DONALD ABRAHM, M.D.
Gastroenterology Physician · NEWPORT BEACH, CA
Individual Active NPI 1215022405
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,694 | 3,683 | $2,105,249 | $516,974 | $393,645 |
| 2023 | 1,705 | 3,424 | $2,014,354 | $502,699 | $383,414 |
| 2022 | 1,763 | 3,596 | $2,069,659 | $543,572 | $415,240 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 1,117 | $98 | $71 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 501 | $100 | $77 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 416 | $120 | $79 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 339 | $254 | $188 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 325 | $178 | $130 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 199 | $186 | $186 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 182 | $137 | $96 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 179 | $169 | $126 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 113 | $187 | $187 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 93 | $184 | $144 |
| 43450 | Dilation of esophagus | 93 | $41 | $33 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 29 | $104 | $80 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | G51196 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.