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Marlene A Sturm, MD

Pediatrics · San Jose

NPI 1396811360

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

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. Sturm’s office at (408) 254-6320 to ask if they take your plan before you enroll.

California Medical Board record

Licence G71121 · Current

Licensed to practise in California · since 1991 · expires 2028-10-31 · Stanford University School of Medicine.

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

Medicaid work

$172,296 in 2024

Medicaid paid $172,296 for 1,361 billed services this clinician did in 2024, up to 87 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
Clinic visit/encounter, all-inclusive330$171,493
Short return visit (20+ min)402$626
Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year)28$177
Pain severity quantified; no pain present (COA) (ONC)12$0
Medication list documented in medical record (COA)499$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)46$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)44$0
Medicaid work by year
20241,361787$172,296
20231,9149100$513,024
20221,3151291$336,161
20214177105$101,233
20202,73010168$563,849
20195,62811266$1,209,845
20184,56815257$1,158,255
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive836$509,705
Short return visit (20+ min)488$2,029
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)68$412
Return visit (30+ min)82$361
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)67$308
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)40$210
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)167$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)150$0
Bilateral quantitative screening test of visual acuity16$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive563$332,358
Short return visit (20+ min)306$1,437
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)64$1,225
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)51$297
Short return visit51$272
Return visit (30+ min)24$175
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)22$134
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only15$121
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use92$101
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)17$42
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)55$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)55$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive241$100,507
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)18$241
Short return visit (20+ min)41$181
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)21$160
Short return visit40$85
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use42$60
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)14$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive1,418$555,785
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only126$2,351
Short return visit (20+ min)654$1,964
Return visit (30+ min)215$1,836
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)79$560
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)22$461
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)34$416
Short return visit56$191
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use112$183
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)14$103

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive3,245$1,196,190
Return visit (30+ min)607$5,449
Short return visit (20+ min)1,086$3,515
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)241$1,226
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)119$1,123
Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon14$616
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique15$597
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique15$579
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)41$301
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)27$186
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use218$61

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive3,176$1,144,403
Return visit (30+ min)370$5,693
Short return visit (20+ min)517$3,659
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)142$2,141
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)71$1,515
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)12$271
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use76$183
Unclassified drugs42$113
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)15$110
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use81$77
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)15$59
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use13$15

Professional record

NPI
1396811360
Licence
CA G71121California G71121: Current · expires 2028-10-31
More record details
Sole proprietor
No
Medicaid ID
CA 00G711210
Taxonomy
Pediatrics (208000000X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-11-28
NPI last updated
2007-09-12

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