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Sumit Bhargava, MD

Pediatric Medicine · Palo Alto

NPI 1275516361

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 · Lpch Medical Group Div of Lucile · 332 clinicians in this group

Looking this up.

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. Bhargava’s office at (650) 498-7200 to ask if they take your plan before you enroll.

California Medical Board record

Licence C54974 · Current

Licensed to practise in California · since 2011 · expires 2026-12-31 · Maharshi Dayanand University P.T. Bhagwat Dayal Sharma Medical College.

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

Medicaid work

$88,191 in 2024

Medicaid paid $88,191 for 989 billed services this clinician did in 2024, up to 37 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
Return visit (30+ min)266$34,778
New patient visit (60+ min)88$20,925
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)326$10,308
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES204$8,800
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist38$7,346
Short return visit (20+ min)67$6,034
Medicaid work by year
2024989637$88,191
2023981639$73,847
2022832638$66,219
2021756630$55,422
2020451727$41,509
2019530627$58,638
2018383430$60,097
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)204$21,108
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist77$14,274
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES254$10,989
New patient visit (60+ min)58$10,527
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)282$8,481
Short return visit (20+ min)106$8,469

2022

Largest Medicaid services in 2022
Return visit (30+ min)224$22,674
New patient visit (60+ min)65$10,235
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist58$9,722
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)290$9,230
Short return visit (20+ min)99$7,895
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES96$6,463

2021

Largest Medicaid services in 2021
Return visit (30+ min)161$15,101
Short return visit (20+ min)146$10,939
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)264$9,940
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist64$9,767
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES94$5,787
New patient visit (60+ min)27$3,887

2020

Largest Medicaid services in 2020
Return visit (30+ min)156$14,750
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist50$9,853
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES109$7,099
Short return visit (20+ min)57$3,656
Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist14$2,325
New patient visit (60+ min)14$2,149
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)51$1,678

2019

Largest Medicaid services in 2019
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist114$23,627
Return visit (30+ min)167$14,185
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES192$12,786
New patient visit (60+ min)30$5,414
Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist14$1,839
Short return visit (20+ min)13$787

2018

Largest Medicaid services in 2018
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist207$43,397
Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist46$7,303
Return visit (30+ min)92$7,075
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES38$2,321

Money from drug and device companies

$440 in 2024

Industry payments by year
202444None$440
202311None$125
202111None$118

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
United TherapeuticsTyvaso$148
1 payment
  • Meals for Tyvaso · 2024-10-07 · $148
Boehringer Ingelheim PharmaceuticalsNone$125
1 payment
  • Meals · 2024-11-21 · $125
GenzymeDupixent$117
1 payment
  • Meals for Dupixent · 2024-07-10 · $117
Axsome TherapeuticsSunosi$51
1 payment
  • Meals for Sunosi · 2024-10-09 · $51
See all 4 published payments
Every published payment
Boehringer Ingelheim PharmaceuticalsMeals · 2024-11-21None$125
Axsome TherapeuticsMeals · 2024-10-09Sunosi$51
United TherapeuticsMeals · 2024-10-07Tyvaso$148
GenzymeMeals · 2024-07-10Dupixent$117
See earlier years (2023, 2021)

2023: $125

Payments by company in 2023
Sanofi PasteurNone$125
1 payment
  • Meals · 2023-03-30 · $125

2021: $118

Payments by company in 2021
GenzymeDupixent$118
1 payment
  • Meals for Dupixent · 2021-11-30 · $118

Professional record

NPI
1275516361
Licence
CA C54974, CT 042757California C54974: Current · expires 2026-12-31
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CT 001427576
Taxonomy
Federal specialty code 2080P0214X (2080P0214X); Federal specialty code 2080S0012X (2080S0012X)
Mailing address
725 Welch Rd, Palo Alto, CA, 94304
NPI first listed
2005-11-22
NPI last updated
2025-04-15
NPI record certified
2025-04-15

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