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About Sydra

Built by a surgeon who ran the workflow.Not a technology company that discovered healthcare.

Sydra is federal IDR software built out of a working revenue cycle operation, founded by Dr. John M. Abrahams, MD, a board certified practicing neurosurgeon in New York.

The team

Dr. John M. Abrahams, MD

Founder, Board Certified Neurosurgeon

Fellow, American Association of Neurological Surgeons · President, New York Brain & Spine Surgery · Founder, Sydra

Dr. John M. Abrahams, MD is a practicing neurosurgeon in New York. He built the original federal IDR submission process for his own neurosurgical practice after the No Surprises Act took effect in 2022, and it produced consistently better outcomes than the contingency model the practice had used before.

The clinical coding framework, the determination library curation criteria, and the clinical necessity narrative structure in Sydra are all built from that work. He reviews every piece of medical content Sydra publishes.

Heisha Rivera

Director of Revenue Cycle

Heisha brings over 15 years in revenue cycle management and has worked with the No Surprises Act regulations since they took effect in 2022. She leads revenue cycle strategy and IDR operations for Sydra clients.

Chelsea Carl

Director of IT

Chelsea leads Sydra's IT and integration architecture — including ModMed, Stedi, and EMR connectivity — and manages the product roadmap.

TJ Loughry

Lead Programmer

TJ leads Sydra's software engineering, owning the platform's core build, releases, and deployments.

Michael-Paul Mentzer-Hernandez

Associate Programmer

Michael-Paul builds and maintains application features across the Sydra platform.

Camilla Nicasio

IDR Specialist

Camilla manages federal IDR submissions, determination tracking, and account reviews for Sydra clients.

Robert Martinez

IDR Specialist

Robert handles IDR submissions and escalations, keeping every dispute on deadline.

Why this origin matters for your practice.

Most software in this category is built by people who read the regulation. This was built by someone who missed deadlines, argued market rate, and watched a contingency take 20 percent of recoveries he had already done the clinical work for.

That is why Sydra defaults to one claim per CPT, why the eligibility check runs before drafting, and why nothing files without a human approving it. Those are not product decisions made in a planning session. They are scar tissue.