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Dr. Rakesh Malhotra, MD, MPH

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Specializes in: Adult Nephrology

Professional interests include: chronic kidney disease (CKD), dialysis

200 W. Arbor Drive
San Diego, CA 92103

1-800-926-8273

Dr. Rakesh Malhotra, MD, MPH is a nephrologist in San Diego, CA specializing in adult nephrology. Dr. Rakesh Malhotra, MD, MPH is affiliated with Regents of the University of California and YUMA NEPHROLOGY PC.

Office Locations

Address:

200 W. Arbor Drive
San Diego, CA 92103

Address:

9300 Campus Point Drive
San Diego, CA 92037

Some issues Dr. Rakesh Malhotra, MD, MPH can help you with:

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

abdominal imaging	52
diabetes management	117
dialysis	12
doctor visit	1062
hospital care	189
inpatient care	189
lab tests	233
preventive care	133
ultrasound (sonogram)	52
urologic procedures	15
vaccines	17

**Gender**
Male	248
Female	325

**Ethnicity**
Non-Hispanic White	155
Black	13
Hispanic	385
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	216
From 75 to 84	184
85 and over	120
Less than 65	53

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	50
Depression	26
Chronic Kidney Disease	65
Asthma	11
Osteoperosis	12
Atrial Fibrilation	13
Heart Failure	31
Chronic Obstructive Pulmonary Disease	20
Diabetes	58
Dementia	17
Cancer	8

abdominal imaging	126
diabetes management	182
dialysis	19
doctor visit	1670
hospital care	600
inpatient care	600
lab tests	515
preventive care	230
ultrasound (sonogram)	126
urologic procedures	11
vaccines	49

**Gender**
Male	400
Female	513

**Ethnicity**
Non-Hispanic White	221
Black	17
Hispanic	657
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	316
From 75 to 84	266
85 and over	225
Less than 65	106

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	54
Depression	26
Chronic Kidney Disease	67
Asthma	12
Osteoperosis	13
Atrial Fibrilation	16
Heart Failure	36
Chronic Obstructive Pulmonary Disease	18
Diabetes	58
Dementia	23
Cancer	9

abdominal imaging	77
diabetes management	199
dialysis	24
doctor visit	1718
hospital care	561
inpatient care	561
lab tests	626
preventive care	290
ultrasound (sonogram)	77
vaccines	52

**Gender**
Male	396
Female	434

**Ethnicity**
Non-Hispanic White	201
Black	17
Hispanic	592
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	294
From 75 to 84	252
85 and over	180
Less than 65	104

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	53
Depression	32
Chronic Kidney Disease	71
Asthma	12
Osteoperosis	13
Atrial Fibrilation	14
Heart Failure	37
Chronic Obstructive Pulmonary Disease	19
Diabetes	61
Dementia	22
Cancer	9

blood draw	16
dialysis	28
doctor visit	136
hospital care	691
inpatient care	691
lab tests	31

**Gender**
Male	179
Female	176

**Ethnicity**
Non-Hispanic White	130
Black	23
Hispanic	163
Asian	0
Other	0
Native American	17

**Age**
From 65 to 74	120
From 75 to 84	97
85 and over	28
Less than 65	110

Hypertension	75
High Cholesterol	73
Stroke	11
Ischemic Heart Disease	61
Depression	34
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	9
Atrial Fibrilation	20
Heart Failure	54
Chronic Obstructive Pulmonary Disease	15
Diabetes	66
Dementia	20
Cancer	12

blood draw	190
doctor visit	720
hospital care	2218
inpatient care	2218
lab tests	903
preventive care	7

Average Medicare Procedure Volume From 2017 - 2021

Volume of procedures performed by Dr. Rakesh Malhotra, MD, MPH for Medicare patients.

The highest averages for the top procedures that Dr. Rakesh Malhotra, MD, MPH treated as a nephrologist in San Diego, CA were hospital care, inpatient care, lab tests and preventive care.

abdominal imaging	85
blood draw	103
diabetes management	166
dialysis	20
doctor visit	1061
hospital care	851
inpatient care	851
lab tests	476
preventive care	167
ultrasound (sonogram)	85
urologic procedures	13
vaccines	40

Average Medicare Patient Data From 2017 - 2021

Information about Medicare patients treated by Dr. Rakesh Malhotra, MD, MPH.

**Gender**
Male	122
Female	144

**Ethnicity**
Black / African American	7
Asian / Pacific Islander	0
Non-Hispanic White	70
Native American / Alaskan Native	1
Hispanic	179
Other	0

**Age**
75 to 84	79
85 and over	55
Less than 65	37
65 to 74	94

Average of Total of Conditions of Medicare patients treated by Dr. Rakesh Malhotra, MD, MPH From 2017 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Rakesh Malhotra, MD, MPH treated were high cholesterol, hypertension, chronic kidney disease and diabetes.

Hypertension	30
High Cholesterol	29
Stroke	4
Ischemic Heart Disease	21
Depression	11
Chronic Kidney Disease	27
Asthma	4
Osteoporosis	4
Heart Failure	15
Chronic Obstructive Pulmonary Disease	7
Diabetes	24
Atrial Fibrillation	6
Cancer	3
Dementia	8

Education & Training

He has a state license in California.

Licensed In: California

Affiliations & Hospitals

Dr. Rakesh Malhotra, MD, MPH is associated with these hospitals and organizations:

Regents of the University of California

YUMA NEPHROLOGY PC

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General Payments

These charts describe general payments received by Dr. Rakesh Malhotra, MD, MPH. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Baxter Healthcare	$862 Renal - Revaclear $862
GlaxoSmithKline, LLC.	$271 BENLYSTA $220	INCRUSE $39	TRELEGY ELLIPTA $12
Amarin Pharma Inc.	$74 Vascepa $74
OPKO Pharmaceuticals, LLC	$68 Rayaldee $51	Rayaldee (old) $18
Lilly USA, LLC	$65 BASAGLAR $29	JARDIANCE $19	TRULICITY $17
Other	$342 VELTASSA $73	Sensipar $50	WATCHMAN $43	Trintellix $31	Ozempic $27	Other $118

**Types of Payments**
Consulting Fee	$1,082
Food and Beverage	$598
Education	$3

Biography

Dr. Rakesh Malhotra is a physician who specializes in adult nephrology. Dr. Malhotra's areas of clinical interest consist of chronic kidney disease (CKD) and dialysis. He is affiliated with Regents of the University of California.