Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Rhode Island (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Heather Abrahams (NPI 1154346500)

Field	Value
Entity Type	Individual
Organization	Heather Abrahams
Address	111 Howard Ave
City	Cranston
State	RI
ZIP	02920
Taxonomy	Psychiatry Physician
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	420	$3,440	$1.4M
H0037	Community psychiatric supportive treatment program, per diem	1,880	$380	$721.9K
H0040	Assertive community treatment program, per diem	370	$1,070	$394.1K
H2031	Mental health clubhouse services, per diem	1,950	$50	$95.4K
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…	690	$60	$38.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	160	$110	$17.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	200	$30	$5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	20	$30	$460
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	5,040	$0	$0
T1016	Case management, each 15 minutes	4,790	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

Claims Volume vs. Rhode Island Distribution

Heather Abrahams — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	20	30	1,530	$360	$9.7M
H0040	Assertive community treatment program, per diem	9	20	350	$640	$6.3M
H0037	Community psychiatric supportive treatment program, per diem	17	70	190	$380	$3.2M
H2031	Mental health clubhouse services, per diem	4	10	3,400	$50	$700.3K
T1016	Case management, each 15 minutes	50	180	400	$20	$230.7K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	20	90	510	$10	$187.5K
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…	678	2,050	300	$50	$72.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	123	160	50	$150	$59.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	89	290	60	$110	$33.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	169	500	90	$50	$24.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gateway Healthcare Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$122.7M
Elizabeth James	RI	Counselor	$0	$2.3M
Gateway Healthcare, Inc	RI	Developmentally Disabled Services Day Training Agency	$0	$1.9M
Gateway Healthcare, Inc.	RI	Community/Behavioral Health Agency	$0	$1.3M
Gateway Healthcare, Inc	RI	Community/Behavioral Health Agency	$0	$1.1M
Theresa Timony	CA	Psychiatric/Mental Health Nurse Practitioner	$875.5K	$0
Oscar Castillo	CA	Psychiatric/Mental Health Nurse Practitioner	$798.5K	$0
Gateway Healthcare, Inc	RI	Community/Behavioral Health Agency	$0	$731.2K
Brook Zambarano	RI	Mental Health Counselor	$0	$723.6K
Diane Reese	RI	Clinical Social Worker	$17.2K	$658.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Justice Resource Institute, Inc	RI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$29M
Opportunities Unlimited For People With Differeing Abilities, Inc	RI	Developmentally Disabled Services Day Training Agency	$0	$22.6M
Comprehensive Community Action, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$17.7M
Option Care Enterprises, Inc,	RI	Home Infusion Therapy Pharmacy	$0	$11.1M
Naresh Dasari	RI	Internal Medicine Physician	$199.5K	$7M
Garden City Treatment Center, Inc.	RI	Emergency Medical Services (Emergency Medicine) Physician	$0	$6.4M
Phenix Home Care	RI	Home Health Agency	$0	$5.8M
Jun Parks	RI	Internal Medicine Physician	$74.6K	$5M
Juyoung An	RI	Pediatric Dentistry	$0	$3.9M
X-ray Associates, Inc	RI	Diagnostic Radiology Physician	$0	$2.6M

Heather Abrahams — Billing Profile & Reimbursement Data

Sign up for Heather Abrahams — Billing Profile & Reimbursement Data policy alerts

Heather Abrahams — Billing Profile & Reimbursement Data

Sign up for Heather Abrahams — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References