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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSeong Cho-ju
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    Seong Cho-ju — Billing Profile & Reimbursement Data

    NPI 1164782736 · Apo, AP · Clinical Social Worker

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    Seong Cho-ju is a clinical social worker provider located in Apo, Armed Forces Pacific. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSeong Cho-ju
    AddressBrian D. Allgood Army Community Hospital (bdaach)
    CityApo
    StateAP (Armed Forces Pacific)
    ZIP96271
    TaxonomyClinical Social Worker
    NPI EnumeratedMay 17, 2012

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

    Payer SourceTotal Paid
    Medicaid$195K
    Medicare$0

    Key Findings

    This provider is effectively a single-payer Medicaid biller: there is no Medicare billing on file and lifetime Medicaid revenue is $195K. The absence of Medicare activity means analyses should treat this entity as focused on Medicaid-covered behavioral health services rather than mixed Medicare/Medicaid practice lines.

    Revenue is highly concentrated in a small set of psychotherapy codes: the top three Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with 90837 representing $157.2K (80.6% of total), 90832 representing $37.4K (19.2% of total), and 90834 representing $420 (0.2% of total). This concentration indicates that nearly all Medicaid cash flow is tied to psychotherapy visit volume and reimbursement for these specific CPT codes.

    The code mix (90837, 90832, 90834) indicates a psychotherapy-centered practice profile: 90837 is long psychotherapy sessions (53+ minutes), 90832 is short psychotherapy (16–37 minutes), and 90834 is mid-length psychotherapy (38–52 minutes). Together these codes suggest the provider operates primarily as an outpatient psychotherapy clinician rather than providing broader medical or procedural services.

    Operational volume and reimbursement patterns show distinct unit economics across codes: 90837 had 1.6K claims at $101 avg paid/claim producing $157.2K in revenue, while 90832 had 1.9K claims at $20 avg paid/claim producing $37.4K in revenue, and 90834 had 21 claims at $20 avg paid/claim producing $420. The large count but low per-claim payment for 90832 versus the higher per-claim payment for 90837 implies the practice mixes many shorter, low-paid visits with a substantial share of revenue coming from fewer, higher-paid long sessions.

    Competitive standing within the state is modest and constrained by limited peer data: 90837 ranks #2 of 2 providers in-state with a plain-English label of “typical, unremarkable volume,” which does not indicate market dominance for that code. Both 90832 and 90834 are listed as #1 of 1 providers in-state but carry the label “no state peer volume comparison available,” meaning the apparent top rank should be interpreted cautiously because there is little or no in-state peer activity for direct comparison.

    Tenure data show the provider’s NPI was enumerated on 2012-05-17 (~14 years ago), indicating an established billing record over more than a decade. That longevity combined with a focused Medicaid psychotherapy practice suggests stable specialty positioning even though absolute revenue is modest.

    Because 100.0% of Medicaid revenue is tied to psychotherapy codes, the provider’s financial exposure is concentrated: any changes in Medicaid coverage, reimbursement policy for psychotherapy, or shifts in visit mix between 90837 and 90832 could materially affect total revenue. Analysts should flag this concentration when modeling payer-policy sensitivity or assessing operational risk for this billing profile.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…1,560$100$157.2K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…1,870$20$37.4K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…20$20$420

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Armed Forces Pacific providers billing the same CPT/HCPCS codes. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

    Full comparison — all codes billed, vs. Armed Forces Pacific median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…2103,400$80$270K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…1101,870$20$36.6K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…11020$20$420

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Seong Cho-ju, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Payal SudILClinical Social Worker$66.6K$3.2M
    Raymond BryantILPsychiatric/Mental Health Nurse Practitioner$104.1K$3.1M
    Kristin ElatkinILFamily Nurse Practitioner$1.6M$5K
    Larry WilkesILPsychiatric/Mental Health Nurse Practitioner$813.3K$93.6K
    Dorina SuslovasILNurse Practitioner$292.7K$100.8K
    Shannon BartolucciILGerontology Nurse Practitioner$189.1K$104.7K
    Latoya RobinsonILPsychiatric/Mental Health Nurse Practitioner$112.6K$91.4K
    Margeret KiggunduILFamily Nurse Practitioner$123.4K$46.1K
    Lauren RosenfeldtILClinical Social Worker$64.8K$100.5K
    Tochi OkwuezeILFamily Nurse Practitioner$127.1K$18.7K

    Nearby Providers

    Other providers in the same ZIP code as Seong Cho-ju, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joon ParkAP (Armed Forces Pacific)Dentist$0$623.9K
    Dennis ChungAP (Armed Forces Pacific)General Practice Dentistry$0$51.7K
    Hannah ChoiAP (Armed Forces Pacific)Family Medicine Physician$7.6K$38.6K
    Sang-wahn KooAP (Armed Forces Pacific)Psychiatry Physician$6.9K$0
    Doris NievesAP (Armed Forces Pacific)Physical Therapist$4.2K$0
    Timothy GockeAP (Armed Forces Pacific)Internal Medicine Physician$3.2K$0
    Il-gyu ChoAP (Armed Forces Pacific)Child & Adolescent Psychiatry Physician$2.8K$0
    Steve HuynhAP (Armed Forces Pacific)Optometrist$0$1.8K
    Hyun ShimAP (Armed Forces Pacific)Clinical Social Worker$1K$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.

    Medicaid Revenue by Year vs. Armed Forces Pacific Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Armed Forces Pacific Distribution
    Seong Cho-ju — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Pacific