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NPI 1730264110 · Christiansted, VI · Anesthesiology Physician
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Marc Abramson is a anesthesiology physician provider located in Christiansted, U.S. Virgin Islands. This profile covers 2 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Marc Abramson |
| Address | 4007 Estate Diamond Ruby |
| City | Christiansted |
| State | VI |
| ZIP | 00820 |
| Taxonomy | Anesthesiology Physician |
| NPI Enumerated | October 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $37K |
| Medicare | $16.1K |
MARC ABRAMSON is an anesthesiology physician in CHRISTIANSTED, VI whose billing is concentrated in endoscopy-related anesthesia services; the provider reports $16.1K in total Medicare revenue and $37K in total Medicaid revenue, with the top procedure codes being 00812 and 00731 across both payers. This pattern aligns with an anesthesia service-line focused on gastrointestinal endoscopy support rather than a broad surgical anesthesia practice.
Code-level activity shows a focus on anesthesia for lower and upper endoscopic procedures: 00812 (screening colonoscopy anesthesia) and 00731 (upper gastrointestinal endoscopy anesthesia) dominate both payers. On Medicare, 00812 accounts for $9.7K (93 claims, $104 avg paid/claim) and 00731 accounts for $6.4K (58 claims, $111 avg paid/claim); on Medicaid, 00812 accounts for $25.9K (130 claims, $199 avg paid/claim) and 00731 accounts for $11.1K (58 claims, $191 avg paid/claim).
Revenue concentration is extreme by payer: the precomputed top-three codes account for 100.0% of this provider's total Medicare revenue and 100.0% of total Medicaid revenue, with Medicare split 60.0% (00812) / 40.0% (00731) and Medicaid split 70.0% (00812) / 30.0% (00731). This indicates a very narrow procedural mix where endoscopy anesthesia drives virtually all documented public-payer revenue.
The payer mix is skewed toward Medicaid in scale: reported Medicaid revenue ($37K) is more than double reported Medicare revenue ($16.1K), making the provider effectively Medicaid-dominant in absolute billing among the two public payers. Analysts should treat this profile as concentrated both by service-line and by payer exposure, which has implications for contractual leverage and revenue risk tied to changes in Medicaid volume or rates.
Competitive standing on Medicare is mixed by code: for 00812 the provider ranks #821 of 16489 (95th percentile) and is described as notably above typical national volume for that code, suggesting above-average national activity in colonoscopy anesthesia; for 00731 the provider ranks #3410 of 39088 (91th percentile) and is characterized as typical/unremarkable volume, implying more modest competitive presence for upper endoscopy anesthesia at the national level.
State-level competitive signals in Medicaid show the provider as a leading local participant for these codes: for 00812 the provider ranks #1 of 2 in-state (100th percentile; typical, unremarkable volume), indicating the highest reported in-state Medicaid revenue for that code among the small peer set; for 00731 the provider ranks #1 of 1 in-state (0th percentile; no state peer volume comparison available), which reflects a lack of comparable in-state reporting rather than a quantified dominance.
The provider has long-tenure enrollment: NPI enumerated 2006-10-26 (~20 years ago), which suggests established presence in the market. Combined with the narrow code mix and modest absolute revenue levels, this tenure points to a stable, small-scale anesthesia practice specializing in endoscopy support rather than a high-volume multi-specialty anesthesia group.
Published statistical labels flag one notable outlier: Medicare 00812 is labeled notably above typical national volume, which aligns with the high 95th-percentile rank and concentrated claim count (93 claims). At the state level, being #1 for 00812 (100th percentile among 2 providers) reinforces that this provider is a primary Medicaid billing source for colonoscopy anesthesia within VI, though the small state peer counts limit broader generalization.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 00812 | The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part… | 90 | $100 | $9.7K |
| 00731 | The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond… | 60 | $110 | $6.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 00812 | The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part… | 130 | $200 | $25.9K |
| 00731 | The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond… | 60 | $190 | $11.1K |
How this provider's Medicaid billing volume and revenue compare to other U.S. Virgin Islands providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. U.S. Virgin Islands median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 00812 | The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part… | 1 | 10 | 70 | $230 | $16.3K |
| 00731 | The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond… | 1 | 10 | 60 | $190 | $11.1K |
Other providers in the same ZIP code as Marc Abramson, ranked by combined Medicare and Medicaid revenue.
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