Physician

Mathew Oommen, MD

According to 2025 Medicare claims, Mathew Oommen, MD (NPI: 1467406140) practices urology in the Minot, ND market, with the plurality of this provider's patient population coming from Ward, ND. This provider's primary affiliated billing organization is TRINITY HEALTH (NPI: 1083653752; TIN: 450226558) and primary practice location at 58701-7669. Oommen is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), The Rural Advantage LLC (ACO ID: A5257), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Oommen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 530 traditional Medicare patients, billed 992 HCPCS/CPT codes, and received $80,204 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 354 prescription claims across 158 beneficiaries totaling $23,449 in drug costs, led by Myrbetriq (Mirabegron). Open Payments data shows 1 records totaling $113. 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 started with an early spike, then settled into a lower baseline, moving from $82,207 to $80,204. Similarly, Part D prescription costs have fallen sharply in recent years, from $62,316 to $23,449. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$41K$82K2015 Medicare payment: $82,207 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $75,934 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $25,203 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $13,882 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $23,133 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $4,036 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $6,053 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $80,204 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154093,183$82,207
20164061,960$75,934
2017242643$25,203
2018N/RN/RN/R
201985345$13,882
20201241,087$23,133
20212542$4,036
2022N/RN/RN/R
20237793$6,053
2024530992$80,204

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$40K$80K2015 Drug cost: $62,316 (USD; Tot_Drug_Cst)2016 Drug cost: $72,698 (USD; Tot_Drug_Cst)2017 Drug cost: $80,331 (USD; Tot_Drug_Cst)2018 Drug cost: $1,497 (USD; Tot_Drug_Cst)2019 Drug cost: $2,352 (USD; Tot_Drug_Cst)2020 Drug cost: $12,195 (USD; Tot_Drug_Cst)2024 Drug cost: $23,449 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015214531$62,316
2016197581$72,698
2017163546$80,331
2018N/R15$1,497
20192130$2,352
20203164$12,195
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024158354$23,449

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more6364$97
55700Biopsy of prostate gland5151$97
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more124124$83
52000Diagnostic exam of bladder and urethra using an endoscope237262$54
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more147170$44

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron281,005$15,135
Methenamine HippurateMethenamine Hippurate462,730$4,356
Tamsulosin HclTamsulosin Hcl493,514$560
Ciprofloxacin HclCiprofloxacin Hcl77445$310
TrimethoprimTrimethoprim15133$261

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$113Integra LifeSciences Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mathew Oommen, MD?

Tedicare shows public-source Medicare data for Mathew Oommen, MD (NPI 1467406140), 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 Mathew Oommen, MD have ACO affiliation data?

Mathew Oommen, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), The Rural Advantage LLC (MSSP, ACO ID A5257), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Mathew Oommen, MD?

Mathew Oommen, MD is linked to TRINITY HEALTH (billing NPI 1083653752) in the available physician profile data.

Does Mathew Oommen, MD have Open Payments data?

Mathew Oommen, MD has 1 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.