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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Ahmed Abdelgaber (NPI 1194742916)

Field	Value
Entity Type	Individual
Organization	Ahmed Abdelgaber
Address	3075 Us Route 60 Ste A110
City	Huntington
State	WV
ZIP	25705
Taxonomy	Family Medicine Physician
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicare	$377.5K
Medicaid	$0

Key Findings

This provider’s revenue stream is effectively single-payer Medicare: lifetime Medicare revenue is $377.5K and there is no Medicaid billing on file, so Medicaid does not appear in this provider’s payer mix and Medicare dominates the financial profile. That concentration makes the practice highly dependent on Medicare fee schedules and hospital-based E/M volumes.

Revenue is heavily concentrated in a handful of inpatient E/M codes: the precomputed top 3 Medicare codes account for 79.3% of the provider’s total Medicare revenue, led by 99232 (58.1%), followed by 99214 (11.9%) and 99222 (9.4%). This degree of concentration indicates that a small set of services drives the vast majority of billing and revenue.

The code mix points to an inpatient-focused Family Medicine practice with a secondary outpatient component: 99232 (hospital subsequent inpatient E/M) accounts for $219.7K revenue on 3.6K claims (58.1%), 99222 (initial inpatient E/M) contributes $35.4K (9.4%) on 354 claims, and 99238 (discharge day management) adds $20.9K (5.5%) on 343 claims. At the same time, office-based visits such as 99214 (775 claims, $45K, 11.9%) and G0439 (249 claims, $29.9K, 7.9%) show a meaningful outpatient and wellness footprint.

On national competitive standing for inpatient E/M, this provider is a high-volume outlier: 99232 ranks #312 of 177383 providers nationally (100th percentile; extreme outlier), 99222 ranks #688 of 117621 (99th percentile; extreme outlier), and 99238 ranks #135 of 35692 (100th percentile; extreme outlier). These rank/percentile labels indicate the provider operates at far higher-than-typical national volumes for core hospital E/M services.

For outpatient primary care services the provider also performs above typical national volumes for certain codes: 99214 ranks #21029 of 479517 providers (96th percentile; notably above typical national volume) and 99213 registers 304 claims and $11.2K revenue (3.0%) while ranking #58638 of 457151 (87th percentile). Taken together, these figures point to a dual operational role—high inpatient workload with a secondary but notable ambulatory practice.

The provider reports use of care-management and transition codes at modest revenue levels, indicating engagement in coordinated care activities: 99490 shows 405 claims and $8.1K revenue (2.1%) and ranks #3373 of 16216 providers (79th percentile; typical, unremarkable volume), while 99495 (15 claims, $1.7K, 0.4%) ranks #10857 of 17150 (30th percentile; typical, unremarkable volume). These services appear to complement the inpatient work but do not materially shift the revenue mix.

Preventive services are an active ancillary line: G0439 (annual wellness visit subsequent) accounts for 249 claims and $29.9K revenue (7.9%) and ranks #7063 of 105855 providers (93th percentile; notably above typical national volume), while G0402 is present at much lower volume (12 claims, $1.5K, 0.4%). The prominence of G0439 suggests the provider captures Medicare wellness visits in addition to acute and inpatient care.

The provider’s NPI was enumerated on 2006-07-16 (~20 years ago), indicating long tenure in the Medicare program; when combined with the heavy inpatient E/M concentration and national outlier ranks, this suggests an established practice pattern centered on hospital-based evaluation-and-management services. The heavy reliance on a few high-volume Medicare codes and absence of Medicaid billing imply both operational specialization and exposure to payer- or service-specific shifts in demand or policy.

Medicare: Complete Services Breakdown

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

15 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…	3,600	$60	$219.7K
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…	780	$60	$45K
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…	350	$100	$35.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	250	$120	$29.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	340	$60	$20.9K
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…	300	$40	$11.2K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	410	$20	$8.1K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	20	$110	$1.6K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	10	$130	$1.5K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	30	$40	$1.3K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Ahmed Abdelgaber — 5 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	2	1,340	90	$60	$11.9K
99214	56	2,740	100	$70	$11.8K
G0439	22	560	60	$120	$9.3K
99490	12	90	170	$40	$8.8K
99213	349	2,860	80	$50	$7.5K
99439	38	50	90	$30	$6.7K
20610	153	240	60	$40	$5.3K
99222	5	1,080	30	$100	$4.5K
99487	10	10	60	$60	$4.3K
99495	107	160	20	$120	$3K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Mary's Medical Center Inc	WV	General Acute Care Hospital	$0	$47.5M
St. Mary's Himg, LLC	WV	Internal Medicine Physician	$0	$2.6M
Ultimate Health Services Inc	WV	Family Medicine Physician	$0	$908.1K
Robert Turner	WV	Family Medicine Physician	$293.4K	$0
Suresh Kumar	WV	Neurology Physician	$252.3K	$0
Michael Collins	WV	Nephrology Physician	$245.3K	$0
Ronald Barebo	WV	Neurology Physician	$208.3K	$0
Matthew Bullock	WV	Adult Reconstructive Orthopaedic Surgery Physician	$207.9K	$0
Misty Barebo	WV	Family Nurse Practitioner	$187.1K	$0
George Joseph	WV	Clinical Cardiac Electrophysiology Physician	$186.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ncgcare Acquisition, LLC	WV	Psychiatry Physician	$0	$40.3M
Prestera Center For Mental Health Services, Inc	WV	Community/Behavioral Health Agency	$0	$18.7M
Radiology Inc	WV	Diagnostic Radiology Physician	$0	$15.2M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$13.2M
Prestera Center For Mental Health Services, Inc	WV	Developmental Disabilities Clinic/Center	$0	$13M
Associates In Psychology And Therapy, Inc.	WV	Psychologist	$0	$1.5M
Valley Health Systems, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.4M
Vishal Verma	WV	Ophthalmology Physician	$419.8K	$0
Timothy Saxe	WV	Internal Medicine Physician	$278.2K	$0
Mark Akers	WV	Diagnostic Radiology Physician	$173.7K	$0

Ahmed Abdelgaber — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References