Physician

Abby M Abelson, M.D.

According to 2025 Medicare claims, Abby Abelson, M.D. (NPI: 1417919143) practices rheumatology in the Cleveland, OH market, with the plurality of this provider's patient population coming from Cuyahoga, OH. This provider's primary affiliated billing organization is THE CLEVELAND CLINIC FOUNDATION (NPI: 1679525919; TIN: 340714585) and primary practice location at 44195-0001. Abelson is affiliated with the Cleveland Clinic Medicare ACO, LLC (ACO ID: A2729), participating under the MSSP model.

Abelson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 202 traditional Medicare patients, billed 474 HCPCS/CPT codes, and received $28,943 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 782 prescription claims across 146 beneficiaries totaling $1,236,724 in drug costs, led by Humira(Cf) Pen (Adalimumab). No Open Payments records. 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 moved from a lower plateau to a higher plateau, from $13,781 to $28,943. Similarly, Part D prescription costs have moved sharply higher in recent years, from $386,602 to $1,236,724. 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$17K$34K2015 Medicare payment: $13,781 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $19,866 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $15,945 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $17,940 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $16,174 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $19,730 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $33,860 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $29,399 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $24,567 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $28,943 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015164261$13,781
2016205353$19,866
2017179260$15,945
2018207304$17,940
2019194247$16,174
2020201329$19,730
2021265476$33,860
2022226371$29,399
2023190295$24,567
2024202474$28,943

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$618K$1.2M2015 Drug cost: $386,602 (USD; Tot_Drug_Cst)2016 Drug cost: $478,972 (USD; Tot_Drug_Cst)2017 Drug cost: $531,698 (USD; Tot_Drug_Cst)2018 Drug cost: $616,504 (USD; Tot_Drug_Cst)2019 Drug cost: $474,751 (USD; Tot_Drug_Cst)2020 Drug cost: $587,774 (USD; Tot_Drug_Cst)2021 Drug cost: $813,037 (USD; Tot_Drug_Cst)2022 Drug cost: $1,144,079 (USD; Tot_Drug_Cst)2023 Drug cost: $1,074,014 (USD; Tot_Drug_Cst)2024 Drug cost: $1,236,724 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015120662$386,602
2016114631$478,972
2017109561$531,698
2018127578$616,504
2019109476$474,751
2020139655$587,774
2021159720$813,037
2022176833$1,144,079
2023150760$1,074,014
2024146782$1,236,724

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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more127163$101
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more114126$71
G2211Visit 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's144166$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab25728$267,199
Xeljanz XrTofacitinib Citrate291,230$235,792
TeriparatideTeriparatide601,916$155,453
Enbrel SureclickEtanercept16448$110,455
Humira PenAdalimumab12336$96,542

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Abby M. Abelson, M.D.?

Tedicare shows public-source Medicare data for Abby M. Abelson, M.D. (NPI 1417919143), 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 M. Abelson, M.D. have ACO affiliation data?

Abby M. Abelson, M.D. is shown with ACO affiliation data for Cleveland Clinic Medicare ACO, LLC (MSSP, ACO ID A2729).

What billing organization is linked to Abby M. Abelson, M.D.?

Abby M. Abelson, M.D. is linked to THE CLEVELAND CLINIC FOUNDATION (billing NPI 1679525919) in the available physician profile data.

Does Abby M. Abelson, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.