Sapna Lalwani, PA
Physician Assistant · Gilroy
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 3
On the public record
- California licence: Delinquent
Offices
3 locations · American Current Care of California A Medical Corporation · Big River Emergency Physicians Inc
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Sapna Lalwani’s office to ask if they take your plan before you enroll.
California Medical Board record
Licence G19643 · Delinquent
Licence status: Delinquent · since 1970 · expires 2025-02-28 · Stanford University School of Medicine.
License renewal fee has not been paid. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$5,211
Medicare paid this office $5,211 for 61 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with moderate level of medical decision making | 12 | $1,049 | $87 |
Who their Medicare patients are
61 Original Medicare patients in 2024. Average age 71 · Women 61% · Also on Medicaid 44% · Health risk score 0.91. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.
Conditions among them: High blood pressure 62% · Diabetes 31% · Coronary heart disease 18%.
The office billed $40,328, Medicare allowed $7,259 and paid $5,211; for 68 services of 12 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
| 2024 | 61 | 68 | 71 | 0.91 | $40,328 | $5,211 |
| 2023 | 22 | 22 | 72 | 1.39 | $20,636 | $1,779 |
| 2022 | 24 | 27 | 60 | 1.56 | $21,909 | $1,889 |
| 2021 | 55 | 56 | 65 | 2.01 | $51,400 | $4,817 |
| 2020 | 57 | 65 | 67 | 1.73 | $56,217 | $5,555 |
| 2019 | 12 | 14 | 70 | 1.43 | $12,605 | $1,200 |
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
2022: 1 service
| Emergency department visit with low level of medical decision making | 14 | $747 | $53 |
2021: 3 services
| Emergency department visit with moderate level of medical decision making | 25 | $2,186 | $87 |
| Emergency department visit with high level of medical decision making | 14 | $1,695 | $121 |
| Emergency department visit with low level of medical decision making | 16 | $891 | $56 |
2020: 3 services
| Emergency department visit with high level of medical decision making | 19 | $2,447 | $129 |
| Emergency department visit with moderate level of medical decision making | 22 | $1,955 | $89 |
| Emergency department visit with low level of medical decision making | 15 | $756 | $50 |
Medicaid work
$10,182 in 2024
Medicaid paid $10,182 for 636 billed services this clinician did in 2024, up to 60 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.
| Service | 278 | $8,017 |
| EMERGENCY DEPT VISIT MOD MDM | 43 | $957 |
| COMPREHENSIVE METABOLIC PANEL | 97 | $678 |
| ASSAY OF LIPASE | 92 | $181 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 98 | $177 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 13 | $149 |
| Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy | 15 | $22 |
| 2024 | 636 | 7 | 60 | $10,182 |
| 2023 | 1,378 | 16 | 64 | $26,001 |
| 2022 | 128 | 3 | 22 | $7,545 |
| 2021 | 1,025 | 12 | 44 | $32,747 |
| 2020 | 631 | 8 | 46 | $25,212 |
| 2019 | 122 | 3 | 35 | $4,702 |
See the largest Medicaid services in earlier years
2023
| Service | 251 | $8,389 |
| Service | 345 | $8,193 |
| Service | 65 | $2,291 |
| Unlisted special service, procedure or report | 31 | $1,625 |
| 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 14 | $1,077 |
| COMPREHENSIVE METABOLIC PANEL | 159 | $809 |
| SARSCOV CORONAVIRUS AG IA | 44 | $745 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug | 13 | $544 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 14 | $530 |
| ASSAY OF LIPASE | 153 | $509 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 159 | $497 |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique | 44 | $490 |
2022
| Service | 101 | $4,662 |
| SARSCOV CORONAVIRUS AG IA | 15 | $1,998 |
| Unlisted special service, procedure or report | 12 | $885 |
2021
| Service | 279 | $12,653 |
| Unlisted special service, procedure or report | 126 | $9,145 |
| Service | 136 | $5,039 |
| Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique | 18 | $1,675 |
| Service | 101 | $1,623 |
| COMPREHENSIVE METABOLIC PANEL | 121 | $1,102 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 127 | $494 |
| Radiologic examination, chest; 2 views | 19 | $364 |
| ASSAY OF LIPASE | 58 | $270 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 14 | $269 |
| Troponin, quantitative | 14 | $87 |
| Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy | 12 | $26 |
2020
| Service | 333 | $19,568 |
| Unlisted special service, procedure or report | 27 | $2,655 |
| Service | 35 | $1,271 |
| COMPREHENSIVE METABOLIC PANEL | 88 | $821 |
| Service | 22 | $333 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 90 | $330 |
| Radiologic examination, chest; 2 views | 16 | $208 |
| Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy | 20 | $25 |
2019
| Service | 84 | $4,512 |
| COMPREHENSIVE METABOLIC PANEL | 19 | $117 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 19 | $72 |
Drugs they prescribed that Part D paid
$399
Pharmacies billed $399 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
55 generic and fewer than 11 brand-name prescriptions · $399 in drug cost · 30 antibiotic prescriptions to 27 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.
| Cephalexin | 15 | $120 | $8 |
Year by year
| 2024 | 57 | 51 | None | None | $399 |
| 2023 | 42 | 26 | 0% (0) | 0% | $270 |
| 2022 | 27 | 21 | None | None | $352 |
| 2021 | 52 | 39 | 0% (0) | None | $622 |
| 2020 | 44 | 33 | None | None | $430 |
| 2019 | 35 | 22 | None | None | $640 |
| 2018 | 21 | 14 | None | None | $914 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2021: 1 drug
| Ibuprofen | 15 | $45 | $3 |
2019: 1 drug
| Ibuprofen | 11 | $28 | $3 |
Professional record
- NPI
- 1356500672
- Licence
- CA 19643California G19643: Delinquent · expires 2025-02-28
- Group
- American Current Care of California A Medical Corporation · Big River Emergency Physicians Inc
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Physician assistant, medical (363AM0700X)
- Mailing address
- 795 El Camino Real, Urgent Care, Palo Alto, CA, 94301
- NPI first listed
- 2008-06-02
- NPI last updated
- 2011-06-20
This is when the NPI record was last certified, not a medical board exam.