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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRoxanne Lim
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    Roxanne Lim — Billing Profile & Reimbursement Data

    NPI 1154587368 · Newport Beach, CA · Gastroenterology Physician

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    Roxanne Lim is a gastroenterology physician provider located in Newport Beach, California. This profile covers 8 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
    OrganizationRoxanne Lim
    Address400 Newport Center Dr
    CityNewport Beach
    StateCA
    ZIP92660
    TaxonomyGastroenterology Physician
    NPI EnumeratedAugust 6, 2008

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

    Payer SourceTotal Paid
    Medicare$142.4K
    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.

    8 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…520$100$53.1K
    99204The 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…220$130$27.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…230$80$18.4K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…90$150$14.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.190$70$12.7K
    45382The provider examines the colon and rectum using a colonoscope, a tubular instrument with a light source and camera, to identify the source of internal bleeding. He then controls the bleeding in the…40$200$7.5K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.40$110$4.4K
    45398During a flexible colonoscopy, the provider ligates a structure such as a hemorrhoid using a flexible band.40$110$4.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453854661,41060$340$33.9K
    453801411,46060$230$23.8K
    992144,84937,970120$90$23.2K
    432392151,50080$150$17.3K
    432494627020$310$9.1K
    4539841020$290$7.9K
    9920458519,36040$120$7.2K
    4538224020$250$5.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Primex Clinical Laboratories Inc.CAClinical Medical Laboratory$5.8M$27.3M
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Geoffrey TrenkleCAFacial Plastic Surgery Physician$517.4K$6.5M
    Clement ChanCARetina Specialist (Ophthalmology) Physician$2.9M$0
    Sanford ChenCAOphthalmology Physician$2.8M$190
    Navid EzraCADermatology Physician$1.8M$975.2K
    Salar HakhamCAVascular & Interventional Radiology Physician$2.6M$350
    Steven LinCARetina Specialist (Ophthalmology) Physician$2.5M$0
    Victor ShiCAVascular & Interventional Radiology Physician$2.2M$280

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Coast Bio Lab LLCCAClinical Medical Laboratory$1.4M$2.1M
    Leonid LernerCAOphthalmology Physician$3.4M$0
    Lynn DiminoCADermatology Physician$1.9M$0
    Newport Coast Surgery Center, LPCAAmbulatory Surgical Clinic/Center$1.8M$0
    Bryan DoonanCAFamily Medicine Physician$1M$579.3K
    Gregory HendersonCAMOHS-Micrographic Surgery Physician$1.5M$0
    George SemeniukCAHematology & Oncology Physician$1.5M$0
    The Surgery Center Of Newport Coast, LLCCAAmbulatory Surgical Clinic/Center$1.3M$0
    Adam RotundaCAMOHS-Micrographic Surgery Physician$1.1M$0
    Orthopedic Surgery Center Of Oc LLCCAAmbulatory Surgical Clinic/Center$1.1M$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. California Distribution
    Roxanne Lim — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California