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    OpenPayerNPI Medicare & MedicaidBassam Mattar
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    Bassam Mattar — Billing Profile & Reimbursement Data

    NPI 1053372649 · Wichita, KS · Hematology & Oncology Physician

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    Bassam Mattar is a hematology & oncology physician provider located in Wichita, Kansas. This profile covers 119 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBassam Mattar
    Address818 N Emporia St
    CityWichita
    StateKS
    ZIP67214
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMarch 31, 2006

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

    Payer SourceTotal Paid
    Medicare$7.2M
    Medicaid$0

    Key Findings

    Provider profile and payer mix: BASSAM MATTAR is a Hematology & Oncology Physician in WICHITA, KS with an NPI enumerated 2006-03-31 (~20 years ago). Lifetime billing shows $7.2M in Medicare revenue and no Medicaid billing on file, indicating this practice operates effectively as a Medicare-focused single-payer operation in our dataset.

    Service-line characterization: The revenue and code mix indicate an infusion-centered oncology practice with heavy use of immune checkpoint inhibitors and other biologic agents. High-revenue drug codes such as J9271 (pembrolizumab), J9299 (nivolumab), and J0897 (denosumab) dominate the portfolio, supported by chemo administration (96413), infusion add-ons (96367), and imaging (78815) consistent with active systemic oncology care.

    Revenue concentration: The top three Medicare codes account for 48.0% of this provider's total Medicare revenue, with J9271 at $1.6M (23.8%), J9299 at $914.9K (13.6%), and J0897 at $713.9K (10.6%). This concentration shows a majority of revenue is driven by a small set of high-cost injectable oncology agents.

    Competitive standing on key drugs: For several primary drugs this provider ranks well above peers nationally — J9271 ranks #44 of 1841 providers nationally (98th percentile; notably above typical national volume) and J9299 ranks #32 of 505 providers nationally (94th percentile; notably above typical national volume). J0897 is listed as an extreme outlier (rank #45 of 10057 providers nationally; 100th percentile), signaling exceptionally high national volume for denosumab relative to peers.

    Utilization and visit mix: The practice also reports substantial office and procedural activity beyond drug administration: 99214 generated $173.9K (2.6% of Medicare revenue) and ranks #1569 of 479517 providers nationally (100th percentile; extreme outlier), while 96413 generated $139K (2.1%) and ranks #16 of 7514 providers nationally (100th percentile; extreme outlier). These patterns point to a steady stream of moderate-complexity E&M visits paired with high chemotherapy/infusion throughput.

    Other notable outliers and high-volume generics/biosimilars: Several additional codes are flagged as unusually high volume — J0185 (aprepitant) shows 42K claims and $42K revenue and ranks #3 of 819 providers nationally (100th percentile; extreme outlier), 96367 ranks #50 of 4032 providers nationally (99th percentile; extreme outlier), and J1627 ranks #3 of 119 providers nationally (98th percentile; notably above typical national volume). These data suggest extensive supportive-care and antiemetic administration alongside primary oncology therapeutics.

    Operational scale indicators: Claim-level volumes for key codes are large (e.g., 37.2K claims for J9271, 39.8K claims for J9299, 39.7K claims for J0897), reinforcing that this is a high-throughput infusion practice rather than a low-volume specialist. Combined with long tenure (NPI enumerated 2006-03-31 (~20 years ago)), the data point to an established, high-volume oncology operator focused on Medicare beneficiaries.

    Commercial implications and payer exposure: With $7.2M in Medicare revenue and no Medicaid billing on file, the provider’s financial performance and contracting leverage will be driven primarily by Medicare reimbursement patterns and provider-level utilization of high-cost oncology injectables. Concentration in a few high-revenue injectable agents creates both negotiating focus points (those agents and associated infusion services) and exposure if use patterns or reimbursement for those agents change.

    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.

    119 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg37,200$40$1.6M
    J9299Injection, nivolumab, 1 mg39,780$20$914.9K
    J0897Injection, denosumab, 1 mg39,660$20$713.9K
    J9022Injection, atezolizumab, 10 mg8,280$60$529.9K
    J1930Injection, lanreotide, 1 mg9,600$40$422.4K
    J9145Injection, daratumumab, 10 mg8,190$50$384.9K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj7,740$40$301.9K
    J9228Injection, ipilimumab, 1 mg2,150$130$281.6K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg6,480$30$220.3K
    Q5107Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg8,960$20$206.1K

    Showing 1–10 of 119

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 119 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    119 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927122028,900$40$1.1M
    J929921024,550$20$637.2K
    J19302109,180$40$402.7K
    J91454106,660$50$394.7K
    J90221103,910$60$301.1K
    J92281102,150$130$281.6K
    J91443106,300$40$257.2K
    J15681103,690$30$129K
    Q51071104,440$20$106.5K
    Q51153102,340$30$92.9K

    Showing 1–10 of 119

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DyerKSOphthalmology Physician$7.5M$0
    Dennis MooreKSHematology & Oncology Physician$6.7M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Thomas FinleyOKOphthalmology Physician$4.8M$0
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0
    Stephen WilesMOOphthalmology Physician$4.4M$0
    Shaker DakhilKSHematology & Oncology Physician$4.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Craig Resources LLCKSHome Health Agency$0$97.3M
    Paradigm Services IncKSIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$42.4M
    Wesley Medical Center LLCKSGeneral Acute Care Hospital$0$30.2M
    Gracemed Health Clinic IncKSFederally Qualified Health Center (FQHC)$0$18.3M
    Healthcore Clinic IncKSFederally Qualified Health Center (FQHC)$0$15.3M
    Diversified Family Services LLCKSHome Health Agency$0$13.9M
    Alpha ServiceKSDevelopmentally Disabled Services Day Training Agency$0$12.1M
    Carepoint Emergency Medicine Kansas LLCKSEmergency Medicine Physician$0$11.8M
    Hunter Health Clinic IncKSFederally Qualified Health Center (FQHC)$0$10.4M
    Ascension Via Christi Hospitals Wichita Inc.KSGeneral Acute Care Hospital$0$8.9M

    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. Kansas Distribution
    Bassam Mattar — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas