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

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

Abraham Mathew (NPI 1851349443)

Field	Value
Entity Type	Individual
Organization	Abraham Mathew
Address	500 University Dr
City	Hershey
State	PA
ZIP	17033
Taxonomy	Gastroenterology Physician
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicare	$20.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The 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…	40	$180	$7.9K
43497	The provider uses an endoscope inserted through the mouth to cut muscle tissue in the lower esophagus, relaxing the muscles.	10	$610	$7.4K
43238	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he carries out an ultrasound–guided, intramural or transmural fine needle…	10	$160	$1.7K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	20	$70	$1.4K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$70	$980
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	20	$50	$750

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Abraham Mathew — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	469	860	50	$290	$24.3K
43497	2	10	20	$630	$10.7K
43239	815	880	50	$130	$9.6K
43238	32	30	20	$170	$4.2K
43235	179	410	20	$120	$3.2K
99221	973	1,500	20	$60	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Moyer	PA	Gastroenterology Physician	$33.3K	$0
Elizabeth Thompson	PA	Physician Assistant	$11.3K	$0
Jonathan Stine	PA	Gastroenterology Physician	$8.5K	$0
Ann Ouyang	PA	Gastroenterology Physician	$4.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Milton S Hershey Medical Center	PA	General Acute Care Hospital	$0	$78.9M
The Milton S. Hershey Medical Center Physicians Group	PA	Sports Medicine (Neuromusculoskeletal Medicine) Physician	$0	$26.6M
The Vista Foundation	PA	Public Health or Welfare Agency	$0	$19.4M
Prelude Corporation	PA	Clinical Medical Laboratory	$4.9M	$0
Hershey Outpatient Surgery Center LLC	PA	Ambulatory Surgical Clinic/Center	$802.7K	$186.3K
Ghulam Mustafa	PA	Nuclear Medicine Physician	$628.8K	$140
Rebecca Roller	PA	Internal Medicine Physician	$608.8K	$0
Ivan Zucker	PA	Nuclear Medicine Physician	$359.6K	$0
Kristen Foering	PA	Dermatology Physician	$298.5K	$0
Shane Lince	PA	Surgery Physician	$266.4K	$1.1K

Abraham Mathew — Billing Profile & Reimbursement Data

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Abraham Mathew — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References