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Albert H Kwon, MD

Pain Management · San Jose

NPI 1942542923

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
1 carrier
Office
1

Offices

1 location · G2 Anesthesia PC · 104 clinicians in this group

Looking this up.

Hospitals listed: Good Samaritan Hospital. That is not proof they admit you there this week.

Plans that list them

9 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Kwon’s office at (408) 559-2011 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

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

California Medical Board record

Licence A159861 · Current

Licensed to practise in California · since 2018 · expires 2026-12-31 · Harvard Medical School.

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.

  • Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
See every measure and the patient survey for Good Samaritan Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 1 worse of 8 measures. Readmissions: 0 better, 5 the same, 4 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Good Samaritan Hospital
Clostridium Difficile (C.Diff)Infections0.337BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.75 (0 to 1.67) · 1,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.84 (0.54 to 1.14)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths143.59 (98.7 to 188.49) · 98 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.7 · 45 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.7 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 573 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.6 · 820 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.5 · 482 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 3,711 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.12 (0 to 0.3) · 8,866 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.01 to 0.38) · 9,051 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.65 (0.74 to 4.56) · 1,929 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.8 (0.21 to 3.39) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.33 (0.88 to 3.78) · 1,836 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.73 (0 to 13.46) · 669 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.58 (3.96 to 11.19) · 654 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.59 (0.13 to 3.04) · 496 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.27 (0 to 0.87) · 7,373 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.1 · 152 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.08No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.542No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.484No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.565No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 327 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24.2 · 703 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits61.1 · 289 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits36.3 · 665 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits25.4 · 856 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19 · 978 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.3 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.3 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.2 · 135 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.8 (10.1 to 18.6) · 129 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 531 casesNo differentJan 2024 – Dec 2024

What patients said (704 patients answered, 24% of those asked)

Patient survey stars by topic at Good Samaritan Hospital
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Good Samaritan Hospital
Room was "always" clean66%
Nurses "always" communicated well75%
Doctors "always" communicated well71%
Staff "always" explained54%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night38%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$20,965

Medicare paid this office $20,965 for 171 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 minutes28$3,413$70
New patient visit (60+ min)16$2,682$168
Return visit (30+ min)24$2,462$88
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes32$2,309$72
Injection of trigger points, 3 or more muscles17$638$35
See all 6 services
Every Original Medicare service billed
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes28$3,413$70
New patient visit (60+ min)16$2,682$168
Return visit (30+ min)24$2,462$88
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes32$2,309$72
Injection of trigger points, 3 or more muscles17$638$35
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes11$125$10

Who their Medicare patients are

171 Original Medicare patients in 2024. Average age 73 · Under 65 17% · 85 and older 16% · Women 66% · Also on Medicaid 31% · Health risk score 1.77. Above the middle of the specialty; the typical anesthesiology clinician is at 1.54.

Conditions among them: High blood pressure 65% · Depression 39% · Chronic kidney disease 30% · Diabetes 29% · Coronary heart disease 29% · Cancer 25% · Atrial fibrillation 23% · Heart failure 22% · COPD 18% · Dementia 9% · Stroke 9%.

The office billed $352,405, Medicare allowed $27,936 and paid $20,965; for 263 services of 41 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
2024171263731.77$352,405$20,965
2023387687711.76$664,155$54,421
2022352619691.74$513,583$44,315
2021137230701.71$134,196$17,506
20201214681.76$6,172$1,282
201816106471.52$68,900$10,126

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: 12 services

Original Medicare services billed in 2023
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes87$10,553$117
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes73$8,467$75
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes61$8,077$73
Return visit (30+ min)57$5,444$81
New patient visit (60+ min)19$3,035$160
Long return visit (40+ min)22$2,746$125
Injection of substance into lower spine canal using imaging guidance15$1,272$79
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes14$1,039$45
Injection of lower or sacral spine facet joint using imaging guidance, single level11$959$87
Injection of trigger points, 3 or more muscles20$869$35
Injection of lower or sacral spine facet joint using imaging guidance, second level11$557$51
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito43$202$5

2022: 10 services

Original Medicare services billed in 2022
Return visit (30+ min)64$7,527$83
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes41$5,144$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes62$4,858$63
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes63$3,367$32
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes30$2,829$91
New patient visit (60+ min)22$2,698$123
Long return visit (40+ min)20$2,626$125
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,600$123
Injection of trigger points, 3 or more muscles22$991$35
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito28$127$4

2021: 6 services

Original Medicare services billed in 2021
New patient visit (60+ min)32$5,160$161
Return visit (30+ min)34$4,315$90
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes33$1,779$36
Long return visit (40+ min)12$1,582$132
Ultrasonic guidance for needle placement18$527$29
Injection of trigger points, 3 or more muscles11$428$39

2018: 1 service

Original Medicare services billed in 2018
Anesthesia for electroshock therapy16$10,126$96

Medicaid work

$1,267 in 2024

Medicaid paid $1,267 for 37 billed services this clinician did in 2024, up to 15 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 MINUTES37$1,267
Medicaid work by year
202437115$1,267
2023113219$3,911
202274317$1,832
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES87$2,214
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES26$1,697

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES21$704
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES17$582
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES36$546

Drugs they prescribed that Part D paid

$6,284

Pharmacies billed $6,284 in 2024.

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

67 generic and fewer than 11 brand-name prescriptions · $6,284 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
Pregabalin11$383$35
Duloxetine14$248$18
Gabapentin11$159$14

Year by year

Part D prescribing by year
20247637NoneNone$6,284
202310535NoneNone$7,134
202215441NoneNone$4,195
20219845NoneNone$5,588
202046140% (0)0%$1,863
2019190537% (13)None$12,015

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

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Duloxetine23$966$42
Gabapentin22$563$26

2022: 3 drugs

Part D drugs prescribed in 2022
Pregabalin17$1,158$68
Duloxetine45$914$20
Gabapentin47$508$11

2021: 2 drugs

Part D drugs prescribed in 2021
Duloxetine36$975$27
Gabapentin16$153$10

2020: 2 drugs

Part D drugs prescribed in 2020
Diclofenac12$795$66
Gabapentin14$349$25

2019: 3 drugs

Part D drugs prescribed in 2019
Gabapentin66$1,378$21
Diclofenac22$1,289$59
Duloxetine29$838$29

Money from drug and device companies

$125 in 2025

Industry payments by year
202512None$125
202411None$132
202366None$855
202258None$967
202122None$160
202011None$11
2019613None$1,627

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

A payment is not proof that care is biased.

Payments by company
Si-BoneNone$125
2 payments
  • Meals · 2025-03-21 · $39
  • Meals · 2025-02-07 · $87
See all 2 published payments
Every published payment
Si-BoneMeals · 2025-03-21None$39
Si-BoneMeals · 2025-02-07None$87
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $132

Payments by company in 2024
Biotronik NroProspera$132
1 payment
  • Meals for Prospera · 2024-12-14 · $132

2023: $855

Payments by company in 2023
Saluda Medical AmericasEvoke Scs$193
1 payment
  • Meals for Evoke Scs · 2023-10-30 · $193
Relievant MedsystemsIntracept$165
1 payment
  • Meals for Intracept · 2023-01-13 · $165
Mml USReactiv8$149
1 payment
  • Meals for Reactiv8 · 2023-05-26 · $149
NevroSenza$136
1 payment
  • Meals for Senza · 2023-11-16 · $136
GlaxoSmithKlineShingrix$115
1 payment
  • Meals for Shingrix · 2023-01-17 · $115
MedtronicIntellis Adaptivestim$97
1 payment
  • Meals for Intellis Adaptivestim · 2023-01-13 · $97

2022: $967

Payments by company in 2022
GlaxoSmithKlineFluarix Quadrivalent$335
3 payments
  • Meals for Fluarix Quadrivalent · 2022-09-26 · $120
  • Meals · 2022-07-21 · $125
  • Meals · 2022-04-07 · $90
SPR TherapeuticsSprint Pns System$203
2 payments
  • Meals for Sprint Pns System · 2022-12-31 · $117
  • Meals for Sprint Pns System · 2022-12-31 · $86
MasimoSedline$167
1 payment
  • Meals for Sedline · 2022-12-01 · $167
Nalu MedicalNalu Neurostimulation System$135
1 payment
  • Meals for Nalu Neurostimulation System · 2022-12-20 · $135
NevroOmnia$127
1 payment
  • Meals for Omnia · 2022-05-31 · $127

2021: $160

Payments by company in 2021
Nalu MedicalNalu Neurostimulation System$123
1 payment
  • Meals for Nalu Neurostimulation System · 2021-12-09 · $123
MedtronicIntellis$37
1 payment
  • Meals for Intellis · 2021-03-27 · $37

2020: $11

Payments by company in 2020
Boston ScientificGeneral - Pain Management$11
1 payment
  • Meals for General - Pain Management · 2020-09-02 · $11

2019: $1,627

Payments by company in 2019
NevroSenza Spinal Cord Stimulation System$671
4 payments
  • Meals for Senza Spinal Cord Stimulation System · 2019-11-18 · $127
  • Meals for Senza Spinal Cord Stimulation System · 2019-10-25 · $125
  • Meals for Senza Spinal Cord Stimulation System · 2019-08-15 · $172
  • Meals for Senza Spinal Cord Stimulation System · 2019-05-07 · $248
Abbott LaboratoriesAxium Ins Drg Ipg$444
1 payment
  • Education for Axium Ins Drg Ipg · 2019-01-29 · $444
Boston ScientificGeneral Pain Management$312
4 payments
  • Meals for General Pain Management · 2019-08-20 · $109
  • Meals for Spectra Wavewriter · 2019-08-16 · $59
  • Meals for General Therapies · 2019-06-26 · $76
  • Meals for General Pain Management · 2019-01-18 · $68
Avanos MedicalCoolief* Cooled Radiofrequency$100
1 payment
  • Meals for Coolief* Cooled Radiofrequency · 2019-12-11 · $100
VertiflexSuperion Iss$60
1 payment
  • Meals for Superion Iss · 2019-12-04 · $60
TerSera TherapeuticsPrialt$39
2 payments
  • Meals for Prialt · 2019-05-25 · $20
  • Meals for Prialt · 2019-05-23 · $20

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1942542923
Licence
CA A159861, MA 274320, NY 301638California A159861: Current · expires 2026-12-31
Trained
Harvard Medical School, 2013
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 208VP0000X (208VP0000X); Federal specialty code 207L00000X (207L00000X); Federal specialty code 207LP2900X (207LP2900X)
Mailing address
300 Pasteur Dr, Palo Alto, CA, 94305
NPI first listed
2013-03-18
NPI last updated
2024-04-11
NPI record certified
2024-04-11

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

Extra NPI addresses: 450 Broadway St, Redwood City, CA, 94063