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    v1.0.28
    OpenPayerNPI Medicare & MedicaidZhiwei Zhao
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    Zhiwei Zhao — Billing Profile & Reimbursement Data

    NPI 1194943704 · Pomona, CA · Oral and Maxillofacial Surgery (Dentist)

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    Zhiwei Zhao is a oral and maxillofacial surgery (dentist) provider located in Pomona, California. This profile covers 19 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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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationZhiwei Zhao
    Address430 W Holt Ave Ste E
    CityPomona
    StateCA
    ZIP91768
    TaxonomyOral and Maxillofacial Surgery (Dentist)
    NPI EnumeratedApril 22, 2007

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

    Payer SourceTotal Paid
    Medicare$216.6K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    21215The provider applies bone graft material to the mandible, or lower jaw, to repair deformity of the mandible due to fracture, injury, tumor resection, or congenital defect, such as a thin mandible, to…30$3,240$84.3K
    21210The provider applies bone graft material to the face to correct cosmetic deformities of the bony structures of the nose, upper jaw, and cheeks, caused by injury or disease.30$1,350$35.2K
    15574The provider prepares a direct or tubed pedicle skin flap with the patient’s healthy skin and tissue to cover an injury or wound on the body. The provider may or may not transfer the flap to the…60$370$23.4K
    21208The provider surgically repairs and or alters the facial bones in a procedure called osteoplasty, by augmenting, or building up, the bone with an implant made from artificial material or from bone…20$1,160$20.9K
    21048A benign, or noncancerous, tumor of the maxilla, the upper jaw bone, is removed in an open surgical procedure. The provider performs an intraoral osteotomy, cutting into the maxillary bone, to remove…20$450$10.3K
    21046A cyst or other benign, or noncancerous, tumor of the mandible, or lower jaw bone, is removed in an open surgical procedure. The provider may use either an intraoral approach, through the mouth, or…20$460$7.8K
    40812The provider excises a lesion or area of damaged or diseased tissue of the mucosa, a membrane lining the anterior most part of the mouth, and the submucosa, the layer beneath the mucosa. This…60$120$7.3K
    41006In this procedure, the provider makes a deep intraoral incision in the sublingual region, the area under the tongue, to drain the abscess, cyst, or hematoma.40$140$6K
    99205The provider sees a new 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 provider…30$170$5.2K
    20245An open bone biopsy is a procedure to obtain sample bone tissue, typically from a lesion, to further analyze a suspected medical condition or infection.30$140$3.8K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    21215274040$3,260$179.3K
    21210254030$1,390$76.5K
    21208142030$940$53.9K
    1557441040$390$27.3K
    2104661030$500$21.5K
    2104861020$520$19.1K
    9921325,15434,66080$70$13.2K
    4081272050$130$10K
    4100661040$150$8.8K
    2024571030$140$8.1K

    Showing 1–10 of 19

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Latara Enterprise Inc.CAClinical Medical Laboratory$4.5M$61.7M
    Ming-wei WuCASurgery Physician$9.8M$670
    Kunal KambojCAPhysical Medicine & Rehabilitation Physician$638K$0
    Rosa HilarioCAAudiologist$34.6K$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
    Zhiwei Zhao — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California