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Dr. Chi-Yuan Hsu, MD, MS, FACP

(Dr. Chi-yuan Hsu, MD, MS, FACP)

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Specializes in: Nephrology (Kidney Disease), General Practice and Adult Nephrology

Harvard Medical School (1993)

Professional interests include: nephrotic syndrome, acute kidney failure, kidney stones, and more.

400 Parnassus Avenue B1 Plaza Level UCSF Nephrology and Hypertension Faculty Practice
San Francisco, CA 94143

(415) 353-2507

Dr. Chi-Yuan Hsu, MD, MS, FACP is a nephrologist in San Francisco, CA specializing in nephrology (kidney disease), general practice and adult nephrology. He graduated from Harvard Medical School in 1993 and has 32 years of experience. Dr. Chi-Yuan Hsu, MD, MS, FACP is affiliated with Regents of the University of California, UCSF Health, UCSF, UCSF Medical Group, Hill Physicians and Nephrology and Hypertension Faculty Practice.

Office Locations

Address:

400 Parnassus Avenue B1 Plaza Level UCSF Nephrology and Hypertension Faculty Practice
San Francisco, CA 94143

Address:

400 Parnassus Avenue
San Francisco, CA

Some issues Dr. Chi-Yuan Hsu, MD, MS, FACP can help you with:

Acute Kidney Failure

Kidney failure is when 80% to 90% of kidney function is lost. Kidney failure is also referred to as end-stage renal disease (ESRD). Kidneys are critical to human health, essentially acting as the body's built-in filtration system. When the kidneys can no longer function effectively, waste can accumulate in the blood and concentrations of nutrients can become unbalanced, impairing the body from performing critical functions. For example, if the kidneys do not regulate levels of potassium, the heart may develop arrhythmias (irregular rhythm) or even go into cardiac arrest.

Kidney failure may be caused by a number of health conditions that slowly damage and weaken the kidneys, such as:

Diabetes
High blood pressure
Urinary tract problems
Excessive alcohol consumption
Persistent and severe dehydration
Lupus
Acute kidney injury (AKI)

High blood pressure and diabetes are the most frequently observed causes of kidney failure. However, these conditions typically take years to develop into kidney failure and might escape notice during that time.

Symptoms of kidney failure include:

Difficulty sleeping
Fatigue
Reduced appetite
Weight loss
Edema (water retention)
Ankle and foot swelling
Anemia
Itching
Muscle cramps

No cure currently exists for kidney failure; however, medical treatment can permit people to live healthy and long lives. A nephrologist (kidney doctor) determines the most effective treatments for patients with kidney failure.

Dialysis is a well-known treatment for kidney failure that uses a machine to filter and clean waste from the blood. Patients attend regular dialysis sessions to replace their lost kidney function. Some patients with kidney failure are unable to survive without having dialysis every few days.

More advanced kidney failure may be treated by kidney transplant surgery. Deceased donor kidney transplant surgery provides kidney failure patients with a healthy kidney from a recently deceased person. Living donor kidney transplant surgery provides a kidney from a donor who is still alive. As most people have two kidneys, kidney failure patients' relatives or friends may offer to donate one of their kidneys. Kidney transplants can dramatically improve kidney function and lower or eliminate the need for dialysis.

People with kidney failure are advised to eat a nutritious diet, monitor and lower blood pressure, and to best manage diabetes. Exercise and a tobacco-free lifestyle may also help patients with kidney failure.

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

In The News

“Race, Genetic Ancestry, and Estimating Kidney Function in Chronic Kidney Disease, was led by Chi-yuan Hsu, MD, MS, Professor and Division Chief, University of California, San Francisco.”—"Groundbreaking Obesity Study Wins National Clinical Research Excellence Award", Associated Press News, April 2022

dialysis	145
doctor visit	135
hemofiltration	48
hospital care	175
inpatient care	175

**Gender**
Male	82
Female	52

**Ethnicity**
Non-Hispanic White	55
Black	23
Hispanic	0
Asian	32
Other	0
Native American	0

**Age**
From 65 to 74	49
From 75 to 84	32
85 and over	13
Less than 65	40

Hypertension	75
High Cholesterol	63
Stroke	10
Ischemic Heart Disease	58
Depression	25
Chronic Kidney Disease	75
Asthma	0
Osteoperosis	9
Atrial Fibrilation	24
Heart Failure	50
Chronic Obstructive Pulmonary Disease	22
Diabetes	59
Dementia	14
Cancer	10

dialysis	189
doctor visit	168
hemofiltration	72
hospital care	214
inpatient care	214

**Gender**
Male	97
Female	67

**Ethnicity**
Non-Hispanic White	57
Black	30
Hispanic	0
Asian	43
Other	0
Native American	0

**Age**
From 65 to 74	64
From 75 to 84	46
85 and over	13
Less than 65	41

Hypertension	75
High Cholesterol	63
Stroke	9
Ischemic Heart Disease	55
Depression	25
Chronic Kidney Disease	75
Asthma	7
Osteoperosis	11
Atrial Fibrilation	23
Heart Failure	52
Chronic Obstructive Pulmonary Disease	18
Diabetes	61
Dementia	16
Cancer	12

dialysis	136
doctor visit	156
hemofiltration	37
hospital care	220
inpatient care	220

**Gender**
Male	206
Female	148

**Ethnicity**
Non-Hispanic White	150
Black	68
Hispanic	0
Asian	72
Other	0
Native American	0

**Age**
From 65 to 74	130
From 75 to 84	88
85 and over	30
Less than 65	106

Hypertension	75
High Cholesterol	67
Stroke	12
Ischemic Heart Disease	61
Depression	24
Chronic Kidney Disease	75
Asthma	19
Osteoperosis	8
Atrial Fibrilation	22
Heart Failure	49
Chronic Obstructive Pulmonary Disease	18
Diabetes	55
Dementia	14
Cancer	11

dialysis	187
doctor visit	141
hemofiltration	43
hospital care	259
inpatient care	259

**Gender**
Male	105
Female	69

**Ethnicity**
Non-Hispanic White	75
Black	30
Hispanic	0
Asian	50
Other	0
Native American	0

**Age**
From 65 to 74	60
From 75 to 84	44
85 and over	21
Less than 65	49

Hypertension	75
High Cholesterol	67
Stroke	9
Ischemic Heart Disease	61
Depression	29
Chronic Kidney Disease	75
Asthma	27
Osteoperosis	0
Atrial Fibrilation	24
Heart Failure	53
Chronic Obstructive Pulmonary Disease	22
Diabetes	63
Dementia	21
Cancer	15

dialysis	135
doctor visit	132
hemofiltration	66
hospital care	208
inpatient care	208

**Gender**
Male	83
Female	59

**Ethnicity**
Non-Hispanic White	60
Black	19
Hispanic	0
Asian	41
Other	0
Native American	0

**Age**
From 65 to 74	49
From 75 to 84	39
85 and over	17
Less than 65	37

Hypertension	75
High Cholesterol	65
Stroke	12
Ischemic Heart Disease	61
Depression	23
Chronic Kidney Disease	75
Asthma	15
Osteoperosis	12
Atrial Fibrilation	25
Heart Failure	55
Chronic Obstructive Pulmonary Disease	18
Diabetes	68
Dementia	21
Cancer	14

dialysis	138
doctor visit	119
hemofiltration	73
hospital care	195
inpatient care	195

**Gender**
Male	93
Female	53

**Ethnicity**
Non-Hispanic White	60
Black	24
Hispanic	0
Asian	41
Other	0
Native American	0

**Age**
From 65 to 74	55
From 75 to 84	37
85 and over	15
Less than 65	39

Hypertension	75
High Cholesterol	61
Stroke	10
Ischemic Heart Disease	62
Depression	24
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	8
Atrial Fibrilation	25
Heart Failure	52
Chronic Obstructive Pulmonary Disease	19
Diabetes	61
Dementia	27
Cancer	16

dialysis	168
doctor visit	119
hemofiltration	66
hospital care	288
inpatient care	288

**Gender**
Male	109
Female	57

**Ethnicity**
Non-Hispanic White	76
Black	25
Hispanic	0
Asian	40
Other	0
Native American	0

**Age**
From 65 to 74	54
From 75 to 84	43
85 and over	20
Less than 65	49

Hypertension	75
High Cholesterol	65
Stroke	12
Ischemic Heart Disease	64
Depression	36
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	0
Atrial Fibrilation	23
Heart Failure	60
Chronic Obstructive Pulmonary Disease	25
Diabetes	64
Dementia	28
Cancer	17

dialysis	117
doctor visit	134
hemofiltration	48
hospital care	206
inpatient care	206

**Gender**
Male	86
Female	53

**Ethnicity**
Non-Hispanic White	56
Black	21
Hispanic	0
Asian	39
Other	0
Native American	0

**Age**
From 65 to 74	42
From 75 to 84	45
85 and over	16
Less than 65	36

Hypertension	75
High Cholesterol	68
Stroke	14
Ischemic Heart Disease	65
Depression	30
Chronic Kidney Disease	75
Asthma	14
Osteoperosis	10
Atrial Fibrilation	22
Heart Failure	57
Chronic Obstructive Pulmonary Disease	22
Diabetes	63
Dementia	23
Cancer	20

dialysis	127
doctor visit	242
hospital care	347
inpatient care	347

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Chi-Yuan Hsu, MD, MS, FACP for Medicare patients.

The highest averages for the top procedures that Dr. Chi-Yuan Hsu, MD, MS, FACP treated as a nephrologist in San Francisco, CA were hospital care, inpatient care, dialysis and hemofiltration.

dialysis	149
doctor visit	149
hemofiltration	56
hospital care	234
inpatient care	234

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Chi-Yuan Hsu, MD, MS, FACP.

**Gender**
Female	55
Male	86

**Ethnicity**
Black / African American	24
Asian / Pacific Islander	35
Non-Hispanic White	58
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
85 and over	14
75 to 84	37
Less than 65	39
65 to 74	50

Average of Total of Conditions of Medicare patients treated by Dr. Chi-Yuan Hsu, MD, MS, FACP From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Chi-Yuan Hsu, MD, MS, FACP treated were chronic kidney disease, hypertension, high cholesterol and diabetes.

Hypertension	60
High Cholesterol	51
Stroke	8
Ischemic Heart Disease	48
Depression	21
Chronic Kidney Disease	60
Asthma	10
Osteoporosis	5
Heart Failure	42
Chronic Obstructive Pulmonary Disease	16
Diabetes	49
Atrial Fibrillation	18
Dementia	16
Cancer	11

Education & Training

Dr. Chi-Yuan Hsu, MD, MS, FACP graduated from Harvard Medical School in 1993. He completed residency at Beth Israel Deaconess Medical Center. He is certified by the Nephrology, American Board of Internal Medicine and has a state license in California.

Medical School: Harvard Medical School (1993)

Residency: Beth Israel Deaconess Medical Center (1996)

Board Certification: Nephrology, American Board of Internal Medicine

Licensed In: California

Affiliations & Hospitals

Dr. Chi-Yuan Hsu, MD, MS, FACP is associated with these hospitals and organizations:

Regents of the University of California

UCSF Health

UCSF

UCSF Medical Group

Hill Physicians

Nephrology and Hypertension Faculty Practice

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Chi-Yuan Hsu, MD, MS, FACP appears to accept the following insurance providers: Cigna, Blue Shield, Aetna, UnitedHealthcare, Anthem, Health Net, Chinese Community Health Plan, Brand New Day and Canopy Health.

Insurance Accepted by Provider includes:

According to our sources, Dr. Chi-Yuan Hsu, MD, MS, FACP accepts the following insurance providers:

Cigna

Blue Shield

Aetna

UnitedHealthcare

Anthem

Health Net

Chinese Community Health Plan

Brand New Day

Canopy Health

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Chi-Yuan Hsu, MD, MS, FACP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Merck Sharp & Dohme Corporation	$6,015 $6,015
Bacterin International Inc	$3 OsteoSelect DBM Putty $3

**Types of Payments**
Consulting Fee	$3,738
Travel and Lodging	$2,014
Food and Beverage	$267

Biography

Dr. Chi-Yuan Hsu's medical specialty is general practice and adult nephrology. Dr. Hsu is conversant in Mandarin and Cantonese. His areas of expertise include the following: chronic kidney failure, renal vascular disease, and kidney stones. He is affiliated with UCSF Medical Group, Regents of the University of California, and Hill Physicians. He graduated from Harvard Medical School and then he performed his residency at Beth Israel Deaconess Medical Center. He accepts Blue Shield, Health Net, Anthem, and more.