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Sima Stein, MD

Pediatrics · San Jose

NPI 1427134832

Medicare standing
1 flag on the record
Listed below.
Plans that list them
3
2 carriers
Office
1

On the public record

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

Offices

1 location

Plans that list them

3 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Stein’s office at (408) 292-0100 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

3 of 3 plans

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
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026

California Medical Board record

Licence A55498 · Current

Licensed to practise in California · since 1996 · expires 2028-01-31 · Second Moscow N. I. Pirogov State Medical Institute.

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

Medicaid work

$14,865 in 2024

Medicaid paid $14,865 for 1,384 billed services this clinician did in 2024, up to 71 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
Developmental screening330$9,428
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)65$1,443
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)73$1,322
Pure tone audiometry (threshold); air only161$1,149
LIMITED VISUAL FIELD XM UNI/BI I&R148$1,011
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use25$208
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)13$115
Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use16$89
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use14$89
Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument13$11
Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes55$0
Short return visit (20+ min)307$0
Medicaid work by year
20241,3841571$14,865
20234,66621156$93,232
20223,91719123$75,536
20213,0181575$59,327
20202,4412196$54,549
20193,3632179$66,694
20182,8622193$54,101
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Developmental screening968$42,505
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)275$9,157
Pure tone audiometry (threshold); air only628$8,054
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)217$7,256
LIMITED VISUAL FIELD XM UNI/BI I&R502$7,018
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)209$6,382
Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use71$4,279
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)106$4,104
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use202$1,458
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use128$1,042
Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use58$629
Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use68$546

2022

Largest Medicaid services in 2022
Developmental screening845$36,908
Pure tone audiometry (threshold); air only583$7,535
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)226$7,363
LIMITED VISUAL FIELD XM UNI/BI I&R491$6,753
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)212$6,635
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)109$3,226
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; adolescent (age 12 through 17 years)74$3,186
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use143$1,161
Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use15$960
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use104$683
Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use42$367
Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use28$218

2021

Largest Medicaid services in 2021
Developmental screening663$30,390
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)182$6,187
Pure tone audiometry (threshold); air only435$5,445
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)170$5,194
LIMITED VISUAL FIELD XM UNI/BI I&R390$3,556
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)92$2,428
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)29$1,426
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use188$1,364
Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use118$1,031
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use134$975
Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use67$556
Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use46$340

2020

Largest Medicaid services in 2020
Developmental screening563$27,664
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)207$6,853
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)173$5,841
Pure tone audiometry (threshold); air only416$5,579
LIMITED VISUAL FIELD XM UNI/BI I&R298$2,593
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)53$2,529
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use106$898
Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use38$577
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use53$444
Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use36$321
Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use21$318
Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use21$214

2019

Largest Medicaid services in 2019
Developmental screening742$33,523
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)285$8,491
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)193$6,430
Pure tone audiometry (threshold); air only509$6,028
LIMITED VISUAL FIELD XM UNI/BI I&R431$3,506
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)92$3,004
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use273$2,165
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)26$877
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use73$614
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use51$406
Varicella virus vaccine (VAR), live, for subcutaneous use41$274
DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM30$248

2018

Largest Medicaid services in 2018
Developmental screening701$28,762
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)285$9,795
Pure tone audiometry (threshold); air only339$3,456
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)90$3,157
LIMITED VISUAL FIELD XM UNI/BI I&R274$2,337
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)68$2,081
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$877
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use109$813
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use88$756
Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use53$473
Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use51$407
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use44$284

Money from drug and device companies

$255 in 2025

Industry payments by year
2025912None$255
202469None$208
202345None$100
2022713None$231
2021718None$304
2020313None$214
201946None$89

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
PfizerPrevnar 20$63
4 payments
  • Meals for Prevnar 20 · 2025-10-22 · $17
  • Meals for Prevnar 20 · 2025-09-23 · $15
  • Meals for Prevnar 20 · 2025-05-08 · $16
  • Meals for Prevnar 20 · 2025-02-27 · $15
Sanofi-Aventis U.S.Tzield$35
1 payment
  • Meals for Tzield · 2025-02-27 · $35
Seqirus USAFlucelvax$34
1 payment
  • Meals for Flucelvax · 2025-01-28 · $34
Sanofi PasteurBeyfortus$29
1 payment
  • Meals for Beyfortus · 2025-10-15 · $29
Merck Sharp & DohmeGardasil 9$23
1 payment
  • Meals for Gardasil 9 · 2025-07-24 · $23
Verrica PharmaceuticalsYcanth$23
1 payment
  • Meals for Ycanth · 2025-07-10 · $23
See all 12 published payments
Every published payment
Ultragenyx PharmaceuticalMeals · 2025-11-11Dojolvi$17
PfizerMeals · 2025-10-22Prevnar 20$17
Sanofi PasteurMeals · 2025-10-15Beyfortus$29
PfizerMeals · 2025-09-23Prevnar 20$15
Merck Sharp & DohmeMeals · 2025-07-24Gardasil 9$23
Verrica PharmaceuticalsMeals · 2025-07-10Ycanth$23
AstraZeneca Pharmaceuticals LPMeals · 2025-05-13Fasenra$18
PfizerMeals · 2025-05-08Prevnar 20$16
PfizerMeals · 2025-02-27Prevnar 20$15
Sanofi-Aventis U.S.Meals · 2025-02-27Tzield$35
Seqirus USAMeals · 2025-01-28Flucelvax$34
ARS Pharmaceuticals OperationsMeals · 2025-01-08Neffy$14
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $208

Payments by company in 2024
Sanofi-Aventis U.S.Tzield$88
3 payments
  • Meals for Tzield · 2024-12-10 · $23
  • Meals for Tzield · 2024-11-01 · $35
  • Meals for Tzield · 2024-10-01 · $30
PfizerPrevnar 20$33
2 payments
  • Meals for Prevnar 20 · 2024-11-14 · $19
  • Meals for Paxlovid · 2024-03-20 · $14
Merck Sharp & DohmeGardasil$31
1 payment
  • Meals for Gardasil · 2024-02-20 · $31
AstraZeneca Pharmaceuticals LPFasenra$24
1 payment
  • Meals for Fasenra · 2024-06-07 · $24
GenzymeDupixent$18
1 payment
  • Meals for Dupixent · 2024-07-09 · $18
Cranial TechnologiesDoc Band$14
1 payment
  • Meals for Doc Band · 2024-11-07 · $14

2023: $100

Payments by company in 2023
Merck Sharp & DohmeRotateq$31
1 payment
  • Meals for Rotateq · 2023-07-13 · $31
PfizerPaxlovid$30
2 payments
  • Meals for Paxlovid · 2023-05-18 · $16
  • Meals for Prevnar 13 · 2023-04-12 · $14
ALK-AbelloOdactra$21
1 payment
  • Meals for Odactra · 2023-01-26 · $21
Seqirus USAFlucelvax Quadrivalent$19
1 payment
  • Meals for Flucelvax Quadrivalent · 2023-02-09 · $19

2022: $231

Payments by company in 2022
CognoaCanvas Dx$72
3 payments
  • Meals for Canvas Dx · 2022-03-09 · $22
  • Meals for Canvas Dx · 2022-02-17 · $30
  • Meals for Canvas Dx · 2022-01-27 · $20
PfizerPrevnar 13$39
3 payments
  • Meals for Prevnar 13 · 2022-07-29 · $12
  • Meals for Prevnar 13 · 2022-06-15 · $14
  • Meals for Prevnar 13 · 2022-04-28 · $13
AstraZeneca Pharmaceuticals LPFlumist$35
2 payments
  • Meals for Flumist · 2022-10-28 · $15
  • Meals for Flumist · 2022-02-03 · $19
Seqirus USAFlucelvax Quadrivalent$29
2 payments
  • Meals for Flucelvax Quadrivalent · 2022-09-14 · $16
  • Meals for Flucelvax Quadrivalent · 2022-03-02 · $14
ALK-AbelloGrastek$26
1 payment
  • Meals for Grastek · 2022-04-14 · $26
Sanofi PasteurVaxelis$17
1 payment
  • Meals for Vaxelis · 2022-05-25 · $17
Cranial TechnologiesDoc Band$13
1 payment
  • Meals for Doc Band · 2022-04-13 · $13

2021: $304

Payments by company in 2021
PfizerPrevnar 13$191
12 payments
  • Meals for Prevnar 13 · 2021-11-30 · $11
  • Meals for Prevnar 13 · 2021-10-20 · $5
  • Meals for Prevnar 13 · 2021-09-14 · $20
  • Meals for Prevnar 13 · 2021-08-17 · $31
  • Meals for Prevnar 13 · 2021-07-23 · $7
  • Meals for Prevnar 13 · 2021-06-08 · $13
  • Meals for Prevnar 13 · 2021-05-26 · $4
  • Meals for Prevnar 13 · 2021-04-14 · $22
  • Meals for Prevnar 13 · 2021-03-10 · $24
  • Meals for Prevnar 13 · 2021-02-10 · $3
  • Meals for Prevnar 13 · 2021-02-10 · $22
  • Meals for Prevnar 13 · 2021-01-11 · $28
ALK-AbelloOtiprio$22
1 payment
  • Meals for Otiprio · 2021-01-26 · $22
Merck Sharp & DohmeGardasil 9$21
1 payment
  • Meals for Gardasil 9 · 2021-06-02 · $21
Alexion PharmaceuticalsStrensiq$20
1 payment
  • Meals for Strensiq · 2021-09-22 · $20
kaleoAuvi-Q$19
1 payment
  • Meals for Auvi-Q · 2021-07-06 · $19
Sanofi PasteurMenquadfi$19
1 payment
  • Meals for Menquadfi · 2021-10-15 · $19
QiagenQuantiferon-Tb Gold Plus$13
1 payment
  • Meals for Quantiferon-Tb Gold Plus · 2021-04-20 · $13

2020: $214

Payments by company in 2020
PfizerPrevnar 13$176
11 payments
  • Meals for Prevnar 13 · 2020-11-24 · $4
  • Meals for Prevnar 13 · 2020-11-24 · $28
  • Meals for Prevnar 13 · 2020-09-17 · $35
  • Meals for Eucrisa · 2020-08-26 · $20
  • Meals for Prevnar 13 · 2020-08-05 · $23
  • Meals for Eucrisa · 2020-07-28 · $21
  • Meals for Prevnar 13 · 2020-07-09 · $16
  • Meals for Prevnar 13 · 2020-03-12 · $4
  • Meals for Prevnar 13 · 2020-02-19 · $8
  • Meals for Prevnar 13 · 2020-02-13 · $11
  • Meals for Prevnar 13 · 2020-01-22 · $5
ALK-AbelloOdactra$25
1 payment
  • Meals for Odactra · 2020-08-25 · $25
Cranial TechnologiesDoc Band$13
1 payment
  • Meals for Doc Band · 2020-09-15 · $13

2019: $89

Payments by company in 2019
KaleoAuvi-Q$38
2 payments
  • Meals for Auvi-Q · 2019-08-08 · $20
  • Meals for Auvi-Q · 2019-04-23 · $18
PfizerPrevnar - 13$25
2 payments
  • Meals for Prevnar - 13 · 2019-04-03 · $13
  • Meals for Eucrisa · 2019-01-11 · $11
Sanofi PasteurAdacel$14
1 payment
  • Meals for Adacel · 2019-05-03 · $14
GlaxoSmithKlineBenlysta$13
1 payment
  • Meals for Benlysta · 2019-06-18 · $13

Professional record

NPI
1427134832
Licence
CA A55498California A55498: Current · expires 2028-01-31
More record details
Sole proprietor
No
Medicaid ID
CA 00A554980
Taxonomy
Pediatrics (208000000X)
Mailing address
105 N Bascom Ave #102, San Jose, CA, 95128
NPI first listed
2006-10-27
NPI last updated
2008-11-05

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