Physician

Marghoob Abbas, M.D.

According to 2025 Medicare claims, Marghoob Abbas, M.D. (NPI: 1588603781) practices internal medicine in the St. Joseph, MO-KS market, with the plurality of this provider's patient population coming from Buchanan, MO. This provider's primary affiliated billing organization is HEARTLAND REGIONAL MEDICAL CENTER (NPI: 1538200357; TIN: 440545289) and primary practice location at 64506-6201. Abbas is affiliated with the Main Street Rural Health Maple ACO LLC (ACO ID: A5401), participating under the MSSP model.

Abbas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 864 traditional Medicare patients, billed 3,602 HCPCS/CPT codes, and received $186,614 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 30,962 prescription claims across 1,225 beneficiaries totaling $2,305,903 in drug costs, led by Eliquis (Apixaban). DME data shows 1,197 claims. Open Payments data shows 1 records totaling $14. 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 from a lower plateau to a higher plateau, from $789,270 to $2,305,903. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $75,237 and ending at $94,006.

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$107K$214K2015 Medicare payment: $206,138 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $214,187 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $200,776 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $189,196 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $179,913 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $141,458 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $186,685 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $198,121 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $180,622 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $186,614 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158906,345$206,138
20161,0124,381$214,187
20171,0496,284$200,776
20181,0443,469$189,196
20191,0123,110$179,913
20208002,548$141,458
20218352,805$186,685
20229212,896$198,121
20238062,728$180,622
20248643,602$186,614

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$1.2M$2.3M2015 Drug cost: $789,270 (USD; Tot_Drug_Cst)2016 Drug cost: $784,976 (USD; Tot_Drug_Cst)2017 Drug cost: $779,009 (USD; Tot_Drug_Cst)2018 Drug cost: $991,157 (USD; Tot_Drug_Cst)2019 Drug cost: $1,172,807 (USD; Tot_Drug_Cst)2020 Drug cost: $1,182,665 (USD; Tot_Drug_Cst)2021 Drug cost: $1,203,898 (USD; Tot_Drug_Cst)2022 Drug cost: $1,412,244 (USD; Tot_Drug_Cst)2023 Drug cost: $1,471,914 (USD; Tot_Drug_Cst)2024 Drug cost: $2,305,903 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201582919,231$789,270
201686619,648$784,976
201796019,093$779,009
201898822,540$991,157
20191,01523,846$1,172,807
20201,02023,725$1,182,665
20211,07923,010$1,203,898
20221,14224,707$1,412,244
20231,09121,660$1,471,914
20241,22530,962$2,305,903

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$42K$84K2015 Medicare payment: $84,069 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $75,298 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $74,877 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $77,796 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $69,153 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $71,144 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $46,706 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $44,895 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $42,024 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $58,552 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20153661,456$84,069
20163351,358$75,298
20173801,453$74,877
20184531,552$77,796
20194861,471$69,153
20203811,290$71,144
2021234855$46,706
2022268985$44,895
2023298996$42,024
20243541,197$58,552

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit300300$120
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes7898$94
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6371,469$62
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more247376$46
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's483822$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban58010,669$215,529
Invega SustennaPaliperidone Palmitate421,210$156,191
JanuviaSitagliptin Phosphate2156,234$112,990
JardianceEmpagliflozin2294,557$90,474
OzempicSemaglutide712,738$84,865

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A6196Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressingN1134$9,257
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY14107$8,794
A7031Face mask interface, replacement for full face mask, eachN2454$4,793
A7030Full face mask used with positive airway pressure device, eachN2453$4,618
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R18$3,914

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$14Amgen 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 Marghoob Abbas, M.D.?

Tedicare shows public-source Medicare data for Marghoob Abbas, M.D. (NPI 1588603781), 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 Marghoob Abbas, M.D. have ACO affiliation data?

Marghoob Abbas, M.D. is shown with ACO affiliation data for Main Street Rural Health Maple ACO LLC (MSSP, ACO ID A5401).

What billing organization is linked to Marghoob Abbas, M.D.?

Marghoob Abbas, M.D. is linked to HEARTLAND REGIONAL MEDICAL CENTER (billing NPI 1538200357) in the available physician profile data.

Does Marghoob Abbas, M.D. have Open Payments data?

Marghoob Abbas, M.D. has 1 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.