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    v1.0.28
    OpenPayerNPI Medicare & MedicaidUmasankar Ramadoss
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    Umasankar Ramadoss — Billing Profile & Reimbursement Data

    NPI 1962499806 · Columbia, MO · Hematology & Oncology Physician

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    Umasankar Ramadoss is a hematology & oncology physician provider located in Columbia, Missouri. This profile covers 71 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
    OrganizationUmasankar Ramadoss
    Address1705 E Broadway
    CityColumbia
    StateMO
    ZIP65201
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedOctober 5, 2005

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

    Payer SourceTotal Paid
    Medicare$3.3M
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue is highly concentrated: the precomputed top three Medicare codes account for 60.7% of total Medicare revenue, with J9271 (pembrolizumab) at $1.3M (39.8% of Medicare revenue, 29.2K claims), J9299 (nivolumab) at $349.9K (11.1%, 14.6K claims), and J0897 (denosumab) at $311K (9.9%, 17.3K claims). Those three line items together dominate the payer mix on the Medicare side and are the primary drivers of the $3.3M in reported Medicare revenue.

    The code mix and descriptions indicate a medical oncology infusion practice focused on immunotherapy and supportive oncology care: high-volume use of checkpoint inhibitors (J9271 and J9299), bone-health management with denosumab (J0897), and additional oncology therapeutics such as daratumumab (J9144) and atezolizumab (J9022). Procedural chemotherapy administration codes (e.g., 96413, 96365, 96417) and imaging (78815, 74177) further support an integrated ambulatory infusion and treatment workflow rather than a purely procedural or surgical practice.

    Payer concentration is effectively single-payer Medicare: this profile shows $3.3M in total Medicare revenue and no Medicaid billing on file. The absence of Medicaid activity means the provider’s outpatient oncology business is almost entirely Medicare-exposed, which concentrates reimbursement risk and network access considerations on the Medicare market in Missouri.

    Competitive standing is mixed across drugs: for pembrolizumab (J9271) the provider ranks #133 of 1841 (93th percentile; notably above typical national volume for this code), signaling it is a major national user of this agent. By contrast, nivolumab (J9299) sits at #260 of 505 (49th percentile; typical, unremarkable volume for this code), indicating routine participation for that drug rather than market leadership.

    Several codes are statistical outliers on utilization compared with national peers: 99214 E/M visits show 1.5K claims and $136.5K revenue (4.3% of Medicare revenue) and rank #3591 of 479517 (99th percentile; extreme outlier, far above typical national volume), implying unusually high ambulatory follow-up or complex visit volume for an oncology practice. Other high-percentile codes include 96413 (627 claims, $56.4K, ranks #375 of 7514, 95th percentile; notably above typical national volume) and J0881 darbepoetin (55.6K claims, $111.1K, ranks #48 of 1114, 96th percentile; notably above typical national volume), which together point to above-average chemotherapy administration and supportive-care throughput.

    High claim counts with relatively low average paid-per-claim on several J-codes suggest revenue is driven by unit volume rather than high per-claim reimbursement: J9271 shows 29.2K claims at $43 avg paid/claim, J9299 14.6K claims at $24 avg paid/claim, and J0897 17.3K claims at $18 avg paid/claim. This pattern is consistent with mg- or unit-based J-code billing for high-volume biologic and immunotherapy agents in an infusion setting.

    The broader procedural and infusion footprint is reinforced by supportive and add-on administration codes: notable activity in 96367 (380 claims, $8K, ranks #663 of 4032, 84th percentile; typical, unremarkable volume), 96417 (168 claims, $7.7K, ranks #374 of 3014, 87th percentile; typical, unremarkable volume), and 96365 (183 claims, $7.7K, ranks #1971 of 8873, 78th percentile; typical, unremarkable volume). Together these entries underline consistent chemotherapy administration operations and aftercare infusions common to outpatient oncology centers.

    The provider’s NPI has been enumerated since 2005-10-05 (~21 years ago), indicating a long-tenured practice presence. This tenure, combined with high utilization of office visits (99214/99213) and infusion codes, suggests an established referral base and an operationally mature ambulatory oncology service line.

    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.

    71 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg29,200$40$1.3M
    J9299Injection, nivolumab, 1 mg14,580$20$349.9K
    J0897Injection, denosumab, 1 mg17,280$20$311K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj6,660$40$253.1K
    J9022Injection, atezolizumab, 10 mg3,240$60$207.4K
    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…1,500$90$136.5K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)55,550$1$111.1K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg2,550$30$84.2K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…70$1,030$71.1K
    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…630$90$56.4K

    Showing 1–10 of 71

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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 71 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    71 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92712409,100$40$502K
    J9299112014,170$20$360.3K
    J914415207,200$40$308.4K
    J90221103,240$60$207.3K
    J15685102,900$30$103.8K
    J0897102102,400$20$82.4K
    J088131015,500$1$63.1K
    Q51199101,570$20$43.6K
    J14375102,500$20$43.5K
    J064131035,150$1$27.3K

    Showing 1–10 of 71

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Liana MakarianMOHematology & Oncology Physician$3.3M$0
    Mark TungesvikMOHematology & Oncology Physician$3.3M$0
    Elangovan BalakrishnanMOHematology & Oncology Physician$3.1M$0
    Andrew IliffMOHematology & Oncology Physician$2.8M$0
    Mark BryerMORadiation Oncology Physician$638K$0
    Reed CopeMORadiation Oncology Physician$572.2K$0
    Alexandre TungesvikMOHematology & Oncology Physician$569.8K$0
    Harold JohnsonMORadiation Oncology Physician$542.5K$0
    Hunter NolenMOUrology Physician$359.5K$0
    Andrew LeikerMORadiation Oncology Physician$303.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    WoodhavenMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$88.3M
    Palmer's Home Care, LLCMOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$82.3M
    Oats, Inc.MONon-emergency Medical Transport (VAN)$0$23.4M
    Independent Living Center Of Mid-missouri Inc.MOSpecialist$0$14.2M
    Ch Allied Services, Inc.MOGeneral Acute Care Hospital$0$8.6M
    Central Missouri Area Agency On AgingMOVoluntary or Charitable Agency$0$8.4M
    Life Christain OutreachMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$7.1M
    Surgical Center At Columbia Orthopaedic Group LLCMOAmbulatory Surgical Clinic/Center$6.2M$0
    Mid-missouri Supported LivingMOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$5.3M
    Woodhaven Learning CenterMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$5.1M

    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. Missouri Distribution
    Umasankar Ramadoss — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri