Active NPI 1215468483 Individual Practitioner Male Practitioner

Dr. Abraham Mathai , MD, PhD

Internal Medicine • Jasper, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Abraham Mathai, MD, PhD is a certified Internal Medicine practicing in Jasper, GA. With approximately 9 years of clinical experience since graduating from Tufts University School Of Medicine in 2017, Dr. Mathai delivers high-quality medical care to the local community at 1020 J L WHITE DR STE 170.

Dr. Mathai maintains professional affiliations with Piedmont Professional Services Llc, Piedmont Medical Care Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1020 J L White Dr Ste 170

Jasper, GA 301434910

Telephone 7066922437

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jasper, GA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -17.7 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Jasper, GA (4065 Statewide)

Telehealth Adoption Rate

30.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathai (9 Years) 9 Yrs

Jasper Specialty Average (26.7 Years) 26.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	668	349	$309.68	$118.75
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	261	78	$91.78	$57.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	147	109	$393.52	$169.02
99213 Established patient office or other outpatient visit, typically 15 minutes	132	113	$223.60	$84.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	111	111	$303.16	$120.78
99497 Advance care planning, first 30 minutes	99	99	$250.32	$77.21
36415 Insertion of needle into vein for collection of blood sample	89	82	$21.31	$8.57
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	63	34	$82.00	$44.65
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$53.43	$16.22
81003 Automated urinalysis test	27	23	$8.04	$2.20
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	25	25	$149.15	$40.55
G0008 Administration of influenza virus vaccine	22	22	$57.00	$30.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	16	$36.27	$13.16
90662 Influenza vaccine split virus, preservative free	21	21	$219.00	$81.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$568.25	$157.69
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	12	12	$56.00	$15.60
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$442.17	$154.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	785	339	$365.00	$168.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	610	318	$271.15	$120.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	250	250	$285.00	$122.63
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	239	82	$91.00	$59.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg	209	13	$1.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	24	$29.00	$13.24
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	54	24	$82.00	$44.72
99213 Established patient office or other outpatient visit, typically 15 minutes	46	41	$183.00	$85.55
99497 Advance care planning, first 30 minutes	44	44	$250.32	$79.46
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	39	18	$103.00	$38.64
81003 Automated urinalysis test	38	32	$8.00	$2.20
93000 Routine ekg using at least 12 leads including interpretation and report	21	19	$104.00	$13.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	17	$136.00	$49.06
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$429.00	$157.51
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$417.00	$157.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	487	37	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	242	$271.00	$119.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	291	222	$365.00	$170.49
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	166	41	$91.00	$59.66
99213 Established patient office or other outpatient visit, typically 15 minutes	104	100	$183.00	$84.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$285.00	$122.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	52	$29.00	$13.15
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	65	28	$82.00	$44.92
J0696 Injection, ceftriaxone sodium, per 250 mg	53	12	$2.00	$0.50
81003 Automated urinalysis test	52	49	$8.00	$2.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$271.00	$106.01
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	29	29	$80.00	$33.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$420.00	$151.73
87804 Detection test by immunoassay with direct visual observation for influenza virus	23	12	$47.00	$16.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$524.00	$211.13
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$429.00	$157.43
69210 Removal of impacted ear wax	12	12	$128.00	$42.86
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$104.00	$13.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	100	13	$1.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	79	76	$183.00	$86.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	54	$271.00	$123.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	33	$365.00	$172.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$271.00	$106.82
81003 Automated urinalysis test	22	21	$8.00	$2.25
99443 Telephone medical discussion with physician, 21-30 minutes	22	22	$224.85	$123.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$285.00	$125.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	14	$29.00	$12.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$420.00	$160.47

Medical Specialties & State Licenses

CMS Verified: 2024-08-08

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 88913

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License GA 88913

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospital & Practice Group Affiliations

Piedmont Professional Services Llc

1855 Hudson Bridge Rd, Stockbridge, GA 302815000

Phone: 6787321529

Piedmont Medical Care Corporation

1020 J L White Dr, Jasper, GA 301434910

Phone: 7066922437

Secondary Practice Locations

101 Riverstone Vis Ste 206

Blue Ridge, GA 305136668

Phone: 7064923200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Jill Saranthus , FNP

Nurse Practitioner - Family

NPI 1346352721

Family Nurse Practitioner

Dr. Carl Mccurdy , MD

Family Medicine

NPI 1780679134

Doctor of Medicine (M.D.)

Allison Holt , PA

Physician Assistant

NPI 1790091585

Physician Assistant

Dr. Gregory Rainwater , MD

Family Medicine

NPI 1972668200

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location August 08, 2024

Registered at 1020 J L WHITE DR STE 170, JASPER, GA 301434910 (Tel: 7066922437)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2024

Pediatrics (License #88913 in GA)

📍

Updated Practice Location June 02, 2021

Registered at 101 RIVERSTONE VIS STE 206, BLUE RIDGE, GA 305136668 (Tel: 7064923200)

📍

Updated Business Mailing Address June 02, 2021

Registered at 101 RIVERSTONE VIS STE 206, BLUE RIDGE, GA 305136668 (Tel: 7064923200)

✅

NPI Profile Active March 21, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2017

Registered at 1430 TULANE AVE, SL-50, NEW ORLEANS, LA 701122632 (Tel: 5049881332)

📍

Updated Business Mailing Address March 21, 2017

Registered at 1430 TULANE AVE, SL-50, NEW ORLEANS, LA 701122632 (Tel: 5049881332)

👤

Provider Name / Credentials Updated March 21, 2017

Recorded as ABRAHAM MATHAI, M.D., PH.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2017

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215468483

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 21, 2017

Last Update: August 08, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

101 Riverstone Vis Ste 206

Blue Ridge, GA 305136668

Phone: 7064923200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.