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Poonam Manwani, MD

Rheumatology · Palo Alto

NPI 1609220839

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
2
2 carriers
Offices
3

Offices

3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plans that list them

2 plans · 2 carriers

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

2 of 2 plans

Plans whose provider directory lists this clinician
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A156469 · Current

Licensed to practise in California · since 2018 · expires 2027-10-31 · Rosalind Franklin University, the Chicago Medical School.

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

State licence records

1 licence

  • Washington MD.MD.61155350Physician And Surgeon License · since 2021 · expires 2023-10-29
    ExpiredNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Original Medicare doctor bills

$74,851

Medicare paid this office $74,851 for 215 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Long return visit (40+ min)84$20,968$166
Return visit (30+ min)105$20,720$110
New patient visit (60+ min)73$14,823$203
Short return visit (20+ min)79$9,267$86
New patient visit (45+ min)22$2,896$132

Who their Medicare patients are

215 Original Medicare patients in 2024. Average age 76 · Women 64% · Also on Medicaid 9% · Health risk score 1.12. At or below the middle of the specialty; the typical rheumatology clinician is at 1.38.

Conditions among them: High blood pressure 62% · Coronary heart disease 30% · Chronic kidney disease 27% · Diabetes 20% · Atrial fibrillation 20% · Cancer 18% · Depression 16% · Heart failure 10% · COPD 6%.

The office billed $266,723, Medicare allowed $99,168 and paid $74,851; for 1,902 services of 19 kinds; $4,695 of it was for drugs given in the office and $70,156 for care.

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

Original Medicare by year
20242151,902761.12$266,723$74,851
2023170516760.93$200,443$57,143
2022136278751.22$114,620$31,268
20214394710.96$35,232$11,662

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

2023: 6 services

Original Medicare services billed in 2023
Long return visit (40+ min)69$17,438$149
New patient visit (60+ min)76$13,496$178
Return visit (30+ min)66$13,118$110
Short return visit (20+ min)59$6,537$74
New patient visit (45+ min)30$4,009$134
Injection, triamcinolone acetonide, not otherwise specified, 10 mg12$30None

2022: 5 services

Original Medicare services billed in 2022
Long return visit (40+ min)95$17,697$136
New patient visit (60+ min)32$5,673$177
Return visit (30+ min)33$3,655$91
New patient visit (45+ min)14$1,975$141
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or20$592$26

2021: 3 services

Original Medicare services billed in 2021
Long return visit (40+ min)24$4,816$146
New patient visit (60+ min)22$3,861$176
Return visit (30+ min)11$1,191$99

Medicaid work

$7,343 in 2022

Medicaid paid $7,343 for 113 billed services this clinician did in 2022, up to 24 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 2022
Long return visit (40+ min)113$7,343
Medicaid work by year
2022113124$7,343
202185322$6,315
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
Long return visit (40+ min)43$2,919
New patient visit (60+ min)24$2,106
New patient visit (45+ min)18$1,291

Drugs they prescribed that Part D paid

$375,445

Pharmacies billed $375,445 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 2% of their Part D prescriptions (14 of 694) in 2024. At or below the middle of the specialty; the typical rheumatology clinician is at 3%.

627 generic and 67 brand-name prescriptions · $375,445 in drug cost.

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.

Largest Part D drug costs
Humira(Cf)19$150,666$7,930
Otezla14$79,907$5,708
Colchicine43$1,893$44
Methotrexate65$1,592$24
Prednisone185$1,386$7
See all 11 drugs
Every Part D drug this clinician prescribed
Humira(Cf)19$150,666$7,930
Otezla14$79,907$5,708
Colchicine43$1,893$44
Methotrexate65$1,592$24
Prednisone185$1,386$7
Hydroxychloroquine Sulfate51$1,276$25
Allopurinol79$583$7
Omeprazole39$325$8
Entecavir12$239$20
Pantoprazole15$81$5
Alendronate11$19$2

Year by year

Part D prescribing by year
20246941342% (14)10%$375,445
2023418890% (0)None$104,505
202237199None13%$193,586
2021189630% (0)None$312,876
2020210400% (0)None$360,433
2019118390% (0)28%$114,964
201860220% (0)20%$23,305
201736230% (0)None$1,243

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 9 drugs

Part D drugs prescribed in 2023
Colchicine20$2,251$113
Prednisone163$1,791$11
Hydroxychloroquine Sulfate33$1,291$39
Methotrexate24$969$40
Allopurinol23$399$17
Diclofenac16$385$24
Sulfasalazine13$296$23
Omeprazole19$212$11
Pantoprazole14$138$10

2022: 7 drugs

Part D drugs prescribed in 2022
Hydroxychloroquine Sulfate65$5,082$78
Methotrexate53$1,717$32
Prednisone96$1,133$12
Sulfasalazine18$398$22
Allopurinol11$98$9
Meloxicam11$84$8
Folic Acid11$57$5

2021: 4 drugs

Part D drugs prescribed in 2021
Methotrexate27$1,422$53
Hydroxychloroquine Sulfate12$834$70
Prednisone41$452$11
Sulfasalazine12$116$10

2020: 3 drugs

Part D drugs prescribed in 2020
Humira12$140,036$11,670
Methotrexate43$3,454$80
Prednisone14$406$29

2019: 1 drug

Part D drugs prescribed in 2019
Methotrexate18$1,452$81

Money from drug and device companies

$13 in 2024

Industry payments by year
202411None$13
2021214None$310
2020325None$417
201935None$179

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
Genentech USAActemra$13
1 payment
  • Meals for Actemra · 2024-11-18 · $13
See the published payment
Every published payment
Genentech USAMeals · 2024-11-18Actemra$13
See earlier years (2021, 2020, 2019)

2021: $310

Payments by company in 2021
AmgenEnbrel$293
13 payments
  • Meals for Enbrel · 2021-07-15 · $10
  • Meals for Enbrel · 2021-06-10 · $18
  • Meals for Enbrel · 2021-05-27 · $31
  • Meals for Enbrel · 2021-05-06 · $26
  • Meals for Enbrel · 2021-04-22 · $26
  • Meals for Enbrel · 2021-03-25 · $26
  • Meals for Enbrel · 2021-03-17 · $18
  • Meals for Enbrel · 2021-03-11 · $27
  • Meals for Enbrel · 2021-03-04 · $15
  • Meals for Enbrel · 2021-02-25 · $29
  • Meals for Enbrel · 2021-02-11 · $23
  • Meals for Enbrel · 2021-01-29 · $24
  • Meals for Enbrel · 2021-01-15 · $21
E.R. Squibb & Sons L.L.C.Orencia$17
1 payment
  • Meals for Orencia · 2021-04-15 · $17

2020: $417

Payments by company in 2020
AmgenEnbrel$295
18 payments
  • Meals for Enbrel · 2020-12-10 · $16
  • Meals for Enbrel · 2020-12-03 · $26
  • Meals for Enbrel · 2020-11-19 · $13
  • Meals for Enbrel · 2020-11-05 · $13
  • Meals for Enbrel · 2020-10-15 · $16
  • Meals for Enbrel · 2020-10-09 · $17
  • Meals for Enbrel · 2020-10-01 · $26
  • Meals for Enbrel · 2020-09-10 · $17
  • Meals for Enbrel · 2020-08-20 · $10
  • Meals for Enbrel · 2020-08-07 · $8
  • Meals for Enbrel · 2020-07-16 · $16
  • Meals for Enbrel · 2020-06-25 · $18
  • Meals for Enbrel · 2020-06-04 · $26
  • Meals for Enbrel · 2020-04-30 · $20
  • Meals for Enbrel · 2020-04-09 · $18
  • Meals for Enbrel · 2020-03-27 · $17
  • Meals for Enbrel · 2020-02-20 · $17
  • Meals for Enbrel · 2020-02-20 · $2
GlaxoSmithKlineBenlysta$61
4 payments
  • Meals for Benlysta · 2020-10-29 · $12
  • Meals for Benlysta · 2020-06-19 · $14
  • Meals for Benlysta · 2020-05-01 · $14
  • Meals for Benlysta · 2020-03-06 · $21
E.R. Squibb & Sons L.L.C.Orencia$61
3 payments
  • Meals for Orencia · 2020-11-12 · $22
  • Meals for Orencia · 2020-09-03 · $14
  • Meals for Orencia · 2020-07-02 · $24

2019: $179

Payments by company in 2019
AmgenEnbrel$80
3 payments
  • Meals for Enbrel · 2019-11-15 · $23
  • Meals for Enbrel · 2019-11-14 · $39
  • Meals for Enbrel · 2019-07-31 · $17
GlaxoSmithKlineBenlysta$65
1 payment
  • Meals for Benlysta · 2019-10-10 · $65
E.R. Squibb & Sons L.L.C.None$35
1 payment
  • Meals · 2019-12-05 · $35

Professional record

NPI
1609220839
Licence
CA A156469, WA MD61155350California A156469: Current · expires 2027-10-31Washington MD.MD.61155350: Expired
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
WA 2180669
Taxonomy
Federal specialty code 207RR0500X (207RR0500X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2016-04-13
NPI last updated
2022-09-21
NPI record certified
2022-09-21

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

Extra NPI addresses: 1802 Yakima Ave Ste 208, Tacoma, WA, 98405

This office lists an electronic records connection.