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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSumit Tickoo
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    Sumit Tickoo — Billing Profile & Reimbursement Data

    NPI 1588869424 · Danbury, CT · Interventional Cardiology Physician

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    Sumit Tickoo is a interventional cardiology physician provider located in Danbury, Connecticut. This profile covers 16 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
    OrganizationSumit Tickoo
    Address24 Hospital Ave
    CityDanbury
    StateCT
    ZIP06810
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedJune 20, 2007

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

    Payer SourceTotal Paid
    Medicare$154.7K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…910$90$85.7K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…300$70$21.8K
    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…110$70$8K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…20$490$7.4K
    93454In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis…50$140$6.4K
    93456In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with right heart catheterization. He also performs injections to assess any coronary artery…20$240$5K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.660$10$4.6K
    99204The provider sees a new 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 provider…30$140$4.2K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…370$10$4.1K
    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…20$150$2.2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9330668330180$80$17.3K
    99214636,48090$90$14.2K
    92928334020$430$10K
    992132,2346,44070$60$8.1K
    992231,3361,66030$140$7.3K
    992041,1382,66030$120$4.6K
    992221,3861,70030$100$4.3K
    9345434020$160$3.9K
    9345611020$240$3.7K
    992031,9102,25030$80$3.5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Danbury HospitalCTGeneral Acute Care Hospital$0$123.8M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Nuvance Health Medical Practice Ct, Inc.CTInternal Medicine Physician$0$20.2M
    Danbury HospitalCTGeneral Acute Care Hospital$0$15.3M
    Granit VeseliCTClinical Cardiac Electrophysiology Physician$567.3K$10
    Michael SpiegelCTRheumatology Physician$488.7K$0
    Sydney PageCTMedical Physician Assistant$398.3K$0
    Behzad Habibi KhamenehCTNeurology Physician$394.4K$0
    Donald SonnMAUrology Physician$367.6K$0
    Gillian LevyCTAnatomic Pathology & Clinical Pathology Physician$361.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family And Children's Aid, Inc.CTAdolescent and Children Mental Health Clinic/Center$0$64M
    Midwestern Connecticut Council On Alcoholism, IncCTMental Health Clinic/Center (Including Community Mental Health Center)$0$39.9M
    Connecticut Institute For Communities IncCTFederally Qualified Health Center (FQHC)$0$32.8M
    Connecticut Institute For Communities IncCTFederally Qualified Health Center (FQHC)$0$14.9M
    Connecticut Counseling Centers, Inc.CTMethadone Clinic$243.5K$12.1M
    Center For Pediatric MedicineCTPediatrics Physician$0$9.4M
    Optimum Medical LLCCTPediatrics Physician$0$8.9M
    Kids Dental Specialists LLCCTPediatric Dentistry$0$7.8M
    Danbury Public SchoolsCTLocal Education Agency (LEA)$0$7.3M
    Childcare AssociatesCTPediatrics Physician$0$6.8M

    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. Connecticut Distribution
    Sumit Tickoo — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut