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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSonia Benn
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    Sonia Benn — Billing Profile & Reimbursement Data

    NPI 1801825781 · Southaven, MS · Hematology & Oncology Physician

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    Sonia Benn is a hematology & oncology physician provider located in Southaven, Mississippi. This profile covers 69 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
    OrganizationSonia Benn
    Address7668 Airways Blvd
    CitySouthaven
    StateMS
    ZIP38671
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 2, 2006

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

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: lifetime Medicare revenue is $2.6M and there is no Medicaid billing on file, so all reported public-payer activity is concentrated in Medicare. Analysts should treat this profile as a Medicare-centric oncology practice when considering payer contracting or care‑management interventions.

    NPI tenure indicates an established practice presence: the provider’s NPI was enumerated 2006-07-02 (~20 years ago), suggesting long-term operation in the market. That longevity supports interpretation of the reported volumes as sustained practice patterns rather than a short-term spike.

    Revenue is highly concentrated in a few high-cost oncology drugs: the precomputed top‑3 share shows the top 3 Medicare codes account for 66.4% of total Medicare revenue. The single largest line item is J9271 with $980.4K (38.1% of Medicare revenue, 22.8K claims, ranks #283 of 1841 providers nationally at the 84th percentile), with J9144 ($472K, 18.3%, 12.4K claims, rank #139 of 615, 77th percentile) and J9299 ($259.2K, 10.1%, 10.8K claims, rank #327 of 505, 35th percentile) completing the top three — this creates material dependency on immunotherapy/monoclonal antibody infusions.

    The code mix aligns with a hematology/oncology infusion practice rather than a visit‑based or hospital setting: high revenues from J9271, J9144, and J9299 point to checkpoint inhibitors and monoclonal antibody infusions, while chemotherapy administration codes (96413, 96365) and supportive care agents (J2506 pegfilgrastim, J0897 denosumab) show integrated infusion and supportive oncology services. Together these codes imply an operation centered on in‑office drug administration and infusion throughput.

    Competitive standing is mixed across drugs: for pembrolizumab (J9271) the provider ranks #283 of 1841 (84th percentile) and for daratumumab (J9144) ranks #139 of 615 (77th percentile), indicating solid but not dominant national participation for those agents. Other top products show weaker relative positioning (J9299 ranks #327 of 505, 35th percentile), while use of the bevacizumab biosimilar Q5107 is relatively concentrated (rank #10 of 78, 88th percentile), suggesting selective strength in certain biologics.

    Several procedure and lab codes are statistical high‑volume outliers or well above typical national use: 96413 (538 claims, $47.3K revenue) is flagged as "notably above typical national volume" and ranks #573 of 7514 (92th percentile), and 96367 (735 claims, $14.7K) ranks #167 of 4032 (96th percentile) with the same "notably above typical national volume" label. Routine labs and specimen collection codes also sit at high national percentiles (80048 rank #328 of 14725, 98th percentile; 36415 rank #1337 of 86467, 98th percentile), indicating consistent same‑day lab and infusion workflows.

    Office visit/E&M revenue is a small share relative to drug and infusion income: 99214 generated $43.4K (488 claims, 1.7% of Medicare revenue) and 99215 generated $30.8K (248 claims, 1.2% of Medicare revenue), so the practice’s revenue profile is driven primarily by administered drugs and infusion services rather than face‑to‑face E/M volume. This has implications for network negotiations where per‑infusion reimbursement and buy‑and‑bill arrangements will be the dominant commercial levers.

    Operational signals point to high patient throughput with many low‑paid, high‑count items: large claim counts include J1439 (30.8K claims, $30.8K revenue), J0881 (21.5K claims, $42.9K revenue), and J9271 (22.8K claims), which reflect frequent administration of small‑unit or low‑paid products alongside high‑value monoclonal antibodies. The presence of biosimilars (Q5107, Q5123) and high ranks for certain lab and infusion codes suggests an infusion suite that mixes branded biologics with biosimilar adoption and routine supportive services.

    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.

    69 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg22,800$40$980.4K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj12,420$40$472K
    J9299Injection, nivolumab, 1 mg10,800$20$259.2K
    J0897Injection, denosumab, 1 mg14,040$20$252.7K
    Q5107Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg5,800$20$133.4K
    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…540$90$47.3K
    J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg130$340$44.4K
    Q5123Injection, rituximab-arrx, biosimilar, (riabni), 10 mg1,190$40$44K
    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…490$90$43.4K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)21,460$1$42.9K

    Showing 1–10 of 69

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 69 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    69 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927141016,700$40$1M
    J914431013,050$40$631.7K
    J929981021,120$20$569.7K
    Q51071105,800$20$131.4K
    J089781103,030$20$95.7K
    J2506810910$80$91.5K
    J088111021,460$1$50.4K
    Q51231101,190$40$43.7K
    J1439132042,000$1$41.6K
    J145411070$350$24.9K

    Showing 1–10 of 69

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The West Clinic P.C.TNSpecialist$0$16M
    David PortnoyTNHematology & Oncology Physician$6.5M$0
    Kurt TauerTNMedical Oncology Physician$3.9M$0
    Gang TianTNHematology & Oncology Physician$3.8M$0
    Jason ChandlerTNMedical Oncology Physician$3.8M$0
    Syed Sameer NasirTNHematology & Oncology Physician$3.5M$0
    Ramakrishna BattiniTNHematology & Oncology Physician$3.3M$0
    Eric WiedowerTNHematology & Oncology Physician$2.9M$0
    Bradley SomerTNHematology & Oncology Physician$2.8M$0
    Robert JohnsonTNHematology & Oncology Physician$2.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Hospital-desoto, Inc,MSGeneral Acute Care Hospital$0$41.6M
    Sidhu Pediatrics, LLCMSPediatrics Physician$0$10.8M
    Desoto Pediatric Extended Care LLCMSPediatric Skilled Nursing Facility$0$8.2M
    Spectra Laboratories IncMSClinical Medical Laboratory$1.8M$6.2M
    Desoto Family Counseling Center PLLCMSCommunity/Behavioral Health Agency$0$5.6M
    Simple Strokestherapy Consultants, PAMSPhysical Therapist$0$5.1M
    John AcostaMSPediatric Dentistry$0$4.7M
    Rcg Southaven, LLCMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.9M
    Roberts & Garza Orthodontics Services PLLCMSOrthodontics and Dentofacial Orthopedics Dentistry$0$3.4M
    Genesis Healthcare LLCMSHome Health Agency$0$2.9M

    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. Mississippi Distribution
    Sonia Benn — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi