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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSumeet Thareja
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    Sumeet Thareja — Billing Profile & Reimbursement Data

    NPI 1609165794 · Melbourne, FL · Specialist

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    Sumeet Thareja is a specialist provider located in Melbourne, Florida. This profile covers 26 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
    OrganizationSumeet Thareja
    Address675 S Babcock Street
    CityMelbourne
    StateFL
    ZIP32901
    TaxonomySpecialist
    NPI EnumeratedMarch 29, 2011

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

    Payer SourceTotal Paid
    Medicare$4M
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)1,880$1,090$2.1M
    Q4253Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)1,450$770$1.1M
    Q4276Orion, per square centimeter (add-on, list separately in addition to primary procedure)590$1,160$685K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…40$500$21.2K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.50$430$19.6K
    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…220$90$18.4K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.180$100$16.6K
    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…220$70$15K
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…110$100$10.6K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.20$320$7.6K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42764101,990$1,150$2.3M
    Q426210401,120$1,000$1.7M
    Q42538201,070$720$1.3M
    17311315350240$470$152.3K
    88305714980570$40$83.5K
    17312308330120$330$61.8K
    1731317528060$460$45.9K
    9921412,36232,760140$90$25K
    1731414916040$310$18.4K
    111021,2961,930170$60$16.9K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Xuan WangNYAnatomic Pathology Physician$1.3M$99K
    David CioconNJMOHS-Micrographic Surgery Physician$843.5K$5.9K
    Karon LociceroFLInternal Medicine Physician$516.6K$0
    Charles FischmanFLInternal Medicine Physician$418.2K$0
    Karin SatraNJDermatology Physician$350.4K$0
    Kapila PaghdalNJProcedural Dermatology Physician$349.5K$0
    Robert TawilFLSpecialist$192.4K$0
    Ami DalalNYSurgical Physician Assistant$96.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brevard Physician Associates, PLLCFLAnesthesiology Physician$0$12.7M
    Holmes Regional Medical Center, Inc.FLGeneral Acute Care Hospital$0$12.3M
    Circles Of Care, Inc.FLPsychiatric Hospital$0$11.8M
    Central Florida Kidney Centers IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$10.5M
    Health First Medical Group, LLCFLGeneral Practice Physician$0$7.7M
    Florida Clinical Laboratory, IncFLClinical Medical Laboratory$4.7M$549K
    Hetal VaishnavFLOphthalmology Physician$2M$0
    Melbourne Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$935.1K$1.1M
    Vrinda HershbergerFLRetina Specialist (Ophthalmology) Physician$1.7M$0
    Gary GanibanFLOphthalmology Physician$1.7M$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. Florida Distribution
    Sumeet Thareja — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida