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    OpenPayerNPI Medicare & MedicaidTom Fang
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    Tom Fang — Billing Profile & Reimbursement Data

    NPI 1053584631 · Reno, NV · Gastroenterology Physician

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    Tom Fang is a gastroenterology physician provider located in Reno, Nevada. This profile covers 22 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
    OrganizationTom Fang
    Address10619 Professional Cir
    CityReno
    StateNV
    ZIP89521
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 4, 2008

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

    Payer SourceTotal Paid
    Medicare$135.5K
    Medicaid$0

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…230$210$48.3K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…190$70$13.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.240$50$10.7K
    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…100$90$9.1K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…20$370$7K
    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…50$110$5.8K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…30$180$5.7K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…60$90$5.4K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk30$170$5.3K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$100$4.4K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453851010060$320$32.5K
    45380179070$250$28.7K
    992338741,150150$90$26.8K
    992321,1391,340140$60$23.7K
    432391711090$150$19.5K
    992141,9133,610110$80$19K
    G0105225030$300$13.3K
    9921551679040$120$12.2K
    4327421020$350$11.7K
    4324862050$190$11.3K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Community Care Services LLCNVInternal Medicine Physician$0$15.1M
    Community Care Services LLCNVPediatrics Physician$0$3.8M
    Community Care Services LLCNVFamily Medicine Physician$0$2.6M
    Santhosh AmbikaNVHematology & Oncology Physician$1.9M$1.6K
    Hometown Health Management CompanyNVFamily Medicine Physician$0$1.7M
    Gastroenterology Consultants, LtdNVSpecialist$0$1.4M
    David JulianNVInternal Medicine Physician$813.3K$192.3K
    Reno Endoscopy Center, LLCNVAmbulatory Surgical Clinic/Center$479.7K$474.9K
    Reema MunirCADiagnostic Radiology Physician$949.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Md Spine Solutions LLCNVClinical Medical Laboratory$1.5M$26.3M
    Maxim Healthcare Services, Inc.NVHome Health Agency$0$23.5M
    Northern Nevada Dental Specialties GroupNVPediatric Dentistry$0$9.3M
    Renown South Meadows Medical CenterNVGeneral Acute Care Hospital$0$7.3M
    Routt Dialysis LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.3M
    Guy JonesNVRadiation Oncology Physician$2.5M$0
    Peng Md PLLCNVCommunity Health Clinic/Center$0$1.5M
    Jason KehrerNVRadiation Oncology Physician$1.2M$0
    Stacey HudsonNVOtolaryngology Physician$957.1K$0
    South Meadows Endoscopy Center, LLCNVAmbulatory Surgical Clinic/Center$653.8K$219.2K

    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. Nevada Distribution
    Tom Fang — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada