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

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

Ngoc Ly (NPI 1356735401)

Field	Value
Entity Type	Individual
Organization	Ngoc Ly
Address	363 Highland Ave
City	Fall River
State	MA
ZIP	02720
Taxonomy	Critical Care Medicine (Anesthesiology) Physician
NPI Enumerated	March 26, 2015

Payer Source	Total Paid
Medicare	$42.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00560	The provider performs anesthesia services for a patient undergoing a procedure involving the heart, the sac around the heart, and the great vessels of the chest, such as the aorta, its major…	30	$410	$11.1K
00567	The provider performs anesthesia services for a patient undergoing a coronary artery bypass graft procedure. The procedure requires a pump oxygenator to take on the work of the heart and lungs.	20	$680	$10.8K
00537	The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…	30	$200	$5.5K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	30	$100	$2.5K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	70	$40	$2.4K
93312	In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…	30	$90	$2.3K
93503	The provider performs Swan–Ganz® catheterization for the direct assessment of pressure in the pulmonary artery, right atrium, right ventricle, as well as the wedge pressure of the left atrium…	30	$70	$1.9K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	10	$150	$1.7K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	20	$70	$1.3K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	20	$50	$1.2K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Ngoc Ly — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00567	10	40	10	$690	$10.3K
00560	16	90	20	$410	$8.1K
00537	27	130	20	$250	$5.5K
00811	584	1,060	30	$70	$2.9K
01922	43	210	20	$120	$2.5K
00840	130	160	10	$160	$2.4K
93312	87	230	20	$90	$2.3K
00731	770	1,270	30	$70	$2.3K
00410	42	110	20	$70	$1.3K
93503	4	40	20	$70	$1.2K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcoast Hospitals Group, Inc	MA	General Acute Care Hospital	$0	$97.6M
Stanley Street Treatment And Resources, Inc.	MA	Substance Abuse Rehabilitation Facility	$672.8K	$38.4M
Family Service Association Of Greater Fall River	MA	Case Management Registered Nurse	$0	$36.5M
Family Service Association Of Greater Fall River, Inc.	MA	Mental Health Counselor	$0	$32.9M
Steppingstone Inc	MA	Multi-Specialty Clinic/Center	$0	$29.9M
Stanley Street Treatment And Resources, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$18.4M
First Physicians Corporation	MA	Emergency Medicine Physician	$0	$12.7M
Bay State Afc, LLC	MA	Foster Care Agency	$0	$11.3M
Saint Vincent's Services, Inc.	MA	Adolescent and Children Mental Health Clinic/Center	$0	$10.3M
Alert Ambulance Service, Inc	MA	Land Ambulance	$2M	$6.5M

Ngoc Ly — Billing Profile & Reimbursement Data

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Ngoc Ly — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References