Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRaushan Abdula
    Ask Trek AI about this page

    Raushan Abdula — Billing Profile & Reimbursement Data

    NPI 1720206212 · Fredericksburg, VA · Cardiovascular Disease Physician

    Customize your policy alerts

    Sign up for Raushan Abdula — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Raushan Abdula is a cardiovascular disease physician provider located in Fredericksburg, Virginia. This profile covers 36 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRaushan Abdula
    Address1201 Sam Perry Blvd # B
    CityFredericksburg
    StateVA
    ZIP22401
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedApril 23, 2007

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

    Payer SourceTotal Paid
    Medicare$534.4K
    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33285The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions.40$3,420$136.8K
    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…970$90$87.2K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…60$1,310$72.3K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…240$140$33K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…270$100$28K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…80$340$27K
    99204The provider sees a new 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 provider…180$110$19.8K
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…20$1,030$17.4K
    A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose160$90$14.4K
    G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…260$50$11.6K

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3648282050$1,350$93.5K
    36465152040$1,100$84.7K
    3328585020$1,740$43.4K
    36475263030$820$39.5K
    93306319580300$80$26.2K
    9921449412,890140$80$21K
    7845217941070$180$17.2K
    J2785119180290$40$14.4K
    G20661650160$40$14.2K
    992332,3283,29080$90$13.7K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's HospitalDCPediatrics Physician$0$115.3M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Sentara Medical GroupVAFamily Medicine Physician$0$48.7M
    Sentara Reference Lab Solutions, LLCVAClinical Medical Laboratory$12.9M$4.7M
    Mary Washington Healthcare PhysiciansVAFamily Medicine Physician$0$13.3M
    Rmh Medical Group LLCVAGeneral Practice Physician$0$9.8M
    Jonathan WiesenVAInternal Medicine Physician$2.4M$0
    Manan MehtaVAHematology & Oncology Physician$1.5M$0
    Deepak DeshmukhVAVascular Surgery Physician$1.4M$0
    Kambiz ShamlouFLDiagnostic Radiology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rappahannock Area Community Services BoardVACommunity/Behavioral Health Agency$0$142.5M
    Mary Washington Hospital Inc.VAGeneral Acute Care Hospital$0$80.1M
    Paragon Autism Services, LLCVABehavior Analyst$0$21.6M
    Fredericksburg Emergency Medical Alliance, Inc.VAEmergency Medicine Physician$0$15M
    Pedsplus Urgent Care, LLCVAUrgent Care Clinic/Center$0$11M
    Preferred Pediatrics At SnowdenVAPediatrics Physician$0$6.4M
    Sunny Home Care Inc.VAHome Health Agency$0$6.3M
    Thomas JohnsonVARetina Specialist (Ophthalmology) Physician$3.6M$0
    Central Virginia Surgi-center LPVAAmbulatory Surgical Clinic/Center$3.2M$318.9K
    Eric LeeVARetina Specialist (Ophthalmology) Physician$2.6M$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. Virginia Distribution
    Raushan Abdula — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia