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

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

James Abraham (NPI 1417985714)

Field	Value
Entity Type	Individual
Organization	James Abraham
Address	10001 Lile Dr
City	Little Rock
State	AR
ZIP	72205
Taxonomy	Rheumatology Physician
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

This NPI is operated by a Rheumatology Physician and the billing mix is heavily weighted toward high-cost injectable and infused biologic therapies rather than office E/M care. Top revenue codes are J0256, J3245, and J3380 — all injectable/infusion products — and numerous high-volume infusion administration and chemotherapy-administration codes (e.g., 96365, 96375, 96413) appear in the top 25, indicating the practice runs a sizable infusion/administration service line.

Revenue concentration is high: the precomputed top 3 codes by revenue account for 65.2% of this provider's total Medicare revenue, with those codes listed individually as J0256 $715.1K (28.0%), J3245 $561K (21.9%), and J3380 $392.7K (15.4%). This concentration signals that a small set of biologic products drives the majority of Medicare receipts for this provider.

The payer mix is effectively single-payer Medicare: total Medicare revenue is $2.5M while Medicaid revenue is none (no Medicaid billing on file). Because there is no Medicaid billing on file, analyses and competitive comparisons should treat this as a Medicare-focused revenue profile.

Infusion and drug-administration activity is a standout operational feature. High ranks and "notably above typical" or "extreme outlier" labels on infusion codes support this: 96365 ranks #127 of 8873 providers nationally (99th percentile; notably above typical national volume for this code), 96375 ranks #50 of 5191 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), and 96413 ranks #163 of 7514 providers nationally (98th percentile; notably above typical national volume for this code). Together these suggest unusually large infusion throughput compared with peers.

Competitive standing varies by product: J0256 is a major outlier for this provider — it ranks #2 of 12 providers nationally (91th percentile; notably above typical national volume for this code) and represents $715.1K (28.0%) of Medicare revenue — positioning the provider as a prominent national participant for that specific product. By contrast, J3245 ($561K, 21.9%) ranks #63 of 225 providers nationally (72th percentile; typical, unremarkable volume for this code) and J3380 ($392.7K, 15.4%) ranks #51 of 620 providers nationally (92th percentile; typical, unremarkable volume for this code), indicating strong revenue share but more typical national volumes for those biologics.

The provider also shows notable activity in several other specialty biologics and related products: J0897 $295.9K (11.6%) ranks #437 of 10057 providers nationally (96th percentile; notably above typical national volume for this code), while Q5104 $168.8K (6.6%) ranks #10 of 178 providers nationally (94th percentile) and J1745 $146.9K (5.7%) ranks #306 of 1352 providers nationally (77th percentile). These ranks indicate consistent participation at above-typical volumes in multiple high-cost injectable therapies beyond the top three codes.

Traditional office visits and routine labs contribute only a small share of billing relative to biologic and infusion revenue. For example, 99214 accounts for $48.1K (1.9%) and 99213 for $30.2K (1.2%) of Medicare revenue; common lab CPTs such as 85025 $7.6K and 36415 $7.9K appear further down the list, reinforcing that the practice’s revenue base is driven by drug and infusion services rather than high-volume E/M or lab billing.

This provider has an established enrollment history, with the NPI enumerated on 2006-06-28 (~20 years ago). Combined with the concentrated, high-volume infusion and biologic billing profile, the tenure supports the interpretation of an established, infusion-focused rheumatology practice rather than a primarily office-visit-based solo clinician model.

Medicare: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0256	Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg	178,790	$1	$715.1K
J3245	Injection, tildrakizumab, 1 mg	5,100	$110	$561K
J3380	Injection, vedolizumab, intravenous, 1 mg	23,100	$20	$392.7K
J0897	Injection, denosumab, 1 mg	16,440	$20	$295.9K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	5,820	$30	$168.8K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	5,650	$30	$146.9K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	810	$90	$71.4K
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…	580	$80	$48.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	860	$40	$36.8K
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…	550	$60	$30.2K

Showing 1–10 of 42

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

James Abraham — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

42 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0256	1	10	178,790	$1	$668.5K
J3245	2	10	3,700	$110	$454.7K
J3380	2	10	23,100	$20	$309.7K
Q5104	2	10	4,050	$30	$124.7K
J1745	3	10	3,150	$30	$102.3K
J0897	9	160	2,580	$20	$89.7K
96413	11	80	380	$90	$36.6K
99214	575	4,300	130	$70	$18.8K
J3490	1	60	110	$70	$11.3K
99213	324	4,180	100	$50	$9.6K

Showing 1–10 of 42

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Vincent Infirmary Medical Center	AR	General Acute Care Hospital	$0	$8.3M
St. Vincent Medical Group	AR	Family Medicine Physician	$0	$6.4M
Tamer Alsebai	AR	Rheumatology Physician	$2.2M	$0
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Cummins Lue	AR	Rheumatology Physician	$717.3K	$0
Allen Redding	AR	Endocrinology, Diabetes & Metabolism Physician	$708.8K	$0
Brad Baltz	AR	Hematology & Oncology Physician	$633.6K	$0
Alina Voinea	AR	Rheumatology Physician	$562.4K	$0
Zulekha Hamid	AR	Endocrinology, Diabetes & Metabolism Physician	$514.5K	$0
Bryan Cearley	AR	Physician Assistant	$449.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Arkansas For Medical Sciences	AR	General Acute Care Hospital	$0	$87.2M
University Of Arkansas For Medical Sciences	AR	Internal Medicine Physician	$0	$28.6M
University Of Arkansas For Medical Sciences	AR	Pediatrics Physician	$0	$27.6M
Arkansas Department Of Health Immunizations	AR	Public Health or Welfare Agency	$0	$19.3M
Baptist Health	AR	General Acute Care Hospital	$0	$16.4M
Arkansas Department Of Health Family Planning Clinic	AR	Public Health or Welfare Agency	$0	$15.6M
Pediatrix Medical Group Of Arkansas PA	AR	Neonatal-Perinatal Medicine Physician	$0	$14.6M
Chenal Family Therapy, Plc	AR	Mental Health Counselor	$0	$12.2M
Francis A. Allen School For Exceptional Children, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$11.9M
Central Arkansas Radiation Therapy Institute Inc	AR	Hematology & Oncology Physician	$0	$11M

James Abraham — Billing Profile & Reimbursement Data

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James Abraham — 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