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    OpenPayerNPI Medicare & MedicaidCarol Cha
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    Carol Cha — Billing Profile & Reimbursement Data

    NPI 1306103684 · Vancouver, WA · Family Medicine Physician

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    Carol Cha is a family medicine physician provider located in Vancouver, Washington. This profile covers 8 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 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarol Cha
    Address14508 Ne 20th Ave Ste 102
    CityVancouver
    StateWA
    ZIP98686
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 11, 2012

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

    Payer SourceTotal Paid
    Medicare$64.5K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…180$140$25.8K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…180$120$21.7K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…130$70$9.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$130$2.2K
    G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…80$20$1.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…40$40$1.6K
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)30$40$1.2K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…10$20$300

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309204370160$70$25.3K
    993106826080$110$18.4K
    993063315060$140$16.2K
    G04392,0682,39050$130$9.7K
    9930825326080$50$9.5K
    99490107140100$40$8.9K
    G0317286080$20$2.3K
    G050692030$40$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sea-mar Community Health CenterWAFederally Qualified Health Center (FQHC)$0$42.4M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$14.9M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$12.1M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$9.4M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$9.3M
    Daiya Healthcare PLLCWAInternal Medicine Physician$0$8.7M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$8.7M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$8.6M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$8.6M
    Sea-mar Community Health CenterWAFederally Qualified Health Center (FQHC)$0$8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Legacy Salmon Creek HospitalWAGeneral Acute Care Hospital$0$48.7M
    Northwest Acute Care Specialists PCWAEmergency Medicine Physician$0$11.9M
    Legacy Salmon Creek HospitalWAClinic/Center$0$9.9M
    Wchs, Inc.WAMethadone Clinic$0$6.9M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$3.9M
    Joyce ChoeWAOphthalmology Physician$382K$0
    Randall HaradaWAInterventional Cardiology Physician$303.2K$0
    Lauren BoudreauxWADermatology Physician$168.9K$0
    Mayank AgrawalWAInterventional Cardiology Physician$141.4K$0
    Jason BoydWADermatology Physician$121.6K$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. Washington Distribution
    Carol Cha — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington