Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Tuan Nguyen (NPI 1053489211)

Field	Value
Entity Type	Individual
Organization	Tuan Nguyen
Address	616 Edgefield Rd
City	North Augusta
State	SC
ZIP	29841
Taxonomy	Physical Therapist
NPI Enumerated	December 4, 2006

Payer Source	Total Paid
Medicare	$87.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	3,760	$20	$67.7K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	610	$20	$9.8K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	90	$80	$7K
97012	Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level…	250	$10	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Tuan Nguyen — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	60	1,390	710	$20	$19.2K
97140	246	1,100	240	$20	$6.9K
97161	77	600	30	$70	$3.6K
97012	7	60	90	$10	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Performance Medical Supply Inc	SC	Durable Medical Equipment & Medical Supplies	$0	$3.7M
Deborah A. Ashcraft, D.m.d.,p.c.	SC	Pediatric Dentistry	$0	$2.9M
Steven Van De Graaff	SC	Dentist	$0	$1.9M
Covenant Family Allergy, PC	SC	Allergy & Immunology Physician	$0	$1.7M
All About Children, LLC	SC	Early Intervention Provider Agency	$0	$1.6M
Melinda Forrest	SC	Family Nurse Practitioner	$521.5K	$0
Katherine Embry	SC	Family Medicine Physician	$160.9K	$0
Janeshia Robinson	SC	Nurse Practitioner	$142.2K	$0
Allen Sloan	SC	Pain Medicine (Anesthesiology) Physician	$127.4K	$0
Lorie Stumpo	SC	Diagnostic Radiology Physician	$88.4K	$0

Tuan Nguyen — Billing Profile & Reimbursement Data

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Tuan Nguyen — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References