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    OpenPayerNPI Medicare & MedicaidMathew Wehbe
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    Mathew Wehbe — Billing Profile & Reimbursement Data

    NPI 1619186368 · Des Moines, IA · Medical Oncology Physician

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    Mathew Wehbe is a medical oncology physician provider located in Des Moines, Iowa. This profile covers 52 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
    OrganizationMathew Wehbe
    Address411 Laurel Street
    CityDes Moines
    StateIA
    ZIP50314
    TaxonomyMedical Oncology Physician
    NPI EnumeratedMay 21, 2007

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

    Payer SourceTotal Paid
    Medicare$1M
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue footprint is concentrated and Medicare-dominant: lifetime Medicare revenue is $1M and there is no Medicaid billing on file, so the practice operates effectively as a single-payer (Medicare) biller in the available data. The precomputed top-3 Medicare codes account for 77.9% of total Medicare revenue, indicating a high revenue concentration in a small number of drugs/procedures.

    Pembrolizumab (J9271) is the primary revenue driver, generating $688K and representing 67.7% of the provider’s Medicare revenue, which signals an immunotherapy-focused service line centered on checkpoint inhibitor infusions. Although J9271 accounts for the majority of revenue, the provider’s national ranking for this code is #614 of 1841 (66th percentile) and is described as "typical, unremarkable volume," so the practice is not an outlier or dominant national center for pembrolizumab despite the revenue concentration.

    The second- and third-largest revenue contributors are J0897 (denosumab, $54K, 5.3%) and Q5115 (rituximab-abbs biosimilar, $49K, 4.8%), and together with J9271 make up the top-3 share used above. J0897 ranks #4543 of 10057 (54th percentile) and is similarly labeled "typical, unremarkable volume," which suggests routine use of bone-targeted agents alongside immunotherapy; Q5115 ranks #72 of 79 (8th percentile), indicating comparatively low volume among the small national group reporting that biosimilar.

    The provider’s code mix is consistent with an outpatient medical oncology infusion practice: high-revenue biologic/immunotherapy codes (J9271, J0897, Q5115) are paired with multiple chemotherapy administration and infusion codes (96413, 96365, 96367, 96401, 96415, 96417) and supportive drugs (J1569 immune globulin, J0185 aprepitant). This pattern indicates on-site drug administration capacity and supportive care services rather than a practice driven primarily by office E/M visits or procedural surgery.

    Office evaluation-and-management activity exists but contributes a small share of revenue: 99214 accounts for $35.7K (3.5% of Medicare revenue) with 401 claims and a national rank of #68885 of 479517 (86th percentile) described as "typical, unremarkable volume." The presence of higher-percentile E/M and infusion-administration ranks (for example 99214 at the 86th percentile and 96367 at the 85th percentile) suggests steady outpatient follow-up and infusion throughput that supports the high drug-revenue mix.

    Several ancillary services and diagnostics are reported at above-median percentiles for national peers—examples include comprehensive metabolic panel (80053, 85th percentile), CBC (85025, 85th percentile), and routine venipuncture (36415, 84th percentile)—which aligns with oncology workflows that require ongoing lab monitoring. These lab and draw codes, while individually low revenue contributors, support the clinical infrastructure needed for frequent biologic and chemotherapy administration.

    From a competitive standpoint, the provider appears to be a modest, established oncology participant rather than a dominant specialty hub: the practice has an NPI enumeration date of 2007-05-21 (~19 years ago), indicating long tenure, but most high-revenue codes are ranked in middle-to-upper percentiles and are labeled "typical, unremarkable volume," not indicating market dominance. The notable exception is Q5115’s low 8th percentile rank among 79 providers, which points to a specific product-level divergence from peers rather than broad competitive leadership.

    For payers and network analysts, the practical implications are clear: the practice is heavily dependent on high-cost infused biologics—most prominently J9271—so contract design, utilization management, and site-of-care considerations should prioritize oncology drug management and infusion authorization pathways. Because there is no Medicaid activity on file, any Medicaid-network impact or negotiations would require outreach to confirm whether the provider treats Medicaid patients outside of billable Medicaid claims or is simply out of network for that payer.

    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.

    52 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg16,000$40$688K
    J0897Injection, denosumab, 1 mg3,000$20$54K
    Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mg1,400$40$49K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg1,210$40$43.6K
    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…400$90$35.7K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…320$90$29.7K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)13,000$1$26K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…160$90$14.4K
    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…120$120$13.9K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…410$20$8.5K

    Showing 1–10 of 52

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 52 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    52 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271153017,200$40$902.3K
    J156911102,680$40$133.6K
    J0897611901,920$20$74.1K
    Q51158101,790$30$71.4K
    J088191015,520$1$43.2K
    964132380210$90$24K
    J018510206,890$1$14.5K
    992147014,690100$70$14.4K
    9923321091060$90$10.5K
    992131,5914,740100$50$8K

    Showing 1–10 of 52

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alegent Creighton ClinicNEFamily Medicine Physician$0$43.2M
    Greater Regional Medical CenterIACritical Access Hospital$0$10M
    Alegent Creighton ClinicIAFamily Medicine Physician$0$9.6M
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Paul BoekeIAOphthalmology Physician$7.1M$0
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Robert BehrensIAMedical Oncology Physician$5.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Broadlawns Medical CenterIAGeneral Acute Care Hospital$0$112.9M
    Catholic Health Initiatives-iowa CorpIAGeneral Acute Care Hospital$0$26.4M
    Des Moines Independent Community School DistrictIALocal Education Agency (LEA)$0$22.8M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$14.1M
    Broadlawns Medical CenterIACommunity/Behavioral Health Agency$0$13.2M
    Mercy Clinics IncIAPediatric Adolescent Medicine Physician$0$10.7M
    Des Moines River Physicians, LLCIAEmergency Medicine Physician$0$8.1M
    Catholic Health Initiatives-iowa CorpIAClinical Medical Laboratory$0$8M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$7.9M
    Vita Health ServicesIAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$7.5M

    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. Iowa Distribution
    Mathew Wehbe — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa