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    OpenPayerNPI Medicare & MedicaidSung Sohn
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    Sung Sohn — Billing Profile & Reimbursement Data

    NPI 1306847439 · Goshen, NY · Nephrology Physician

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    Sung Sohn is a nephrology physician provider located in Goshen, New York. This profile covers 11 Medicare and 3 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
    OrganizationSung Sohn
    Address15 Matthews St
    CityGoshen
    StateNY
    ZIP10924
    TaxonomyNephrology Physician
    NPI EnumeratedAugust 10, 2005

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

    Payer SourceTotal Paid
    Medicare$81.3K
    Medicaid$1.7K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…350$100$33.1K
    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…120$130$15.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit70$140$8.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…130$70$8.6K
    36410In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.480$10$6.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$150$2.8K
    G0008Administration of influenza virus vaccine70$30$1.8K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…20$100$1.8K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.70$20$1.4K
    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…80$10$920

    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

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,82030,45090$100$19K
    992324,40511,85080$70$13.8K
    G04392,6736,29050$130$11.2K
    992151,3228,28040$140$10.1K
    992236,5718,65040$150$9.3K
    992392,7993,46050$100$7.1K
    G00082,4857,14050$30$2.8K
    930002,7816,62060$10$2.2K
    963721,3442,30060$10$1.4K
    36410421040$10$1.1K

    Showing 1–10 of 11

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…20$80$1.3K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…10$20$280
    36410In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.20$10$120

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    3 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…14,53816,550220$90$186.8K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…88494070$20$7.6K
    36410In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.336380140$1$2.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ramon RuffyNYOphthalmology Physician$378.7K$443.4K
    Inderpal SinghNYCardiovascular Disease Physician$577.6K$19.8K
    Andrew HirschNYFamily Medicine Physician$513.1K$9.7K
    Lawrence GordonNYOtolaryngology Physician$197K$173.8K
    Lance SiegelNYGastroenterology Physician$340.7K$120
    Viral ShethNYCardiovascular Disease Physician$287.8K$3.4K
    Alan PlumerNYGastroenterology Physician$265K$0
    Alan GoldfischerNYGastroenterology Physician$263K$0
    Lidia KoulovaNYHematology & Oncology Physician$248.9K$0
    Leslie GreenNYOphthalmology Physician$224.9K$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. New York Distribution
    Sung Sohn — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Sung Sohn — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York