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NPI 1093933665 · Pontiac, MI · Cardiovascular Disease Physician
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Binh Nguyen is a cardiovascular disease physician provider located in Pontiac, Michigan. This profile covers 19 Medicare and 7 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Binh Nguyen |
| Address | 50 N Perry St |
| City | Pontiac |
| State | MI |
| ZIP | 48342 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | April 21, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $180.8K |
| Medicare | $135.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 630 | $80 | $47.2K |
| 99213 | The 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… | 580 | $50 | $27.8K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 270 | $50 | $12.3K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 100 | $100 | $10K |
| 99233 | The 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… | 90 | $90 | $7.9K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 1,240 | $10 | $7.4K |
| 99204 | The 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… | 70 | $100 | $7K |
| 33208 | The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle. | 10 | $410 | $5.3K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 50 | $60 | $2.8K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 20 | $140 | $2K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 254 | 750 | 190 | $70 | $16.4K |
| 99233 | 1,793 | 4,220 | 70 | $90 | $12.3K |
| 99232 | 4,536 | 6,730 | 90 | $60 | $12K |
| 99214 | 458 | 15,470 | 80 | $80 | $11.4K |
| 33208 | 69 | 80 | 20 | $430 | $9.9K |
| 99223 | 4,149 | 4,880 | 40 | $130 | $8.3K |
| 99213 | 345 | 14,810 | 60 | $60 | $6.6K |
| 99222 | 516 | 4,810 | 30 | $100 | $5K |
| 99204 | 852 | 6,280 | 30 | $110 | $4.2K |
| 99203 | 4,142 | 4,560 | 30 | $70 | $3K |
Showing 1–10 of 19
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 1,970 | $30 | $61K |
| 99213 | The 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… | 2,120 | $20 | $44.4K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 5,580 | $10 | $39.1K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 990 | $20 | $21.8K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 510 | $20 | $11.7K |
| 99204 | The 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… | 100 | $50 | $5K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 20 | $20 | $500 |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 1,633 | 4,380 | 1,000 | $70 | $289.9K |
| 99213 | The 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… | 1,794 | 4,770 | 1,060 | $50 | $247.8K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 175 | 310 | 850 | $90 | $215.4K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 902 | 950 | 740 | $40 | $166.5K |
| 99204 | The 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… | 1,178 | 1,860 | 220 | $90 | $96.9K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 95 | 430 | 890 | $1 | $32.2K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 135 | 540 | 230 | $10 | $8.4K |
Other providers in the same ZIP code as Binh Nguyen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mclaren Oakland | MI | General Acute Care Hospital | $0 | $39.2M |
| Miles Grubb Associates LLC | MI | Land Ambulance | $1.8M | $12.4M |
| Completion House, Inc. Dba Turning Point Recovery Centers | MI | Substance Abuse Rehabilitation Facility | $0 | $7.8M |
| Mclaren Oakland | MI | Family Medicine Physician | $0 | $5.7M |
| Vasimahmed Lala | MI | Internal Medicine Physician | $3.7M | $0 |
| R Hemby | MI | Emergency Medical Services (Emergency Medicine) Physician | $116.4K | $283.2K |
| Kevin Carter | MI | Diagnostic Radiology Physician | $188.3K | $0 |
| Kelly Welsh | MI | Emergency Medicine Physician | $116.3K | $0 |
| Fadi Salloum | MI | Internal Medicine Physician | $101.2K | $0 |
| Robert Howard | MI | Orthopaedic Surgery Physician | $42.6K | $0 |
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