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Teklehaimanot Abraha, NP

Nurse Practitioner · Los Altos

NPI 1013441229

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
5

Offices

5 locations · Quality Care Solution Inc · Solomon Medical Inc · University of California San Francisco

Looking this up.

Hospitals listed: UCSF Medical Center. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Teklehaimanot Abraha’s office to ask if they take your plan before you enroll.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • UCSF Medical CenterSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of UCSF Helen Diller Family Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 81% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 4.9 (3.79 to 6.02) · 7,590 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 12.8 (11.3 to 14.4) · 2,019 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 139.4 (110.22 to 168.58) · 452 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.622, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.626, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.491, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.7 to 1) · 2,336 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for UCSF Medical Center

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 3 better, 5 the same, 3 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at UCSF Medical Center
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.9 (3.79 to 6.02) · 7,590 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.8 (11.3 to 14.4) · 2,019 casesWorseJan 2024 – Dec 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths139.4 (110.22 to 168.58) · 452 casesBetterJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.622BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.626BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.491BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.7 to 1) · 2,336 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.24 (0.58 to 1.9) · 4,689 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.89 to 1.2)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.9 · 89 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.5 · 85 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.1 · 132 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.6 · 454 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 618 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 380 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.7 · 5,000 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.22 (0.06 to 0.38) · 15,965 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.05 to 0.35) · 17,859 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.85 (0 to 1.83) · 4,184 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2 (1.1 to 2.9) · 6,516 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.35 (4.49 to 10.21) · 3,989 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5 (3.22 to 6.77) · 4,087 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.95 (0.74 to 3.15) · 2,034 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.95 (0.63 to 1.28) · 15,431 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 399 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.899No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.689No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.224No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16 · 156 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20 · 564 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits60.3 · 160 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-9.7 · 550 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits44.1 · 660 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 667 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (4.8 to 6.7) · 2,019 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6 · 421 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.5 · 53 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 107 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.9 (11.3 to 17.1) · 3,247 casesNo differentJan 2022 – Dec 2024

What patients said (3,181 patients answered, 25% of those asked)

Patient survey stars by topic at UCSF Medical Center
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at UCSF Medical Center
Room was "always" clean71%
Nurses "always" communicated well80%
Doctors "always" communicated well80%
Staff "always" explained61%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital81%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$403,739

Medicare paid this office $403,739 for 1,129 people.

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

Largest Original Medicare bills
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes759$205,860$83
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more335$73,083$59
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes477$66,630$117
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more112$16,308$139
Advance care planning, first 30 minutes223$13,697$58
See all 11 services
Every Original Medicare service billed
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes759$205,860$83
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more335$73,083$59
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes477$66,630$117
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more112$16,308$139
Advance care planning, first 30 minutes223$13,697$58
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes78$9,600$84
Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi67$5,076$23
Nursing facility discharge management, more than 30 minutes37$3,708$100
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more24$2,570$58
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes14$2,056$147
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes16$1,651$103

Who their Medicare patients are

1,129 Original Medicare patients in 2024. Average age 77 · Under 65 10% · 85 and older 26% · Women 52% · Also on Medicaid 71% · Health risk score 2.82. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Depression 56% · Diabetes 50% · Dementia 50% · Chronic kidney disease 45% · Coronary heart disease 42% · Heart failure 42% · Atrial fibrillation 34% · COPD 32% · Stroke 32% · Cancer 16%.

The office billed $979,773, Medicare allowed $508,730 and paid $403,739; for 5,129 services of 17 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

Original Medicare by year
20241,1295,129772.82$979,773$403,739
20236521,593763.54$298,115$138,312
20228323,355772.50$629,379$245,037
20214521,971742.77$332,920$138,706
20207653,875752.76$642,717$277,505
20196362,400752.26$424,564$166,881
2018172427761.30$109,748$24,207
20173344641.77$18,503$2,298

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: 10 services

Original Medicare services billed in 2023
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes209$39,125$84
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes263$35,472$121
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes198$25,599$83
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more117$14,538$58
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes90$11,688$123
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more54$4,115$56
Advance care planning, first 30 minutes48$3,336$67
Nursing facility discharge management, more than 30 minutes20$1,955$98
Nursing facility discharge management, more than 30 minutes14$1,355$97
Advance care planning, first 30 minutes20$1,130$56

2022: 9 services

Original Medicare services billed in 2022
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes392$90,747$72
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more361$48,194$55
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes383$46,916$106
Advance care planning, first 30 minutes296$21,642$68
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes156$17,000$102
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes74$8,124$71
Nursing facility discharge management, more than 30 minutes90$7,542$82
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more53$4,100$53
Advance care planning, first 30 minutes11$657$60

2021: 4 services

Original Medicare services billed in 2021
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes345$96,804$64
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes269$33,597$104
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more56$4,194$51
Advance care planning, first 30 minutes34$3,062$60

2020: 6 services

Original Medicare services billed in 2020
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes684$215,008$68
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes406$48,780$104
Advance care planning, first 30 minutes140$9,124$61
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more42$2,855$55
Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes15$948$41
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes11$416$35

2019: 11 services

Original Medicare services billed in 2019
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes459$115,367$71
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes211$24,465$105
Advance care planning, first 30 minutes95$7,615$60
New patient visit (45+ min)54$5,249$97
Return visit (30+ min)40$2,939$65
Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes19$2,322$73
Short return visit (20+ min)14$698$50
X-ray of chest, 2 views20$498$22
Inhalation treatment for airway obstruction or sputum production26$352$13
Injection of drug or substance under skin or into muscle14$192$13
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme24$2None

2018: 10 services

Original Medicare services billed in 2018
New patient visit (45+ min)59$7,343$124
Return visit (30+ min)39$3,870$81
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes40$3,603$71
New patient visit (30+ min)15$1,171$78
Short return visit (20+ min)15$1,047$58
Injection of drug or substance under skin or into muscle19$396$17
X-ray of chest, 2 views15$384$26
Inhalation treatment for airway obstruction or sputum production13$233$17
Automated urinalysis test22$60$3
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme13$1None

2017: 2 services

Original Medicare services billed in 2017
Emergency department visit with low level of medical decision making22$1,135$41
Emergency department visit with moderate level of medical decision making11$877$80

Medicaid work

$20,061 in 2024

Medicaid paid $20,061 for 1,061 billed services this clinician did in 2024, up to 44 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
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES633$10,469
SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES146$7,461
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES266$2,131
Screening for depression is documented as negative, a follow-up plan is not required16$0
Medicaid work by year
20241,061444$20,061
2023936695$17,435
20221,391482$17,248
20212,6031286$10,707
20202,5201475$17,941
2019131124$3,112
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES498$9,494
SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES151$5,402
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES126$1,372
INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES18$585
Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate16$433
Screening for depression is documented as negative, a follow-up plan is not required127$150

2022

Largest Medicaid services in 2022
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES712$6,728
SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES223$4,901
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES357$2,971
Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate99$2,646

2021

Largest Medicaid services in 2021
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES784$7,919
SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES81$2,788
Advance Care Planning discussed and documented advance care plan or surrogate decision maker documented in the medical record (DEM) (GER, Pall Cr)360$0
FALLS RISK ASSESSMENT DOCUMENTED442$0
Pneumococcal vaccine administered or previously received (COPD) (PV) (IBD)242$0
Bmi is documented within normal parameters and no follow-up plan is required14$0
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications29$0
Flu immunize order/admin14$0
Screening for depression is documented as negative, a follow-up plan is not required293$0
Elder maltreatment screen documented as negative, follow-up is not required16$0
Documentation stating the patient has had a diagnosis of bipolar disorder150$0
Patient not eligible due to active diagnosis of hypertension178$0

2020

Largest Medicaid services in 2020
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES828$14,124
SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES75$3,817
Patient screened for future fall risk; documentation of no falls in the past year or only 1 fall without injury in the past year (GER)15$0
Advance Care Planning discussed and documented advance care plan or surrogate decision maker documented in the medical record (DEM) (GER, Pall Cr)345$0
FALLS RISK ASSESSMENT DOCUMENTED374$0
Pneumococcal vaccine administered or previously received (COPD) (PV) (IBD)73$0
Bmi is documented within normal parameters and no follow-up plan is required56$0
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications58$0
Flu immunize order/admin60$0
Screening for depression is documented as negative, a follow-up plan is not required285$0
Elder maltreatment screen documented as negative, follow-up is not required56$0
Bp scrn perf rec interval47$0

2019

Largest Medicaid services in 2019
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES131$3,112

Drugs they prescribed that Part D paid

$26,960

Pharmacies billed $26,960 in 2024.

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

Opioids were 13% of their Part D prescriptions (32 of 249) in 2024. A higher opioid share than 9 in 10 peers; the typical nurse practitioner clinician is at 0%.

198 generic and fewer than 11 brand-name prescriptions · $26,960 in drug cost · 17 antibiotic prescriptions to 13 people.

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
Eliquis16$4,689$293
Hydrocodone-Acetaminophen14$308$22
Trazodone14$153$11

Year by year

Part D prescribing by year
20242497713% (32)None$26,960
2023311548% (15)None$742
20223126NoneNone$462
20216917NoneNone$1,478
20202911None0%$320
2019154104None10%$3,645
20182141357% (15)None$4,790
201725200% (0)0%$252

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

See the drugs prescribed each year

2019: 2 drugs

Part D drugs prescribed in 2019
Azithromycin23$142$6
Prednisone12$33$3

2018: 5 drugs

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen11$139$13
Amoxicillin-Clavulanate Potass14$123$9
Azithromycin16$107$7
Cephalexin19$98$5
Prednisone16$38$2

Checkups this office reported

6 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

Medicare’s overall office score
100.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Checkup rates this office reported to Medicare
Advance care plan on fileOlder patients with an advance care plan or a documented conversation about one100%That's most of the people this applied to.468
Depression screeningPatients screened for depression, with a follow-up plan if needed99%That's most of the people this applied to.561
Medications listed in the chartVisits where the current medication list was documented100%That's most of the people this applied to.1,119
Screened for elder abuseOlder patients screened for elder maltreatment98%That's most of the people this applied to.531
Screening for High Blood Pressure and Follow-Up DocumentedAs Medicare defines this measure100%609
Weight checked, with a follow-up planPatients whose BMI was recorded and followed up if needed100%That's most of the people this applied to.627

What the office says it does

Boxes the office ticked on its Medicare worksheet for 2023. Nobody checks these.

  • Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record

Professional record

NPI
1013441229
Licence
CA 95005443
Group
Quality Care Solution Inc · Solomon Medical Inc · University of California San Francisco
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
1090 B St # 162, Hayward, CA, 94541
NPI first listed
2017-04-13
NPI last updated
2023-08-15
NPI record certified
2023-08-15

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