Lakshmi Leishangthem, MD
Ophthalmology · Palo Alto
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 2
- 2 carriers
- Offices
- 7
Offices
7 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. Leishangthem’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
2 of 2 plans
| Alignment Health Sutter Advantage +More (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
Original Medicare doctor bills
$26,529
Medicare paid this office $26,529 for 93 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Long return visit (40+ min) | 37 | $8,033 | $134 |
| Exam of visual field with extended testing | 39 | $2,994 | $52 |
| New patient visit (60+ min) | 18 | $2,969 | $165 |
| 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 or | 26 | $2,008 | $26 |
| Imaging of optic nerve | 37 | $1,478 | $27 |
See all 11 services
| Long return visit (40+ min) | 37 | $8,033 | $134 |
| Exam of visual field with extended testing | 39 | $2,994 | $52 |
| New patient visit (60+ min) | 18 | $2,969 | $165 |
| 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 or | 26 | $2,008 | $26 |
| Imaging of optic nerve | 37 | $1,478 | $27 |
| Exam to measure eye deviation and range of motion | 23 | $1,299 | $46 |
| Return visit (30+ min) | 12 | $1,130 | $94 |
| Photography of the retina | 25 | $959 | $31 |
| New patient visit (30+ min) | 11 | $929 | $84 |
| Short return visit (20+ min) | 16 | $905 | $57 |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 42 | $740 | $13 |
Who their Medicare patients are
93 Original Medicare patients in 2024. Average age 70 · Women 58% · Also on Medicaid 31% · Health risk score 1.74. Above the middle of the specialty; the typical neurology clinician is at 1.61.
Conditions among them: High blood pressure 61% · Chronic kidney disease 28% · Depression 27% · Diabetes 24% · Coronary heart disease 22% · Cancer 22% · Stroke 19% · Atrial fibrillation 18% · Heart failure 17% · COPD 13%.
The office billed $81,190, Medicare allowed $35,653 and paid $26,529; for 455 services of 22 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 | 93 | 455 | 70 | 1.74 | $81,190 | $26,529 |
| 2023 | 85 | 384 | 69 | 1.85 | $67,735 | $23,156 |
| 2022 | 93 | 363 | 67 | 1.29 | $65,420 | $23,679 |
| 2021 | 93 | 366 | 71 | 1.38 | $67,605 | $26,817 |
| 2020 | 35 | 119 | 65 | 1.31 | $24,435 | $9,469 |
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: 7 services
| Long return visit (40+ min) | 47 | $7,383 | $139 |
| New patient visit (60+ min) | 23 | $3,747 | $163 |
| Exam of visual field with extended testing | 59 | $3,525 | $50 |
| 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 or | 36 | $2,710 | $27 |
| Imaging of optic nerve | 51 | $1,491 | $27 |
| Photography of the retina | 34 | $1,128 | $31 |
| Short return visit (20+ min) | 11 | $707 | $64 |
2022: 8 services
| Long return visit (40+ min) | 38 | $6,509 | $130 |
| New patient visit (60+ min) | 25 | $4,162 | $166 |
| Exam of visual field with extended testing | 63 | $3,778 | $50 |
| Return visit (30+ min) | 17 | $1,835 | $102 |
| Imaging of optic nerve | 52 | $1,761 | $28 |
| 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 or | 25 | $1,360 | $27 |
| Photography of the retina | 30 | $936 | $31 |
| Short return visit (20+ min) | 14 | $933 | $67 |
2021: 6 services
| Long return visit (40+ min) | 37 | $7,436 | $149 |
| New patient visit (60+ min) | 25 | $4,348 | $174 |
| Exam of visual field with extended testing | 51 | $3,281 | $55 |
| 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 or | 36 | $2,348 | $28 |
| Imaging of optic nerve | 35 | $1,232 | $29 |
| Photography of the retina | 29 | $959 | $33 |
2020: 5 services
| New patient visit (60+ min) | 18 | $3,243 | $180 |
| Long return visit (40+ min) | 15 | $2,284 | $127 |
| Exam of visual field with extended testing | 24 | $1,623 | $56 |
| Imaging of optic nerve | 16 | $577 | $30 |
| Photography of the retina | 14 | $553 | $40 |
Medicaid work
$26,469 in 2024
Medicaid paid $26,469 for 901 billed services this clinician did in 2024, up to 43 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.
| Long return visit (40+ min) | 158 | $9,764 |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2) | 187 | $6,651 |
| Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve | 241 | $5,514 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 77 | $3,061 |
| Short return visit (20+ min) | 48 | $1,374 |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 190 | $106 |
| 2024 | 901 | 6 | 43 | $26,469 |
| 2023 | 871 | 7 | 40 | $27,786 |
| 2022 | 840 | 7 | 40 | $30,579 |
| 2021 | 770 | 5 | 31 | $27,063 |
| 2020 | 286 | 5 | 29 | $10,749 |
See the largest Medicaid services in earlier years
2023
| Long return visit (40+ min) | 153 | $8,674 |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2) | 223 | $6,487 |
| Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve | 295 | $5,815 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 104 | $2,720 |
| Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service) | 36 | $2,172 |
| Short return visit (20+ min) | 42 | $1,073 |
| Return visit (30+ min) | 18 | $845 |
2022
| Long return visit (40+ min) | 141 | $9,753 |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2) | 218 | $7,533 |
| Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve | 296 | $6,428 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 129 | $4,393 |
| Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service) | 13 | $1,029 |
| Short return visit (20+ min) | 28 | $859 |
| Return visit (30+ min) | 15 | $585 |
2021
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2) | 236 | $7,811 |
| Long return visit (40+ min) | 110 | $6,922 |
| Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve | 255 | $5,421 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 151 | $5,405 |
| New patient visit (60+ min) | 18 | $1,504 |
2020
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2) | 106 | $4,022 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 70 | $2,863 |
| Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve | 81 | $1,871 |
| New patient visit (60+ min) | 14 | $1,128 |
| Return visit (30+ min) | 15 | $864 |
Drugs they prescribed that Part D paid
$34,390
Pharmacies billed $34,390 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 234) in 2024. At or below the middle of the specialty; the typical neurology clinician is at 0%.
204 generic and 30 brand-name prescriptions · $34,390 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.
| Pyridostigmine Bromide Er | 15 | $7,233 | $482 |
| Acetazolamide Er | 34 | $2,441 | $72 |
| Pyridostigmine | 36 | $1,646 | $46 |
| Sumatriptan | 19 | $660 | $35 |
| Topiramate | 15 | $241 | $16 |
See all 6 drugs
| Pyridostigmine Bromide Er | 15 | $7,233 | $482 |
| Acetazolamide Er | 34 | $2,441 | $72 |
| Pyridostigmine | 36 | $1,646 | $46 |
| Sumatriptan | 19 | $660 | $35 |
| Topiramate | 15 | $241 | $16 |
| Prednisone | 29 | $202 | $7 |
Year by year
| 2024 | 234 | 60 | 0% (0) | 13% | $34,390 |
| 2023 | 231 | 70 | 0% (0) | None | $50,972 |
| 2022 | 225 | 58 | 0% (0) | None | $39,945 |
| 2021 | 104 | 31 | 0% (0) | None | $16,472 |
| 2020 | 27 | 13 | 0% (0) | None | $3,445 |
| 2019 | 51 | 12 | 0% (0) | None | $2,111 |
| 2018 | 50 | 18 | 0% (0) | None | $911 |
| 2017 | 79 | 24 | 0% (0) | None | $4,623 |
| 2016 | 115 | 30 | 0% (0) | None | $8,190 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 5 drugs
| Pyridostigmine Bromide Er | 22 | $16,512 | $751 |
| Acetazolamide Er | 32 | $3,664 | $114 |
| Sumatriptan | 17 | $2,670 | $157 |
| Pyridostigmine | 22 | $2,286 | $104 |
| Prednisone | 25 | $206 | $8 |
2022: 5 drugs
| Pyridostigmine Bromide Er | 22 | $21,847 | $993 |
| Acetazolamide Er | 19 | $5,812 | $306 |
| Pyridostigmine | 51 | $3,404 | $67 |
| Brimonidine | 11 | $436 | $40 |
| Prednisone | 46 | $405 | $9 |
2021: 3 drugs
| Acetazolamide Er | 13 | $3,114 | $240 |
| Pyridostigmine | 22 | $1,462 | $66 |
| Prednisone | 28 | $274 | $10 |
2019: 1 drug
| Atorvastatin | 11 | $70 | $6 |
Money from drug and device companies
$139 in 2024
| 2024 | 2 | 2 | None | $139 |
| 2022 | 2 | 2 | None | $121 |
| 2020 | 1 | 1 | None | $60 |
| 2019 | 2 | 3 | None | $44 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
See all 2 published payments
| Dompe US | Meals · 2024-11-20 | Oxervate | $14 |
| Amgen | Meals · 2024-11-18 | Tepezza | $125 |
See earlier years (2022, 2020, 2019)
2022: $121
| Biogen | None | $72 | 1 payment
|
| Horizon Therapeutics plc | Tepezza | $50 | 1 payment
|
2020: $60
| Horizon Therapeutics plc | None | $60 | 1 payment
|
2019: $44
| Teva Pharmaceuticals USA | Austedo | $32 | 2 payments
|
| Allergan | Botox | $12 | 1 payment
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 79.3 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1952784308
- Licence
- CT 064257, PA MT208372
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Neurology (2084N0400X)
- Mailing address
- 795 El Camino Real, Palo Alto, CA, 94301
- NPI first listed
- 2015-07-02
- NPI last updated
- 2025-07-09
- NPI record certified
- 2025-07-09
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 263 Farmington Ave, Farmington, CT, 06030 · Byers Eye Institute Stanford Health Care, Palo Alto, CA, 94303
This office lists an electronic records connection.