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 Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

Wade Chien (NPI 1104028638)

Wade Chien is a otolaryngology physician provider located in Baltimore, Maryland. This profile covers 13 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Wade Chien
Address	601 N Caroline St
City	Baltimore
State	MD
ZIP	21287
Taxonomy	Otolaryngology Physician
NPI Enumerated	June 5, 2007

Payer Source	Total Paid
Medicare	$102.4K
Medicaid	$0

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99203	The provider sees a new 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 provider…	300	$90	$27.5K
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…	330	$80	$24.5K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	520	$40	$19.7K
92504	In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…	410	$30	$10.6K
69801	The provider makes a surgical incision into the labyrinth (the inner ear) and instills or perfuses one or more drugs, such as a steroid or an antibiotic, through the tympanic membrane.	30	$210	$5.9K
69220	The provider cleans out the cavity left by a mastoidectomy. Patients sometimes require one or more debridement procedures after mastoidectomy before the cavity settles down, i.e., dries out.	60	$60	$3.4K
69433	The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.	20	$200	$2.9K
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…	20	$100	$2.3K
99212	The 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,…	40	$50	$2K
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…	20	$120	$1.9K

Showing 1–10 of 13

Wade Chien — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9,279	10,270	150	$90	$24.1K
31231	126	130	70	$160	$20.6K
99213	1,734	9,280	100	$60	$12.5K
69801	2	10	50	$200	$10K
99204	4,413	5,380	40	$120	$7.3K
99203	45	3,630	40	$80	$5K
69433	17	20	20	$180	$4.1K
69210	13	350	30	$30	$3.7K
99212	903	2,360	30	$40	$2.7K
92504	3	60	60	$20	$2.4K