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    OpenPayerNPI Medicare & MedicaidMark Abraham
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    Mark Abraham — Billing Profile & Reimbursement Data

    NPI 1760612964 · Carroll, IA · Surgery Physician

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    Mark Abraham is a surgery physician provider located in Carroll, Iowa. This profile covers 26 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
    OrganizationMark Abraham
    Address1214 S Grant Rd
    CityCarroll
    StateIA
    ZIP51401
    TaxonomySurgery Physician
    NPI EnumeratedJuly 22, 2009

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

    Payer SourceTotal Paid
    Medicare$83.2K
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…90$180$16.6K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.10$440$6.2K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…30$230$5.8K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$160$5.1K
    99203The provider sees a new 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 provider…60$70$4.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…110$40$4.1K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.10$360$4K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…40$90$3.8K
    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…40$110$3.7K
    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…60$60$3.7K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453856315080$250$29.6K
    992143,9684,690100$70$14.4K
    453806515040$150$11.5K
    G0105639030$240$11.3K
    432397015050$110$8.8K
    992133,1084,740100$50$8K
    G0121278020$240$7.8K
    49650183010$450$7.2K
    47562133010$450$6.8K
    36561134020$260$6.6K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greene County Medical CenterIARural Health Clinic/Center$0$7.7M
    Joseph MerchantIAHematology & Oncology Physician$1.8M$0
    Greene County Medical CenterIACritical Access Hospital$0$1.6M
    Giselle MeryIAMedical Oncology Physician$528.2K$0
    Greene County Medical CenterIAPublic Health or Welfare Agency$14.5K$119.1K
    Mark HartmanIAPodiatrist$115.6K$0
    Trevor WildIAUrology Physician$99.7K$0
    Michael ObrienIAGastroenterology Physician$92.1K$0
    Jacob JippIAUrology Physician$77.6K$0
    Divya PatiAZEndocrinology, Diabetes & Metabolism Physician$72.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carroll Co Council Prev Child AbuseIACommunity/Behavioral Health Agency$0$51M
    New Hope Village, IncIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$50.2M
    Ability United LLCIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$43.8M
    Homecare Options, Inc.IAContractor$0$9.1M
    Caring Hearts Of West Central IowaIACommunity Health Worker$0$3.4M
    Region Xii Council Of Governments, Inc.IANon-emergency Medical Transport (VAN)$0$1.9M
    St Anthony Regional Hospital And Nursing HomeIACritical Access Hospital$0$1.4M
    Carroll Community School DistrictIALocal Education Agency (LEA)$0$1.3M
    Carroll County County AuditorIAAmbulance$344K$824.9K
    St Anthony Regional Hospital And Nursing HomeIAFamily Medicine Physician$0$1.1M

    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. Iowa Distribution
    Mark Abraham — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa