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

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

Shuang Ying Bao (NPI 1164736930)

Key Findings

Field	Value
Entity Type	Individual
Organization	Shuang Ying Bao
Address	4015 Lake Otis Pkwy Ste 101
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Nephrology Physician
NPI Enumerated	August 3, 2010

Payer Source	Total Paid
Medicare	$421.6K
Medicaid	$0

This provider’s Medicare billing is concentrated in end-stage renal disease (ESRD) and dialysis management: the top three Medicare codes are 90960 ($143.1K, 33.9%), 90966 ($60.6K, 14.4%), and 90961 ($57.7K, 13.7%) and those three codes together account for 62.0% of this provider's total Medicare revenue. The descriptions for 90960/90966/90961 indicate month-to-month management of ESRD patients and home dialysis care, pointing to a practice built around recurrent, longitudinal care for dialysis-dependent patients rather than episodic outpatient-only services.

Claim volumes support a recurring-management model: 90960 appears on 392 claims, 90966 on 200 claims, and 90961 on 199 claims, consistent with repeated monthly billing for a panel of chronic ESRD patients. Those claim counts plus the dominant share of revenue from these codes suggest the provider operates with an active ESRD patient cohort that generates predictable monthly payments rather than one-time procedures.

Revenue concentration is high: top three Medicare codes producing 62.0% of Medicare revenue indicates business risk and dependence on the ESRD service line for the majority of income. Any changes in ESRD program referrals, patient census, or payment policy for these specific codes could materially affect the provider’s Medicare revenue given this concentration.

Payer mix is effectively single-payer Medicare: the provider reports $421.6K in total Medicare revenue and no Medicaid billing on file, so Medicaid plays no recorded role in this provider’s revenue stream. Analysts should treat this profile as Medicare-dependent when modeling payer sensitivity or access to state-program patients.

Competitive standing is mixed across ESRD-related codes: 90966 ranks #97 of 2039 (95th percentile) and 90961 ranks #250 of 6091 (96th percentile), both described as notably above typical national volume, indicating a stronger-than-typical national presence for full-month and home-dialysis management. By contrast, 90960 ranks #465 of 6549 (93th percentile) and is labeled typical, unremarkable volume, so the provider is above-average in some ESRD subservices but not uniformly dominant across all monthly management variants.

The provider also shows substantive inpatient and procedural involvement: hospital subsequent care 99232 ($26.7K, 6.3%) ranks in the 84th percentile and initial inpatient care 99223 ($18.2K, 4.3%) is in the 82th percentile, while hemodialysis 90935 ($18.3K, 4.3%) is in the 95th percentile and dialysis technique 90945 ($11.7K, 2.8%) ranks in the 98th percentile. These code patterns indicate the provider performs both inpatient E/M and procedural dialysis services, supporting a mixed setting footprint that includes hospital-based and dialysis procedural work.

Statistical standing labels in the file highlight specific strengths and norms: multiple dialysis-related codes (90966, 90961, 90935, 90945) are flagged as notably above typical national volume while 90960 is characterized as typical, unremarkable volume. Use those qualitative labels when comparing to national peers rather than deriving new percentile-based judgments.

The provider has an established billing history with NPI enumeration dated 2010-08-03 (~16 years ago), indicating a long tenure in the market which aligns with the sustained monthly-casework pattern seen in the ESRD codes. This longevity supports the inference of an established ESRD practice rather than a short-term or recently launched service line.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	390	$370	$143.1K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	200	$300	$60.6K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	200	$290	$57.7K
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…	290	$110	$31K
99232	The 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…	320	$80	$26.7K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	240	$80	$18.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	100	$180	$18.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	130	$120	$16.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	90	$150	$13.1K
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	130	$90	$11.7K

Showing 1–10 of 17

Shuang Ying Bao — Billing Profile & Reimbursement Data

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Shuang Ying Bao — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	5	10	480	$350	$182K
90961	2	10	130	$290	$57.7K
90966	1	10	120	$310	$42.2K
99233	61	190	80	$120	$17.1K
99214	188	1,210	90	$100	$16.2K
90935	4	10	240	$70	$16.1K
99232	50	280	80	$80	$14K
90945	3	10	130	$90	$11.6K
99215	91	400	40	$150	$11K
99223	25	200	40	$170	$9.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dialysis Associates Of Alaska, LLC	AK	Nephrology Physician	$0	$2M
Kidney And Hypertension Clinic Of Alaska, Inc	AK	Nephrology Physician	$0	$1.3M
David Lefler	AK	Nephrology Physician	$467.5K	$0
Stefano Emili	AK	Nephrology Physician	$425K	$0
Thuy-trang Ngo	AK	Internal Medicine Physician	$345.8K	$0
Swetha Makkapati	VA	Nephrology Physician	$249.9K	$0
Lisa Roberts	AK	Nephrology Physician	$185.5K	$0
Frank Braxton	MO	Nephrology Physician	$172.8K	$0
Mark Smith	AK	Nephrology Physician	$144.3K	$0
Jeremy Gitomer	AK	Nephrology Physician	$130.3K	$0