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NPI 1205035383 · Stroudsburg, PA · Psychiatry Physician
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Shobin Oommen is a psychiatry physician provider located in Stroudsburg, Pennsylvania. This profile covers 5 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Shobin Oommen |
| Address | 1172 W Main St Ste B |
| City | Stroudsburg |
| State | PA |
| ZIP | 18360 |
| Taxonomy | Psychiatry Physician |
| NPI Enumerated | July 17, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $396K |
| Medicare | $345.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 2,410 | $120 | $277.4K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 370 | $90 | $33.4K |
| 90792 | In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical… | 140 | $170 | $23.5K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 130 | $70 | $8.5K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 60 | $60 | $3.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 2,260 | $60 | $140.2K |
| 99336 | N/A | 3,040 | $50 | $140K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 3,830 | $20 | $76.6K |
| 90792 | In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical… | 480 | $60 | $27.5K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 500 | $10 | $6.5K |
| 99335 | N/A | 180 | $20 | $3.1K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 70 | $30 | $1.8K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 20 | $1 | $50 |
| 1123F | No Summary found for this code | 100 | $0 | $0 |
| 1124F | No Summary found for this code | 200 | $0 | $0 |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90792 | In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical… | 237 | 420 | 650 | $180 | $270.2K |
| 99336 | N/A | 2 | 20 | 70 | $30 | $24.8K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 41 | 950 | 200 | $20 | $24K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 2 | 70 | 100 | $40 | $15.5K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 208 | 810 | 140 | $10 | $10.7K |
| 99335 | N/A | 5 | 20 | 50 | $20 | $5.4K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 28 | 40 | 110 | $10 | $4K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 182 | 210 | 80 | $10 | $3.6K |
| 4004F | The provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination… | 40 | 80 | 50 | $1 | $70 |
| 1123F | No Summary found for this code | 31 | 70 | 70 | $0 | $0 |
Showing 1–10 of 15
Other providers in the same ZIP code as Shobin Oommen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Carbon Monroe Pike Mh Ds | PA | Community/Behavioral Health Agency | $0 | $13.1M |
| St. Luke's Hospital Monroe Campus | PA | General Acute Care Hospital | $0 | $11.9M |
| Pocono Ambulatory Surgery Center Ltd | PA | Ambulatory Surgical Clinic/Center | $966.6K | $7.8K |
| Thomas Kislan | PA | Optometrist | $597K | $0 |
| Abbey Boyd | PA | Foot & Ankle Surgery Podiatrist | $209.5K | $0 |
| Umesh Dalal | PA | Nephrology Physician | $192.9K | $0 |
| Matthew Voluck | PA | Foot & Ankle Surgery Podiatrist | $182.9K | $0 |
| Jwalant Patel | PA | Nephrology Physician | $143.8K | $0 |
| Brian Olzinski | PA | Optometrist | $141.4K | $0 |
| Allison Froehlich | PA | Endocrinology, Diabetes & Metabolism Physician | $114.6K | $0 |
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