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    OpenPayerNPI Medicare & MedicaidYousong Wang
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    Yousong Wang — Billing Profile & Reimbursement Data

    NPI 1023253200 · Avon, CT · General Practice Physician

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    Yousong Wang is a general practice physician provider located in Avon, Connecticut. This profile covers 13 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
    OrganizationYousong Wang
    Address40 Dale Rd Ste 203
    CityAvon
    StateCT
    ZIP06001
    TaxonomyGeneral Practice Physician
    NPI EnumeratedDecember 2, 2008

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

    Payer SourceTotal Paid
    Medicare$861.3K
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller: Total Medicare revenue is $861.3K and there is no Medicaid billing on file. That single‑payer concentration means the provider’s financial footprint in public programs is entirely driven by Medicare activity rather than a mixed payer strategy.

    Revenue is extremely concentrated in a very small set of drug administration codes: the precomputed top 3 Medicare codes by revenue account for 91.3% of this provider's total Medicare revenue. The two dominant J‑codes are J1602 ($578.1K, 68.0% of Medicare revenue) and J0717 ($172K, 20.2%), indicating the bulk of dollars come from provision of specific injectable biologic therapies.

    Service-line profile points to an infusion/biologics focus rather than routine primary care: high revenues on J1602 and J0717 and elevated administration codes such as 96365 (396 claims, $20.6K revenue) and add-on infusion code 96415 (101 claims, $2.4K revenue) show the practice administers intravenous biologics and infusion therapies alongside E&M visits. The presence of chemotherapy procedure code 96413 (175 claims, $19.6K revenue) further supports an infusion-capable operation rather than only office‑based visits.

    Competitive standing on the top biologic is nationally strong: J1602 ranks #33 of 1041 providers nationally (97th percentile) and is described as notably above typical national volume, so the provider is a high-volume participant for this specific drug nationally. By contrast, J0717 ranks #476 of 848 providers (44th percentile) and is labeled typical/unremarkable, indicating the provider is a major player for golimumab (J1602) but only an average participant for certolizumab (J0717).

    E&M activity is present but not a major revenue driver: 99214 generated $26.1K (3.1% of Medicare revenue) across 266 claims and ranks #114959 of 479517 providers (76th percentile), reflecting a moderate level of office visit volume compared with peers. This suggests that while the provider performs evaluation and management services, those visits are secondary to infusion/biologic revenue.

    There are mixed signals among other administration and drug codes that temper the concentration observation: 96365 ranks #590 of 8873 (93th percentile) and is labeled typical/unremarkable, showing relatively high infusion administration volume compared to many peers, while J0897 (denosumab) ranks #8823 of 10057 (10th percentile) and is labeled typical/unremarkable, indicating low participation in that specific drug. These rank contrasts show the provider is selective in the biologics and infusion products it bills at scale.

    Tenure and credentialing are long-established: the NPI was enumerated on 2008-12-02 (~18 years ago), which indicates sustained enrollment in Medicare for roughly two decades and supports the likelihood that current billing patterns reflect an established service mix rather than a very recent practice change.

    Concentration risk for revenue is material from a payer and operational perspective: with $578.1K from J1602 alone (68.0% of Medicare revenue) and the top 3 codes totaling 91.3% of Medicare revenue, changes in Medicare reimbursement policy, drug pricing, or utilization guidance for these specific J‑codes could meaningfully affect the 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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1602Injection, golimumab, 1 mg, for intravenous use57,810$10$578.1K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)43,000$1$172K
    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…270$100$26.1K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.400$50$20.6K
    J0897Injection, denosumab, 1 mg1,080$20$20.5K
    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…180$110$19.6K
    99204The provider sees a new 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 provider…30$140$4.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…240$10$2.9K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…100$20$2.4K
    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…30$70$1.9K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J160211010,200$10$202.9K
    J071731030,430$1$130K
    J0897861002,700$20$66.4K
    992141,1336,48090$90$14.2K
    964131450110$110$13.6K
    992135,1496,44070$60$8.1K
    9636526050$50$4.7K
    992041,0062,66030$120$4.6K
    96367162060$20$3.2K
    3641537257060$10$1.7K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Starling Physicians, PLLCCTInternal Medicine Physician$0$38.1M
    Starling Physicians, PLLCCTClinical Medical Laboratory$809.9K$4.4M
    Edward FitzpatrickCTOphthalmology Physician$757.6K$0
    Nauman PirachaCTHospitalist Physician$489.5K$104.3K
    Stephen FirsheinCTHematology & Oncology Physician$587.4K$0
    Sakshi KapurNJInternal Medicine Physician$391.6K$0
    Matthew BrownCTSurgery Physician$355.3K$0
    Katherine DavorenRINephrology Physician$82.9K$238.5K
    Lawrence GioveCTHematology & Oncology Physician$302.2K$0
    Michael LawlorCTInfectious Disease Physician$299.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hartford Healthcare Urgent Care Centers, LLCCTUrgent Care Clinic/Center$0$23.4M
    Behavioral Health Consulting Services LLCCTProfessional Counselor$0$4.9M
    Harvest Healthcare LLCCTClinical Social Worker$0$2.5M
    Michael ShiembobCTOptometrist$8.7K$1.7M
    Creative Development, LLCCTSpecialist$0$1.2M
    Sadaf WaqarCTDermatology Physician$652.8K$0
    Evan SchiffCTInternal Medicine Physician$204K$0
    Savitha ChandramohanCTPsychiatric/Mental Health Nurse Practitioner$170.1K$0
    Connecticut Cvs Pharmacy, L.L.C.CTPharmacy$164.9K$0
    Yvette BaileyCTDiagnostic Radiology Physician$100K$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. Connecticut Distribution
    Yousong Wang — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut