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    OpenPayerNPI Medicare & MedicaidElain Tong
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    Elain Tong — Billing Profile & Reimbursement Data

    NPI 1164610713 · Irvine, CA · Family Medicine Physician

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    Elain Tong is a family medicine physician provider located in Irvine, 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationElain Tong
    Address18 Endeavor Ste 304
    CityIrvine
    StateCA
    ZIP92618
    TaxonomyFamily Medicine Physician
    NPI EnumeratedOctober 9, 2007

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

    Payer SourceTotal Paid
    Medicare$67.8K
    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
    64420The provider injects an anesthetic agent and/or steroid in one of the ventral branches of the thoracic spinal nerves located under each rib, called an intercostal nerve. Report this code for one or…210$90$18.9K
    64445The provider injects one or more anesthetic agents and/or a steroid into the area of the sciatic nerve, which supplies the skin and muscles of the leg. Report this code for one or more injections…100$170$17.2K
    64425The provider injects an anesthetic agent and/or steroid close to the nerves that branch from the first lumbar nerve, i.e., the ilioinguinal nerve or the iliohypogastric nerve. Report this code for…120$80$9.5K
    64418The provider injects an anesthetic agent and/or steroid close to the suprascapular nerve, which is located above the flat triangular bone at the back of the shoulder known as the shoulder blade.…110$50$5.7K
    97810The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by hand during an initial 15 minute…160$30$5.3K
    64421The provider injects an anesthetic agent and/or steroid close to one of the ventral branches of the thoracic spinal nerves located under each rib, called the intercostal nerve. Report this code for…170$30$4.8K
    64405The provider injects an anesthetic and/or steroid agent into the greater occipital nerve, a nerve arising from the second cranial nerve, also called the optic nerve. Report this code for one or more…100$50$4.6K
    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…30$70$2K

    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
    6442131050$180$34.6K
    6442032020$120$15.5K
    9921327,43134,66080$70$13.2K
    978103460170$30$9.7K
    6442511070$90$6.1K
    64445810020$130$5.9K
    644051610040$60$3.4K
    6441823030$70$2.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mdxhealth, Inc.CAClinical Medical Laboratory$24M$797.5K
    Biognomics Lab, LLCCAClinical Laboratory Director (Non-physician)$16.4M$235.6K
    Shoreline Diagnostics LLCCAClinical Medical Laboratory$6.2M$9.6M
    Agendia IncCAClinical Medical Laboratory$10.2M$5.1M
    Cap Diagnostics LLCCAClinical Medical Laboratory$3.4M$10.8M
    Healthquest Esoterics IncCAClinical Medical Laboratory$159K$6.7M
    Specialty Surgical Center Of Irvine LPCAAmbulatory Surgical Clinic/Center$1.1M$1.4M
    Fang YuCAGastroenterology Physician$121.8K$2.1M
    Emeritus Medical Technology LLCCAClinical Medical Laboratory$1.9M$20.8K
    Sandeep ThakkarCANeurology Physician$1.4M$92.5K

    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. California Distribution
    Elain Tong — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California