Physician

Abby Catherine Rathman, PA-C

According to 2025 Medicare claims, Abby Rathman, PA-C (NPI: 1104155878) practices physician assistant in the Reading, PA market, with the plurality of this provider's patient population coming from Berks, PA. This provider's primary affiliated billing organization is REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (NPI: 1154422806; TIN: 232812220) and primary practice location at 19610-1167. Rathman is affiliated with the Lancaster General Health Community Care Collaborative, LLC (ACO ID: A2019), participating under the MSSP model.

Rathman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 209 traditional Medicare patients, billed 322 HCPCS/CPT codes, and received $21,137 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 991 prescription claims across 254 beneficiaries totaling $211,277 in drug costs, led by Linzess (Linaclotide). Open Payments data shows 84 records totaling $1,426. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $3,701 to $21,137. Similarly, Part D prescription costs have moved sharply higher in recent years, from $650 to $211,277. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$11K$21K2015 Medicare payment: $3,701 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $9,693 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $19,726 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $15,766 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $12,740 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $15,176 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $21,457 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $20,771 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $21,137 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152138$3,701
2016N/RN/RN/R
201792112$9,693
2018193290$19,726
2019159219$15,766
2020137198$12,740
2021140193$15,176
2022183305$21,457
2023190300$20,771
2024209322$21,137

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$106K$211K2015 Drug cost: $650 (USD; Tot_Drug_Cst)2016 Drug cost: $885 (USD; Tot_Drug_Cst)2017 Drug cost: $4,665 (USD; Tot_Drug_Cst)2018 Drug cost: $45,614 (USD; Tot_Drug_Cst)2019 Drug cost: $204,066 (USD; Tot_Drug_Cst)2020 Drug cost: $122,960 (USD; Tot_Drug_Cst)2021 Drug cost: $83,138 (USD; Tot_Drug_Cst)2022 Drug cost: $112,433 (USD; Tot_Drug_Cst)2023 Drug cost: $180,316 (USD; Tot_Drug_Cst)2024 Drug cost: $211,277 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/R39$650
2016N/R18$885
20173770$4,665
2018158560$45,614
2019158584$204,066
2020144451$122,960
2021153462$83,138
2022188768$112,433
2023239899$180,316
2024254991$211,277

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more3434$98
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more107146$73
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more8090$54
76700Complete ultrasound scan of abdomen1111$50
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more1414$33

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LinzessLinaclotide752,490$42,058
MesalamineMesalamine291,435$9,816
Pantoprazole SodiumPantoprazole Sodium28017,935$4,038
Colestipol HclColestipol Hcl441,739$3,256
OmeprazoleOmeprazole24916,862$3,046

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.84$1,426ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Abby Catherine Rathman, PA-C?

Tedicare shows public-source Medicare data for Abby Catherine Rathman, PA-C (NPI 1104155878), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Abby Catherine Rathman, PA-C have ACO affiliation data?

Abby Catherine Rathman, PA-C is shown with ACO affiliation data for Lancaster General Health Community Care Collaborative, LLC (MSSP, ACO ID A2019).

What billing organization is linked to Abby Catherine Rathman, PA-C?

Abby Catherine Rathman, PA-C is linked to REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (billing NPI 1154422806) in the available physician profile data.

Does Abby Catherine Rathman, PA-C have Open Payments data?

Abby Catherine Rathman, PA-C has 84 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.