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

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

Nancy Chen, Md, Inc (NPI 1326235169)

Field	Value
Entity Type	Organization
Organization	Nancy Chen, Md, Inc
Address	579 Farrington Hwy Ste 101
City	Kapolei
State	HI
ZIP	96707
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 25, 2007

Payer Source	Total Paid
Medicaid	$220.5K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92014	An 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…	1,960	$50	$92.2K
92012	For 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…	1,810	$30	$61.5K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	2,860	$10	$22.9K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	600	$30	$19.3K
V2020	Frames, purchases	220	$50	$11.1K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	160	$50	$8.2K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	80	$30	$2.2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	80	$20	$1.6K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	60	$20	$1.1K
V2756	Eye glass case	370	$1	$370

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Hawaii Distribution

Nancy Chen, Md, Inc — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	An 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…	25	120	390	$50	$62.5K
92012	For 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…	14	50	410	$40	$60.5K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	33	70	590	$30	$40.6K
V2020	Frames, purchases	54	90	360	$40	$29K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	39	90	140	$60	$22.1K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	19	150	470	$10	$13.2K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	35	50	200	$20	$9.4K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	37	60	110	$10	$4.3K
V2025	Deluxe frame	42	50	120	$10	$2.6K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	62	90	240	$1	$2.5K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nancy Chen, Md, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nancy Chen	HI	Ophthalmology Physician	$96.7K	$0

Nearby Providers

Other providers in the same ZIP code as Nancy Chen, Md, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usrc Kapolei, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$3.3M
Responsive Caregivers Of Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$3.1M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Usrc West Oahu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.3M
Family Tree Project, LLP	HI	Community/Behavioral Health Agency	$0	$1.5M
Kidshine Kapolei LLC	HI	Dental Clinic/Center	$0	$1.5M
Dean T. Sueda D.d.s., M.s. Inc	HI	Pediatric Dentistry	$0	$1.4M
Wendell Danforth	HI	Ophthalmology Physician	$974.5K	$0
Workstar Occupational Health Systems Inc	HI	Occupational Medicine Physician	$0	$911.7K

Nancy Chen, Md, Inc — Billing Profile & Reimbursement Data

Sign up for Nancy Chen, Md, Inc — Billing Profile & Reimbursement Data policy alerts

Nancy Chen, Md, Inc — Billing Profile & Reimbursement Data

Sign up for Nancy Chen, Md, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References