Mariame Fofana, MD
Emergency Medicine · Boston
- 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
- 2
Offices
2 locations · Brigham and Womens Physicians Organization Inc · 2,931 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 Dr. Fofana’s office to ask if they take your plan before you enroll.
California Medical Board record
Licence A176939 · Delinquent
Licence status: Delinquent · since 2022 · expires 2024-05-30 · Meharry Medical College School of Medicine.
License renewal fee has not been paid. No practice is permitted.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$25,269
Medicare paid this office $25,269 for 181 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with high level of medical decision making | 121 | $17,217 | $141 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 21 | $2,919 | $139 |
| Emergency department visit with moderate level of medical decision making | 27 | $2,653 | $98 |
Who their Medicare patients are
181 Original Medicare patients in 2024. Average age 72 · Under 65 20% · 85 and older 16% · Women 64% · Also on Medicaid 44% · Health risk score 2.24. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 75% · Depression 45% · Coronary heart disease 38% · Chronic kidney disease 38% · Diabetes 36% · Heart failure 29% · COPD 24% · Atrial fibrillation 24% · Stroke 21% · Cancer 19% · Dementia 13%.
The office billed $136,089, Medicare allowed $31,892 and paid $25,269; for 195 services of 14 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 | 181 | 195 | 72 | 2.24 | $136,089 | $25,269 |
| 2023 | 38 | 72 | 75 | 2.61 | $26,588 | $5,771 |
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: 2 services
| Emergency department visit with high level of medical decision making | 35 | $4,816 | $138 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 28 | $182 | $6 |
Medicaid work
$12,443 in 2024
Medicaid paid $12,443 for 175 billed services this clinician did in 2024, up to 50 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.
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 118 | $8,676 |
| EMERGENCY DEPT VISIT MOD MDM | 57 | $3,766 |
| 2024 | 175 | 2 | 50 | $12,443 |
| 2023 | 106 | 3 | 34 | $4,857 |
See the largest Medicaid services in earlier years
2023
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 34 | $2,529 |
| EMERGENCY DEPT VISIT MOD MDM | 30 | $1,859 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 42 | $469 |
Professional record
- NPI
- 1619438488
- Licence
- CA A176939, MA 1014122California A176939: Delinquent · expires 2024-05-30
- Trained
- Meharry Medical College School of Medicine, 2019
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207P00000X (207P00000X); Federal specialty code 207RC0200X (207RC0200X)
- Mailing address
- 160 Alewife Brook Pkwy # 1291, Cambridge, MA, 02138
- NPI first listed
- 2019-03-26
- NPI last updated
- 2026-08-05
- NPI record certified
- 2026-08-05
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 1176 5th Ave Fl 9, New York, NY, 10029 · 900 Welch Rd Ste 350, Palo Alto, CA, 94304