Abrams, Robert

Abrams, Robert was paid $1.99M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 28% of everything it billed.

33Billing provider infoABRAMS, ROBERT
SPRINGFIELD, IL 62702

33aNPI1003016965assigned 07/19/2007

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$1.99M

24GClaims19,707

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Illinois

Rank by total paid#2 of 70

Median peer was paid$210K

This provider vs. median9.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,655	$246K
2019	3,253	$556K
2020	2,354	$368K
2021	4,280	$299K
2022	3,252	$201K
2023	2,114	$132K
2024incomplete	2,799	$187K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	28%	5,147	4,010	$563K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	15%	2,279	1,803	$305K
76819	Fetal biophysical profile; without non-stress testing	14%	3,310	2,172	$272K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	14%	3,269	2,346	$271K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	11%	1,437	1,156	$213K
76801		6.4%	1,148	953	$127K
76820		4.5%	1,285	859	$90K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	2.6%	605	493	$52K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.3%	582	416	$45K
76821		<1%	176	97	$17K
99242		<1%	280	222	$17K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	42	28	$5K

4 more codes

99244	Office or other outpatient consultation, moderate to high complexity	<1%	29	$4K
99243		<1%	30	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	61	$2K
99241		<1%	27	$719.08

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.