Physician

Charles F Bou-Abboud, MD

According to 2025 Medicare claims, Charles Bou-Abboud, MD (NPI: 1255324844) practices gastroenterology in the Beckley, WV market, with the plurality of this provider's patient population coming from Raleigh, WV. This provider's primary affiliated billing organization is CHARLES F BOU-ABBOUD MD PLLC (NPI: 1801137104) and primary practice location at 25801-9998. Bou-Abboud is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Bou-Abboud's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 831 traditional Medicare patients, billed 1,949 HCPCS/CPT codes, and received $175,220 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 3,597 prescription claims across 750 beneficiaries totaling $2,114,287 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 2 records totaling $183. 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 changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,489,661 and ending at $2,114,287. 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$136K$273K2015 Medicare payment: $262,650 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $272,697 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $243,063 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $236,926 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $227,374 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $213,527 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $232,570 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $206,156 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $204,730 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $175,220 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,0792,821$262,650
20161,0992,997$272,697
20171,0442,991$243,063
20181,0292,701$236,926
20191,0142,611$227,374
20209592,475$213,527
20219912,503$232,570
20229292,369$206,156
20239192,297$204,730
20248311,949$175,220

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$1.1M$2.3M2015 Drug cost: $1,489,661 (USD; Tot_Drug_Cst)2016 Drug cost: $2,267,015 (USD; Tot_Drug_Cst)2017 Drug cost: $1,329,005 (USD; Tot_Drug_Cst)2018 Drug cost: $1,358,438 (USD; Tot_Drug_Cst)2019 Drug cost: $1,306,371 (USD; Tot_Drug_Cst)2020 Drug cost: $1,538,958 (USD; Tot_Drug_Cst)2021 Drug cost: $1,528,298 (USD; Tot_Drug_Cst)2022 Drug cost: $1,497,126 (USD; Tot_Drug_Cst)2023 Drug cost: $1,945,548 (USD; Tot_Drug_Cst)2024 Drug cost: $2,114,287 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156864,021$1,489,661
20167163,890$2,267,015
20177224,100$1,329,005
20187904,122$1,358,438
20197923,793$1,306,371
20207303,542$1,538,958
20217743,678$1,528,298
20227983,521$1,497,126
20237773,562$1,945,548
20247503,597$2,114,287

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare9090$258
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope150155$174
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more106106$118
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7886$102
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6111,025$59

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab702,100$678,349
StelaraUstekinumab13728$342,442
Humira PenAdalimumab14392$190,728
XifaxanRifaximin521,505$158,310
RinvoqUpadacitinib17496$152,103

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.2$183Janssen Biotech, 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 Charles F. Bou-Abboud, MD?

Tedicare shows public-source Medicare data for Charles F. Bou-Abboud, MD (NPI 1255324844), 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 Charles F. Bou-Abboud, MD have ACO affiliation data?

Charles F. Bou-Abboud, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to Charles F. Bou-Abboud, MD?

Charles F. Bou-Abboud, MD is linked to CHARLES F BOU-ABBOUD MD PLLC (billing NPI 1801137104) in the available physician profile data.

Does Charles F. Bou-Abboud, MD have Open Payments data?

Charles F. Bou-Abboud, MD has 2 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.