Physician

Abraham El-Sedfy, M.D.

According to 2025 Medicare claims, Abraham El-Sedfy, M.D. (NPI: 1346506607) practices colorectal surgery (formerly proctology) in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Passaic, NJ. This provider's primary affiliated billing organization is ST JOSEPHS MEDICAL GROUP PC (NPI: 1205425519; TIN: 85-3991596) and primary practice location at 07503-2621. El-Sedfy is affiliated with the Quality Health Partners, LLC (ACO ID: A5553), Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171), and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

El-Sedfy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 64 traditional Medicare patients, billed 211 HCPCS/CPT codes, and received $26,755 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 32 prescription claims across 23 beneficiaries totaling $464 in drug costs, led by Oxycodone Hcl (Oxycodone Hcl). 2022 DME data shows 90 claims. Open Payments data shows 11 records totaling $1,363. 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 fallen sharply in recent years, from $23,318 to $26,755. Similarly, Part D prescription costs have fallen sharply in recent years, from $208 to $464. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	80	180	$23,318
2019	175	435	$65,840
2020	139	323	$51,634
2021	128	282	$53,654
2022	144	356	$53,327
2023	43	121	$20,277
2024	64	211	$26,755

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	13	$208
2018	20	42	$775
2019	57	203	$5,101
2020	44	139	$4,799
2021	41	124	$3,460
2022	46	154	$4,147
2023	N/R	13	$362
2024	23	32	$464

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	64	$2,294
2021	N/R	78	$3,851
2022	N/R	90	$3,327
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	17	$103
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	26	$100
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$92
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	11	12	$74
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	46	$63

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone Hcl	Oxycodone Hcl	17	38	$25

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	11	$1,363	INTUITIVE SURGICAL, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Abraham El-Sedfy, M.D.?

Tedicare shows public-source Medicare data for Abraham El-Sedfy, M.D. (NPI 1346506607), 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 Abraham El-Sedfy, M.D. have ACO affiliation data?

Abraham El-Sedfy, M.D. is shown with ACO affiliation data for Quality Health Partners, LLC (MSSP, ACO ID A5553), Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171), and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Abraham El-Sedfy, M.D.?

Abraham El-Sedfy, M.D. is linked to ST JOSEPHS MEDICAL GROUP PC (billing NPI 1205425519) in the available physician profile data.

Does Abraham El-Sedfy, M.D. have Open Payments data?

Abraham El-Sedfy, M.D. has 11 connected Open Payments records in the available 2024 summary 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.