Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNaveen Lobo
    Ask Trek AI about this page

    Naveen Lobo — Billing Profile & Reimbursement Data

    NPI 1023025434 · Decatur, AL · Medical Oncology Physician

    Customize your policy alerts

    Sign up for Naveen Lobo — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Naveen Lobo is a medical oncology physician provider located in Decatur, Alabama. This profile covers 80 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNaveen Lobo
    Address1310 14th Ave Se
    CityDecatur
    StateAL
    ZIP35601
    TaxonomyMedical Oncology Physician
    NPI EnumeratedAugust 1, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.4M
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single-payer Medicare: lifetime Medicare revenue is $2.4M and there is no Medicaid billing on file, so analyses of service mix and utilization should be interpreted in the context of a Medicare-dominated practice rather than a dual-payer operation. The absence of Medicaid claims suggests limited engagement with state programs or a patient panel concentrated in the Medicare population.

    Revenue is highly concentrated in a small set of biologic and infusion codes: the precomputed top 3 Medicare codes (J9271, J1568, J0897) account for 62.9% of this provider’s Medicare revenue, with J9271 (pembrolizumab) alone producing $946K (40.7% of Medicare revenue). This concentration indicates that a few high-cost biologics drive the bulk of billings.

    The CPT/HCPCS mix identifies an infusion-centric oncology practice delivering immunotherapy and supportive biologics: J9271 (pembrolizumab), J1568 (Octagam immune globulin), and J0897 (denosumab) are the top revenue drivers, and chemotherapy and infusion administration codes such as 96413 (784 claims, $72.1K), 96417 (244 claims, $11.2K), G0498 (184 claims, $29.6K), and 96365 (437 claims, $19.7K) appear throughout the top codes. Together, these patterns are consistent with an outpatient infusion operation that couples high-cost oncologic drugs with clinic-based administration and monitoring.

    Competitive standing is mixed across specific services: for the top drug J9271 the provider ranks #308 of 1841 (83rd percentile) and is described as a typical, unremarkable national participant for that code, whereas several administration and supportive drug codes are extreme outliers or notably above typical volumes—examples include J1454 (rank #7 of 422, 99th percentile, extreme outlier), G0498 (rank #11 of 896, 99th percentile, extreme outlier), and 96372 (rank #406 of 58224, 99th percentile, extreme outlier). This suggests the provider is not uniquely dominant for pembrolizumab nationally but operates a locally high-volume infusion/service platform for certain add-on drugs and administration services.

    Supportive care and anemia management are important revenue lines: iron infusion J1437 accounts for $151.6K (6.5% of Medicare revenue) and ranks #41 of 581 (93rd percentile, notably above typical), and epoetin biosimilar Q5106 contributes $52.1K (2.2%) and ranks #45 of 695 (94th percentile, notably above typical). The presence of multiple iron and erythropoiesis-stimulating product codes (including J0885 and J1750) indicates routine management of treatment-related anemia and iron deficiency alongside oncologic therapy.

    High volumes of monitoring and lab services are billed in support of active infusion care: CBC and phlebotomy codes such as 85025 (3.2K claims, $25.8K; rank #520 of 32833, 98th percentile) and 36415 (3.2K claims, $25.4K; rank #520 of 86467, 99th percentile) plus lab panels 80053 and tests like 82728 and 82607 all appear in the top codes. These patterns point to an on-site monitoring workflow with frequent lab-based follow-up accompanying infusion treatments.

    This provider shows long tenure in the Medicare program, with an NPI enumeration date of 2006-08-01 (~20 years ago), which supports the likelihood of an established outpatient oncology practice and built-up referral/infusion infrastructure over time. The longevity combined with concentrated biologic revenue suggests stability in delivering specialty oncology infusions to a Medicare population.

    Although a few drug codes (e.g., J0642 at rank #1 of 6, 100th percentile) show unique national rank positions, the plain-English characterizations in the data must guide interpretation: some high-rank positions are labeled as typical or unremarkable while others are labeled extreme outliers. Analysts should therefore treat each code individually—recognizing that while the practice is not universally dominant for all high-cost oncology drugs, it does report several extreme or notably above-typical volumes for administration and select supportive agents, indicating a focused operational emphasis on infusion services.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    80 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg22,000$40$946K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg8,030$30$265K
    J0897Injection, denosumab, 1 mg13,980$20$251.6K
    J1437Injection, ferric derisomaltose, 10 mg8,920$20$151.6K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,350$90$121.6K
    J0642Injection, levoleucovorin (khapzory), 0.5 mg119,950$1$120K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…780$90$72.1K
    J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg210$340$69.9K
    Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units8,680$10$52.1K
    G0498Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community…180$160$29.6K

    Showing 1–10 of 80

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 80 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    80 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271103019,900$40$827.2K
    J156810305,180$30$316.2K
    J0897142003,120$20$97.7K
    J064211081,310$1$81.3K
    J14373403,000$20$59.1K
    J1439101041,250$1$39K
    J145422090$340$33.7K
    J08853103,660$10$32.3K
    Q51061102,650$10$23.6K
    964133150150$90$20.2K

    Showing 1–10 of 80

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Naveen Lobo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John WaplesALMedical Oncology Physician$9.6M$0
    Marshall SchreederALMedical Oncology Physician$3.5M$0
    Heather BrodyALHematology & Oncology Physician$3.1M$0
    Jorge DiazALHematology & Oncology Physician$2.6M$0
    Ali HachemALHematology & Oncology Physician$2.3M$0
    Daniel SchreederALHematology & Oncology Physician$2.3M$0
    Robert ConryALHematology & Oncology Physician$2.1M$0
    Lakshmikanth KatragaddaALHematology & Oncology Physician$2.1M$0
    Oncology Specialties, P.C.ALHematology & Oncology Physician$0$2M
    Surrinder DangALHematology & Oncology Physician$1.9M$0

    Nearby Providers

    Other providers in the same ZIP code as Naveen Lobo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hawkins Mccaghren PartnershipALGeneral Practice Dentistry$0$13.5M
    Encore Rehabilitation, IncALPhysical Therapy Clinic/Center$0$8.3M
    Sunbridge Home Health Care, Inc.ALIn Home Supportive Care Agency$0$7.8M
    H H Health System-morgan LLCALGeneral Acute Care Hospital$0$6.9M
    Decatur Morgan PediatricsALPediatrics Physician$0$3.6M
    Riverside Family Health LLCALFamily Nurse Practitioner$0$3.3M
    Decatur Morgan Emergency MedicineALEmergency Medicine Physician$0$2.9M
    Encore Rehabilitation, Inc.ALPhysical Therapy Clinic/Center$0$2.6M
    Hh Health System - Dmh Ambulance LLCALLand Ambulance$1.1M$1.4M
    Heather ShahALHematology & Oncology Physician$1.8M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Naveen Lobo — 16 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama