Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Tran
    Ask Trek AI about this page

    Douglas Tran — Billing Profile & Reimbursement Data

    NPI 1144270976 · Naperville, IL · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Douglas Tran — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Douglas Tran is a internal medicine physician provider located in Naperville, Illinois. This profile covers 14 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDouglas Tran
    Address2007 95th Street
    CityNaperville
    StateIL
    ZIP60564
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 11, 2006

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

    Payer SourceTotal Paid
    Medicare$159K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit460$140$62.2K
    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…440$90$37.1K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…40$280$11.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…230$50$11K
    99213The 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…140$60$8.2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…110$70$7.8K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…30$230$6.6K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit30$180$4.9K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$180$4K
    G0008Administration of influenza virus vaccine110$30$3.4K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,34818,540110$80$17.1K
    G0439314,03070$130$13.6K
    99490247660150$50$13.2K
    992135,52417,39070$60$8.8K
    906774222,54020$270$8K
    9949614856020$210$5.5K
    906625723,06050$70$4.9K
    G04381481,00020$160$3.6K
    G00081,1574,59050$30$2.8K
    G04028380020$160$2.7K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Athletico LtdILPhysical Therapist$0$11.6M
    Amar HamadILHematology & Oncology Physician$3M$97.1K
    Martins AdeoyeILChild & Adolescent Psychiatry Physician$40.4K$2.2M
    Athletico LtdMSClinic/Center$0$1.4M
    Endurance Physical TherapyMSPhysical Therapist$0$1.2M
    Dara Pumphrey-ruizMAPsychiatry Physician$19.9K$625.6K
    Ghassan AldurraILPsychiatry Physician$192.7K$359.3K
    David SchliebenILNephrology Physician$359.1K$21.9K
    Kevin PandyaILNephrology Physician$353.1K$10K
    Arkadiy KonyukhovILNeurology Physician$194.2K$120.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael GrassiILOphthalmology Physician$1.3M$27.5K
    Dmg Pain Management Surgery Center, LLCILAmbulatory Surgical Clinic/Center$652.1K$0
    Hardeep AroraILInternal Medicine Physician$440.8K$109.4K
    Amy DusekILNurse Practitioner$90$158.9K
    Pamela SolowskiILFamily Medicine Physician$48.9K$92.1K
    Tara KlausILNurse Practitioner$126.7K$0
    James CunnarILFamily Medicine Physician$123K$0
    Narayan TataILPain Medicine (Physical Medicine & Rehabilitation) Physician$121.8K$0
    Iffat AhmedILInternal Medicine Physician$49.5K$64.9K
    Nazish EkramILInternal Medicine Physician$39.4K$20.5K

    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. Illinois Distribution
    Douglas Tran — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois