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Endalanesh Tsegaye Hailu, NP

Nurse Practitioner · Mountain View

NPI 1629788948

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Offices
3

Offices

3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Endalanesh Tsegaye Hailu’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026

Original Medicare doctor bills

$20,154

Medicare paid this office $20,154 for 109 people.

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

Largest Original Medicare bills
Return visit (30+ min)87$14,889$103
New patient visit (60+ min)11$1,773$161
Long return visit (40+ min)11$1,612$147
Short return visit (20+ min)19$1,548$74

Who their Medicare patients are

109 Original Medicare patients in 2024. Average age 77 · Women 51% · Also on Medicaid 20% · Health risk score 1.66. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 75% · Chronic kidney disease 57% · Coronary heart disease 46% · Heart failure 20% · Depression 20% · Atrial fibrillation 19% · Cancer 16% · Dementia 13% · COPD 10%.

The office billed $75,554, Medicare allowed $25,964 and paid $20,154; for 194 services of 7 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
2024109194771.66$75,554$20,154
202389294851.90$42,775$21,062

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

Original Medicare services billed in 2023
Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes34$6,120$86
Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes48$3,981$83
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month28$3,862$99
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month13$2,718$52
Residence visit for established patient with low level of medical decision making, per day at least 30 minutes33$2,609$53

Drugs they prescribed that Part D paid

$191,523

Pharmacies billed $191,523 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 434) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.

203 generic and 202 brand-name prescriptions · $191,523 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
Mounjaro40$43,273$1,082
Ozempic17$27,786$1,634
Jardiance19$25,899$1,363
Tresiba Flextouch U-10013$6,496$500
Testosterone21$4,343$207
See all 14 drugs
Every Part D drug this clinician prescribed
Mounjaro40$43,273$1,082
Ozempic17$27,786$1,634
Jardiance19$25,899$1,363
Tresiba Flextouch U-10013$6,496$500
Testosterone21$4,343$207
Lantus Solostar13$1,816$140
Nano 2nd Gen Pen Needle12$1,442$120
Metoprolol13$265$20
Mirtazapine13$265$20
Amlodipine Besylate13$264$20
Metformin Hcl Er14$191$14
Glipizide Er11$167$15
Furosemide13$167$13
Levothyroxine12$159$13

Year by year

Part D prescribing by year
20244341080% (0)47%$191,523
202359656NoneNone$41,734

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

See the drugs prescribed each year

2023: 12 drugs

Part D drugs prescribed in 2023
Eliquis27$17,076$632
Pantoprazole19$593$31
Metoprolol18$433$24
Atorvastatin27$413$15
Amlodipine Besylate29$412$14
Sertraline21$350$17
Levothyroxine28$348$12
Quetiapine19$343$18
Losartan18$221$12
Lisinopril12$185$15
Buspirone13$134$10
Hydrochlorothiazide16$115$7

Professional record

NPI
1629788948
Licence
CA 95019237
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Nurse practitioner (363L00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2022-11-28
NPI last updated
2024-03-06
NPI record certified
2024-03-06

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