Physician
Abraham, Sisay Michael
Abraham, Sisay Michael was paid $132K by Medicaid between Sep 2020 and Sep 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.
33Billing provider infoABRAHAM, SISAY MICHAEL
EDWARDSVILLE, IL 62025
EDWARDSVILLE, IL 62025
33aNPI1184088312assigned 04/13/2016
33bProvider typeFamily Medicine Physician
28Total paid$132K
24GClaims4,027
24DCodes billed8
24AFirst – last monthSep 2020 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#807 of 2,947
Median peer was paid$43K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2020 | 65 | $5K | |
| 2021 | 547 | $35K | |
| 2022 | 1,126 | $34K | |
| 2023 | 1,796 | $40K | |
| 2024incomplete | 493 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 97% | 2,042 | 1,717 | $128K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 29 | 17 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 18 | 12 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 14 | 14 | $512.39 |
| 3078F | 0% | 439 | 283 | $0.00 | |
| 3074F | 0% | 582 | 395 | $0.00 | |
| 3008F | 0% | 826 | 559 | $0.00 | |
| 3079F | 0% | 77 | 65 | $0.00 |
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.