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Aditi Abraham, MD

Pediatrics · Gilroy

NPI 1922528975

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Office
1

Offices

1 location

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Abraham’s office at (669) 263-2847 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026

California Medical Board record

Licence A167232 · Current

Licensed to practise in California · since 2019 · expires 2027-12-31 · Frank H. Netter MD School of Medicine at Quinnipiac University.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$58,389 in 2024

Medicaid paid $58,389 for 640 billed services this clinician did in 2024, up to 57 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive114$58,235
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)26$97
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)29$57
Pain severity quantified; no pain present (COA) (ONC)71$0
Medication list documented in medical record (COA)133$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)119$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)119$0
Short return visit (20+ min)29$0
Medicaid work by year
2024640857$58,389
20233,52626144$351,086
202211,62932297$1,009,890
20219,66030182$1,011,222
202073813109$86,372
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive694$343,767
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)293$1,743
Developmental screening71$1,642
Short return visit (20+ min)481$917
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)195$870
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)116$718
Application of topical fluoride232$658
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)52$124
Screening test, pure tone, air only84$112
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)62$81
Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided)16$80
Bilateral quantitative screening test of visual acuity104$71

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive2,019$982,184
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)873$6,639
Developmental screening308$5,571
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)869$4,797
Short return visit (20+ min)1,096$4,213
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)373$1,873
Short return visit752$1,843
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)176$803
Application of topical fluoride169$505
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)117$252
Measurement of lead59$211
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use702$163

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive2,085$998,229
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)869$3,592
Developmental screening174$3,166
Short return visit1,251$2,214
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)347$1,090
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)534$879
Short return visit (20+ min)175$328
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)116$278
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use690$276
Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use689$266
Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use550$261
Measurement of lead64$140

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive244$86,086
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)26$162
Short return visit (20+ min)56$52
Short return visit66$40
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use26$16
Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use21$16
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)24$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)24$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use111$0
Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use24$0
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)53$0
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)40$0

Professional record

NPI
1922528975
Licence
CA A167232California A167232: Current · expires 2027-12-31
More record details
Sole proprietor
Yes
Taxonomy
Pediatrics (208000000X)
Mailing address
7475 Camino Arroyo, Gilroy, CA, 95020
NPI first listed
2017-06-21
NPI last updated
2024-05-09
NPI record certified
2024-05-09

This is when the NPI record was last certified, not a medical board exam.