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    OpenPayerNPI Medicare & MedicaidBradley Somer
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    Bradley Somer — Billing Profile & Reimbursement Data

    NPI 1851320691 · Germantown, TN · Hematology & Oncology Physician

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    Bradley Somer is a hematology & oncology physician provider located in Germantown, Tennessee. This profile covers 96 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
    OrganizationBradley Somer
    Address7945 Wolf River Blvd
    CityGermantown
    StateTN
    ZIP38138
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 2, 2006

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer with total Medicare revenue of $2.8M and no Medicaid billing on file, indicating nearly all reimbursement exposure comes from Medicare. The NPI was enumerated 2006-07-02 (~20 years ago), which suggests an established practice footprint that is largely oriented to the Medicare population.

    Revenue is highly concentrated in a small set of immunotherapy and biologic codes: the precomputed top‑3 Medicare codes account for 65.5% of this provider's total Medicare revenue, with J9271 generating $907.3K (33.3%), J9299 generating $678.7K (24.9%), and J9144 generating $198.4K (7.3%). This degree of concentration means a few high‑cost drug administrations drive the bulk of reimbursement.

    The CPT/HCPCS mix indicates an infusion‑based oncology practice that centers on checkpoint inhibitors and monoclonal antibodies: J9271 (pembrolizumab), J9299 (nivolumab), J9144 (daratumumab), and J9173 (durvalumab) are the top revenue contributors, supported by chemotherapy administration 96413 and infusion add‑on codes such as 96367. Presence of agents like J0897 (denosumab), J2506 (pegfilgrastim), and immune globulin J1569 further signals integrated cancer care with marrow support and bone‑health management.

    Competitive standing on the top immunotherapy codes is mixed: J9271 ranks #344 of 1841 nationally (81th percentile; typical, unremarkable volume for this code) and J9299 ranks #89 of 505 nationally (83th percentile; typical, unremarkable volume for this code), indicating mid‑tier national presence for these high‑value agents, while J9144 ranks #477 of 615 (22th percentile; typical, unremarkable volume for this code) and J9173 ranks #40 of 53 (25th percentile; typical, unremarkable volume for this code), which suggests more modest or niche activity for some monoclonals. These rank/percentile patterns imply the provider is not a dominant national outlier but maintains meaningful volume in a subset of immunotherapies.

    Operational signals point to substantial in‑office service capacity: evaluation/management codes 99213 (633 claims, $38.6K revenue) and 99205 (104 claims, $16.2K revenue) are described as "notably above typical national volume" (99213 ranks #17507 of 457151, 96th percentile; 99205 ranks #2832 of 66257, 96th percentile), while high percentiles on routine lab and phlebotomy codes—85025 (2.6K claims, $20.5K revenue; 98th percentile), 80048 (2.4K claims, $19.2K revenue; 98th percentile), 80076 (2.3K claims, $18.4K revenue; 97th percentile), and 36415 (2.1K claims, $16.4K revenue; 99th percentile)—underscore substantial on‑site specimen collection and lab throughput. Together these patterns are consistent with a practice that delivers and bills for frequent infusions plus associated office visits and labs.

    The provider shows selective use of biosimilars and lower‑share agents: Q5123 (rituximab‑arrx) generates $43.7K and ranks #36 of 40 nationally (10th percentile; typical, unremarkable volume for this code) and Q5107 (bevacizumab‑awwb) generates $39.3K and ranks #59 of 78 (25th percentile; typical, unremarkable volume for this code). These low percentile ranks for certain biosimilars suggest limited national footprint for those specific products relative to peers, even as branded immunotherapies drive overall revenue.

    Given that single codes (J9271 and J9299) each account for large single‑code dollar amounts—$907.3K and $678.7K respectively—the practice faces concentrated revenue risk tied to utilization and reimbursement of a small set of high‑cost biologics. Payers and network analysts should note that changes in access, prior‑authorization, or price for these agents could disproportionately affect this provider's Medicare revenue stream.

    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.

    96 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg21,100$40$907.3K
    J9299Injection, nivolumab, 1 mg28,280$20$678.7K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj5,220$40$198.4K
    J9173Injection, durvalumab, 10 mg2,910$60$180.4K
    J0897Injection, denosumab, 1 mg6,900$20$124.2K
    J2353Injection, octreotide, depot form for intramuscular injection, 1 mg650$160$100.8K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg1,370$40$49.3K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg540$90$49.1K
    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…520$90$45.9K
    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…500$90$44.4K

    Showing 1–10 of 96

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 96 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    96 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271155017,400$40$776.1K
    J929942021,010$20$487.5K
    J9144192010,080$40$466.3K
    J91734103,720$60$211.7K
    J156925303,030$40$175.2K
    J2353310650$150$106.3K
    J0897482402,940$20$85K
    Q510715202,990$20$77.6K
    Q512312101,960$40$70.9K
    J0881387019,050$1$54.4K

    Showing 1–10 of 96

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shelby County Health Care CorporationTNGeneral Acute Care Hospital$0$56.1M
    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
    Robert JohnsonTNHematology & Oncology Physician$2.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Byram Healthcare Centers, Inc.TNDurable Medical Equipment & Medical Supplies$0$44.3M
    Campbell Clinic, PCTNOrthopaedic Surgery Physician$0$28M
    Poplar Avenue Clinic PLLCTNGynecologic Oncology Physician$0$9.7M
    Diagnostic Ultrasound ConsultantsTNDiagnostic Radiology Physician$0$8.5M
    Mid-south Imaging & Therapeutics, P.A.TNDiagnostic Radiology Physician$0$8.2M
    Stephen HuddlestonTNRetina Specialist (Ophthalmology) Physician$5.7M$0
    Stern Cardiovascular Foundation, IncTNCardiovascular Disease Physician$0$4.7M
    G I Diagnostic And Therapeutic Center LLCTNEndoscopy Clinic/Center$4.2M$8.6K
    Memphis Neurology PLLCTNNeurology Physician$0$3.9M
    Raza HashmiTNRheumatology Physician$3.9M$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. Tennessee Distribution
    Bradley Somer — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee