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Marcela Sajfr, NP

Nurse Practitioner · San Jose

NPI 1578270690

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
2
2 carriers
Office
1

Offices

1 location · 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 Marcela Sajfr’s office at (408) 739-6000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

2 of 2 plans

Plans whose provider directory lists this clinician
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Original Medicare doctor bills

$107,775

Medicare paid this office $107,775 for 670 people.

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

Largest Original Medicare bills
Return visit (30+ min)251$32,420$98
Short return visit (20+ min)176$15,419$72
Long return visit (40+ min)98$15,045$133
New patient visit (45+ min)83$10,641$128
Transitional care management services for problem of high complexity39$9,223$231
See all 10 services
Every Original Medicare service billed
Return visit (30+ min)251$32,420$98
Short return visit (20+ min)176$15,419$72
Long return visit (40+ min)98$15,045$133
New patient visit (45+ min)83$10,641$128
Transitional care management services for problem of high complexity39$9,223$231
New patient visit (30+ min)95$8,166$86
New patient visit (60+ min)38$6,289$166
Short return visit106$5,324$47
New patient visit (15+ min)60$3,497$58
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 or24$788$23

Who their Medicare patients are

670 Original Medicare patients in 2024. Average age 80 · Women 48% · Also on Medicaid 6% · Health risk score 1.53. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Atrial fibrillation 59% · Coronary heart disease 49% · Heart failure 40% · Diabetes 36% · Chronic kidney disease 33% · Cancer 21% · COPD 19% · Depression 17% · Stroke 15% · Dementia 10%.

The office billed $426,945, Medicare allowed $143,116 and paid $107,775; for 1,133 services of 15 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
20246701,133801.53$426,945$107,775
2023461844801.40$326,590$92,778

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: 8 services

Original Medicare services billed in 2023
Return visit (30+ min)316$45,295$103
Long return visit (40+ min)154$33,886$144
Short return visit (20+ min)63$4,730$74
Transitional care management services for problem of high complexity11$2,519$229
New patient visit (60+ min)13$2,287$176
New patient visit (45+ min)11$1,471$134
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 or11$526$25
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report28$384$12

Drugs they prescribed that Part D paid

$683,615

Pharmacies billed $683,615 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 2,138) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.

1,624 generic and 514 brand-name prescriptions · $683,615 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.

Largest Part D drug costs
Jardiance237$343,850$1,451
Eliquis88$124,550$1,415
Entresto49$61,491$1,255
Xarelto28$33,259$1,188
Repatha Sureclick32$31,608$988
See all 33 drugs
Every Part D drug this clinician prescribed
Jardiance237$343,850$1,451
Eliquis88$124,550$1,415
Entresto49$61,491$1,255
Xarelto28$33,259$1,188
Repatha Sureclick32$31,608$988
Praluent24$21,831$910
Diltiazem 24hr Er (Cd)82$3,478$42
Flecainide Acetate75$3,362$45
Metoprolol135$2,828$21
Losartan178$2,418$14
Bumetanide58$2,111$36
Rosuvastatin95$1,857$20
Potassium Chloride67$1,502$22
Amlodipine Besylate178$1,154$6
Amiodarone38$1,088$29
Spironolactone98$1,078$11
Lisinopril50$784$16
Sotalol Af19$637$34
Metoprolol62$554$9
Atorvastatin53$540$10
Furosemide83$499$6
Isosorbide Mononitrate Er15$441$29
Clopidogrel15$424$28
Sotalol14$386$28
Olmesartan Medoxomil19$369$19
Hydralazine26$363$14
Carvedilol27$362$13
Chlorthalidone19$342$18
Nifedipine Er16$333$21
Torsemide12$272$23
Cartia Xt13$266$20
Hydrochlorothiazide55$262$5
Pravastatin16$193$12

Year by year

Part D prescribing by year
20242,1384310% (0)24%$683,615
20231,0432290% (0)22%$262,722

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

See the drugs prescribed each year

2023: 24 drugs

Part D drugs prescribed in 2023
Jardiance83$108,337$1,305
Eliquis35$51,083$1,460
Entresto35$39,191$1,120
Xarelto17$16,954$997
Repatha Sureclick20$12,459$623
Diltiazem 24hr Er (Cd)42$2,213$53
Losartan93$1,578$17
Metoprolol82$1,434$17
Flecainide Acetate21$1,304$62
Amiodarone27$912$34
Bumetanide17$896$53
Potassium Chloride26$789$30
Amlodipine Besylate110$755$7
Carvedilol28$506$18
Rosuvastatin25$429$17
Spironolactone53$428$8
Olmesartan Medoxomil14$286$20
Furosemide36$259$7
Lisinopril30$240$8
Sotalol12$182$15
Torsemide12$180$15
Atorvastatin11$176$16
Metoprolol14$161$12
Hydrochlorothiazide34$88$3

Money from drug and device companies

$119 in 2025

Industry payments by year
202511None$119
2024312None$1,722
202323None$353
202222None$257

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Novo NordiskWegovy$119
1 payment
  • Meals for Wegovy · 2025-04-17 · $119
See the published payment
Every published payment
Novo NordiskMeals · 2025-04-17Wegovy$119
See earlier years (2024, 2023, 2022)

2024: $1,722

Payments by company in 2024
Boston ScientificWatchman Flx$1,481
10 payments
  • Meals for Watchman Flx · 2024-10-17 · $71
  • Meals for Watchman Flx · 2024-05-01 · $93
  • Meals for Watchman Flx · 2024-04-20 · $155
  • Meals for Watchman Flx · 2024-04-19 · $58
  • Meals for Watchman Flx · 2024-04-19 · $154
  • Travel for Watchman Flx · 2024-04-19 · $326
  • Travel for Watchman Flx · 2024-04-19 · $594
  • Meals for Watchman Flx · 2024-02-24 · $23
  • Meals for Watchman Flx · 2024-02-23 · $2
  • Meals for Watchman Flx · 2024-01-11 · $4
Otsuka America PharmaceuticalJynarque$122
1 payment
  • Meals for Jynarque · 2024-04-17 · $122
Novo NordiskNone$119
1 payment
  • Meals · 2024-09-24 · $119

2023: $353

Payments by company in 2023
Boehringer Ingelheim PharmaceuticalsJardiance$231
2 payments
  • Meals · 2023-10-25 · $116
  • Meals for Jardiance · 2023-04-20 · $116
Novo NordiskNone$122
1 payment
  • Meals · 2023-05-25 · $122

2022: $257

Payments by company in 2022
Boehringer Ingelheim PharmaceuticalsJardiance$135
1 payment
  • Meals for Jardiance · 2022-05-19 · $135
Novo NordiskOzempic$122
1 payment
  • Meals for Ozempic · 2022-10-27 · $122

Professional record

NPI
1578270690
Licence
CA 95022780
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Nurse practitioner (363L00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2022-10-28
NPI last updated
2023-01-24
NPI record certified
2023-01-24

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