Physician

Abida Zafar, MD

According to 2025 Medicare claims, Abida Zafar, MD (NPI: 1265434898) practices nephrology in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from St. Clair, MI. This provider's primary affiliated billing organization is ST CLAIR SPECIALTY PHYSICIANS PC (NPI: 1154361616; TIN: 381966107) and primary practice location at 48060-6587. Zafar is affiliated with the McLaren High Performance Network, LLC (ACO ID: A3317), Mosaic ACO (ACO ID: A5033), Aledade 155 National MSSP (ACO ID: A5358), and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Zafar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 571 traditional Medicare patients, billed 3,042 HCPCS/CPT codes, and received $229,231 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 659 prescription claims across 162 beneficiaries totaling $143,933 in drug costs, led by Farxiga (Dapagliflozin Propanediol). 2021 DME data shows 50 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have declined steadily, from $272,405 to $143,933. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$176K$352K2015 Medicare payment: $335,122 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $303,810 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $314,031 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $351,510 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $322,363 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $292,977 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $340,377 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $272,322 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $280,900 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $229,231 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158953,409$335,122
20168463,286$303,810
20178673,500$314,031
20189993,906$351,510
20199343,596$322,363
20208083,039$292,977
20217553,175$340,377
20226542,670$272,322
20236742,794$280,900
20245713,042$229,231

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$136K$272K2015 Drug cost: $272,405 (USD; Tot_Drug_Cst)2016 Drug cost: $258,683 (USD; Tot_Drug_Cst)2017 Drug cost: $221,517 (USD; Tot_Drug_Cst)2018 Drug cost: $216,464 (USD; Tot_Drug_Cst)2019 Drug cost: $153,428 (USD; Tot_Drug_Cst)2020 Drug cost: $83,766 (USD; Tot_Drug_Cst)2021 Drug cost: $159,442 (USD; Tot_Drug_Cst)2022 Drug cost: $160,098 (USD; Tot_Drug_Cst)2023 Drug cost: $219,045 (USD; Tot_Drug_Cst)2024 Drug cost: $143,933 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153041,736$272,405
20162911,686$258,683
20172731,258$221,517
2018265939$216,464
20192821,074$153,428
2020217868$83,766
2021235847$159,442
2022209714$160,098
2023183726$219,045
2024162659$143,933

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$9.1K$18K2015 Medicare payment: $18,211 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $10,092 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $439 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $150 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $1,528 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $794 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R202$18,211
2016N/R150$10,092
2017N/R29$439
2018N/R11$150
2019N/RN/RN/R
2020N/R44$1,528
2021N/R50$794
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes132160$96
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more221277$62
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes236836$59
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's202243$12
36415Insertion of needle into vein for collection of blood sample94179$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
FarxigaDapagliflozin Propanediol171,170$21,184
Lanthanum CarbonateLanthanum Carbonate11450$17,121
Sevelamer CarbonateSevelamer Carbonate261,980$7,705
Calcium AcetateCalcium Acetate392,490$3,567
CalcitriolCalcitriol322,228$1,415

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Abida Zafar, MD?

Tedicare shows public-source Medicare data for Abida Zafar, MD (NPI 1265434898), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Abida Zafar, MD have ACO affiliation data?

Abida Zafar, MD is shown with ACO affiliation data for McLaren High Performance Network, LLC (MSSP, ACO ID A3317), Mosaic ACO (MSSP, ACO ID A5033), Aledade 155 National MSSP (MSSP, ACO ID A5358), and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Abida Zafar, MD?

Abida Zafar, MD is linked to ST CLAIR SPECIALTY PHYSICIANS PC (billing NPI 1154361616) in the available physician profile data.

Does Abida Zafar, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.