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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Ky
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    Paul Ky — Billing Profile & Reimbursement Data

    NPI 1043374028 · Fresno, CA · Interventional Pain Medicine Physician

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    Paul Ky is a interventional pain medicine physician provider located in Fresno, California. This profile covers 31 Medicare and 6 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
    OrganizationPaul Ky
    Address6169 N Thesta St
    CityFresno
    StateCA
    ZIP93710
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedDecember 21, 2006

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

    Payer SourceTotal Paid
    Medicare$791.1K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…3,150$100$318K
    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…1,490$70$104.4K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…50$1,260$64.2K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.140$250$36.1K
    22840The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.50$590$28.9K
    22867Through an open approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous processes) on…30$850$28.1K
    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).190$120$23.5K
    27279The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…30$650$19.5K
    0275TN/A40$470$16.8K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…170$90$16.1K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368569020$10,260$225.6K
    2286741030$4,960$173.6K
    636501111050$2,360$156K
    2727921020$6,370$140.2K
    6462852030$4,600$133.5K
    0275T95020$2,460$59K
    226121021020$1,320$31.7K
    6448313779060$240$28.5K
    6463514748040$460$26.3K
    992145937,970120$90$23.2K

    Showing 1–10 of 31

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E0730Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation110$10$640
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…10$0$0
    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…380$0$0
    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…200$0$0
    E0100Cane, includes canes of all materials, adjustable or fixed, with tip10$0$0
    L0637Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…20$0$0

    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

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…9,00513,300640$40$169.6K
    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…8,80914,520760$10$122.8K
    E0730Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation2840180$80$100.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…5,3555,600440$10$44.4K
    L0637Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…81030$700$42.1K
    E0100Cane, includes canes of all materials, adjustable or fixed, with tip3440100$10$7.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel WatrousCARheumatology Physician$4M$5M
    Ravi RaoCAHematology & Oncology Physician$6.6M$0
    Dexter EstradaCAHematology & Oncology Physician$5.6M$0
    Sachin GuptaCAHematology & Oncology Physician$5.3M$0
    Humberto VillalvazoORFamily Medicine Physician$4.3M$0
    Abdul HaseebCAHematology & Oncology Physician$4M$0
    Hanumandla ReddyCASpecialist$3.8M$8.8K
    Steven HagerCAHematology & Oncology Physician$3.6M$0
    Amardeep AulakhCAInternal Medicine Physician$3.5M$0
    George BertolucciCAOphthalmology Physician$3.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medzed Physician Services, Inc.CAInternal Medicine Physician$0$76.6M
    Children's Dentistry And OrthodonticsCAPediatric Dentistry$0$34.3M
    Xencare, Inc.CAAssisted Living Facility$0$32.6M
    Valley Diagnostics IncCAClinical Pathology/Laboratory Medicine Physician$1M$2.5M
    Khoi LeCAClinical Cardiac Electrophysiology Physician$2.2M$357.5K
    Asha Pritpal SidhuCAInternal Medicine Physician$2M$0
    Peter SimonianCASpecialist$1.4M$0
    Antonio VillalvazoCAFamily Medicine Physician$856.1K$0
    Harold RainwaterCAUrology Physician$691.4K$34.3K
    Li GeCAMedical Oncology Physician$669.2K$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
    Paul Ky — 7 of 25 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 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Paul Ky — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California