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

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

Craig Abbott (NPI 1962453795)

Field	Value
Entity Type	Individual
Organization	Craig Abbott
Address	3500 S Western Ave
City	Oklahoma City
State	OK
ZIP	73109
Taxonomy	Dermatopathology Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is material: Total Medicare revenue is $1.3M while there is no Medicaid billing on file, so the practice is effectively single-payer on the public side and reliant on Medicare for billed public-reimbursement activity. Analysts should treat Medicare as the principal public-payer exposure when evaluating payer mix, utilization risk, or contracting leverage for this NPI.

Revenue is highly concentrated in a small set of codes: the precomputed top‑3 Medicare codes account for 73.5% of this provider’s total Medicare revenue. Those top contributors are 77280 (2.6K claims, $504.6K revenue, 38.2% of Medicare revenue), G6001 (2.7K claims, $339.3K revenue, 25.7%), and 17311 (262 claims, $126.3K revenue, 9.6%). This concentration implies most Medicare dollars come from a narrow set of services rather than a broad mix of office visits or minor procedures.

The billed service mix is unusual relative to the listed taxonomy. The top two revenue drivers, 77280 and G6001, are radiation therapy planning/guidance codes while 17311 is a Mohs surgery code; together these suggest the practice is heavily involved in radiation therapy planning/guidance and also performs dermatologic surgical procedures. Given the provider taxonomy of Dermatopathology Physician, the code mix may reflect either clinical services supporting radiation oncology workflows or a cross-disciplinary billing pattern that combines pathology, procedural dermatology, and radiation-planning workstreams.

Several Medicare codes place this provider well above peers nationally on volume. 77280 ranks #15 of 3348 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code) and G6001 ranks #13 of 280 providers nationally (96th percentile; notably above typical national volume). Additionally, intraoperative pathology consultation 88331 (274 claims, $20.3K revenue, 1.5%) ranks #113 of 4659 providers (98th percentile; notably above typical national volume), indicating unusually high volumes for select procedure/consult codes.

At the same time, many common dermatology procedure and evaluation codes appear at more typical levels, suggesting narrower high‑volume lines rather than uniformly elevated utilization across dermatology services. Examples include 17312 (276 claims, $81.1K revenue, 6.1%) which ranks #524 of 2770 providers (81th percentile; typical, unremarkable volume), and 99213 (655 claims, $34.1K revenue, 2.6%) which ranks #16338 of 457151 providers nationally (96th percentile; notably above typical national volume) — indicating a mix of both routine clinic visits and concentrated procedural/radiation activity.

One legacy coding consideration: 77401 (2.5K claims, $73.3K revenue, 5.6% of Medicare revenue) is listed but noted as deleted effective Jan. 1, 2026. That sizeable historical use (rank #14 of 426 providers nationally, 97th percentile; notably above typical national volume) could affect year‑over‑year revenue and coding profiles during the transition away from the deleted code, so analysts should watch for shifts to replacement codes or reclassification in more recent billing.

The provider has a long NPI tenure, enumerated 2006-05-15 (~20 years ago), which indicates an established presence in the market. Combined with the concentrated, high-volume radiation planning and select pathology procedure codes, this longevity may reflect an entrenched operational niche that could influence referral patterns, contracting opportunities, or peer comparisons in Medicare analyses.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77280	The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.	2,630	$190	$504.6K
G6001	Ultrasonic guidance for placement of radiation therapy fields	2,650	$130	$339.3K
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	260	$480	$126.3K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	280	$290	$81.1K
77401	Deleted effective Jan. 1, 2026.	2,530	$30	$73.3K
99213	The 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…	660	$50	$34.1K
17313	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	50	$450	$21K
88331	Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…	270	$70	$20.3K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	290	$50	$15.2K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	90	$170	$15.1K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Craig Abbott — 4 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	16	20	310	$400	$149.2K
G6001	1	10	230	$130	$85.4K
17312	7	20	200	$290	$62.2K
77285	2	10	150	$320	$46.6K
17313	12	20	60	$410	$31.1K
77280	1	40	50	$160	$28.4K
77401	2	10	200	$30	$22.7K
13132	9	20	40	$190	$16.3K
17110	68	180	150	$70	$14.1K
11102	36	150	190	$50	$11.4K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marguerite Germain	SC	Dermatology Physician	$1.8M	$0
Kelli Hutchens	WI	Dermatopathology (Pathology) Physician	$1.7M	$23.6K
Forefront Dermatology, S.c.	AL	Dermatology Physician	$0	$1.7M
Francessca Brettschneider	FL	Dermatopathology (Pathology) Physician	$1.6M	$0
Forefront Dermatology, S.c.	WI	Dermatopathology Physician	$0	$1.6M
Luke Hyder	FL	Dermatology Physician	$1.5M	$0
Douglas Hansen	WI	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$2.9K
Ling Xia	WI	Dermatopathology Physician	$1.2M	$41K
John Perrotto	FL	Dermatology Physician	$1.2M	$0
Charles Schultz	WI	Anatomic Pathology & Clinical Pathology Physician	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$57M
Positive Changes LLC	OK	Psychiatric Hospital	$0	$44.3M
Integris South Oklahoma City Hospital Corporation	OK	General Acute Care Hospital	$0	$38.7M
Osu-center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$16.3M
Okc Dental	OK	General Practice Dentistry	$0	$7.1M
Providence Family Practice, PLLC	OK	Family Nurse Practitioner	$0	$3.7M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$3.2M
Total Care Behavioral Health Services, LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.4M
Hands To Guide You Inc	OK	Community/Behavioral Health Agency	$0	$2.2M
Christiana Williams	OK	Nurse Practitioner	$1.8K	$2.2M

Craig Abbott — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References