Zenebu Sinor Tegegne, NP
Nurse Practitioner · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Quality Care Solution Inc · 12 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Zenebu Sinor Tegegne’s office at (832) 618-8479 to ask if they take your plan before you enroll.
Original Medicare doctor bills
$132,988
Medicare paid this office $132,988 for 164 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 152 | $82,292 | $84 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 121 | $35,514 | $59 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 73 | $10,021 | $121 |
| Nursing facility discharge management, more than 30 minutes | 22 | $3,158 | $102 |
| Advance care planning, first 30 minutes | 31 | $2,003 | $63 |
Who their Medicare patients are
164 Original Medicare patients in 2024. Average age 77 · Under 65 7% · 85 and older 27% · Women 48% · Also on Medicaid 57% · Health risk score 3.45. Sicker patients than 9 in 10 peers; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 75% · Depression 60% · Atrial fibrillation 52% · Diabetes 49% · Heart failure 49% · Coronary heart disease 47% · Dementia 46% · Chronic kidney disease 45% · COPD 39% · Cancer 22% · Stroke 22%.
The office billed $317,625, Medicare allowed $167,722 and paid $132,988; for 1,722 services of 5 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 | 164 | 1,722 | 77 | 3.45 | $317,625 | $132,988 |
| 2023 | 162 | 946 | 75 | 3.52 | $176,419 | $75,698 |
| 2022 | 139 | 140 | 69 | 1.50 | $89,538 | $9,850 |
| 2021 | 216 | 266 | 71 | 1.55 | $171,157 | $26,718 |
| 2020 | 35 | 47 | 68 | 1.75 | $27,755 | $4,042 |
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: 5 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 133 | $40,860 | $86 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 93 | $15,420 | $60 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 63 | $8,489 | $123 |
| Advance care planning, first 30 minutes | 81 | $7,472 | $67 |
| Nursing facility discharge management, more than 30 minutes | 22 | $3,231 | $104 |
2022: 4 services
| Long return visit (40+ min) | 29 | $2,387 | $82 |
| Return visit (30+ min) | 30 | $2,049 | $68 |
| Long return visit (40+ min) | 13 | $1,297 | $100 |
| Telephone medical discussion with physician, 21-30 minutes | 13 | $866 | $67 |
2021: 6 services
| Long return visit (40+ min) | 85 | $11,922 | $140 |
| Return visit (30+ min) | 45 | $4,736 | $105 |
| New patient visit (45+ min) | 24 | $3,409 | $142 |
| Return visit (30+ min) | 16 | $1,252 | $78 |
| Telehealth originating site facility fee | 47 | $1,027 | $22 |
| New patient visit (30+ min) | 11 | $1,019 | $93 |
2020: 3 services
| Long return visit (40+ min) | 18 | $2,280 | $127 |
| Return visit (30+ min) | 14 | $1,258 | $90 |
| Telehealth originating site facility fee | 12 | $261 | $22 |
Medicaid work
$10,084 in 2024
Medicaid paid $10,084 for 653 billed services this clinician did in 2024, up to 39 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.
| SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 422 | $7,217 |
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 231 | $2,867 |
| 2024 | 653 | 2 | 39 | $10,084 |
| 2023 | 342 | 2 | 25 | $4,393 |
See the largest Medicaid services in earlier years
2023
| SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 243 | $3,320 |
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 99 | $1,073 |
Drugs they prescribed that Part D paid
$10,402
Pharmacies billed $10,402 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 45% of their Part D prescriptions (83 of 184) in 2024. A higher opioid share than 9 in 10 peers; the typical nurse practitioner clinician is at 0%. Long-acting opioids: 24% of their opioid prescriptions.
164 generic and fewer than 11 brand-name prescriptions · $10,402 in drug cost · 16 antibiotic prescriptions.
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.
| Oxycodone-Acetaminophen | 17 | $946 | $56 |
| Oxycodone | 31 | $706 | $23 |
| Gabapentin | 11 | $540 | $49 |
| Methadone | 16 | $282 | $18 |
Year by year
| 2024 | 184 | 38 | 45% (83) | None | $10,402 |
| 2023 | 76 | 21 | 53% (40) | None | $5,269 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 2 drugs
| Oxycodone-Acetaminophen | 11 | $555 | $50 |
| Oxycodone | 11 | $94 | $9 |
Money from drug and device companies
$23 in 2024
| 2024 | 1 | 1 | None | $23 |
| 2023 | 2 | 2 | None | $138 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Dexcom | Dexcom G6 Transmitter | $23 | 1 payment
|
See the published payment
| Dexcom | Meals · 2024-07-17 | Dexcom G6 Transmitter | $23 |
See earlier years (2023)
2023: $138
| Medtronic | Inpen Smart Insulin Delivery System | $107 | 1 payment
|
| Abbvie | Skyrizi | $31 | 1 payment
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 76.5 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1568088540
- Licence
- CA 95012805
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Nurse practitioner (363L00000X)
- Mailing address
- 300 Pasteur Dr, Stanford, CA, 94305
- NPI first listed
- 2020-06-24
- NPI last updated
- 2023-10-17
- NPI record certified
- 2023-10-17
This is when the NPI record was last certified, not a medical board exam.