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    OpenPayerNPI Medicare & MedicaidVinh-linh Nguyen
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    Vinh-linh Nguyen — Billing Profile & Reimbursement Data

    NPI 1285603639 · Bakersfield, CA · Hematology & Oncology Physician

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    Vinh-linh Nguyen is a hematology & oncology physician provider located in Bakersfield, California. This profile covers 39 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
    OrganizationVinh-linh Nguyen
    Address4500 Morning Dr Ste 105
    CityBakersfield
    StateCA
    ZIP93306
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMarch 17, 2006

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

    Payer SourceTotal Paid
    Medicare$11.5M
    Medicaid$0

    Key Findings

    This provider’s billing mix is characteristic of a high-volume outpatient oncology infusion practice: the top drug codes are monoclonal antibodies and immunotherapies (for example J9271, J9145, J9228) and multiple chemotherapy/infusion administration CPTs appear in the top 25. Specific drug codes with large dollar shares — including J9271 (pembrolizumab), J9145 (daratumumab), J9228 (ipilimumab) and J9299 (nivolumab) — point to routine administration of modern cancer biologics rather than primarily clinic-based procedures. The presence of many infusion add-on and concurrent administration codes (96413, 96417, 96415, 96365, 96367, 96368) reinforces that treatment delivery is largely infusion-centered rather than office evaluation focused.

    Revenue is highly concentrated in a small set of therapeutics: the precomputed top-3 Medicare codes by revenue (J9271, J9145, J9228) account for 50.4% of this provider’s total Medicare revenue. Individually those three codes are reported as 19.0% (J9271), 17.1% (J9145), and 14.3% (J9228) of Medicare revenue, so a majority of Medicare dollars are tied to a handful of high-cost oncology agents. That concentration implies financial exposure to utilization shifts, price changes, or coverage policy updates affecting these specific drugs.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $11.5M while there is no Medicaid billing on file. With no Medicaid activity reported, the provider’s outpatient oncology business appears to rely almost entirely on Medicare reimbursement streams, increasing sensitivity to Medicare-specific reimbursement rules and policy changes. Analysts should treat Medicaid-based network or access considerations as not applicable based on the available records.

    On national competitive standing this provider is a dominant administrator for multiple oncology drugs: J9145 and J9228 both rank #1 nationally among their peer sets (100th percentile; described as notably above typical national volume), J9271 ranks #16 of 1841 (99th percentile; described as an extreme outlier), and J9299 ranks #2 of 505 (100th percentile; described as an extreme outlier). Several other drug and biosimilar codes (J9047, Q5107, Q5119) are also at or near the top of national rankings (100th percentile or extreme outlier labels), indicating unusually high national-volume activity for these therapies. This pattern is consistent with being a major national outlier for infusion of multiple high-cost oncology agents rather than a modest local participant.

    Operational throughput is reflected in unusually high procedural volumes for infusion administration: 96413 ranks #3 of 7514 providers nationally (100th percentile; extreme outlier), 96417 ranks #1 of 3014 (100th percentile; extreme outlier), 96415 ranks #1 of 4959 (100th percentile; extreme outlier), and 96365 ranks #40 of 8873 (100th percentile; extreme outlier). High claims counts tied to these administration codes (for example 96413 with 2.2K claims and 96365 with 1.5K claims as reported) suggest a steady, high-throughput infusion clinic model focused on multi-drug chemotherapy and biologic sessions. These volume signals are important when assessing capacity, staffing, and supply-chain needs.

    Clinical vs. evaluation-and-management balance is skewed heavily to drug administration: E&M codes 99214 and 99215 together account for a small fraction of Medicare revenue ($56.8K and $47.6K respectively) compared with multi-million dollar drug revenues (for example $2.2M for J9271 and $2M for J9145). That disparity indicates revenue is driven predominantly by infused therapeutics rather than office visit billings, which has implications for contract design, site-of-care policies, and care management programs. For payer contracting or utilization review, inspections of drug utilization, dosing patterns, and infusion scheduling are likely to be more relevant than traditional E&M utilization controls.

    The provider shows active use of biosimilars and a mix of branded agents: biosimilar codes Q5107 (mvasi) and Q5119 (ruxience) appear in the top revenue list with $763.3K (6.6%) and $438.3K (3.8%) of Medicare revenue respectively, and both rank #1 nationally among their peer sets (100th percentile; extreme outlier). The combination of branded immunotherapies and biosimilars in the revenue mix suggests the clinic is incorporating biosimilar options alongside originator biologics, which may influence cost-of-care assessments and biosimilar substitution or steering opportunities. Payers evaluating medical oncology spend should consider both brand and biosimilar flows in any savings or utilization-management strategy.

    Tenure data show long standing national enrollment: the provider’s NPI was enumerated on 2006-03-17 (~20 years ago), indicating long-term participation in Medicare. That duration supports interpretation of the high volumes as established practice patterns rather than a recent ramp-up, although recent clinical or referral changes could still explain concentration. For network analyses and continuity of care assessments, this long tenure argues for stable historical claims patterns to review alongside any recent utilization shifts.

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg50,800$40$2.2M
    J9145Injection, daratumumab, 10 mg40,920$50$2M
    J9228Injection, ipilimumab, 1 mg14,300$120$1.6M
    J9299Injection, nivolumab, 1 mg74,400$20$1.6M
    J9047Injection, carfilzomib, 1 mg44,270$40$1.6M
    Q5107Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg33,190$20$763.3K
    J9264Injection, paclitaxel protein-bound particles, 1 mg48,900$10$489K
    Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg20,870$20$438.3K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…2,180$110$233.7K
    J0897Injection, denosumab, 1 mg4,320$20$82.1K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J914511040,920$50$2M
    J92281109,100$120$1.1M
    J904711021,340$40$850K
    J9271214013,100$40$653.5K
    J929914021,000$20$538.5K
    J926431024,150$10$350.2K
    Q51071102,940$20$171.3K
    J08973811,0303,060$20$91.4K
    Q51191301,940$20$66.6K
    964131620170$120$26.9K

    Showing 1–10 of 39

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Vinh-linh Nguyen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Amiel MoshfeghCAVascular & Interventional Radiology Physician$7.6M$0
    Alessandro CastellarinCARetina Specialist (Ophthalmology) Physician$5.4M$0
    Dilsher DhootCARetina Specialist (Ophthalmology) Physician$5.4M$0
    Khaled TawansyCAOphthalmology Physician$2.8M$2.4M
    Daniel LearnedCARetina Specialist (Ophthalmology) Physician$5.1M$0
    Dante PieramiciCARetina Specialist (Ophthalmology) Physician$3.7M$0
    Daniel TaheriCADermatology Physician$3.3M$7.4K
    Nallathamby ThayapranCAInterventional Cardiology Physician$3.2M$0

    Nearby Providers

    Other providers in the same ZIP code as Vinh-linh Nguyen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kern County Hospital AuthorityCAGeneral Acute Care Hospital$0$169.4M
    County Of KernCAAdolescent and Children Mental Health Clinic/Center$0$45.2M
    Oh Dmd IncCAGeneral Practice Dentistry$0$28.5M
    Diego CavenaghiCACertified Registered Nurse Anesthetist$209.8K$0
    Theingi WinCACardiovascular Disease Physician$131.1K$0
    John JuveCACertified Registered Nurse Anesthetist$81.1K$0
    Manish Somani IncCACommunity/Retail Pharmacy$45.2K$25.2K
    Maricel Isidro-reighardCACertified Registered Nurse Anesthetist$65.4K$0
    David CondieCAVascular & Interventional Radiology Physician$37.5K$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
    Vinh-linh Nguyen — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California