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Sarika Madari, MD

Psychiatry · Los Gatos

NPI 1699260158

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 · Ts Telepsychiatry PLLC · Meritas Health Corporation

Looking this up.

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. Madari’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$6,157

Medicare paid this office $6,157 for 38 people.

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

Largest Original Medicare bills
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,428$106
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes21$1,838$61

Who their Medicare patients are

38 Original Medicare patients in 2024. Average age 70 · Women 45% · Also on Medicaid 53% · Health risk score 3.18. Sicker patients than 9 in 10 peers; the typical psychiatry clinician is at 1.35.

Conditions among them: High blood pressure 75% · Depression 71% · Diabetes 55% · Chronic kidney disease 50% · Coronary heart disease 39% · Heart failure 39% · Dementia 39% · COPD 34%.

The office billed $22,223, Medicare allowed $7,921 and paid $6,157; for 72 services of 4 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
20243872703.18$22,223$6,157
202368122652.86$34,409$10,081
20222544601.91$9,155$3,487

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

Original Medicare services billed in 2023
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes40$4,264$107
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$3,917$64

2022: 1 service

Original Medicare services billed in 2022
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes15$1,266$84

Medicaid work

$377 in 2022

Medicaid paid $377 for 13 billed services this clinician did in 2022, up to 13 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 2022
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service13$377
Medicaid work by year
202213113$377

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
85.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1699260158
Licence
PA MD478093
Trained
Drexel University College of Medicine, 2018
Group
Ts Telepsychiatry PLLC · Meritas Health Corporation
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Psychiatry (2084P0800X)
Mailing address
3400 Spruce St., Philadelphia, PA, 19104
NPI first listed
2018-06-27
NPI last updated
2024-09-13
NPI record certified
2024-09-13

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

Extra NPI addresses: 11215 Metro Pkwy Ste 100, Fort Myers, FL, 33966 · 211 Ne 54th St Ste 201, Kansas City, MO, 64118