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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSean Fischer
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    Sean Fischer — Billing Profile & Reimbursement Data

    NPI 1801842943 · Santa Monica, CA · Hematology & Oncology Physician

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    Sean Fischer is a hematology & oncology physician provider located in Santa Monica, California. This profile covers 44 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
    OrganizationSean Fischer
    Address2001 Santa Monica Blvd Ste 560w
    CitySanta Monica
    StateCA
    ZIP90404
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 26, 2006

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

    Payer SourceTotal Paid
    Medicare$3.2M
    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.

    44 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg32,800$40$1.3M
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj24,660$40$912.4K
    J0897Injection, denosumab, 1 mg17,460$20$314.3K
    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…1,270$110$134.7K
    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…750$150$112.6K
    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…670$120$82.9K
    Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units10,380$10$62.3K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg500$90$44.9K
    99205The provider sees a new 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 provider…200$190$36.5K
    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…230$100$23.3K

    Showing 1–10 of 44

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 44 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    44 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271714013,100$40$653.5K
    J9144104013,860$40$631.4K
    J0897441,0303,060$20$91.4K
    J25063670500$80$43.2K
    8005393950110$10$30.1K
    9641324620170$120$26.9K
    992333,65611,530120$100$26.2K
    J0885691003,100$10$25.8K
    Q51062703,230$10$23.7K
    9921493437,970120$90$23.2K

    Showing 1–10 of 44

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David BoyerCAOphthalmology Physician$5.6M$3.4K
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K
    Daniel EsmailiCAOphthalmology Physician$2.7M$2.2K
    Pouya DayaniCAOphthalmology Physician$2.6M$4.2K
    Thomas HanscomCAOphthalmology Physician$2.4M$0
    Thomas ChuCAOphthalmology Physician$2.1M$4K
    Christian SanfilippoCARetina Specialist (Ophthalmology) Physician$2M$0
    David LiaoCAOphthalmology Physician$1.9M$2.3K
    Amir GueramiCAOphthalmology Physician$1.9M$0
    Robert GiombettiCANeurology Physician$716.8K$1.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jamie Kate AdocCAFamily Nurse Practitioner$4.7M$0
    Omid HamidCAHematology & Oncology Physician$2.7M$0
    Dalia ArtalCADiagnostic Radiology Physician$2M$0
    Jesse MillsCAUrology Physician$1.9M$0
    Lisa ChaikenCARadiation Oncology Physician$1.6M$0
    Joshua FriedlanderCADiagnostic Radiology Physician$1.4M$0
    Robert KrasnyCAVascular & Interventional Radiology Physician$1.3M$0
    George GrifkaCACardiovascular Disease Physician$868.5K$0
    Maikel MankariousCADiagnostic Radiology Physician$852K$0
    Kourosh NaeiniCADiagnostic Radiology Physician$709.1K$120

    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. California Distribution
    Sean Fischer — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California