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    OpenPayerNPI Medicare & MedicaidAbraham Mathai
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    Abraham Mathai — Billing Profile & Reimbursement Data

    NPI 1215468483 · Jasper, GA · Internal Medicine Physician

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    Abraham Mathai is a internal medicine physician provider located in Jasper, Georgia. This profile covers 15 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAbraham Mathai
    Address1020 J L White Dr Ste 170
    CityJasper
    StateGA
    ZIP30143
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 21, 2017

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

    Payer SourceTotal Paid
    Medicare$195.8K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…790$120$91.1K
    99214The 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…610$80$48.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit250$120$30.8K
    99490The 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…240$40$10K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…40$80$3.5K
    99213The 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…50$70$3K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$160$2.5K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment10$160$2.1K
    99439The 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…50$30$1.7K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…40$30$1.2K

    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

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,07513,640120$80$17.8K
    99490247680160$40$15.1K
    G04392802,90070$120$12.4K
    992139,00913,36080$60$9.2K
    9921583,27030$120$7.7K
    9943920433070$30$6.5K
    9949746486050$60$5.7K
    G043825846020$160$4K
    G040227445020$150$2.6K
    930001,7502,59040$10$1.3K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Piedmont Pediatric Physicians LLCGAPediatrics Physician$0$4.5M
    Piedmont Medical Care CorporationGAInternal Medicine Physician$0$3.8M
    Piedmont Hospitalist Physicians LLCGAFamily Medicine Physician$0$3.6M
    Piedmont Providers LLCGAInternal Medicine Physician$0$1.6M
    Hidden Valley Medical Center IncGAInternal Medicine Physician$0$1.5M
    The Medical Center IncGAGeneral Acute Care Hospital$0$1.2M
    Clifford TillmanLAGastroenterology Physician$439.4K$268.7K
    Amy KingmanGACardiovascular Disease Physician$641.2K$0
    Josue MedinaTXPhlebology Physician$624.5K$0
    Brion LockGAPulmonary Disease Physician$552.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Khawaja MahmoodGAPediatric Adolescent Medicine Physician$0$2.1M
    Matthew CampGAOphthalmology Physician$1.2M$0
    North Georgia Primary Care PCGAInternal Medicine Physician$0$950.9K
    George Mackel, Pmhnp-bc, LLCGAPsychiatric/Mental Health Nurse Practitioner$0$765.1K
    Jasper Surgery Center LLCGAAmbulatory Surgical Clinic/Center$677.5K$0
    Ghada KunterGAHematology & Oncology Physician$607.5K$0
    Pickens County GovernmentGALand Ambulance$373.3K$0
    Carlton FaulkGADermatology Physician$363.5K$0
    John SchnarsGAOrthopaedic Surgery Physician$329.5K$0
    Scott MassonGAInterventional Pain Medicine Physician$297.2K$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. Georgia Distribution
    Abraham Mathai — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia