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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSang-wahn Koo
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    Sang-wahn Koo — Billing Profile & Reimbursement Data

    NPI 1083802128 · Apo, AP · Psychiatry Physician

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    Sang-wahn Koo is a psychiatry physician provider located in Apo, Armed Forces Pacific. This profile covers 2 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. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSang-wahn Koo
    AddressUnit 15245 Box Brian
    CityApo
    StateAP (Armed Forces Pacific)
    ZIP96271
    TaxonomyPsychiatry Physician
    NPI EnumeratedOctober 12, 2007

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

    Payer SourceTotal Paid
    Medicare$6.9K
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single-payer on file: total Medicare revenue is $6.9K and there is no Medicaid billing on file, indicating no measurable Medicaid participation in the dataset provided. Analysts should treat Medicare as the only public payer exposure for this NPI.

    Revenue is highly concentrated in a very small set of services: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue, meaning nearly all reported Medicare dollars come from a limited code mix. This concentration increases sensitivity of Medicare revenue to changes in utilization or reimbursement of those few codes.

    The top Medicare codes reflect outpatient psychiatric care with both evaluation/management and psychotherapy components. Code 99214 (E/M for established patients, moderate decision making or 30+ minutes) generated $4.4K from 59 claims at $74 avg paid/claim (63.4% of Medicare revenue), and add-on psychotherapy 90833 generated $2.5K from 56 claims at $45 avg paid/claim (36.6% of Medicare revenue). Together these codes imply sessions that combine medication management and brief psychotherapy in office-based visits.

    Claim-level activity shows roughly comparable volume between the E/M base code and the psychotherapy add-on: 59 claims for 99214 versus 56 claims for 90833, with per-claim payments of $74 and $45 respectively. This mix suggests a practice pattern where many visits include both an evaluation/management component and an add-on psychotherapy element.

    National competitive standing on the top codes is modest: 99214 ranks #318378 of 479517 providers nationally (33th percentile; typical, unremarkable volume for this code) and 90833 ranks #5181 of 7842 providers nationally (33th percentile; typical, unremarkable volume for this code). These ranks indicate the provider is not a dominant national participant for either code and operates at a common volume level relative to peers.

    The NPI has a long tenure in the registry (enumerated 2007-10-12, ~19 years ago), which signals a sustained presence in the market even though current Medicare billing is limited. Tenure can be useful when cross-referencing historical claims patterns or affiliations in longer-term analyses.

    Despite the presence of psychotherapy services, total reported Medicare revenue is small ($6.9K), implying low absolute Medicare throughput or a limited Medicare patient panel. Combined with no Medicaid billing on file, this provider’s public-payer footprint appears narrow, so analysts should look to commercial payers or non-billed services if assessing overall practice scale or revenue sources.

    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.

    2 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…60$70$4.4K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…60$50$2.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921492060$80$9.1K
    9083321080$50$3.9K

    Nearby Providers

    Other providers in the same ZIP code as Sang-wahn Koo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joon ParkAP (Armed Forces Pacific)Dentist$0$623.9K
    Seong Cho-juAP (Armed Forces Pacific)Clinical Social Worker$0$195K
    Dennis ChungAP (Armed Forces Pacific)General Practice Dentistry$0$51.7K
    Hannah ChoiAP (Armed Forces Pacific)Family Medicine Physician$7.6K$38.6K
    Doris NievesAP (Armed Forces Pacific)Physical Therapist$4.2K$0
    Timothy GockeAP (Armed Forces Pacific)Internal Medicine Physician$3.2K$0
    Il-gyu ChoAP (Armed Forces Pacific)Child & Adolescent Psychiatry Physician$2.8K$0
    Steve HuynhAP (Armed Forces Pacific)Optometrist$0$1.8K
    Hyun ShimAP (Armed Forces Pacific)Clinical Social Worker$1K$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. Armed Forces Pacific Distribution
    Sang-wahn Koo — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Pacific