Active NPI 1992938534 Individual Practitioner Female Practitioner

Dr. Sapna Prabhakaran , MD

Pediatrics • Saint Paul, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sapna Prabhakaran, MD is a certified Pediatrics practicing in Saint Paul, MN. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Prabhakaran delivers high-quality medical care to the local community at 1700 UNIVERSITY AVE W.

Dr. Prabhakaran is affiliated with Fairview Clinics and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, complete blood cell count (red cells, white blood cell, platelets), automated test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1700 University Ave W

Saint Paul, MN 551043727

Telephone 6126726000

Associated Practice Facility / Clinic

🏢 Healtheast Medical Research Institute Facility NPI 1801836812

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Saint Paul, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -0.3 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 20.6 Yrs

Regional Practice Density

66 Specialists

Practicing in Saint Paul, MN (1325 Statewide)

Telehealth Adoption Rate

3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prabhakaran (20 Years) 20 Yrs

Saint Paul Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	633	254	$18.21	$8.47
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	207	85	$21.51	$7.53
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	182	59	$18.24	$6.23
80048 Blood test, basic group of blood chemicals (calcium, total)	154	68	$23.43	$8.04
80053 Blood test, comprehensive group of blood chemicals	151	60	$29.81	$10.35
71046 X-ray of chest, 2 views	105	98	$79.38	$23.25
80197 Tacrolimus level	86	16	$41.21	$13.08
85610 Blood test, clotting time	72	17	$13.00	$4.20
84156 Total protein level, urine	67	35	$10.00	$3.47
82565 Blood creatinine level	64	33	$14.23	$4.96
81001 Manual urinalysis test with examination using microscope, automated	63	41	$11.00	$3.03
82248 Bilirubin level, direct	61	15	$14.25	$4.92
80061 Blood test, lipids (cholesterol and triglycerides)	55	51	$39.55	$12.73
86140 Measurement C-reactive protein for detection of infection or inflammation	55	31	$14.20	$4.93
82728 Ferritin (blood protein) level	54	31	$36.72	$12.84
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	54	14	$187.81	$51.14
83036 Hemoglobin A1C level	52	37	$27.23	$9.35
80069 Kidney function blood test panel	51	30	$24.63	$8.10
85652 Red blood cell sedimentation rate, to detect inflammation, automated	51	28	$9.00	$2.61
82306 Vitamin d-3 level	46	36	$81.96	$28.71
84443 Blood test, thyroid stimulating hormone (TSH)	46	40	$46.57	$15.83
80076 Liver function blood test panel	43	23	$22.37	$7.86
83735 Magnesium level	42	12	$19.33	$6.44
82570 Creatinine level to test for kidney function or muscle injury	40	30	$0.36	$0.14
83970 Parathormone (parathyroid hormone) level	40	29	$115.20	$38.80
83540 Iron level	40	28	$18.00	$6.14
82043 Urine microalbumin (protein) level	39	29	$16.28	$5.47
83550 Iron binding capacity	39	27	$24.26	$8.29
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	32	21	$24.34	$8.48
85018 Blood count, hemoglobin	31	22	$8.00	$2.32
84450 Liver enzyme (sgot), level	28	15	$14.21	$4.93
84460 Liver enzyme (sgpt), level	27	13	$15.19	$5.19
84100 Phosphate level	25	16	$13.20	$4.65
77063 Screening digital tomography of both breasts	24	24	$82.00	$24.23
77067 Screening mammography	24	24	$282.33	$92.98
73630 X-ray of foot, minimum of 3 views	24	23	$89.83	$26.46
71101 X-ray of ribs on side of body, minimum of 3 views	17	17	$100.94	$29.80
84439 Thyroxine (thyroid chemical), free	17	15	$25.29	$8.59
73562 X-ray of knee, 3 views	16	14	$107.44	$32.14
82607 Cyanocobalamin (vitamin B-12) level	14	13	$41.29	$14.78
73030 X-ray of shoulder, minimum of 2 views	14	13	$86.00	$26.03
87086 Bacterial colony count, urine	14	13	$22.00	$7.91
74019 X-ray of abdomen, 2 views	12	12	$90.00	$26.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	550	253	$12.66	$8.21
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	169	83	$23.39	$7.33
85610 Blood test, clotting time	152	23	$13.00	$4.20
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	138	65	$19.33	$6.18
80048 Blood test, basic group of blood chemicals (calcium, total)	133	63	$25.35	$8.19
80053 Blood test, comprehensive group of blood chemicals	131	67	$32.34	$10.24
71046 X-ray of chest, 2 views	93	85	$74.56	$23.73
80197 Tacrolimus level	77	17	$42.42	$12.20
83036 Hemoglobin A1C level	61	54	$28.39	$9.36
81001 Manual urinalysis test with examination using microscope, automated	57	46	$11.00	$3.11
80069 Kidney function blood test panel	52	29	$26.35	$7.58
84156 Total protein level, urine	52	39	$10.25	$3.60
84443 Blood test, thyroid stimulating hormone (TSH)	48	38	$48.33	$16.46
82565 Blood creatinine level	47	29	$15.30	$5.02
80061 Blood test, lipids (cholesterol and triglycerides)	46	45	$41.37	$13.12
82248 Bilirubin level, direct	45	15	$15.27	$4.92
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	45	14	$174.56	$53.66
83735 Magnesium level	44	16	$20.30	$5.66
82306 Vitamin d-3 level	43	38	$86.49	$27.31
86140 Measurement C-reactive protein for detection of infection or inflammation	42	25	$15.36	$5.08
82728 Ferritin (blood protein) level	40	21	$37.70	$13.36
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	40	32	$25.43	$8.48
85018 Blood count, hemoglobin	40	27	$8.00	$2.32
83970 Parathormone (parathyroid hormone) level	39	31	$124.33	$37.84
83540 Iron level	37	19	$18.43	$6.06
83550 Iron binding capacity	36	18	$25.42	$8.19
85652 Red blood cell sedimentation rate, to detect inflammation, automated	35	21	$9.00	$2.65
84153 Psa (prostate specific antigen) measurement, total	32	20	$54.25	$18.02
77067 Screening mammography	31	31	$246.19	$93.51
82570 Creatinine level to test for kidney function or muscle injury	30	27	$0.51	$0.18
82043 Urine microalbumin (protein) level	30	27	$17.27	$5.66
77063 Screening digital tomography of both breasts	27	27	$77.30	$24.36
84450 Liver enzyme (sgot), level	27	16	$15.30	$5.08
84439 Thyroxine (thyroid chemical), free	27	22	$26.48	$8.84
84460 Liver enzyme (sgpt), level	26	18	$16.27	$5.19
80076 Liver function blood test panel	26	18	$24.27	$8.01
84403 Testosterone (hormone) level, total	23	11	$77.57	$25.29
87086 Bacterial colony count, urine	23	19	$22.52	$7.91
84100 Phosphate level	19	15	$14.37	$4.53
82607 Cyanocobalamin (vitamin B-12) level	18	17	$45.33	$14.78
82040 Albumin (protein) level	18	13	$15.39	$4.85
73562 X-ray of knee, 3 views	16	14	$102.25	$29.39
81003 Automated urinalysis test	12	11	$8.00	$2.20
73630 X-ray of foot, minimum of 3 views	11	11	$86.45	$25.67
73030 X-ray of shoulder, minimum of 2 views	11	11	$80.27	$26.12
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$91.82	$29.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	430	223	$12.00	$2.88
80048 Blood test, basic group of blood chemicals (calcium, total)	134	66	$26.15	$8.02
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	113	96	$52.65	$24.80
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	113	96	$135.00	$74.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	110	64	$24.20	$7.60
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	108	55	$20.17	$6.29
85610 Blood test, clotting time	95	24	$13.00	$4.19
80053 Blood test, comprehensive group of blood chemicals	81	50	$33.25	$10.30
80197 Tacrolimus level	70	19	$43.17	$13.44
71046 X-ray of chest, 2 views	61	58	$75.54	$26.08
86140 Measurement C-reactive protein for detection of infection or inflammation	53	27	$16.13	$5.02
84156 Total protein level, urine	48	29	$11.19	$3.55
85652 Red blood cell sedimentation rate, to detect inflammation, automated	46	23	$9.00	$2.61
81001 Manual urinalysis test with examination using microscope, automated	46	40	$11.00	$3.13
82565 Blood creatinine level	45	26	$16.16	$4.99
84443 Blood test, thyroid stimulating hormone (TSH)	43	35	$50.23	$16.42
83036 Hemoglobin A1C level	42	37	$29.48	$9.28
87799 Detection test by nucleic acid for organism, quantification	40	12	$127.80	$42.27
82728 Ferritin (blood protein) level	37	25	$40.43	$12.88
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	36	15	$173.00	$54.65
80069 Kidney function blood test panel	35	24	$27.11	$8.55
80061 Blood test, lipids (cholesterol and triglycerides)	34	34	$42.44	$12.67
83550 Iron binding capacity	32	22	$26.13	$8.20
84153 Psa (prostate specific antigen) measurement, total	29	17	$57.21	$18.12
85018 Blood count, hemoglobin	28	20	$8.00	$2.26
84450 Liver enzyme (sgot), level	28	18	$16.14	$5.02
84460 Liver enzyme (sgpt), level	28	18	$17.14	$5.13
77067 Screening mammography	28	28	$224.64	$95.39
82306 Vitamin d-3 level	27	24	$89.74	$28.68
80076 Liver function blood test panel	27	18	$25.19	$7.91
84439 Thyroxine (thyroid chemical), free	26	21	$27.62	$8.92
77063 Screening digital tomography of both breasts	24	24	$78.58	$24.27
83970 Parathormone (parathyroid hormone) level	24	19	$127.25	$40.66
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	21	18	$26.48	$8.54
83735 Magnesium level	19	12	$21.16	$6.61
87086 Bacterial colony count, urine	19	19	$24.21	$7.95
82043 Urine microalbumin (protein) level	17	16	$18.35	$5.20
84403 Testosterone (hormone) level, total	16	11	$79.38	$25.48
82248 Bilirubin level, direct	13	11	$16.31	$4.96
82607 Cyanocobalamin (vitamin B-12) level	13	13	$46.77	$14.36

Medical Specialties & State Licenses

CMS Verified: 2022-11-14

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 70087

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NY 253959

Hospital & Practice Group Affiliations

Fairview Clinics

13819 Hanson Blvd Nw, Andover, MN 553047608

Phone: 6126265775

Fairview Clinics

1440 Duckwood Dr, Eagan, MN 551221451

Phone: 6514068860

Fairview Clinics

14500 99th Ave N, Maple Grove, MN 553694738

Phone: 7638981000

Secondary Practice Locations

2016 Bronxdale Ave, Suite 203

Bronx, NY 104623388

Phone: 7185970700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Michelle Gray

Rehabilitation Practitioner

NPI 1003012675

Dr. Admatha Winfred , MD

Internal Medicine - Geriatric Medicine

NPI 1003105552

Doctor of Medicine (M.D.)

Dr. Daniel Kebed , MD

Internal Medicine

NPI 1003170952

Doctor of Medicine (M.D.)

Chelsea Mielke , PA-C

Physician Assistant

NPI 1003255886

Physician Assistant (Certified)

Dr. Markus Meyer , MD

Internal Medicine - Cardiovascular Disease

NPI 1003871955

Doctor of Medicine (M.D.)

Megan Dowdal-Osborn , PT

Physical Therapist

NPI 1023109436

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location November 14, 2022

Registered at 1700 UNIVERSITY AVE W, SAINT PAUL, MN 551043727 (Tel: 6126726000)

📍

Updated Business Mailing Address November 14, 2022

Registered at 1700 UNIVERSITY AVE W, SAINT PAUL, MN 551043727

✅

NPI Profile Active September 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2012

Registered at 2016 BRONXDALE AVE, SUITE 203, BRONX, NY 104623388 (Tel: 7185970700)

📍

Updated Business Mailing Address September 17, 2012

Registered at 2016 BRONXDALE AVENUE, SUITE 203, BRONX, NY 10462 (Tel: 7185970700)

👤

Provider Name / Credentials Updated September 17, 2012

Recorded as SAPNA PRABHAKARAN, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2012

Pediatrics (License #253959 in NY)

🟢

Initial NPI Registration & Enumeration August 31, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992938534

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2009

Last Update: November 14, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1700 University Ave W

Saint Paul, MN 551043727

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.