Physician

Sunil V. Abraham, M.D.

According to 2025 Medicare claims, Sunil Abraham, M.D. (NPI: 1801080890) practices rheumatology in the Asheville, NC market, with the plurality of this provider's patient population coming from Buncombe, NC. This provider's primary affiliated billing organization is ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER, P.A. (NPI: 1780647578; TIN: 56-1426545) and primary practice location at 28803-1700. Abraham is affiliated with the Mission Health Partners, LLC (ACO ID: A2591) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Abraham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 546 traditional Medicare patients, billed 120,188 HCPCS/CPT codes, and received $1,339,257 in Medicare payments. The top billing code was G2211 (Visit 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's). Part D data shows 2,514 prescription claims across 403 beneficiaries totaling $2,495,554 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 58 records totaling $1,003. 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 $317,294 to $1,339,257. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,012,571 to $2,495,554. 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$670K$1.3M2015 Medicare payment: $317,294 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $243,060 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $184,385 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $390,905 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $728,084 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,009,013 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,048,578 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,086,593 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,231,683 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,339,257 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201536316,504$317,294
201634210,320$243,060
201731610,058$184,385
201843824,308$390,905
201950740,253$728,084
202051652,736$1,009,013
202154154,961$1,048,578
202257772,232$1,086,593
202357399,114$1,231,683
2024546120,188$1,339,257

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$1.3M$2.6M2015 Drug cost: $1,012,571 (USD; Tot_Drug_Cst)2016 Drug cost: $746,807 (USD; Tot_Drug_Cst)2017 Drug cost: $784,796 (USD; Tot_Drug_Cst)2018 Drug cost: $599,576 (USD; Tot_Drug_Cst)2019 Drug cost: $820,669 (USD; Tot_Drug_Cst)2020 Drug cost: $1,219,422 (USD; Tot_Drug_Cst)2021 Drug cost: $1,634,232 (USD; Tot_Drug_Cst)2022 Drug cost: $2,278,381 (USD; Tot_Drug_Cst)2023 Drug cost: $2,634,062 (USD; Tot_Drug_Cst)2024 Drug cost: $2,495,554 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153052,729$1,012,571
20162912,116$746,807
20172651,610$784,796
20182571,231$599,576
20193001,852$820,669
20203172,172$1,219,422
20213612,448$1,634,232
20223702,228$2,278,381
20233702,218$2,634,062
20244032,514$2,495,554

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
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's357521$11
36415Insertion of needle into vein for collection of blood sample305535$9
86140Measurement c-reactive protein for detection of infection or inflammation269546$5
82565Blood creatinine level358649$5
85652Red blood cell sedimentation rate, to detect inflammation, automated269545$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab792,212$684,628
Enbrel SureclickEtanercept381,064$277,638
Enbrel MiniEtanercept22672$177,522
Cosentyx Sensoready PenSecukinumab24672$176,183
Taltz AutoinjectorIxekizumab17700$175,012

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.58$1,003Amgen 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 Sunil V. Abraham, M.D.?

Tedicare shows public-source Medicare data for Sunil V. Abraham, M.D. (NPI 1801080890), 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 Sunil V. Abraham, M.D. have ACO affiliation data?

Sunil V. Abraham, M.D. is shown with ACO affiliation data for Mission Health Partners, LLC (MSSP, ACO ID A2591) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Sunil V. Abraham, M.D.?

Sunil V. Abraham, M.D. is linked to ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER, P.A. (billing NPI 1780647578) in the available physician profile data.

Does Sunil V. Abraham, M.D. have Open Payments data?

Sunil V. Abraham, M.D. has 58 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.