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    OpenPayerNPI Medicare & MedicaidYu-cheng Chen
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    Yu-cheng Chen — Billing Profile & Reimbursement Data

    NPI 1114920998 · Lafayette, LA · Interventional Cardiology Physician

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    Yu-cheng Chen is a interventional cardiology physician provider located in Lafayette, Louisiana. This profile covers 48 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
    OrganizationYu-cheng Chen
    Address315 Rue Louis Xiv Bldg B
    CityLafayette
    StateLA
    ZIP70508
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedMay 24, 2005

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    The provider’s billing mix centers on cardiology diagnostic imaging and high-volume outpatient evaluation and management. The top revenue codes include 78492 (myocardial perfusion PET) with 224 claims generating $246K (23.7% of Medicare revenue), A9555 (rubidium rb-82) with 226 claims generating $91.8K (8.9%), and 93306 (2D transthoracic echo) with 703 claims generating $76.6K (7.4%), indicating an operation that performs advanced nuclear cardiac imaging alongside routine echocardiography and clinic visits. These services align with the Interventional Cardiology Physician taxonomy on the record.

    Revenue concentration is high: the precomputed top‑3 Medicare codes account for 52.8% of this provider’s total Medicare revenue. Those three codes are 78492 ($246K, 23.7%), 99214 ($209.3K, 20.2%), and A9555 ($91.8K, 8.9%), showing that just a few imaging and E/M services drive the majority of billed Medicare dollars. This concentration suggests financial sensitivity to utilization changes in those specific service lines.

    Payer mix is effectively single‑payer Medicare: total reported Medicare revenue is $1.1M while there is no Medicaid billing on file. The absence of Medicaid revenue means the provider’s public‑payer exposure is concentrated entirely in Medicare reimbursement and utilization patterns. Analysts should treat Medicaid-network position as not reflected in these claims.

    Competitive standing varies by code but is extreme for several high-volume services. The office E/M code 99214 appears as an “extreme outlier” (2.4K claims, $209.3K revenue; rank #666 of 479,517, 100th percentile) indicating far higher outpatient E/M volume than typical peers; similarly, 93000 shows 1.8K claims and ranks at the 100th percentile as an “extreme outlier,” and 93880 (duplex arterial scan) ranks in the 99th percentile as an “extreme outlier,” suggesting this provider is a major high‑volume participant nationally for common cardiology diagnostics and outpatient encounters. By contrast, 78492 (rank #99 of 926, 89th percentile) sits at a more typical national volume for myocardial perfusion PET despite being the top revenue driver here.

    Several codes are notably above typical volumes, reinforcing a pattern of sustained diagnostic throughput and chronic care management. For example, 99424 is “notably above typical” (1.4K claims, $88.3K; rank #10 of 228, 96th percentile), 93306 is 94th percentile (703 claims, $76.6K), and J2785 is 94th percentile (916 claims, $37.6K), indicating repeated use of pharmacologic stress agents, echo, and monthly complex care management services. These patterns point to a patient panel with substantial chronic cardiovascular morbidity and frequent monitoring requirements.

    The code mix includes both noninvasive diagnostics and some interventional activity, indicating access to procedural capability beyond office‑based services. Procedural codes such as 93458 (55 claims, $11.4K) for imaging supervision during coronary angiography and 92928 (11 claims, $5.1K) for single‑vessel stent placement are present alongside high volumes of noninvasive testing (e.g., 93000, 93880). This combination suggests the provider bills for a blend of clinic‑based management, advanced imaging, and occasional catheter‑based interventions.

    Financial scale is modest but focused: reported Medicare revenue of $1.1M indicates a mid‑level revenue footprint concentrated in a few high‑volume cardiology services rather than broad multispecialty billing. The heavy reliance on a handful of codes means revenue is efficient for those service lines but also concentrated, which may affect negotiations or vulnerability to coding/utilization shifts for the top revenue drivers. Analysts should interpret market impact relative to code‑level percentiles rather than raw dollars alone.

    The provider has a long NPI tenure, enumerated 2005-05-24 (~21 years ago), which indicates an established presence in the Lafayette, LA market. That longevity combined with very high outpatient visit volume for 99214 supports the view of a sustained outpatient panel and persistent service patterns rather than a newly emergent billing profile.

    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.

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78492In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…220$1,100$246K
    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…2,380$90$209.3K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries230$410$91.8K
    99424A physician or other qualified healthcare professional personally performs management and care plan services for a patient with a complex chronic condition, expected to last three months, which…1,450$60$88.3K
    93306The 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…700$110$76.6K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…600$120$73K
    J2785Injection, regadenoson, 0.1 mg920$40$37.6K
    99232The 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…590$60$36.7K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…30$1,210$30.3K
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…30$600$17.9K

    Showing 1–10 of 48

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    48 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78492550100$1,080$123.4K
    994241101,450$60$88.2K
    A9555860130$540$75.1K
    3648271030$1,200$34.8K
    9330616390200$90$22.2K
    93229216030$580$18.7K
    99214136,670110$80$16.5K
    J278511150220$40$16K
    7845222825050$190$13.7K
    992322052,58090$60$13.3K

    Showing 1–10 of 48

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Yu-cheng Chen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    Shanda JacksonLAFamily Nurse Practitioner$4M$0
    James RussoLARadiation Oncology Physician$3.5M$0
    Stephen PriceLAPhysician Assistant$3.4M$0
    Jyothi MallepalliLARheumatology Physician$3.2M$0
    Kirtan KotichaLAHematology & Oncology Physician$3.1M$0
    Russell FilecciaLACardiovascular Disease Physician$2.6M$0
    Ruben GrigorianLAOphthalmology Physician$2.4M$57.1K
    Jeffrey GossleeLARetina Specialist (Ophthalmology) Physician$2.3M$4.5K
    Jonathan PerkinsLARetina Specialist (Ophthalmology) Physician$1.7M$160.4K

    Nearby Providers

    Other providers in the same ZIP code as Yu-cheng Chen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acadian Ambulance Service, Inc.LAAir Ambulance$38.7M$422.7M
    Pediatric Group Of Acadiana, LLCLASpecialist$0$57.5M
    Leading Health Care Of LaLAIn Home Supportive Care Agency$0$57.4M
    Our Lady Of Lourdes Regional Medical Center, IncLAGeneral Acute Care Hospital$0$54.3M
    Sleep Management, L.L.C.LAOxygen Equipment & Supplies (DME)$0$41.8M
    Medi Trans, LLCLATransportation Broker$0$29.8M
    L & D Community Care, IncLAIn Home Supportive Care Agency$0$24.4M
    Acadiana Acute Care Associates, LLCLAEmergency Medicine Physician$0$20.4M
    Lourdes After Hours LLCLAUrgent Care Clinic/Center$0$20.2M
    Laboratory Corporation Of AmericaLAClinical Medical Laboratory$1.9M$12.4M

    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. Louisiana Distribution
    Yu-cheng Chen — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana