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    v1.0.28
    OpenPayerNPI Medicare & MedicaidOm Prakash
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    Om Prakash — Billing Profile & Reimbursement Data

    NPI 1700034204 · Lakeland, FL · Family Medicine Physician

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    Om Prakash is a family medicine physician provider located in Lakeland, Florida. This profile covers 39 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
    OrganizationOm Prakash
    Address1600 Lakeland Hills Blvd
    CityLakeland
    StateFL
    ZIP33805
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 9, 2008

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

    Payer SourceTotal Paid
    Medicare$542.2K
    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg11,700$20$210.6K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)2,830$30$96K
    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…830$90$73.9K
    J3111Injection, romosozumab-aqqg, 1 mg7,770$10$62.2K
    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…160$140$20.9K
    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…160$110$17.8K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.240$50$11.5K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…830$10$8.3K
    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$60$6.9K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…190$40$6.7K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01291171309,350$30$386.8K
    J311111814016,170$10$166.4K
    J08971461,0603,290$20$106.5K
    96413632730200$100$26.1K
    992142,68832,760140$90$25K
    J08784850123,750$1$12.1K
    9921312,88630,01080$60$12K
    96365250840120$50$11.7K
    992151,1688,55040$130$10.7K
    206102,3412,83060$50$7K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Watson Clinic LLPFLClinical Medical Laboratory$3.4M$2.7K
    Leonard GitterFLMedical Oncology Physician$2.5M$0
    Shalini MulaparthiFLMedical Oncology Physician$2.2M$0
    Kiren SahniNJRheumatology Physician$1.5M$282.3K
    David GrahamFLRadiation Oncology Physician$1.7M$0
    Sandra ShaFLRadiation Oncology Physician$1.5M$0
    John Gerald CantoFLCardiovascular Disease Physician$1M$0
    Gregory CoffmanFLCardiovascular Disease Physician$934.2K$0
    Ronald PatrickFLDermatology Physician$777.8K$0
    Rajendra SawhFLInternal Medicine Physician$766.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lakeland Regional Medical Center, Inc.FLGeneral Acute Care Hospital$0$62.1M
    Osprey Emergency Physicians LLCFLEmergency Medicine Physician$0$14.6M
    Lakeland Regional Health Systems, Inc.FLMulti-Specialty Clinic/Center$0$12.1M
    Good Shepherd Hospice, Inc.FLCommunity Based Hospice Care Agency$0$10.3M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.6M
    Total Renal Care IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.1M
    Richard HamiltonFLRetina Specialist (Ophthalmology) Physician$1.6M$0
    David MischFLRetina Specialist (Ophthalmology) Physician$1.3M$0
    Scott FriedmanFLOphthalmology Physician$1.3M$0
    Lakeland Fl Endoscopy Asc LLCFLAmbulatory Surgical Clinic/Center$1M$137K

    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
    Om Prakash — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida