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NPI 1003830852 · Kankakee, IL · Pulmonary Disease Physician
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Raju Abraham is a pulmonary disease physician provider located in Kankakee, Illinois. This profile covers 22 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Raju Abraham |
| Address | 500 N Wall St Ste C400 |
| City | Kankakee |
| State | IL |
| ZIP | 60901 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | July 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $239.9K |
| Medicaid | $192.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,260 | $60 | $79.4K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 850 | $60 | $52.8K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 220 | $100 | $22.1K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 220 | $90 | $21K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 200 | $90 | $19K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 70 | $140 | $9.2K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 80 | $110 | $9.1K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 80 | $90 | $7K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 40 | $90 | $4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | $130 | $3.4K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99233 | 1,851 | 5,990 | 100 | $100 | $18.7K |
| 99214 | 5,520 | 18,540 | 110 | $80 | $17.1K |
| G0439 | 3,114 | 4,030 | 70 | $130 | $13.6K |
| 99232 | 274 | 7,960 | 90 | $60 | $12.4K |
| 95811 | 29 | 180 | 40 | $210 | $10.7K |
| 99223 | 2,237 | 6,190 | 50 | $140 | $10.4K |
| 95810 | 65 | 180 | 30 | $210 | $9.1K |
| 99213 | 111 | 17,390 | 70 | $60 | $8.8K |
| 99204 | 1,323 | 8,580 | 30 | $110 | $5.6K |
| 99222 | 149 | 5,730 | 30 | $100 | $5.3K |
Showing 1–10 of 22
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 4,030 | $20 | $80.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 3,200 | $30 | $80K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 460 | $50 | $20.9K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 150 | $40 | $5.4K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 70 | $50 | $3.6K |
| 95806 | A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders. | 50 | $50 | $2.7K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 10 | $70 | $850 |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 60 | $10 | $550 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 30 | $10 | $310 |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 30 | $10 | $200 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 6,033 | 14,680 | 300 | $50 | $48.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,216 | 14,190 | 280 | $20 | $38.9K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 2,194 | 3,830 | 210 | $40 | $29.4K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 284 | 4,800 | 210 | $30 | $29.3K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 2,444 | 2,800 | 60 | $80 | $17.7K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 514 | 1,330 | 50 | $50 | $12.7K |
| 95806 | A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders. | 27 | 50 | 50 | $60 | $9.2K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 96 | 180 | 80 | $20 | $4K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 130 | 180 | 70 | $10 | $1.6K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 424 | 680 | 40 | $10 | $1.4K |
Showing 1–10 of 11
Other providers in the same ZIP code as Raju Abraham, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Thresholds | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $19.3M |
| City Of Kankakee | IL | Land Ambulance | $318.9K | $11.4M |
| Cornerstone Services Inc | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $6.1M |
| Saadia Zaheer | IL | Pediatrics Physician | $0 | $5.9M |
| Safwat Iskander | IL | Pediatrics Physician | $0 | $4.1M |
| Aunt Martha's Health And Wellness, Inc. | IL | Federally Qualified Health Center (FQHC) | $0 | $3.3M |
| Cornerstone Services, Inc | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $2.9M |
| Steven Decker | IL | Emergency Medicine Physician | $114.6K | $582.8K |
| Martin Phillips | IL | Infectious Disease Physician | $333.5K | $254.7K |
| Joseph Pigato | IL | Urology Physician | $352.5K | $23.1K |
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