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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDuc Nguyen
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    Duc Nguyen — Billing Profile & Reimbursement Data

    NPI 1013013416 · Redwood City, CA · Specialist

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    Duc Nguyen is a specialist provider located in Redwood City, California. This profile covers 9 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDuc Nguyen
    Address2900 Whipple Ave
    CityRedwood City
    StateCA
    ZIP94062
    TaxonomySpecialist
    NPI EnumeratedSeptember 15, 2006

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

    Payer SourceTotal Paid
    Medicare$47.3K
    Medicaid$660

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…370$80$29.4K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$110$5K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…50$90$4.7K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).30$100$3.3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…40$60$2.3K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$70$1.2K
    29700The provider removes or modifies an existing cast covering the body, foot, or hand when no longer required, needs replacement, or has become too tight due to excessive swelling.20$50$860
    76000In this procedure, the provider uses fluoroscopy for up to one hour as an imaging technique to obtain real time images of internal structures.30$10$340
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg50$1$50

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6448355979060$240$28.5K
    9923211,74112,28090$70$16.3K
    992134,82334,66080$70$13.2K
    206101,6572,79050$50$6K
    992222,0487,35030$110$5K
    992034,23012,74030$80$4.6K
    7600016534030$30$2.6K
    2970041020$40$910
    J33012,6043,290130$1$290

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…80$10$680

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…11,63614,520760$10$122.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Louis ChangCAOphthalmology Physician$2.2M$5.9M
    Alok BansalCAOphthalmology Physician$3M$4.7M
    Rahul KhuranaCAOphthalmology Physician$2.3M$1.8M
    Mark WielandCAOphthalmology Physician$3.1M$52.6K
    James PalmerCAOphthalmology Physician$3M$103.2K
    Jesus BorrilloCAOphthalmology Physician$1.6M$924.5K
    Jay WangCAOphthalmology Physician$2.2M$0
    Paul ChenCAOphthalmology Physician$635.3K$0
    Nila AlsheikILDiagnostic Radiology Physician$332.8K$300.3K
    Jamie GiesbrandtNMDiagnostic Radiology Physician$385.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan SalcedoCAClinical Cardiac Electrophysiology Physician$340.1K$0
    Luis CastroCAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$255.8K$0
    Melissa LimCASpecialist$235.5K$0
    James ZimmermanCAVascular Surgery Physician$229.6K$0
    Gary AronCAInternal Medicine Physician$155.2K$0
    Ariel MarksCAEmergency Medicine Physician$142.6K$0
    Steven KleinCAPodiatrist$55.5K$32.9K
    Sigal TeneCACritical Care Medicine (Internal Medicine) Physician$70.3K$0
    Jai UttamCAAnesthesiology Physician$58.1K$0
    Christine RouthCASurgical Physician Assistant$6K$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. California Distribution
    Duc Nguyen — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Duc Nguyen — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California