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    OpenPayerNPI Medicare & MedicaidJohn Abbott
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    John Abbott — Billing Profile & Reimbursement Data

    NPI 1861679805 · Fayetteville, GA · Urology Physician

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    John Abbott is a urology physician provider located in Fayetteville, Georgia. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Abbott
    Address1336 Highway 54 W
    CityFayetteville
    StateGA
    ZIP30214
    TaxonomyUrology Physician
    NPI EnumeratedJanuary 22, 2008

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

    Payer SourceTotal Paid
    Medicare$301.7K
    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
    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…660$90$60K
    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…870$60$55.1K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg290$130$38K
    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…150$120$18.1K
    52648Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with…30$540$16.6K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…70$190$14K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…750$20$13.5K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…220$60$12.4K
    57425The provider uses a laparoscopic approach to suspend the top of the vagina to a strong structure to treat vaginal vault prolapse using sutures or mesh.20$770$11.5K
    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…90$80$6.7K

    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
    J92179120110$130$20K
    9921493013,640120$80$17.8K
    5742591020$730$16.8K
    5264821030$540$14.5K
    520001727070$140$13.8K
    5222461020$610$13.4K
    975301,5771,830360$20$13.2K
    992324,8405,01080$60$10.9K
    523565410020$500$10.1K
    9921325913,36080$60$9.2K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Georgia Urology PAGAUrology Physician$0$1M
    Georgia Urology, PAGAAmbulatory Surgical Clinic/Center$918.7K$0
    Julia BranchGAFamily Nurse Practitioner$488.4K$0
    Georgia Urology Asc CummingGAAmbulatory Surgical Clinic/Center$446.2K$0
    Lewis KritemanGAUrology Physician$363.8K$0
    Georgia Urology, PAGAAmbulatory Surgical Clinic/Center$322.5K$0
    Georgia Urology, PAGAAmbulatory Surgical Clinic/Center$315.4K$0
    Daniel BelewGAUrology Physician$280.5K$0
    Wesley LudwigGAUrology Physician$278.9K$0
    Carl CapeloutoGAUrology Physician$251.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan BenderGAHematology & Oncology Physician$2.6M$0
    Vipin Ramprasad LohiyaGAHematology & Oncology Physician$2.3M$0
    Trevor FeinsteinGAHematology & Oncology Physician$1.4M$0
    Summit Endoscopy CenterGAAmbulatory Surgical Clinic/Center$1.4M$0
    Board Of Commissioners Of Fayette CountyGALand Ambulance$693.7K$224.7K
    James SandwichGADermatology Physician$584.8K$0
    Georgia Urology Fayette AscGAAmbulatory Surgical Clinic/Center$504.4K$0
    Paul FeldmanGAPlastic Surgery Physician$483.9K$0
    Assured Care Ems LLCGALand Ambulance$457.1K$0
    Eye Consultants: Fayetteville Surgery CenterGAOphthalmology Physician$449.7K$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. Georgia Distribution
    John Abbott — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia