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

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

Randall Fong (NPI 1235172677)

Field	Value
Entity Type	Individual
Organization	Randall Fong
Address	7105 W Hood Pl
City	Kennewick
State	WA
ZIP	99336
Taxonomy	Otolaryngology Physician
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicare	$92.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99203	The provider sees a new 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 provider…	230	$80	$18.4K
99213	The 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…	300	$60	$18.4K
99204	The provider sees a new 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 provider…	130	$120	$15.9K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	110	$100	$10.5K
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…	110	$90	$9.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	160	$40	$6.4K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	160	$30	$5.1K
92511	The provider examines the nasal passages and throat with an endoscope, a tubular instrument with a light source and camera.	50	$90	$4.5K
69433	The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.	10	$180	$2.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	20	$50	$810

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Randall Fong — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,943	10,860	100	$80	$13.6K
99213	773	9,690	60	$60	$6.5K
99204	258	4,750	30	$110	$5.2K
31575	13	180	40	$90	$4.6K
99203	50	3,140	30	$70	$3.3K
69210	40	240	50	$30	$2.9K
69433	17	20	20	$160	$2.9K
92511	1	10	20	$80	$1.9K
99212	96	1,790	30	$40	$1.8K
99202	224	390	20	$40	$1.5K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$2.4M	$680
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.7M	$0
Proliance Surgeons Inc Ps	WA	Ambulatory Surgical Clinic/Center	$1.4M	$0
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.1M	$24.2K
The Retina Surgery Center LLC	WA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$830.4K	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$793.8K	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$617.8K	$0
Stacia Smith	WA	Orthopaedic Surgery Physician	$324.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ideal Option, PLLC	WA	Clinic/Center	$0	$259.1M
Ideal Option, PLLC	WA	Clinical Medical Laboratory	$0	$39.2M
Yakima Valley Farm Workers Clinic	WA	Dentist	$0	$20.5M
City Of Kennewick	WA	Ambulance	$906.2K	$11.5M
Pinnacle Pain Center, Ps	WA	Pain Medicine (Anesthesiology) Physician	$0	$11.6M
Lutheran Community Services Northwest	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.4M
Three Rivers Therapy, LLC	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.7M
Tri-cities Laboratory, LLC	WA	Clinical Medical Laboratory	$0	$8.7M
Columbia Physical Therapy Inc Ps	WA	Physical Therapist	$0	$6.7M
Ideal Balance PLLC	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.3M

Randall Fong — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References