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    OpenPayerNPI Medicare & MedicaidMarc Abbate
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    Marc Abbate — Billing Profile & Reimbursement Data

    NPI 1316911845 · West Orange, NJ · Dermatology Physician

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    Marc Abbate is a dermatology physician provider located in West Orange, New Jersey. This profile covers 57 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
    OrganizationMarc Abbate
    Address347 Mount Pleasant Ave
    CityWest Orange
    StateNJ
    ZIP07052
    TaxonomyDermatology Physician
    NPI EnumeratedFebruary 13, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    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.

    57 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,730$70$188.5K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.1,880$80$146.3K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.2,160$40$80K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.210$380$78.2K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.510$150$73.4K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…600$90$53.9K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.190$260$48.2K
    13101This is for a complex repair of a wound to the trunk.  This wound should be 2.6 to 7.5 cm in size.120$350$43.3K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…7,110$10$42.7K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…830$50$38.1K

    Showing 1–10 of 57

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 57 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    57 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173116370220$480$136.5K
    173126170140$360$78.9K
    14040184020$660$44.2K
    14020132030$620$41.4K
    992146,58113,640130$90$23.6K
    969102240150$100$23K
    13132168030$250$14.4K
    111021590120$70$14.2K
    99213614,090100$70$13.1K
    1312139030$260$13K

    Showing 1–10 of 57

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Dermatology PCNYDermatology Physician$0$43.9M
    Schweiger Dermatology, PCNJDermatology Physician$0$17.2M
    David CohenNYDermatology Physician$352K$8.4M
    Peter TothyINHematology & Oncology Physician$1.8M$0
    Steven FishmanNYDermatology Physician$1.6M$171K
    Marcelo HorensteinNJDermatopathology Physician$1.7M$90.4K
    Debra JihPADermatopathology Physician$1.5M$0
    Todd CovenNYMOHS-Micrographic Surgery Physician$1.5M$0
    Marc HandlerNJProcedural Dermatology Physician$1.3M$82.3K
    Otter AspenNJMOHS-Micrographic Surgery Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Barnabas Health Medical Group, PCNJSpecialist$0$39.6M
    Anchor Behavioral Solutions LLCNJCommunity/Behavioral Health Agency$0$27.2M
    Vna Health Group Of New Jersey, LLCNJCommunity Based Hospice Care Agency$0$24.5M
    Premie Home Health Care Services, Inc.NJHome Health Agency$0$12.5M
    Mental Health Assn Of Essex And MorrisNJCase Management Agency$0$10.6M
    Vna Health Group Of New Jersey, LLCNJHome Health Agency$0$10.6M
    Kessler Institute For Rehabilitation IncNJRehabilitation Hospital$0$10.2M
    Rwjbh Primary Care ServicesNJInternal Medicine Physician$0$8.6M
    West Orange Board Of EducationNJLocal Education Agency (LEA)$0$8.2M
    Maxim Healthcare Services, Inc.NJHome Health Agency$0$8.1M

    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. New Jersey Distribution
    Marc Abbate — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey