Clinic
Abrham Tekola M.D. INC
Abrham Tekola M.D. INC was paid $55K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoABRHAM TEKOLA M.D. INC
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
33aNPI1326231630assigned 08/20/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$55K
24GClaims36,523
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#174 of 422
Median peer was paid$25K
This provider vs. median2.3×
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 | 6,515 | $8K | |
| 2019 | 6,162 | $9K | |
| 2020 | 6,796 | $10K | |
| 2021 | 5,397 | $6K | |
| 2022 | 5,017 | $4K | |
| 2023 | 4,216 | $6K | |
| 2024incomplete | 2,420 | $13K |
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 | 53% | 11,161 | 10,792 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 9,127 | 8,601 | $15K |
| 99385 | 3.6% | 790 | 697 | $2K | |
| 99386 | 2.8% | 580 | 536 | $2K | |
| 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 | 2.5% | 117 | 117 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 431 | 431 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 533 | 495 | $966.43 |
| 90674 | 1.4% | 495 | 467 | $778.56 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 786 | 709 | $751.15 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.1% | 1,812 | 1,470 | $634.19 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,096 | 931 | $355.29 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 233 | 167 | $246.18 |
26 more codes
| 90656 | <1% | 103 | $204.85 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 171 | $133.67 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $126.28 |
| 97802 | <1% | 99 | $94.15 | |
| 99406 | <1% | 364 | $59.24 | |
| 92552 | <1% | 40 | $13.77 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 17 | $7.50 |
| 4013F | 0% | 1,002 | $0.00 | |
| 97803 | 0% | 73 | $0.00 | |
| 3078F | 0% | 1,475 | $0.00 | |
| 99401 | 0% | 158 | $0.00 | |
| 3077F | 0% | 258 | $0.00 | |
| 99173 | 0% | 47 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 37 | $0.00 |
| 3074F | 0% | 1,190 | $0.00 | |
| 3079F | 0% | 934 | $0.00 | |
| 4010F | 0% | 1,206 | $0.00 | |
| 3044F | 0% | 472 | $0.00 | |
| 3075F | 0% | 1,098 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 126 | $0.00 |
| 2010F | 0% | 104 | $0.00 | |
| 2001F | 0% | 104 | $0.00 | |
| 3008F | 0% | 102 | $0.00 | |
| 3080F | 0% | 51 | $0.00 | |
| 2000F | 0% | 105 | $0.00 | |
| 93000 | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialTEKOLA, ABRHAM (M.D.)