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    OpenPayerNPI Medicare & MedicaidEduardo Braun
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    Eduardo Braun — Billing Profile & Reimbursement Data

    NPI 1144486309 · Westville, IN · Medical Oncology Physician

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    Eduardo Braun is a medical oncology physician provider located in Westville, Indiana. This profile covers 42 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
    OrganizationEduardo Braun
    Address1668 S Us Highway 421
    CityWestville
    StateIN
    ZIP46391
    TaxonomyMedical Oncology Physician
    NPI EnumeratedAugust 6, 2008

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$0

    Key Findings

    This provider is an infusion-focused medical oncology practice: the top revenue drivers are biologic and immune-oncology drug injections rather than evaluation-and-management or imaging services. The three highest-revenue Medicare codes are J9144 (16K claims, $608.8K, 34.5%), J9299 (19.7K claims, $472.3K, 26.8%), and J9271 (10.6K claims, $424K, 24.0%), which together account for 85.2% of the provider's Medicare revenue and indicate a treatment mix centered on monoclonal antibody and checkpoint inhibitor administration.

    Revenue concentration is extremely high on a few drug codes: the top three codes (J9144, J9299, J9271) account for 85.2% of Total Medicare revenue and together represent the vast majority of the provider's $1.8M Medicare lifetime revenue. Outside these three items, remaining codes each contribute only single-digit percentages, underscoring that the business is heavily dependent on repeat administration of a narrow set of high-frequency drugs.

    Payer mix is effectively single-payer at present: the provider reports Total Medicare revenue of $1.8M and has no Medicaid billing on file, so the practice appears to serve a Medicare-dominated patient population and would be sensitive to Medicare policy or reimbursement changes. The absence of Medicaid billing suggests limited participation in Medicaid networks or a patient mix that does not generate Medicaid claims.

    Competitive standing by code is mixed: for J9144 the provider ranks #79 of 615 nationally (87th percentile) which is a relatively high national rank but is labeled "typical, unremarkable volume" in the data, indicating the provider is a meaningful but not dominant national participant for daratumumab. For J9299 the provider ranks #171 of 505 (66th percentile) and for J9271 ranks #1102 of 1841 (39th percentile), both described as typical, which suggests strong specialization in a few agents without clear dominance across all immune-oncology drugs.

    Clinical/operational detail from ancillary codes corroborates an infusion-centric workflow: chemotherapy administration codes such as 96413 (357 claims, $33.2K, 1.9%) and add-on infusion codes like 96417 (105 claims, $4.9K, 0.3%) are present at typical volumes, and supportive medications appear (J0897 denosumab: 5.6K claims, $100.4K, 5.7%). Imaging (78815 and A9552) and higher-level E/M codes are present but account for very small shares of revenue, consistent with a clinic focused primarily on drug delivery.

    Notable statistical outlier in office visit billing: 99213 appears as an "extreme outlier, far above typical national volume" with 899 claims and $53K in revenue (3.0% of Medicare revenue), suggesting unusually high volumes of lower-level established patient visits relative to national peers. This pattern could reflect the treatment model (frequent short follow-ups tied to infusion visits) and is worth investigating for operational capacity or coding practice implications.

    Tenure is long-standing: the NPI was enumerated 2008-08-06 (~18 years ago), indicating the provider has an established presence and multi-year billing history in Medicare, which supports interpretation of patterns as stable practice behavior rather than a brief or newly opened operation. That tenure, combined with concentrated drug revenue, suggests a sustained infusion practice rather than a transient billing pattern.

    Overall, the provider is a specialist infusion operator with heavy reliance on three high-volume oncology drug codes (J9144, J9299, J9271) for $1.8M in Medicare revenue and no Medicaid activity. For payers and competitors, the key implications are concentration risk in a narrow drug set, a Medicare-dependent payer mix, and an atypically high volume of low-level E/M visits (99213) accompanying 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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj16,020$40$608.8K
    J9299Injection, nivolumab, 1 mg19,680$20$472.3K
    J9271Injection, pembrolizumab, 1 mg10,600$40$424K
    J0897Injection, denosumab, 1 mg5,580$20$100.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…900$60$53K
    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…360$90$33.2K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…10$1,060$13.8K
    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…110$90$9.8K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.110$50$5.6K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…450$10$5K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271132011,200$40$631.7K
    J929931021,700$20$498.3K
    J914411012,960$40$484.3K
    J0897462202,730$20$74.9K
    7881513814060$300$26.6K
    9641321120140$90$19.1K
    992145,40910,540110$80$15.5K
    J3490284050$180$12.8K
    J018513205,070$1$12.5K
    74177417470120$70$10.6K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care Network IncINFamily Medicine Physician$0$33.9M
    Ayman RawdaILPediatrics Physician$0$15M
    Franciscan Health Crown PointINGeneral Acute Care Hospital$0$11.4M
    Lake Hospital System IncOHFamily Medicine Physician$0$6.9M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Mazen RachidILPediatrics Physician$0$5.1M
    Mohamad KassarINHematology & Oncology Physician$4.7M$0
    Sidney SchechetMDRetina Specialist (Ophthalmology) Physician$4.2M$0
    Ramon LeeILRetina Specialist (Ophthalmology) Physician$4M$8.5K
    The University Of Chicago Medical CenterILGeneral Acute Care Hospital$0$3.5M

    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. Indiana Distribution
    Eduardo Braun — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana