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    OpenPayerNPI Medicare & MedicaidCao Pham
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    Cao Pham — Billing Profile & Reimbursement Data

    NPI 1225095631 · Huntington Beach, CA · Cardiovascular Disease Physician

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    Cao Pham is a cardiovascular disease physician provider located in Huntington Beach, California. This profile covers 20 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCao Pham
    Address17742 Beach Blvd
    CityHuntington Beach
    StateCA
    ZIP92647
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedApril 28, 2006

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

    Payer SourceTotal Paid
    Medicare$137.8K
    Medicaid$26.1K

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…520$70$33.7K
    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…160$100$14.9K
    99215The 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…80$140$11.2K
    99443N/A160$70$10.4K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…60$120$7.4K
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…30$240$7.3K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…40$170$7.1K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…40$160$6.7K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…30$210$6.5K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…460$10$5.5K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933062,0012,400240$110$34.1K
    9921415,87837,970120$90$23.2K
    9397516237030$200$17.1K
    939256641,25040$180$15.4K
    992155,24415,36050$130$14.4K
    992133,12534,66080$70$13.2K
    938801,4292,23040$130$10.7K
    9335158380040$190$10.4K
    9392314241040$100$10.3K
    939701,1372,29040$100$8.4K

    Showing 1–10 of 20

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…1,660$10$10K
    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…1,810$1$5.4K
    93040The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to electrodes placed…1,660$1$5K
    99443N/A150$30$3.9K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…110$10$1.6K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral10$10$100
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…630$0$0
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…80$0$0
    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…60$0$0
    G0008Administration of influenza virus vaccine90$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…10,89413,300640$40$169.6K
    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…5,27314,520760$10$122.8K
    99443N/A31182090$110$64.8K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…3191,920190$20$21.5K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…273470180$40$21.2K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral202230100$30$15.7K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…3681,08040$40$7.7K
    93040The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to electrodes placed…770100$10$3K
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…1,0262,350440$1$2.3K
    G0008Administration of influenza virus vaccine6441,81050$10$2.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles EifrigCARetina Specialist (Ophthalmology) Physician$2.6M$885K
    Chiwai ChanCAInterventional Pain Medicine Physician$857.1K$2.3M
    Randall NguyenCAOphthalmology Physician$2.9M$118.3K
    Michael RohCAOphthalmology Physician$1.6M$956.2K
    Desmond McguireCARetina Specialist (Ophthalmology) Physician$1.4M$1.1M
    Abdulkareem SharafCACardiovascular Disease Physician$1.2M$1.2M
    Son DuongCAVascular Surgery Physician$1.2M$1.1M
    Paul KimCARadiation Oncology Physician$1.6M$540.1K
    Yasser SalemCASurgery Physician$170.6K$1.8M
    Steven LeCACardiovascular Disease Physician$1.2M$584.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Altamed Health Services CorpCAFederally Qualified Health Center (FQHC)$0$53.6M
    Jerry SebagCAOphthalmology Physician$1.9M$693.8K
    Robby AyoubCAPulmonary Disease Physician$281.4K$1.7M
    Hani Salehi-hadCARetina Specialist (Ophthalmology) Physician$1.4M$381.7K
    Vipal SoniCADermatology Physician$958.7K$0
    Kathy YuCAPediatric Otolaryngology Physician$767.9K$1.6K
    Nghia NguyenCAOtolaryngology Physician$526.9K$4.1K
    Steven StockardCAFoot & Ankle Surgery Podiatrist$275.2K$0
    Robert StarrCAOphthalmology Physician$163K$0
    Nancy GarciaCAFamily Nurse Practitioner$37.6K$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
    Cao Pham — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Cao Pham — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California