Sylvia L Abraham, NP
Nurse Practitioner · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Rpm Care Coordination PC · 42 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Sylvia L Abraham’s office at (800) 985-5596 to ask if they take your plan before you enroll.
Original Medicare doctor bills
$128,976
Medicare paid this office $128,976 for 150 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 94 | $98,524 | $76 |
| Residence visit for established patient with high level of medical decision making, per day at least 60 minutes | 45 | $9,844 | $109 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 58 | $7,838 | $128 |
| Transitional care management services for problem of high complexity | 42 | $6,821 | $159 |
| Residence visit for new patient with high level of medical decision making, per day at least 75 minutes | 33 | $4,652 | $141 |
See all 6 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 94 | $98,524 | $76 |
| Residence visit for established patient with high level of medical decision making, per day at least 60 minutes | 45 | $9,844 | $109 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 58 | $7,838 | $128 |
| Transitional care management services for problem of high complexity | 42 | $6,821 | $159 |
| Residence visit for new patient with high level of medical decision making, per day at least 75 minutes | 33 | $4,652 | $141 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 23 | $763 | $33 |
Who their Medicare patients are
150 Original Medicare patients in 2024. Average age 74 · Under 65 16% · 85 and older 15% · Women 55% · Also on Medicaid 72% · Health risk score 3.08. Sicker patients than 9 in 10 peers; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 75% · Depression 61% · Diabetes 53% · Dementia 53% · Heart failure 51% · Chronic kidney disease 48% · Coronary heart disease 46% · COPD 44% · Atrial fibrillation 31% · Stroke 19% · Cancer 11%.
The office billed $346,640, Medicare allowed $167,704 and paid $128,976; for 1,547 services of 7 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 150 | 1,547 | 74 | 3.08 | $346,640 | $128,976 |
| 2023 | 493 | 3,536 | 76 | 2.71 | $935,480 | $390,713 |
| 2022 | 418 | 2,488 | 75 | 2.68 | $609,523 | $260,688 |
| 2021 | 265 | 2,823 | 70 | 3.50 | $613,067 | $204,256 |
| 2020 | 500 | 4,223 | 73 | 3.55 | $851,261 | $287,124 |
| 2019 | 203 | 1,528 | 73 | 2.53 | $282,212 | $94,360 |
| 2018 | 36 | 54 | 74 | 1.00 | $6,362 | $2,959 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 7 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 99 | $116,379 | $77 |
| Residence visit for established patient with high level of medical decision making, per day at least 60 minutes | 307 | $115,826 | $133 |
| Transitional care management services for problem of high complexity | 369 | $83,590 | $205 |
| Residence visit for new patient with high level of medical decision making, per day at least 75 minutes | 311 | $44,940 | $145 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 84 | $13,714 | $131 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 270 | $12,691 | $45 |
| Advance care planning, first 30 minutes | 18 | $1,196 | $60 |
2022: 9 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 101 | $76,770 | $66 |
| Transitional care management services for problem of high complexity | 302 | $66,009 | $208 |
| Residence visit for established patient with high level of medical decision making, per day at least 60 minutes | 189 | $50,713 | $127 |
| Residence visit for new patient with high level of medical decision making, per day at least 75 minutes | 259 | $40,119 | $155 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 79 | $11,182 | $119 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 157 | $7,111 | $44 |
| Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes | 45 | $5,190 | $93 |
| Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes | 11 | $1,340 | $122 |
| Advance care planning, first 30 minutes | 11 | $805 | $62 |
2021: 3 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 251 | $169,062 | $67 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 216 | $33,887 | $121 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 16 | $1,307 | $82 |
2020: 3 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 323 | $139,699 | $68 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 234 | $82,674 | $50 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 433 | $64,750 | $122 |
2019: 4 services
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 127 | $42,570 | $50 |
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 91 | $33,190 | $67 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 117 | $15,492 | $121 |
| Short return visit (20+ min) | 25 | $1,546 | $52 |
2018: 1 service
| Short return visit (20+ min) | 24 | $1,882 | $54 |
Drugs they prescribed that Part D paid
$1,164
Pharmacies billed $1,164 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 53) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.
50 generic and fewer than 11 brand-name prescriptions · $1,164 in drug cost · 15 antibiotic prescriptions to 11 people.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Gabapentin | 11 | $92 | $8 |
Year by year
| 2024 | 53 | 31 | 0% (0) | None | $1,164 |
| 2023 | 100 | 38 | 0% (0) | None | $5,970 |
| 2022 | 931 | 71 | None | None | $41,851 |
| 2021 | 258 | 50 | None | None | $6,320 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 1 drug
| Donepezil | 14 | $133 | $9 |
2022: 29 drugs
| Eliquis | 20 | $9,818 | $491 |
| Myrbetriq | 13 | $5,727 | $441 |
| Memantine | 61 | $3,498 | $57 |
| Divalproex | 42 | $1,593 | $38 |
| Donepezil | 51 | $1,066 | $21 |
| Pyridostigmine | 13 | $844 | $65 |
| Midodrine | 13 | $744 | $57 |
| Trazodone | 51 | $658 | $13 |
| Pantoprazole | 22 | $587 | $27 |
| Risperidone | 35 | $472 | $13 |
| Atorvastatin | 41 | $461 | $11 |
| Quetiapine | 27 | $361 | $13 |
| Hydralazine | 21 | $337 | $16 |
| Mirtazapine | 23 | $323 | $14 |
| Escitalopram | 21 | $320 | $15 |
| Levothyroxine | 28 | $286 | $10 |
| Fludrocortisone Acetate | 13 | $235 | $18 |
| Metoprolol | 14 | $232 | $17 |
| Venlafaxine Hcl Er | 13 | $209 | $16 |
| Famotidine | 20 | $190 | $9 |
| Losartan | 20 | $170 | $8 |
| Potassium Chloride | 12 | $153 | $13 |
| Sertraline | 16 | $129 | $8 |
| Furosemide | 40 | $128 | $3 |
| Alprazolam | 14 | $118 | $8 |
| Citalopram Hbr | 17 | $116 | $7 |
| Hydroxyzine | 13 | $54 | $4 |
| Amlodipine Besylate | 13 | $36 | $3 |
| Lisinopril | 11 | $30 | $3 |
2021: 6 drugs
| Memantine | 12 | $237 | $20 |
| Levothyroxine | 15 | $189 | $13 |
| Atorvastatin | 16 | $164 | $10 |
| Risperidone | 15 | $117 | $8 |
| Furosemide | 14 | $52 | $4 |
| Hydrochlorothiazide | 12 | $27 | $2 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 75.0 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1265969497
- Licence
- CA 95007711
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 363LF0000X (363LF0000X)
- Mailing address
- 193 N Magnolia Ave Apt A, Anaheim, CA, 92801
- NPI first listed
- 2017-05-18
- NPI last updated
- 2025-08-15
- NPI record certified
- 2025-08-15
This is when the NPI record was last certified, not a medical board exam.