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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRandal Pham
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    Randal Pham — Billing Profile & Reimbursement Data

    NPI 1275626897 · San Jose, CA · Specialist

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    Randal Pham is a specialist provider located in San Jose, California. This profile covers 23 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRandal Pham
    Address455 Oconnor Dr
    CitySan Jose
    StateCA
    ZIP95128
    TaxonomySpecialist
    NPI EnumeratedOctober 2, 2006

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

    Payer SourceTotal Paid
    Medicare$303.2K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…920$90$77.9K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…330$120$38.4K
    67700In this procedure, the provider surgically incises the eyelid to drain a pocket of infection.120$240$28.9K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…50$520$28.2K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.6,240$1$25K
    65772The provider incises the cornea to change the corneal shape and correct astigmatism that prior surgery caused, such as cataract surgery when the provider inserted an intraocular lens.40$390$15.4K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.50$300$14.6K
    99204The 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…90$130$12K
    65780In this procedure, the provider uses the membrane from the inner surface of the placenta to reconstruct the surface of a patient’s eye that injury or disease damaged. This procedure involves…20$650$11.7K
    67031The provider uses a laser to remove vitreous material that is obstructing a patient’s vision.30$320$9.9K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669848391,25090$690$122.8K
    1582317619030$640$30.9K
    6703191040$310$28.8K
    920147722,890110$100$28.7K
    920121401,620150$70$23.6K
    9921431,26237,970120$90$23.2K
    6578041020$1,120$19K
    6577251050$240$18.6K
    6682141995040$270$18.4K
    6770043020$200$14.4K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Louis ChangCAOphthalmology Physician$2.2M$5.9M
    Alok BansalCAOphthalmology Physician$3M$4.7M
    Khosrow MehranyCASpecialist$7.7M$0
    James JoyeCAInterventional Cardiology Physician$4.5M$0
    Rahul KhuranaCAOphthalmology Physician$2.3M$1.8M
    Clement ChowCAOphthalmology Physician$3.8M$0
    Mark WielandCAOphthalmology Physician$3.1M$52.6K
    James PalmerCAOphthalmology Physician$3M$103.2K
    Joselito CabaccanCAEndocrinology, Diabetes & Metabolism Physician$1.7M$1.1M
    Howard ChenCAOphthalmology Physician$2.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of Santa ClaraCACommunity/Behavioral Health Agency$0$1.7B
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$175.9M
    County Of Santa ClaraCAEmergency Care Clinic/Center$0$106M
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$102M
    County Of Santa ClaraCAGeneral Acute Care Hospital$0$94.7M
    County Of Santa ClaraCAMethadone Clinic$107.4K$84.1M
    Premier Healthcare Services, LLCCAHome Health Agency$0$32M
    Physicians Surgery Services LLCCAAmbulatory Surgical Clinic/Center$1.5M$5.4M
    Hossein ShenasaCAInterventional Cardiology Physician$1.2M$0
    Arash PadidarCAVascular & Interventional Radiology Physician$1.1M$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
    Randal Pham — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California