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 Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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.

Andrew Abela (NPI 1154464808)

Field	Value
Entity Type	Individual
Organization	Andrew Abela
Address	955 Main St
City	Winchester
State	MA
ZIP	01890
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	February 14, 2007

Payer Source	Total Paid
Medicare	$34.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
40800	The provider drains fluid from an abscess, cyst, or hematoma, from the vestibule or anterior most portion of the oral cavity of the patient’s mouth. This procedure involves a simple drainage.	100	$150	$15.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	140	$60	$8.2K
40814	The provider excises a lesion or area of damaged or diseased tissue of the mucosa, a membrane lining the anterior most part of the mouth, and the submucosa, the layer beneath the mucosa. This…	20	$310	$6.5K
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…	20	$80	$1.8K
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,…	30	$40	$1.2K
70355	The provider takes panoramic X–rays of the patient’s upper and lower jaws to diagnose a fracture or injury to the jaw.	60	$20	$930

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Andrew Abela — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
40800	1	10	60	$150	$9K
99213	11,318	13,700	70	$60	$8.8K
40814	1	10	20	$310	$6.5K
99212	1,409	2,660	30	$40	$2.4K
99202	14	600	20	$50	$1.6K
70355	3	30	20	$10	$340

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winchester Hospital	MA	General Acute Care Hospital	$0	$30.2M
Michael Kim	MA	Emergency Medicine Physician	$1M	$0
Robert O'brien	MA	Dermatology Physician	$711.2K	$40.6K
Joshua Shofner	MA	Dermatology Physician	$613.9K	$1.2K
May Azar	MA	Cytopathology Physician	$303.5K	$146.8K
Mohammed Jaleel	MA	Internal Medicine Physician	$449.5K	$0
Christopher Kareores	MA	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	$78.4K	$193.8K
Kathleen Greco	MA	Procedural Dermatology Physician	$266.6K	$0
Jyotirmay Chanda	MA	Internal Medicine Physician	$214.3K	$0
Laura Harris	MA	Anatomic Pathology & Clinical Pathology Physician	$86.6K	$102.3K

Andrew Abela — Billing Profile & Reimbursement Data

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Andrew Abela — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References