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Michelle Susan Sandberg, MD

Pediatrics · San Jose

NPI 1407864366

Medicare standing
1 flag on the record
Listed below.
Plans that list them
2
1 carrier
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plans that list them

2 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Sandberg’s office at (408) 885-4706 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026

California Medical Board record

Licence A75749 · Current

Licensed to practise in California · since 2001 · expires 2028-09-30 · Johns Hopkins University School of Medicine.

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

Medicaid work

$86,390 in 2024

Medicaid paid $86,390 for 709 billed services this clinician did in 2024, up to 28 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-inclusive164$85,849
Short return visit (20+ min)281$542
Medication list documented in medical record (COA)197$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)35$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)32$0
Medicaid work by year
2024709528$86,390
2023539425$96,502
2022546451$88,310
2021639348$126,044
2020262532$33,385
2019446227$70,392
2018248234$46,587
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive191$95,743
Short return visit (20+ min)289$759
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)23$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)36$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive178$87,215
Short return visit (20+ min)221$786
Short return visit121$193
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 only26$115

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive265$125,182
Short return visit311$721
Short return visit (20+ min)63$141

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive99$32,956
Short return visit (20+ min)76$218
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 only42$169
Short return visit27$43
Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion18$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive207$69,228
Short return visit (20+ min)239$1,164

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive140$45,822
Short return visit (20+ min)108$764

Professional record

NPI
1407864366
Licence
CA A75749California A75749: Current · expires 2028-09-30
More record details
Sole proprietor
No
Taxonomy
Pediatrics (208000000X)
Mailing address
297 Park Lane, Atherton, CA, 94027
NPI first listed
2006-08-04
NPI last updated
2007-07-08

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