Providers
MARGHOOB ABBAS, M.D.
NPI 1588603781, individual, St. Joseph, MO, Internal Medicine
5
Evidence tier
informational
score 30 of 100, rank 11785, $42K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARGHOOB ABBAS, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | June 5, 2006, last updated December 28, 2020 |
| Practice location | 901 HEARTLAND RD.,, STE. 3800, St. Joseph, MO 64506-6201, 816-671-4800 |
| Specialties | Internal Medicine (207R00000X, primary, license 2005000470 MO) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | $121K | 36% | $138 | $124 (top 5% from $387) | 54th percentile | |
| Y9504 | Medicaid service code | $83K | 25% | $3K | $3K (top 5% from $4K) | too few months to rank | |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $29K | 9% | $45 | $59 (top 5% from $187) | 34th percentile | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $21K | 6% | $35 | $76 (top 5% from $314) | 18th percentile | |
| G0463 | Medicaid service code | $19K | 6% | $36 | $73 (top 5% from $142) | 27th percentile | |
| 97535 | Training for self-care or home management, each 15 minutes | $17K | 5% | $47 | $48 (top 5% from $459) | 50th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $15K | 4% | $40 | $60 (top 5% from $133) | 25th percentile | |
| 97116 | Therapy procedure for walking training, each 15 minutes | $12K | 4% | $40 | $30 (top 5% from $180) | 61st percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,469 | 637 | $91K | $156 | $91 | 1.7x | 2.3x (90th percentile 3.8x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 300 | 300 | $36K | $317 | $120 | 2.6x | 2.3x (90th percentile 4.1x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 376 | 247 | $17K | $110 | $62 | 1.8x | 2.2x (90th percentile 3.8x) |
| 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 | 822 | 483 | $10K | $20 | $16 | 1.3x | 2.7x (90th percentile 4.5x) |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 98 | 78 | $9K | $220 | $125 | 1.8x | 2.0x (90th percentile 3.3x) |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 200 | 32 | $7K | $79 | $47 | 1.7x | 1.8x (90th percentile 2.9x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 97 | 66 | $5K | $169 | $73 | 2.3x | 2.6x (90th percentile 4.3x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 25 | 22 | $2K | $158 | $100 | 1.6x | 2.0x (90th percentile 3.3x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Buchanan County, MO carry an indicator in the public record, with $179K at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | FREUDENTHAL HOME HEALTH, LLC Saint Joseph, MO, ranked 1290 | $179K |
|
| 3 | FREUDENTHAL HOME HEALTH, LLC Saint Joseph, MO, ranked 5550 | $0 |
|
Recent enforcement in MO
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 27, 2026
Kansas Chiropractor Pleads Guilty to Health Care Fraud
Laser submitted claims to Blue Cross and Blue Shield of Kansas City seeking payment for chiropractic services purportedly rendered on dates when patients had not visited Laser Chiropractic and received no treatment, including billing using the information of an individual who never received treatment.
DOJIndictedJul 30, 2026
Adult Day Care Provider Accused of $1.47 Million Missouri Medicaid Fraud
King submitted $1.47 million in false claims to Missouri Medicaid through Agape Love Adult Day Care LLC for services never provided, claiming 10 hours of care per day when only half that was provided and billing for patients who were absent or hospitalized.
DOJSentencedJul 21, 2026
Home Health Care Operator Sentenced for Defrauding Missouri Medicaid
Childress submitted fraudulent enrollment documents concealing her ownership of a home health care company and then billed Missouri Medicaid for home health services that were never provided.
DOJComplaint filedJun 23, 2026
Federal Health Care Fraud Takedown Targets 455 Defendants and $6.5 Billion in False Claims
Four defendants were charged by complaint in the Western District of Missouri with forgery and using fraudulent nursing credentials or with false statements to receive health care payments and stealing by deceit for Medicaid claims for personal care services that were not provided.
DOJIndictedJun 3, 2026
U.S. Attorney’s Office Seeks Potential Victims in Case Against Columbia, Missouri Doctor
A federal grand jury charged Morris with issuing controlled substance prescriptions outside the usual course of professional practice and with defrauding Medicare and Missouri Medicaid by billing for services falsely representing him as the rendering provider when services were rendered by assistant physicians and by submitting claims for prescriptions not eligible for reimbursement.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.