Physician
Matthew Mack Abraham, LLC
Matthew Mack Abraham, LLC was paid $1.25M by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 25% of everything it billed.
33Billing provider infoMATTHEW MACK ABRAHAM, LLC
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
33aNPI1548314495assigned 01/22/2007
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$1.25M
24GClaims12,231
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Louisiana
Rank by total paid#1 of 6
Median peer was paid$21K
This provider vs. median58×
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 | 468 | $38K | |
| 2019 | 522 | $45K | |
| 2020 | 199 | $14K | |
| 2021 | 376 | $34K | |
| 2022 | 2,555 | $276K | |
| 2023 | 3,990 | $461K | |
| 2024incomplete | 4,121 | $379K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 25% | 1,985 | 1,812 | $309K |
| 95800 | 21% | 549 | 478 | $265K | |
| 95811 | 21% | 1,580 | 1,461 | $260K | |
| 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 | 16% | 2,570 | 2,386 | $196K |
| 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 | 15% | 3,848 | 3,485 | $185K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 380 | 352 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 262 | 232 | $12K |
| 95806 | <1% | 124 | 119 | $6K | |
| 99457 | <1% | 70 | 65 | $145.43 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 863 | 723 | $31.25 |
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 officialABRAHAM, MATTHEW (OWNER)
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|---|---|---|
| Island Oral and Maxillofacial Surgery, L.L.C. | Kapolei, HI | $171K |
| Skylink Medical INC | Lafayette, LA | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.