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Eric I Hsiao, MD

Pulmonary Disease · San Jose

NPI 1982667606

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
23
5 carriers
Offices
2

Offices

2 locations · 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

23 plans · 5 carriers

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

23 of 23 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
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 A65453 · Current

Licensed to practise in California · since 1998 · expires 2028-06-30 · University of California, Irvine College 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

$51,366

Medicare paid this office $51,366 for 229 people.

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

Largest Original Medicare bills
Critical care, first 30-74 minutes58$29,069$185
Short return visit (20+ min)62$4,451$51
Return visit (30+ min)48$4,178$79
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$3,842$107
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$1,860$69
See all 7 services
Every Original Medicare service billed
Critical care, first 30-74 minutes58$29,069$185
Short return visit (20+ min)62$4,451$51
Return visit (30+ min)48$4,178$79
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$3,842$107
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$1,860$69
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,547$103
New patient visit (45+ min)12$1,067$89

Who their Medicare patients are

229 Original Medicare patients in 2024. Average age 71 · Under 65 21% · 85 and older 13% · Women 44% · Also on Medicaid 81% · Health risk score 2.95. Above the middle of the specialty; the typical pulmonary disease clinician is at 2.13.

Conditions among them: High blood pressure 75% · Diabetes 53% · Heart failure 42% · COPD 42% · Coronary heart disease 36% · Chronic kidney disease 35% · Atrial fibrillation 29% · Depression 24% · Dementia 18% · Stroke 17% · Cancer 16%.

The office billed $618,490, Medicare allowed $67,442 and paid $51,366; for 469 services of 35 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
2024229469712.95$618,490$51,366
2023230475712.50$525,110$47,858
2022179348712.25$499,901$46,021
2021189422692.56$513,601$54,941
2020229460692.72$610,833$59,804
2019282508682.42$627,761$46,612
2018265515682.63$613,041$52,545
2017271596682.56$645,226$61,244
2016267503682.05$444,735$52,383
2015227455692.38$330,828$44,218
2014312588681.84$371,309$55,236
2013288536662.21$318,164$51,143

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: 10 services

Original Medicare services billed in 2023
Critical care, first 30-74 minutes54$26,715$201
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes33$3,949$113
Short return visit (20+ min)50$3,538$53
Return visit (30+ min)37$3,147$77
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$2,809$76
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,823$122
Test to determine lung volumes using sensors21$186$9
Test to examine how well the lungs exchange gases24$154$6
Test to measure expiratory airflow and volume17$120$7
Test to measure expiratory airflow and volume changes before and after medication administration13$84$6

2022: 7 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes52$28,988$213
Return visit (30+ min)38$3,383$79
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes28$2,940$105
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,721$143
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,713$78
Short return visit (20+ min)30$1,608$49
Telephone medical discussion with physician, 11-20 minutes12$605$50

2021: 9 services

Original Medicare services billed in 2021
Critical care, first 30-74 minutes63$36,102$224
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes33$4,080$110
Return visit (30+ min)36$3,858$94
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$2,411$151
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,294$76
Telephone medical discussion with physician, 21-30 minutes12$1,060$88
Short return visit (20+ min)13$879$63
Test to determine lung volumes using sensors16$158$10
Test to examine how well the lungs exchange gases16$117$7

2020: 13 services

Original Medicare services billed in 2020
Critical care, first 30-74 minutes69$41,209$230
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes30$3,464$112
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$3,055$139
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes22$2,253$78
Telephone medical discussion with physician, 11-20 minutes31$1,579$45
Return visit (30+ min)21$1,267$55
Sleep study in sleep lab with continuous airway pressure (6 years or older)11$1,185$108
Telephone medical discussion with physician, 21-30 minutes15$1,037$69
Sleep study including heart rate, breathing, airflow, and effort15$555$37
Short return visit (20+ min)13$476$34
Test to determine lung volumes using sensors12$116$10
Test to examine how well the lungs exchange gases11$86$8
Test to measure expiratory airflow and volume13$79$6

2019: 13 services

Original Medicare services billed in 2019
Critical care, first 30-74 minutes62$23,557$193
Return visit (30+ min)65$4,200$57
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes35$3,788$92
Sleep study in sleep lab (6 years or older)23$2,274$99
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,988$117
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,856$66
Sleep study in sleep lab with continuous airway pressure (6 years or older)15$1,743$116
Short return visit (20+ min)37$1,585$41
Sleep study including heart rate, breathing, airflow, and effort28$1,025$35
Test to determine lung volumes using sensors22$249$11
Test to measure expiratory airflow and volume changes before and after medication administration13$144$11
Test to examine how well the lungs exchange gases17$142$8
Test to measure expiratory airflow and volume17$140$8

2018: 13 services

Original Medicare services billed in 2018
Critical care, first 30-74 minutes69$32,203$193
Return visit (30+ min)53$3,532$62
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes29$3,292$89
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,773$111
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$1,765$65
Sleep study in sleep lab with continuous airway pressure (6 years or older)17$1,602$94
Short return visit (20+ min)41$1,459$35
Sleep study in sleep lab (6 years or older)17$1,358$80
Sleep study including heart rate, breathing, airflow, and effort14$389$28
Test to determine lung volumes using sensors19$178$9
Test to measure expiratory airflow and volume changes before and after medication administration14$142$10
Test to measure expiratory airflow and volume18$121$6
Test to examine how well the lungs exchange gases16$107$7

2017: 13 services

Original Medicare services billed in 2017
Critical care, first 30-74 minutes62$39,476$194
Return visit (30+ min)54$3,670$59
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes26$3,272$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$2,786$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,412$121
Sleep study in sleep lab (6 years or older)21$1,872$89
Sleep study in sleep lab with continuous airway pressure (6 years or older)12$1,239$103
Short return visit (20+ min)25$1,005$39
Sleep study including heart rate, breathing, airflow, and effort18$943$52
Test to determine lung volumes using sensors27$262$10
Test to measure expiratory airflow and volume38$235$6
Test to examine how well the lungs exchange gases28$191$7
Test to measure expiratory airflow and volume changes before and after medication administration13$130$10

2016: 11 services

Original Medicare services billed in 2016
Critical care, first 30-74 minutes51$32,548$195
Return visit (30+ min)82$5,756$63
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes17$2,064$90
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$1,929$60
Sleep study in sleep lab with continuous airway pressure (6 years or older)18$1,825$101
Sleep study in sleep lab (6 years or older)16$1,756$110
Sleep study including heart rate, breathing, airflow, and effort26$1,320$51
Short return visit (20+ min)37$1,277$35
Test to determine lung volumes using sensors14$111$8
Test to examine how well the lungs exchange gases12$74$6
Test to measure expiratory airflow and volume12$68$6

2015: 10 services

Original Medicare services billed in 2015
Critical care, first 30-74 minutes46$26,508$189
Return visit (30+ min)65$4,102$60
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$2,156$62
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,557$104
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,425$89
Short return visit (20+ min)19$641$34
Test to determine lung volumes using sensors22$227$10
Test to measure expiratory airflow and volume changes before and after medication administration16$172$11
Test to examine how well the lungs exchange gases19$144$7
Test to measure expiratory airflow and volume19$126$6

2014: 11 services

Original Medicare services billed in 2014
Critical care, first 30-74 minutes80$33,042$191
Return visit (30+ min)77$5,494$63
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes39$3,625$64
Short return visit (20+ min)57$2,337$41
Sleep study in sleep lab with continuous airway pressure (6 years or older)23$2,167$94
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,704$122
Sleep study in sleep lab (6 years or older)14$1,168$83
Test to determine lung volumes using sensors24$254$11
Test to examine how well the lungs exchange gases24$188$8
Test to measure expiratory airflow and volume changes before and after medication administration17$176$10
Test to measure expiratory airflow and volume20$151$8

2013: 10 services

Original Medicare services billed in 2013
Critical care, first 30-74 minutes67$30,849$190
Return visit (30+ min)75$5,038$59
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes40$3,119$62
Sleep study in sleep lab (6 years or older)25$2,415$93
Sleep study in sleep lab with continuous airway pressure (6 years or older)23$2,209$96
Short return visit (20+ min)53$2,141$37
Test to determine lung volumes using sensors19$208$10
Test to measure expiratory airflow and volume changes before and after medication administration17$184$10
Test to examine how well the lungs exchange gases17$136$8
Test to measure expiratory airflow and volume16$101$6

Medicaid work

$13,424 in 2024

Medicaid paid $13,424 for 2,354 billed services this clinician did in 2024, up to 76 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
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes154$6,664
Short return visit (20+ min)343$3,816
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist44$1,031
Return visit (30+ min)54$862
New patient visit (30+ min)72$688
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES13$260
Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)84$79
Plethysmography for determination of lung volumes and, when performed, airway resistance13$13
Diffusing capacity12$9
Pain severity quantified; no pain present (COA) (ONC)23$0
Medication list documented in medical record (COA)427$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)289$0
Medicaid work by year
20242,3541876$13,424
20231,0261337$10,584
2022216619$7,264
2021464622$21,100
2020240220$11,387
2019359824$6,867
2018475924$12,286
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes268$8,386
Short return visit (20+ min)294$918
Return visit (30+ min)48$309
New patient visit (30+ min)32$288
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES14$253
Plethysmography for determination of lung volumes and, when performed, airway resistance78$169
Diffusing capacity94$120
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation26$79
Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)25$47
EVALUATION OF WHEEZING24$15
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)18$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)51$0

2022

Largest Medicaid services in 2022
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes145$7,051
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES12$205
Return visit (30+ min)12$8
Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)13$0
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist19$0
Short return visit (20+ min)15$0

2021

Largest Medicaid services in 2021
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes337$20,600
Return visit (30+ min)26$213
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES13$134
Plethysmography for determination of lung volumes and, when performed, airway resistance34$76
Diffusing capacity39$51
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation15$26

2020

Largest Medicaid services in 2020
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes225$11,300
Return visit (30+ min)15$87

2019

Largest Medicaid services in 2019
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes116$5,747
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist19$392
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist13$338
Return visit (30+ min)68$236
EVALUATION OF WHEEZING29$87
Plethysmography for determination of lung volumes and, when performed, airway resistance39$25
Diffusing capacity34$22
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation41$21

2018

Largest Medicaid services in 2018
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes263$11,269
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES17$398
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES12$314
Return visit (30+ min)41$116
Plethysmography for determination of lung volumes and, when performed, airway resistance40$72
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation39$43
Diffusing capacity37$41
EVALUATION OF WHEEZING14$35
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist12$0

Drugs they prescribed that Part D paid

$112,708

Pharmacies billed $112,708 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 328) in 2024. At or below the middle of the specialty; the typical pulmonary disease clinician is at 0%.

145 generic and 183 brand-name prescriptions · $112,708 in drug cost · 23 antibiotic prescriptions.

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
Spiriva Handihaler21$19,164$913
Advair Hfa16$5,808$363
Breo Ellipta15$5,374$358
Tiotropium11$4,385$399
Budesonide-Formoterol20$3,960$198
See all 13 drugs
Every Part D drug this clinician prescribed
Spiriva Handihaler21$19,164$913
Advair Hfa16$5,808$363
Breo Ellipta15$5,374$358
Tiotropium11$4,385$399
Budesonide-Formoterol20$3,960$198
Qvar Redihaler12$3,014$251
Albuterol Sulfate Hfa53$2,150$41
Fluticasone-Salmeterol16$1,476$92
Ventolin Hfa13$677$52
Prednisone23$134$6
Fluticasone Propionate13$126$10
Montelukast14$118$8
Azithromycin13$94$7

Year by year

Part D prescribing by year
2024328720% (0)56%$112,708
202327959None69%$90,556
2022371670% (0)84%$151,809
202134472None79%$130,693
2020386770% (0)75%$174,191
2019307840% (0)75%$143,798
2018333910% (0)65%$74,427
201735479None71%$149,544
2016448880% (0)75%$305,824
201531070None74%$411,761
201439376None72%$339,933
201338775None76%$263,601

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

See the drugs prescribed each year

2023: 9 drugs

Part D drugs prescribed in 2023
Advair Diskus29$17,598$607
Symbicort30$15,701$523
Incruse Ellipta28$13,420$479
Advair Hfa19$10,409$548
Spiriva Handihaler12$7,742$645
Albuterol Sulfate Hfa38$1,840$48
Ventolin Hfa12$846$70
Fluticasone Propionate13$233$18
Prednisone13$76$6

2022: 9 drugs

Part D drugs prescribed in 2022
Spiriva Handihaler51$27,782$545
Symbicort56$23,362$417
Advair Hfa27$15,029$557
Advair Diskus20$12,927$646
Incruse Ellipta27$9,922$367
Qvar Redihaler13$3,440$265
Albuterol Sulfate Hfa41$2,291$56
Ventolin Hfa18$752$42
Fluticasone Propionate11$108$10

2021: 10 drugs

Part D drugs prescribed in 2021
Spiriva58$32,079$553
Symbicort50$21,026$421
Advair Diskus29$19,770$682
Advair Hfa14$7,828$559
Incruse Ellipta12$4,367$364
Arnuity Ellipta14$2,511$179
Albuterol Sulfate Hfa33$1,605$49
Ventolin Hfa19$1,409$74
Ipratropium11$317$29
Montelukast11$154$14

2020: 9 drugs

Part D drugs prescribed in 2020
Ambrisentan11$67,621$6,147
Spiriva66$38,383$582
Advair Diskus31$20,420$659
Symbicort42$16,704$398
Incruse Ellipta22$7,662$348
Ventolin Hfa33$2,130$65
Albuterol Sulfate Hfa41$1,707$42
Proair Hfa12$726$61
Ipratropium14$459$33

2019: 10 drugs

Part D drugs prescribed in 2019
Spiriva30$19,344$645
Advair Diskus22$12,361$562
Symbicort23$10,212$444
Breo Ellipta13$6,274$483
Flovent Hfa17$5,347$315
Incruse Ellipta11$3,710$337
Ventolin Hfa41$2,577$63
Proair Hfa15$730$49
Azithromycin12$188$16
Prednisone15$124$8

2018: 12 drugs

Part D drugs prescribed in 2018
Spiriva43$21,815$507
Symbicort32$10,284$321
Advair Diskus13$5,193$399
Flovent Hfa20$4,155$208
Incruse Ellipta11$3,616$329
Levalbuterol Tartrate Hfa12$1,245$104
Ventolin Hfa20$1,182$59
Proair Hfa18$1,052$58
Prednisone31$338$11
Montelukast23$161$7
Fluticasone Propionate17$158$9
Pantoprazole13$85$7

2017: 9 drugs

Part D drugs prescribed in 2017
Spiriva59$25,012$424
Symbicort37$10,011$271
Flovent Hfa22$5,467$248
Incruse Ellipta13$5,289$407
Dulera13$3,658$281
Ventolin Hfa36$1,992$55
Proair Hfa14$783$56
Fluticasone Propionate21$224$11
Montelukast31$190$6

2016: 14 drugs

Part D drugs prescribed in 2016
Tracleer14$133,003$9,500
Spiriva37$18,021$487
Advair Diskus38$16,118$424
Symbicort52$15,232$293
Incruse Ellipta28$7,480$267
Atrovent Hfa14$4,492$321
Ventolin Hfa55$2,910$53
Dulera12$2,855$238
Qvar13$2,386$184
Flovent Hfa11$2,144$195
Xopenex Hfa21$1,470$70
Proair Hfa17$883$52
Fluticasone Propionate28$214$8
Montelukast17$212$12

2015: 9 drugs

Part D drugs prescribed in 2015
Tracleer27$228,443$8,461
Prolastin C13$120,704$9,285
Spiriva48$18,403$383
Advair Diskus31$15,784$509
Qvar23$4,546$198
Proair Hfa21$1,459$69
Ventolin Hfa16$759$47
Montelukast23$192$8
Fluticasone Propionate18$159$9

2014: 14 drugs

Part D drugs prescribed in 2014
Tracleer25$189,574$7,583
Prolastin C11$87,400$7,945
Advair Diskus57$20,046$352
Spiriva62$18,352$296
Symbicort20$5,751$288
Atrovent Hfa14$3,579$256
Qvar13$2,305$177
Ventolin Hfa31$1,378$44
Proair Hfa26$1,065$41
Fluticasone Propionate20$360$18
Theophylline Anhydrous17$292$17
Montelukast11$245$22
Prednisone21$225$11
Omeprazole14$123$9

2013: 12 drugs

Part D drugs prescribed in 2013
Tracleer16$109,527$6,845
Prolastin C12$88,968$7,414
Advair Diskus74$24,636$333
Spiriva64$16,432$257
Sildenafil12$8,708$726
Atrovent Hfa26$4,715$181
Proair Hfa51$2,342$46
Qvar14$2,188$156
Fluticasone Propionate12$358$30
Montelukast13$318$24
Omeprazole14$159$11
Prednisone19$138$7

Money from drug and device companies

$22 in 2025

Industry payments by year
202511None$22
202411None$23
201922None$238

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
Actelion Pharmaceuticals USUptravi$22
1 payment
  • Meals for Uptravi · 2025-05-07 · $22
See the published payment
Every published payment
Actelion Pharmaceuticals USMeals · 2025-05-07Uptravi$22
See earlier years (2024, 2019)

2024: $23

Payments by company in 2024
Actelion Pharmaceuticals USUptravi$23
1 payment
  • Meals for Uptravi · 2024-09-16 · $23

2019: $238

Payments by company in 2019
Boehringer Ingelheim PharmaceuticalsOfev$123
1 payment
  • Meals for Ofev · 2019-09-25 · $123
AstraZeneca Pharmaceuticals LPFasenra$115
1 payment
  • Meals for Fasenra · 2019-07-25 · $115

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
1982667606
Licence
CA A65453California A65453: Current · expires 2028-06-30
Trained
University of California, Irvine, California College of Medicine, 1996
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A654530
Taxonomy
Internal medicine (207R00000X); Federal specialty code 207RC0200X (207RC0200X); Federal specialty code 207RP1001X (207RP1001X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-04-11
NPI last updated
2007-08-31

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