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    OpenPayerNPI Medicare & MedicaidSmitha Oommen
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    Smitha Oommen — Billing Profile & Reimbursement Data

    NPI 1184829764 · Beaumont, TX · Medical Oncology Physician

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    Smitha Oommen is a medical oncology physician provider located in Beaumont, Texas. This profile covers 9 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
    OrganizationSmitha Oommen
    Address3560 Delaware St Ste 1104
    CityBeaumont
    StateTX
    ZIP77706
    TaxonomyMedical Oncology Physician
    NPI EnumeratedJune 15, 2007

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

    Payer SourceTotal Paid
    Medicare$76K
    Medicaid$0

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1439Injection, ferric carboxymaltose, 1 mg40,250$1$40.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…180$120$21.7K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.240$50$11.2K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…20$150$3.7K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…10$140$1.5K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…20$90$1.5K
    J3411Injection, thiamine hcl, 100 mg340$1$670
    96360The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.20$20$580
    J7040Infusion, normal saline solution, sterile (500 ml = 1 unit)260$1$260

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J1439307032,250$1$33K
    992158748,73040$120$9.2K
    9636513289090$50$7.2K
    992052,2194,32030$150$5.5K
    939701,6821,74030$80$4.3K
    767007431,00030$50$2.6K
    J3411410160$1$1.7K
    9636012722030$20$1.1K
    J7040711040$1$80

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Raul IsernTXChild & Adolescent Psychiatry Physician$35.7K$1.4M
    Reeti JoshiTXRheumatology Physician$900.9K$0
    Peter MorrellTXDermatology Physician$616K$0
    Shama QuraishiTXFamily Medicine Physician$54.3K$389.7K
    Joseph OommenTXNeurology Physician$365.6K$0
    Jay ProctorTXFamily Medicine Physician$310.2K$0
    Kevin CorreiaTXClinical Psychologist$169.5K$0
    Wagdy RizkTXAdult Reconstructive Orthopaedic Surgery Physician$141.9K$0
    John MillerTXDiagnostic Radiology Physician$141K$0
    Burnet ClarkeTXOrthopaedic Surgery Physician$130.9K$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. Texas Distribution
    Smitha Oommen — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas