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Gastroenterology • Newport Beach, CA 92663 • NPI #1215022405

Dr. Donald Abrahm, MD

1525 Superior Avenue, Suite 104, Newport Beach, CA 92663 • +1-604-555-8983

Medical Education: Accredited U.S. Medical School (Class of 1994)

30 Active CMS HCPCS Codes
4.78/5
Waiting-Room Score
17 patient logs
$239.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Newport Beach Percentiles

NPI #1215022405 • CBSA Regional • Gastroenterology

Dr. Donald Abrahm DotMD Verification Badge

Within the Newport Beach, CA (CBSA local) Gastroenterology cohort, Dr. Donald Abrahm, MD with sub-specialty concentration in 30 Active CMS HCPCS Codes ranks at the 75th municipal percentile and 91.73th CA percentile (+0.43σ Z-score) based on 3,683 billed procedures for 1,694 patients.

Fee-schedule auditing of NPI 1215022405 highlights 1363 annual claims for 99214 (75th Newport Beach percentile; $238–$326 self-pay corridor) plus 921 encounters under 45380 and 773 under 43239.

Uninsured and high-deductible cash patients visiting Dr. Donald Abrahm in Newport Beach (92663) face an estimated $239.00 initial evaluation fee at 1525 Superior Avenue, Suite 104 (hybrid in-clinic and telehealth video consults; 13-minute average reception wait; bedside manner 4.74/5 from 17 verified reports).

NPI registry verification (#1215022405) confirms Dr. Donald Abrahm's MD standing serving CBSA 92663 with a 4.78/5 patient scorecard.

Newport Beach Percentile 75.00th

Compared against Newport Beach, CA Gastroenterology peers

CA State Percentile 91.73th

3,683 annual services across 1,694 beneficiaries

Regional Volume Z-Score +0.429σ

Standard deviations from CA Gastroenterology mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99214 Established Gastroenterology, GERD & IBD Evaluation 1,363 75th $238 – $326
45380 Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy 921 70th $572 – $784
43239 Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy 773 72th $475 – $651
45385 Colonoscopy w/ Snare Polypectomy Lesion Removal 368 79th $637 – $873
99204 New Patient Digestive & Hepatology Consultation 258 73th $335 – $459
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Dr. Donald Abrahm, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Abrahm National Provider Identifier NPI #1215022405 (MD) CMS NPPES Registry (92663)
Dr. Abrahm Newport Beach CMS Volume Rank 75.00th Pct (3,683 CMS svcs; Z +0.429σ) CMS Medicare Part B (CA Gastroenterology)
Fair Cash-Pay New-Patient Benchmark $239.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Newport Beach, CA)
Waiting-Room Wait Time & Cash Friendliness $239.00 avg paid • 13 min lobby wait 17 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.74/5 Listening • 4.53/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
13 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $239.00
Listens Without Rushing
4.74/5
Patient communication rating
Modern Protocol Openness
4.53/5
Preventive labs, GLP-1s & HRT
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