Physician

Sanjay P Oommen, MD

According to 2025 Medicare claims, Sanjay Oommen, MD (NPI: 1457453599) practices hematology/oncology in the Fort Worth-Arlington-Grapevine, TX market, with the plurality of this provider's patient population coming from Tarrant, TX. This provider's primary affiliated billing organization is TEXAS ONCOLOGY PA (NPI: 1033386578; TIN: 752131429) and primary practice location at 76104-2154. Oommen is affiliated with the UT Southwestern Accountable Care Network (ACO ID: D0211), participating under the REACH model.

Oommen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 680 traditional Medicare patients, billed 90,988 HCPCS/CPT codes, and received $1,627,649 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,401 prescription claims across 407 beneficiaries totaling $5,380,856 in drug costs, led by Revlimid (Lenalidomide). DME data shows 76 claims. Open Payments data shows 33 records totaling $9,141. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have risen steadily, from $2,026,970 to $5,380,856. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $8,238 to $2,263.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	720	140,444	$1,697,303
2016	782	142,912	$1,898,250
2017	867	99,293	$1,721,072
2018	839	88,818	$1,489,325
2019	922	95,665	$1,862,425
2020	809	85,565	$2,011,439
2021	770	97,377	$2,001,200
2022	686	51,663	$1,172,399
2023	676	72,853	$1,480,383
2024	680	90,988	$1,627,649

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	281	2,043	$2,026,970
2016	346	2,423	$2,649,875
2017	363	2,616	$3,375,945
2018	408	2,600	$3,556,326
2019	417	2,525	$4,095,962
2020	404	2,648	$4,842,086
2021	406	2,603	$4,156,071
2022	405	2,569	$3,555,515
2023	387	2,270	$3,171,716
2024	407	2,401	$5,380,856

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	261	$21,319
2016	14	230	$37,176
2017	N/R	58	$7,138
2018	N/R	34	$5,073
2019	N/R	131	$13,980
2020	N/R	78	$4,888
2021	N/R	56	$4,842
2022	N/R	69	$3,366
2023	N/R	45	$1,917
2024	N/R	76	$5,795

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	601	$92
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	136	257	$12
80053	Blood test, comprehensive group of blood chemicals	373	979	$10
36415	Insertion of needle into vein for collection of blood sample	367	1,053	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	365	990	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Revlimid	Lenalidomide	47	1,309	$839,927
Ibrance	Palbociclib	47	1,428	$800,767
Pomalyst	Pomalidomide	26	721	$587,928
Kisqali	Ribociclib Succinate	29	812	$493,737
Inlyta	Axitinib	20	600	$383,884

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	12	$1,907
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	11	$1,530
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	21	$1,456
E1392	Portable oxygen concentrator, rental	Y	N/R	21	$695
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	N	N/R	11	$207

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	33	$9,141	BeiGene USA, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Sanjay P. Oommen, MD?

Tedicare shows public-source Medicare data for Sanjay P. Oommen, MD (NPI 1457453599), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Sanjay P. Oommen, MD have ACO affiliation data?

Sanjay P. Oommen, MD is shown with ACO affiliation data for UT Southwestern Accountable Care Network (REACH, ACO ID D0211).

What billing organization is linked to Sanjay P. Oommen, MD?

Sanjay P. Oommen, MD is linked to TEXAS ONCOLOGY PA (billing NPI 1033386578) in the available physician profile data.

Does Sanjay P. Oommen, MD have Open Payments data?

Sanjay P. Oommen, MD has 33 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.