Physician

Pedro Ruben Abanto, M.D.

According to 2025 Medicare claims, Pedro Abanto, M.D. (NPI: 1982840393) practices hospitalist in the McAllen-Edinburg-Mission, TX market, with the plurality of this provider's patient population coming from Hidalgo, TX. This provider's primary affiliated billing organization is WOUND CARE INSTITUTE OF TEXAS, PLLC (NPI: 1275142622; TIN: 845003224) and primary practice location at 78503-1590.

Abanto's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 470 traditional Medicare patients, billed 3,377 HCPCS/CPT codes, and received $525,642 in Medicare payments. The top billing code was 11042 (Removal of skin and tissue, 20.0 sq cm or less). Part D data shows 2,196 prescription claims across 602 beneficiaries totaling $409,467 in drug costs, led by Santyl (Collagenase Clostridium Hist.). DME data shows 112 claims. Open Payments data shows 50 records totaling $1,021. 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 $46,740 to $525,642. Similarly, Part D prescription costs have moved sharply higher in recent years, from $160,508 to $409,467. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $2,629 to $40,647.

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$263K$526K2015 Medicare payment: $46,740 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $74,635 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $109,151 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $145,593 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $226,064 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $328,115 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $426,673 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $392,440 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $465,152 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $525,642 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015198760$46,740
20163181,235$74,635
20173191,698$109,151
20183472,388$145,593
20194533,541$226,064
20204824,263$328,115
20215054,225$426,673
20225474,068$392,440
20235133,672$465,152
20244703,377$525,642

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$224K$448K2015 Drug cost: $160,508 (USD; Tot_Drug_Cst)2016 Drug cost: $18,988 (USD; Tot_Drug_Cst)2017 Drug cost: $15,421 (USD; Tot_Drug_Cst)2018 Drug cost: $20,161 (USD; Tot_Drug_Cst)2019 Drug cost: $55,451 (USD; Tot_Drug_Cst)2020 Drug cost: $71,121 (USD; Tot_Drug_Cst)2021 Drug cost: $111,966 (USD; Tot_Drug_Cst)2022 Drug cost: $275,600 (USD; Tot_Drug_Cst)2023 Drug cost: $448,493 (USD; Tot_Drug_Cst)2024 Drug cost: $409,467 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152743,706$160,508
2016217562$18,988
2017173402$15,421
2018123312$20,161
2019135431$55,451
2020175540$71,121
2021245645$111,966
20224171,282$275,600
20235231,652$448,493
20246022,196$409,467

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$14K$29K2015 Medicare payment: $3,672 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $296 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $5,949 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $4,639 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $17,684 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $3,358 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $19,873 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $28,543 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201548160$3,672
2016N/R34$296
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R11$5,949
20202987$4,639
202113144$17,684
20224285$3,358
20234881$19,873
202449112$28,543

* / # = 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
11042Removal of skin and tissue, 20.0 sq cm or less115277$81
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes198812$81
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more79179$67
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes103608$60
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more119354$57

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
SantylCollagenase Clostridium Hist.2536,408$184,227
NuzyraOmadacycline Tosylate24306$169,808
Gentamicin SulfateGentamicin Sulfate2655,905$13,190
Silver SulfadiazineSilver Sulfadiazine2304,323$3,867
Minocycline HclMinocycline Hcl901,936$3,844

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A6010Collagen based wound filler, dry form, sterile, per gram of collagenN1423$26,262
A4452Tape, waterproof, per 18 square inchesN1124$824
A6219Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressingN1118$688
A6446Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yardNN/R13$524
A6402Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressingN1322$184

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.50$1,021Urgo Medical North America, LLC
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 Pedro Ruben Abanto, M.D.?

Tedicare shows public-source Medicare data for Pedro Ruben Abanto, M.D. (NPI 1982840393), 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 Pedro Ruben Abanto, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Pedro Ruben Abanto, M.D.?

Pedro Ruben Abanto, M.D. is linked to WOUND CARE INSTITUTE OF TEXAS, PLLC (billing NPI 1275142622) in the available physician profile data.

Does Pedro Ruben Abanto, M.D. have Open Payments data?

Pedro Ruben Abanto, M.D. has 50 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.