Physician
Patel, Sapna
Patel, Sapna was paid $1.59M by Medicaid between Jan 2018 and Mar 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoPATEL, SAPNA
POMONA, CA 91767
POMONA, CA 91767
33aNPI1790973204assigned 10/10/2007
33bProvider typePediatrics Physician
28Total paid$1.59M
24GClaims58,371
24DCodes billed46
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#90 of 1,490
Median peer was paid$15K
This provider vs. median106×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,499 | $25K | |
| 2019 | 7,892 | $220K | |
| 2020 | 8,772 | $252K | |
| 2021 | 11,297 | $332K | |
| 2022 | 14,489 | $400K | |
| 2023 | 13,111 | $328K | |
| 2024incomplete | 1,311 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 27% | 10,744 | 9,665 | $433K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 14,818 | 13,400 | $381K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 4,263 | 4,242 | $157K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 4,040 | 3,921 | $138K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 2,186 | 2,166 | $94K |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.0% | 1,598 | 1,592 | $63K |
| 99223 | Prolong inpt eval add15 m | 3.2% | 610 | 607 | $52K |
| 92551 | 2.1% | 3,038 | 3,029 | $33K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 424 | 424 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 546 | 543 | $29K |
| 90648 | 1.6% | 2,794 | 2,777 | $25K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.5% | 490 | 369 | $24K |
34 more codes
| 90670 | 1.4% | 2,268 | $22K | |
| 90723 | 1.0% | 1,760 | $16K | |
| 90633 | <1% | 1,366 | $12K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 250 | $10K |
| 90681 | <1% | 1,013 | $9K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 485 | $8K |
| 90700 | <1% | 821 | $7K | |
| 99381 | <1% | 164 | $7K | |
| 90716 | <1% | 637 | $6K | |
| 90707 | <1% | 615 | $5K | |
| 90671 | <1% | 614 | $5K | |
| 90686 | <1% | 487 | $4K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 324 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 206 | $3K |
| 90710 | <1% | 243 | $2K | |
| 90696 | <1% | 219 | $2K | |
| 90651 | <1% | 132 | $1K | |
| 99383 | <1% | 16 | $868.48 | |
| 90697 | <1% | 90 | $801.90 | |
| 90734 | <1% | 47 | $418.77 | |
| 90685 | <1% | 45 | $402.48 | |
| 96127 | <1% | 31 | $138.04 | |
| 99173 | <1% | 34 | $118.40 | |
| 90715 | <1% | 13 | $115.83 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 99 | $110.50 |
| 90713 | <1% | 12 | $108.00 | |
| 92081 | <1% | 12 | $79.20 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 37 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 66 | $0.00 |
| 85018 | 0% | 17 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 350 | $0.00 |
| 90461 | 0% | 121 | $0.00 | |
| 99401 | 0% | 211 | $0.00 | |
| 83655 | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.