248$36
Short return visit32$743$22

2018: 8 services

Original Medicare services billed in 2018
Return visit (30+ min)122$10,901$66
Short return visit (20+ min)84$4,715$41
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes30$3,072$65
Long return visit (40+ min)15$1,796$95
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes28$1,364$34
Short return visit56$1,282$18
New patient visit (30+ min)15$952$63
New patient visit (15+ min)11$397$36

2017: 5 services

Original Medicare services billed in 2017
Return visit (30+ min)87$7,275$61
Short return visit (20+ min)74$3,666$39
Short return visit82$1,747$19
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,425$65
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes22$1,153$34

2016: 6 services

Original Medicare services billed in 2016
Return visit (30+ min)80$6,672$64
Short return visit (20+ min)76$3,564$36
Long return visit (40+ min)18$1,784$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$1,543$64
Short return visit63$1,412$18
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes27$1,046$35

2015: 6 services

Original Medicare services billed in 2015
Return visit (30+ min)92$7,395$63
Short return visit (20+ min)98$4,769$38
Long return visit (40+ min)21$2,327$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,830$63
Short return visit49$1,214$19
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes16$678$34

2014: 4 services

Original Medicare services billed in 2014
Short return visit (20+ min)123$7,347$40
Return visit (30+ min)51$4,062$62
Short return visit60$1,879$19
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes25$1,145$35

2013: 4 services

Original Medicare services billed in 2013
Short return visit (20+ min)132$7,850$39
Return visit (30+ min)60$4,463$61
Short return visit70$2,271$20
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes18$796$33

Medicaid work

$8,450 in 2024

Medicaid paid $8,450 for 2,046 billed services this clinician did in 2024, up to 66 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
Return visit (30+ min)264$4,210
Short return visit (20+ min)422$4,174
Long return visit (40+ min)12$67
Pain severity quantified; no pain present (COA) (ONC)19$0
Medication list documented in medical record (COA)440$0
Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA)215$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)289$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)25$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)25$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)281$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)54$0
Medicaid work by year
20242,0461166$8,450
2023842750$7,596
2022550245$6,334
2021311330$6,716
2020340444$7,258
2019706355$8,945
2018526643$8,297
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)284$4,861
Short return visit (20+ min)410$2,324
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES23$322
Short return visit15$89
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)24$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)39$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)47$0

2022

Largest Medicaid services in 2022
Short return visit (20+ min)428$3,342
Return visit (30+ min)122$2,992

2021

Largest Medicaid services in 2021
Short return visit (20+ min)193$3,727
Return visit (30+ min)105$2,733
Short return visit13$256

2020

Largest Medicaid services in 2020
Return visit (30+ min)199$4,905
Short return visit (20+ min)107$1,574
Service14$477
Short return visit20$301

2019

Largest Medicaid services in 2019
Return visit (30+ min)509$5,897
Service73$2,421
Short return visit (20+ min)124$627

2018

Largest Medicaid services in 2018
Service102$3,478
Return visit (30+ min)224$1,951
Service12$1,239
Short return visit (20+ min)134$835
Service12$600
Short return visit42$194

Drugs they prescribed that Part D paid

$62,038

Pharmacies billed $62,038 in 2024.

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

885 generic and 93 brand-name prescriptions · $62,038 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
Dantrolene178$18,000$101
Baclofen354$10,582$30
Gabapentin99$1,587$16
Midodrine20$1,387$69
Tizanidine44$1,278$29
See all 13 drugs
Every Part D drug this clinician prescribed
Dantrolene178$18,000$101
Baclofen354$10,582$30
Gabapentin99$1,587$16
Midodrine20$1,387$69
Tizanidine44$1,278$29
Oxybutynin Chloride Er30$1,234$41
Pregabalin48$648$14
Amantadine16$545$34
Amitriptyline14$138$10
Ibuprofen12$114$9
Lactulose13$103$8
Diazepam19$54$3
Cyclobenzaprine15$40$3

Year by year

Part D prescribing by year
2024978158None10%$62,038
20231,074165None6%$100,204
20221,148152NoneNone$116,359
20211,145165None7%$99,425
2020931158None6%$72,209
2019836143None9%$74,136
20181,049156None9%$82,678
20171,2771682% (19)12%$106,716
20161,6301913% (41)16%$179,883
20151,7021874% (63)None$256,103
20142,0661803% (68)None$185,526
20131,9101664% (72)None$131,091

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

See the drugs prescribed each year

2023: 15 drugs

Part D drugs prescribed in 2023
Dantrolene200$30,727$154
Baclofen354$20,430$58
Midodrine38$5,839$154
Renacidin12$5,732$478
Gabapentin90$5,006$56
Pregabalin78$3,038$39
Oxybutynin Chloride Er27$2,997$111
Tizanidine42$1,553$37
Duloxetine11$505$46
Trazodone23$469$20
Amitriptyline15$402$27
Amantadine13$286$22
Cyclobenzaprine16$194$12
Diazepam23$187$8
Citalopram Hbr12$38$3

2022: 17 drugs

Part D drugs prescribed in 2022
Dantrolene228$32,278$142
Baclofen333$20,778$62
Myrbetriq12$11,392$949
Midodrine41$10,549$257
Gabapentin103$3,458$34
Pregabalin83$2,819$34
Tizanidine40$1,207$30
Proctosol-Hc13$1,101$85
Oxybutynin Chloride Er28$1,018$36
Oxybutynin Chloride20$890$45
Sertraline16$608$38
Duloxetine23$552$24
Amitriptyline15$412$27
Cyclobenzaprine13$317$24
Trazodone20$234$12
Diazepam16$153$10
Nortriptyline12$108$9

2021: 20 drugs

Part D drugs prescribed in 2021
Dantrolene200$25,784$129
Baclofen304$16,258$53
Midodrine50$5,901$118
Pregabalin52$2,572$49
Gabapentin67$2,053$31
Oxybutynin Chloride28$2,009$72
Oxybutynin Chloride Er27$1,700$63
Potassium Chloride17$1,400$82
Fludrocortisone Acetate14$1,261$90
Nitrofurantoin13$964$74
Duloxetine27$888$33
Tizanidine58$786$14
Cyclobenzaprine17$403$24
Diazepam49$375$8
Amitriptyline17$346$20
Sertraline17$270$16
Tamsulosin14$205$15
Trazodone23$200$9
Lactulose11$133$12
Nortriptyline13$122$9

2020: 15 drugs

Part D drugs prescribed in 2020
Dantrolene141$21,272$151
Baclofen286$12,991$45
Midodrine33$3,615$110
Pregabalin34$2,639$78
Oxybutynin Chloride Er25$2,184$87
Gabapentin68$1,706$25
Oxybutynin Chloride28$1,641$59
Tizanidine71$1,183$17
Duloxetine20$431$22
Trazodone15$161$11
Amitriptyline11$153$14
Sodium Chloride23$129$6
Nortriptyline12$114$9
Diazepam33$107$3
Cyclobenzaprine12$81$7

2019: 16 drugs

Part D drugs prescribed in 2019
Lyrica26$22,957$883
Dantrolene119$19,923$167
Baclofen237$10,573$45
Oxybutynin Chloride Er40$2,674$67
Gabapentin75$2,205$29
Tizanidine45$1,427$32
Midodrine22$1,391$63
Oxybutynin Chloride21$936$45
Duloxetine20$835$42
Pregabalin12$687$57
Amitriptyline17$348$20
Ibuprofen14$253$18
Clonazepam11$237$22
Cyclobenzaprine16$185$12
Trazodone12$138$11
Diazepam38$113$3

2018: 16 drugs

Part D drugs prescribed in 2018
Lyrica44$23,042$524
Dantrolene148$20,942$141
Baclofen262$13,190$50
Oxybutynin Chloride Er65$4,846$75
Gabapentin112$4,245$38
Tizanidine68$3,067$45
Oxybutynin Chloride46$2,512$55
Nitrofurantoin11$1,657$151
Duloxetine26$1,025$39
Polyethylene Glycol 335018$400$22
Diazepam43$361$8
Fludrocortisone Acetate13$299$23
Lidocaine11$218$20
Cyclobenzaprine17$145$9
Trazodone19$121$6
Sertraline13$69$5

2017: 17 drugs

Part D drugs prescribed in 2017
Lyrica44$24,981$568
Baclofen340$21,618$64
Dantrolene133$19,374$146
Oxybutynin Chloride Er99$8,549$86
Oxybutynin Chloride49$3,955$81
Gabapentin131$3,806$29
Nitrofurantoin31$2,511$81
Tizanidine64$1,912$30
Duloxetine24$1,562$65
Midodrine15$774$52
Diazepam56$469$8
Polyethylene Glycol 335016$453$28
Lidocaine22$440$20
Fludrocortisone Acetate12$286$24
Sodium Chloride27$222$8
Amitriptyline12$201$17
Citalopram Hbr11$96$9

2016: 24 drugs

Part D drugs prescribed in 2016
Dantrolene172$30,198$176
Lyrica58$28,598$493
Baclofen360$18,955$53
Vesicare21$10,058$479
Oxybutynin Chloride Er102$8,568$84
Nitrofurantoin52$8,458$163
Lidocaine25$5,242$210
Gabapentin143$4,530$32
Tizanidine92$4,181$45
Linzess13$4,163$320
Oxybutynin Chloride73$4,126$57
Renacidin15$1,507$100
Ventolin Hfa11$1,141$104
Lidocaine27$987$37
Polyethylene Glycol 335025$849$34
Diazepam58$427$7
Amitriptyline17$301$18
Trazodone24$232$10
Clonidine16$219$14
Citalopram Hbr16$182$11
Sodium Chloride28$128$5
Fluconazole15$84$6
Prochlorperazine Maleate11$78$7
Sertraline12$72$6

2015: 24 drugs

Part D drugs prescribed in 2015
Dantrolene166$26,349$159
Lyrica67$24,471$365
Baclofen319$16,520$52
Oxybutynin Chloride Er113$8,098$72
Tizanidine131$7,080$54
Vesicare20$6,347$317
Nitrofurantoin78$5,239$67
Gabapentin143$4,895$34
Oxybutynin Chloride81$4,489$55
Lidocaine13$2,284$176
Polyethylene Glycol 335046$2,077$45
Lidocaine27$848$31
Amitriptyline27$569$21
Oxycodone19$417$22
Diazepam38$250$7
Hydrocodone-Acetaminophen14$231$17
Sodium Chloride33$224$7
Trazodone26$156$6
Tramadol16$142$9
Clonidine11$134$12
Sertraline21$126$6
Ibuprofen13$112$9
Fluconazole12$80$7
Citalopram Hbr14$80$6

2014: 33 drugs

Part D drugs prescribed in 2014
Dibenzyline23$44,451$1,933
Dantrolene157$22,824$145
Oxybutynin Chloride Er211$18,137$86
Lyrica63$16,908$268
Baclofen371$12,738$34
Nitrofurantoin95$7,405$78
Duloxetine28$6,304$225
Vesicare28$6,261$224
Tizanidine140$5,400$39
Gabapentin145$5,033$35
Oxybutynin Chloride81$4,514$56
Renacidin16$2,239$140
Polyethylene Glycol 335047$2,214$47
Lidocaine22$1,486$68
Lidocaine55$1,010$18
Tamsulosin17$831$49
Cyclobenzaprine12$652$54
Midodrine11$600$55
Amitriptyline55$569$10
Hydrocodone-Acetaminophen23$552$24
Sodium Chloride43$543$13
Fludrocortisone Acetate14$429$31
Oxycodone13$281$22
Clonidine26$263$10
Trazodone16$245$15
Diazepam33$183$6
Sertraline13$172$13
Ibuprofen23$153$7
Citalopram Hbr21$136$6
Tramadol12$134$11
Metoprolol12$78$7
Propranolol12$60$5
Fluoxetine11$45$4

2013: 34 drugs

Part D drugs prescribed in 2013
Oxybutynin Chloride Er179$19,691$110
Dantrolene120$17,854$149
Dibenzyline22$14,028$638
Lyrica37$9,644$261
Gabapentin182$7,975$44
Cymbalta24$7,690$320
Baclofen363$6,768$19
Nitrofurantoin83$5,988$72
Vesicare21$4,231$201
Tizanidine108$4,148$38
Detrol La12$2,746$229
Lidocaine23$2,306$100
Oxybutynin Chloride95$2,221$23
Tolterodine11$1,671$152
Quetiapine13$1,581$122
Polyethylene Glycol 335059$1,526$26
Hydrocodone-Acetaminophen41$704$17
Nitrofurantoin Mono-Macro12$583$49
Lidocaine28$512$18
Tamsulosin21$495$24
Fludrocortisone Acetate12$397$33
Pantoprazole12$315$26
Oxcarbazepine12$304$25
Diazepam44$266$6
Cyclobenzaprine21$224$11
Trazodone25$214$9
Sodium Chloride28$211$8
Amitriptyline34$186$5
Clonidine22$163$7
Ibuprofen17$116$7
Sertraline11$111$10
Citalopram Hbr13$102$8
Cephalexin14$76$5
Propranolol13$65$5

Money from drug and device companies

$20 in 2022

A payment is not proof that care is biased.

Payments by company
OrganogenesisPuraply$20
1 payment
  • Meals for Puraply · 2022-08-23 · $20
See the published payment
Every published payment
OrganogenesisMeals · 2022-08-23Puraply$20

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
1932204641
Licence
CA A54607California A54607: Current · expires 2027-05-31
Trained
University of California, San Francisco School of Medicine, 1994 · 32 years ago
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
CA 00A546070
Taxonomy
Federal specialty code 208100000X (208100000X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-09-14
NPI last updated
2007-09-12

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