Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidTodd Abbott
    Ask Trek AI about this page

    Todd Abbott — Billing Profile & Reimbursement Data

    NPI 1013057454 · Newton, MA · Anatomic Pathology & Clinical Pathology Physician

    Customize your policy alerts

    Sign up for Todd Abbott — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Todd Abbott is a anatomic pathology & clinical pathology physician provider located in Newton, Massachusetts. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTodd Abbott
    Address2014 Washington St
    CityNewton
    StateMA
    ZIP02462
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedFebruary 7, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$57.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…480$30$14.5K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…170$70$11.5K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method40$150$5.2K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…210$20$4.9K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.80$60$4.6K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…30$120$3.3K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…130$20$2.8K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…70$30$2.1K
    88177The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate to determine immediately whether a satisfactory sample is present to allow for…90$20$2K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…60$40$2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305272520530$40$53.4K
    88341225430210$30$9K
    88342303470120$40$8.3K
    883076035080$70$7.5K
    G04163510030$160$7.1K
    8811286190110$30$6.2K
    8836013326060$40$5.1K
    881735116050$60$4.1K
    883096016020$120$3.2K
    8833111115030$60$3.2K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Todd Abbott, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alireza SepehrMAAnatomic Pathology & Clinical Pathology Physician$1.2M$1000
    May AzarMACytopathology Physician$303.5K$146.8K
    Scott WensonMAAnatomic Pathology Physician$158.3K$0
    Kenan SauderMAAnatomic Pathology & Clinical Pathology Physician$151.8K$0
    Vladislav MakarenkoMAAnatomic Pathology & Clinical Pathology Physician$113.9K$0
    Mark TuleckeNHAnatomic Pathology & Clinical Pathology Physician$102K$0
    Yineng FuMAAnatomic Pathology Physician$97.7K$0
    Michael MisialekMAAnatomic Pathology & Clinical Pathology Physician$97.4K$0
    Anthony GuidiMAAnatomic Pathology Physician$87.4K$0
    Sarah KaneMAAnatomic Pathology & Clinical Pathology Physician$81.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Todd Abbott, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newton-wellesley HospitalMAGeneral Acute Care Hospital$0$36.3M
    Richard CurtisMAGastroenterology Physician$431.7K$0
    Jill SmithMAOphthalmology Physician$337.6K$0
    David JonesMADermatology Physician$307.1K$0
    Brian SaltzmanMAUrology Physician$303.6K$0
    Marc LeiboleMAOphthalmology Physician$300.1K$0
    Ned SaltzmanMAUrology Physician$275.9K$0
    John LongMAUrology Physician$247.3K$0
    Michael RossMAAnatomic Pathology & Clinical Pathology Physician$108.3K$137.3K
    Daniel QuinnMAOrthopaedic Surgery Physician$232.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Todd Abbott — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts