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    v1.0.28
    OpenPayerNPI Medicare & MedicaidOwen Maat
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    Owen Maat — Billing Profile & Reimbursement Data

    NPI 1295780609 · Harlingen, TX · Gastroenterology Physician

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    Owen Maat is a gastroenterology physician provider located in Harlingen, Texas. This profile covers 24 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
    OrganizationOwen Maat
    Address512 Victoria Ln Ste 2
    CityHarlingen
    StateTX
    ZIP78550
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 23, 2006

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

    Payer SourceTotal Paid
    Medicare$94.7K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.190$70$12.9K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…70$160$11.5K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…40$250$11.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…150$60$8.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$100$6.8K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…50$90$4.7K
    43275Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…20$270$4.6K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$130$3.9K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…30$110$3.7K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…100$40$3.6K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453854271,13050$280$26.4K
    992338,2469,320100$90$17.9K
    9921430,07032,500110$80$17.6K
    453805381,16050$190$16.4K
    992324,64111,790100$60$15.8K
    432391101,21070$120$11.3K
    992236,2499,99040$130$9.5K
    9921314,06029,79070$60$8.4K
    4327456020$310$7.5K
    432519711020$300$6.7K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carlos TorresTXAnatomic Pathology & Clinical Pathology Physician$580.7K$0
    Ahmed BhattiTXPulmonary Disease Physician$234.6K$0
    Peter O'carrollTXNeurology Physician$210.8K$0
    Bishnu SapkotaTXNeurology Physician$206.6K$0
    Allan CoatesMIGastroenterology Physician$175.4K$0
    Janis MaysTXCertified Registered Nurse Anesthetist$127.9K$0
    Paul GoldmanTXEmergency Medicine Physician$107.8K$0
    Murthy ChamarthyTXVascular & Interventional Radiology Physician$98.7K$0
    Alberto PenaTXColon & Rectal Surgery Physician$89.5K$0
    Peter KroneTXSurgery Physician$57.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Primary Home Care, IncTXHome Health Agency$0$161.5M
    Texas Visiting Nurse Service, Ltd.TXHome Health Agency$0$138.2M
    Agua Cristalina Home Care, LLCTXHome Health Agency$0$108.1M
    Apc Home Health Service, Inc.TXHome Health Agency$0$97.1M
    Mizpah Residential Care. Inc.TXHome Health Agency$0$45.5M
    Su Clinica FamiliarTXFederally Qualified Health Center (FQHC)$0$37.6M
    Vicki Roy Home Health Service, LPTXHome Health Agency$0$29.5M
    Nuevo Destino Primary Home Care LLCTXPersonal Care Attendant$0$26.6M
    Santa Cruz Health Services, IncTXHome Health Agency$0$23.8M
    Vhs Harlingen Hospital Company LLCTXGeneral Acute Care Hospital$0$23.6M

    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
    Owen Maat — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas