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Pallavi Sharma, MD

Family Practice · Modesto

NPI 1013009125

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Sutter Valley Medical Foundation · 2,473 clinicians in this group

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Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Sharma’s office at (209) 524-1211 to ask if they take your plan before you enroll.

California Medical Board record

Licence A91194 · Current

Licensed to practise in California · since 2005 · expires 2026-11-30 · Punjab University, Dayanand Medical College.

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

Original Medicare doctor bills

$43,276

Medicare paid this office $43,276 for 414 people.

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

Largest Original Medicare bills
Return visit (30+ min)218$21,572$91
New patient visit (45+ min)60$6,628$110
Long return visit (40+ min)34$3,992$117
New patient visit (30+ min)42$3,203$76
Short return visit (20+ min)42$3,024$69
See all 12 services
Every Original Medicare service billed
Return visit (30+ min)218$21,572$91
New patient visit (45+ min)60$6,628$110
Long return visit (40+ min)34$3,992$117
New patient visit (30+ min)42$3,203$76
Short return visit (20+ min)42$3,024$69
Injection of drug or substance under skin or into muscle46$615$11
Detection test by immunoassay technique for streptococcus, group a (strep)29$473$16
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)21$318$15
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report14$174$12
Automated urinalysis test68$158$2
Injection, ketorolac tromethamine, per 15 mg18$40None
Injection, ceftriaxone sodium, per 250 mg21$34None

Who their Medicare patients are

414 Original Medicare patients in 2024. Average age 73 · Under 65 12% · 85 and older 12% · Women 64% · Also on Medicaid 19% · Health risk score 1.23. Above the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 29% · Chronic kidney disease 27% · Coronary heart disease 23% · Depression 23% · COPD 16% · Atrial fibrillation 16% · Cancer 15% · Heart failure 11% · Stroke 6% · Dementia 5%.

The office billed $185,344, Medicare allowed $61,760 and paid $43,276; for 1,128 services of 51 kinds; $309 of it was for drugs given in the office and $42,966 for care.

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
20244141,128731.23$185,344$43,276
2023350822731.29$156,803$40,687
20224961,075731.19$173,760$56,880
20216311,476721.19$211,838$68,350
20205911,584721.26$190,756$54,956
20195941,735721.31$229,932$58,370
20186302,001701.34$241,136$60,187
20176692,213701.28$253,476$63,129
20165511,782691.41$195,995$52,704
2015208335721.07$61,998$14,505
2014246446721.22$69,886$21,788
2013279575721.14$68,886$27,060

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
Return visit (30+ min)175$19,848$101
New patient visit (45+ min)91$10,737$118
Short return visit (20+ min)31$2,323$70
Long return visit (40+ min)14$2,118$151
New patient visit (30+ min)22$1,533$70
Injection of drug or substance under skin or into muscle46$719$11
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)42$675$16
Automated urinalysis test56$125$2
Injection, ketorolac tromethamine, per 15 mg22$35None
Injection, ceftriaxone sodium, per 250 mg17$28None

2022: 13 services

Original Medicare services billed in 2022
Return visit (30+ min)176$20,816$108
New patient visit (45+ min)79$10,227$129
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage86$6,042$70
Short return visit (20+ min)47$3,820$81
Long return visit (40+ min)20$3,155$150
New patient visit (30+ min)32$3,054$95
Administration of influenza virus vaccine86$2,676$31
Adm sarscv2 bvl 50mcg/.5ml a38$1,567$41
Injection of drug or substance under skin or into muscle51$868$12
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)37$623$16
Automated urinalysis test44$102$2
Injection, ketorolac tromethamine, per 15 mg25$51None
Injection, ceftriaxone sodium, per 250 mg23$35None

2021: 14 services

Original Medicare services billed in 2021
Return visit (30+ min)213$25,610$103
Short return visit (20+ min)124$8,747$69
New patient visit (45+ min)61$8,516$140
Influenza vaccine split virus, preservative free121$7,744$64
Long return visit (40+ min)35$5,390$154
New patient visit (30+ min)52$4,991$96
New patient visit (60+ min)11$2,041$186
Injection of drug or substance under skin or into muscle78$1,625$11
Injection, meperidine hydrochloride, per 100 mg16$222None
Automated urinalysis test65$149$2
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report12$112$9
Injection, ketorolac tromethamine, per 15 mg53$100None
Injection, promethazine hcl, up to 50 mg16$61None
Injection, ceftriaxone sodium, per 250 mg16$31None

2020: 13 services

Original Medicare services billed in 2020
Return visit (30+ min)306$27,887$79
Short return visit (20+ min)159$11,723$71
Influenza vaccine split virus, preservative free95$5,793$61
Long return visit (40+ min)35$3,834$110
Administration of influenza virus vaccine101$1,786$18
Injection of drug or substance under skin or into muscle68$1,548$12
Injection, meperidine hydrochloride, per 100 mg17$260None
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)11$171$16
Automated urinalysis test54$121$2
Injection, ketorolac tromethamine, per 15 mg43$110None
Injection, promethazine hcl, up to 50 mg15$65None
Blood glucose (sugar) test performed by hand-held instrument15$49$3
Injection, ceftriaxone sodium, per 250 mg18$31None

2019: 15 services

Original Medicare services billed in 2019
Return visit (30+ min)445$39,604$80
Long return visit (40+ min)71$8,313$115
Short return visit (20+ min)77$3,999$49
Injection of drug or substance under skin or into muscle101$2,019$14
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)46$745$16
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report24$327$14
Injection, meperidine hydrochloride, per 100 mg23$249None
Inhalation treatment for airway obstruction or sputum production15$234$15
Automated urinalysis test75$188$2
Blood glucose (sugar) test performed by hand-held instrument32$103$3
Injection, ketorolac tromethamine, per 15 mg52$100None
Injection, promethazine hcl, up to 50 mg24$88None
Injection, ceftriaxone sodium, per 250 mg35$58None
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram11$2None
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg12$1None

2018: 15 services

Original Medicare services billed in 2018
Return visit (30+ min)416$37,329$75
Long return visit (40+ min)76$8,466$111
Short return visit (20+ min)134$6,664$49
Injection of drug or substance under skin or into muscle90$3,127$17
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report35$467$13
Injection, meperidine hydrochloride, per 100 mg26$310None
Inhalation treatment for airway obstruction or sputum production19$278$15
Automated urinalysis test87$255$3
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)15$231$15
Blood glucose (sugar) test performed by hand-held instrument44$144$3
Injection, ketorolac tromethamine, per 15 mg50$140None
Injection, promethazine hcl, up to 50 mg32$114None
Injection, ceftriaxone sodium, per 250 mg27$51None
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram16$3None
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg18$2None

2017: 15 services

Original Medicare services billed in 2017
Return visit (30+ min)457$40,655$74
Short return visit (20+ min)163$7,811$46
Long return visit (40+ min)54$5,473$101
Injection of drug or substance under skin or into muscle103$4,102$20
Injection of drug or substance into vein13$610$47
Injection, meperidine hydrochloride, per 100 mg29$400None
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report26$341$13
Automated urinalysis test96$308$3
Injection, ketorolac tromethamine, per 15 mg59$177None
Blood glucose (sugar) test performed by hand-held instrument54$169$3
Injection, promethazine hcl, up to 50 mg34$166None
Inhalation treatment for airway obstruction or sputum production13$152$12
Injection, ceftriaxone sodium, per 250 mg31$62None
Infusion, normal saline solution, sterile (500 ml = 1 unit)15$21None
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg14$1None

2016: 14 services

Original Medicare services billed in 2016
Return visit (30+ min)380$35,878$80
Short return visit (20+ min)146$8,342$53
Injection of drug or substance under skin or into muscle83$3,215$21
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less13$1,052$58
Injection, meperidine hydrochloride, per 100 mg24$296None
Blood glucose (sugar) test performed by hand-held instrument79$269$3
Automated urinalysis test82$261$3
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report17$225$13
Inhalation treatment for airway obstruction or sputum production14$220$15
Injection, ketorolac tromethamine, per 15 mg43$125None
Injection, promethazine hcl, up to 50 mg31$95None
Injection, ceftriaxone sodium, per 250 mg24$49None
Infusion, normal saline solution, sterile (500 ml = 1 unit)16$18None
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg11$1None

2015: 5 services

Original Medicare services billed in 2015
Return visit (30+ min)82$6,603$76
Short return visit (20+ min)92$4,209$44
New patient visit (30+ min)19$1,026$54
New patient visit (15+ min)20$993$50
Urinalysis, manual test22$78$3

2014: 6 services

Original Medicare services billed in 2014
Return visit (30+ min)99$8,231$83
New patient visit (30+ min)54$4,684$87
Short return visit (20+ min)74$4,519$59
New patient visit (15+ min)25$1,419$57
Injection of drug or substance under skin or into muscle12$391$23
Urinalysis, manual test22$82$3

2013: 13 services

Original Medicare services billed in 2013
New patient visit (30+ min)84$6,572$78
Return visit (30+ min)57$5,432$92
Short return visit (20+ min)60$4,024$63
New patient visit (45+ min)20$2,701$135
New patient visit (15+ min)46$2,610$57
Administration of influenza virus vaccine17$520$31
Inhalation treatment for airway obstruction or sputum production17$360$19
Evaluation of use of breathing device16$348$19
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report11$194$18
Urinalysis, manual test29$107$3
Blood glucose (sugar) test performed by hand-held instrument11$35$3
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram15$3None
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg17$1None

Medicaid work

$1,138 in 2023

Medicaid paid $1,138 for 12 billed services this clinician did in 2023, up to 12 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 2023
Return visit (30+ min)12$1,138
Medicaid work by year
202312112$1,138
202113113$73
202045118$4,687
2019116119$5,270
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use13$73

2020

Largest Medicaid services in 2020
Return visit (30+ min)45$4,687

2019

Largest Medicaid services in 2019
Return visit (30+ min)116$5,270

Drugs they prescribed that Part D paid

$4,770

Pharmacies billed $4,770 in 2024.

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

454 generic and 42 brand-name prescriptions · $4,770 in drug cost · 287 antibiotic prescriptions to 268 people.

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
Ventolin Hfa14$821$59
Cephalexin92$619$7
Albuterol Sulfate Hfa23$504$22
Doxycycline Monohydrate24$283$12
Amoxicillin-Clavulanate Potass23$223$10
See all 12 drugs
Every Part D drug this clinician prescribed
Ventolin Hfa14$821$59
Cephalexin92$619$7
Albuterol Sulfate Hfa23$504$22
Doxycycline Monohydrate24$283$12
Amoxicillin-Clavulanate Potass23$223$10
Amoxicillin63$213$3
Azithromycin49$157$3
Polymyxin B Sul-Trimethoprim14$121$9
Mupirocin15$104$7
Ibuprofen16$58$4
Ciprofloxacin11$52$5
Prednisone21$34$2

Year by year

Part D prescribing by year
2024496366None8%$4,770
2023386303NoneNone$4,873
20223202403% (11)None$3,976
20214103116% (26)None$6,308
20204063117% (28)6%$5,149
20196234555% (30)9%$10,792
20185844095% (29)None$10,614
20176394775% (34)12%$10,727
20165023758% (41)14%$7,774
2015175133None15%$4,249
2014197148NoneNone$6,276
201323414111% (26)15%$5,354

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

See the drugs prescribed each year

2023: 8 drugs

Part D drugs prescribed in 2023
Cephalexin97$1,061$11
Neomycin-Polymyxin-Hydrocort11$757$69
Albuterol Sulfate Hfa15$473$32
Azithromycin48$222$5
Doxycycline Monohydrate16$210$13
Amoxicillin56$209$4
Mupirocin15$91$6
Prednisone13$43$3

2022: 7 drugs

Part D drugs prescribed in 2022
Cephalexin72$660$9
Albuterol Sulfate Hfa15$472$31
Azithromycin30$209$7
Amoxicillin43$207$5
Doxycycline Monohydrate11$153$14
Mupirocin17$125$7
Sulfamethoxazole-Trimethoprim19$121$6

2021: 10 drugs

Part D drugs prescribed in 2021
Neomycin-Polymyxin-Hydrocort16$1,032$65
Cephalexin87$679$8
Azithromycin33$190$6
Amoxicillin39$178$5
Amoxicillin-Clavulanate Potass14$154$11
Mupirocin17$127$7
Hydrocodone-Acetaminophen23$93$4
Ibuprofen18$93$5
Sulfamethoxazole-Trimethoprim23$80$3
Prednisone14$33$2

2020: 8 drugs

Part D drugs prescribed in 2020
Cephalexin54$416$8
Amoxicillin64$288$4
Amoxicillin-Clavulanate Potass12$254$21
Sulfamethoxazole-Trimethoprim36$195$5
Azithromycin30$183$6
Hydrocodone-Acetaminophen27$126$5
Prednisone25$79$3
Ibuprofen14$64$5

2019: 12 drugs

Part D drugs prescribed in 2019
Proair Hfa14$957$68
Ventolin Hfa15$867$58
Cephalexin78$652$8
Amoxicillin110$532$5
Sulfamethoxazole-Trimethoprim71$484$7
Azithromycin55$329$6
Amoxicillin-Clavulanate Potass15$195$13
Hydrocodone-Acetaminophen25$146$6
Prednisone47$146$3
Ciprofloxacin13$144$11
Polymyxin B Sul-Trimethoprim11$108$10
Mupirocin11$97$9

2018: 13 drugs

Part D drugs prescribed in 2018
Proair Hfa19$1,206$63
Ventolin Hfa21$1,164$55
Cephalexin64$608$9
Azithromycin76$432$6
Sulfamethoxazole-Trimethoprim61$352$6
Amoxicillin66$313$5
Ciprofloxacin23$217$9
Doxycycline Monohydrate13$160$12
Hydrocodone-Acetaminophen26$156$6
Polymyxin B Sul-Trimethoprim13$125$10
Prednisone27$103$4
Fluconazole12$75$6
Cyclobenzaprine13$66$5

2017: 12 drugs

Part D drugs prescribed in 2017
Proair Hfa26$1,492$57
Ventolin Hfa15$799$53
Neomycin-Polymyxin-Hydrocort13$635$49
Azithromycin108$558$5
Cephalexin68$520$8
Nitrofurantoin Mono-Macro13$358$28
Sulfamethoxazole-Trimethoprim64$328$5
Amoxicillin64$255$4
Ciprofloxacin24$184$8
Amoxicillin-Clavulanate Potass17$172$10
Hydrocodone-Acetaminophen29$120$4
Prednisone35$95$3

2016: 10 drugs

Part D drugs prescribed in 2016
Proair Hfa26$1,408$54
Azithromycin100$639$6
Cephalexin56$457$8
Doxycycline Hyclate11$358$33
Sulfamethoxazole-Trimethoprim59$342$6
Hydrocodone-Acetaminophen36$296$8
Ciprofloxacin21$239$11
Amoxicillin35$160$5
Amoxicillin-Clavulanate Potass11$119$11
Prednisone17$53$3

2015: 3 drugs

Part D drugs prescribed in 2015
Proair Hfa12$611$51
Azithromycin31$186$6
Cephalexin20$109$5

2014: 5 drugs

Part D drugs prescribed in 2014
Proair Hfa12$596$50
Cephalexin29$244$8
Amox Tr-Potassium Clavulanate13$207$16
Azithromycin20$158$8
Sulfamethoxazole-Trimethoprim15$84$6

2013: 5 drugs

Part D drugs prescribed in 2013
Cephalexin28$187$7
Azithromycin16$171$11
Sulfamethoxazole-Trimethoprim17$113$7
Lisinopril11$109$10
Hydrocodone-Acetaminophen18$74$4

Money from drug and device companies

$26 in 2019

A payment is not proof that care is biased.

Payments by company
GenzymeDupixent$26
1 payment
  • Meals for Dupixent · 2019-06-20 · $26
See the published payment
Every published payment
GenzymeMeals · 2019-06-20Dupixent$26

Professional record

NPI
1013009125
Licence
CA A91194California A91194: Current · expires 2026-11-30
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
Po Box 276950, Sacramento, CA, 95827
NPI first listed
2006-09-28
NPI last updated
2025-06-05
NPI record certified
2025-06-05

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

Extra NPI addresses: 795 El Camino Real, Palo Alto, CA, 94301