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NPI 1386626448 · La Mesa, CA · Family Medicine Physician
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Dat Nguyen is a family medicine physician provider located in La Mesa, California. This profile covers 10 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Dat Nguyen |
| Address | 5565 Grossmont Center Dr Ste 229 |
| City | La Mesa |
| State | CA |
| ZIP | 91942 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | November 15, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $550.7K |
| Medicaid | $22K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 5,910 | $50 | $307.1K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 1,560 | $100 | $153K |
| 99223 | The 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… | 200 | $140 | $28K |
| 99239 | The 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… | 210 | $100 | $19.9K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 1,330 | $10 | $16K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 180 | $60 | $11.2K |
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 30 | $170 | $5.9K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 100 | $50 | $5.1K |
| 0240U | N/A | 30 | $140 | $3.6K |
| 87811 | The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by… | 80 | $40 | $3.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
10 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 0240U | 3 | 10 | 30 | $140 | $404.9K |
| 99233 | 260 | 11,530 | 120 | $100 | $26.2K |
| 99291 | 5,072 | 7,220 | 60 | $180 | $18.6K |
| 99223 | 1,141 | 13,190 | 50 | $140 | $11.3K |
| 87811 | 56 | 420 | 30 | $40 | $10.4K |
| 99239 | 383 | 5,050 | 60 | $100 | $8.3K |
| 99497 | 450 | 2,560 | 50 | $70 | $8K |
| 99212 | 2 | 7,970 | 30 | $40 | $3.4K |
| 99211 | 16 | 1,610 | 40 | $20 | $2.4K |
| 99202 | 76 | 1,570 | 20 | $50 | $1.7K |
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 250 | $50 | $12K |
| 99223 | The 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… | 30 | $210 | $6.8K |
| 99239 | The 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… | 70 | $50 | $3.3K |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 1,663 | 2,670 | 540 | $40 | $183.4K |
| 99223 | The 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… | 2,127 | 2,730 | 190 | $90 | $100.3K |
| 99239 | The 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… | 565 | 910 | 160 | $50 | $73.4K |
Other providers in the same ZIP code as Dat Nguyen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Grossmont Hospital Corporation | CA | General Acute Care Hospital | $0 | $226.7M |
| Hassan Kafri Md, Inc. | CA | Interventional Cardiology Physician | $0 | $22.8M |
| Grossmont Surgery Center LP | CA | Ambulatory Surgical Clinic/Center | $1.2M | $6M |
| Paul Dato | CA | Urology Physician | $2M | $0 |
| Kai Zu | CA | Hematology & Oncology Physician | $1.7M | $2K |
| Igor Medic | CA | Hematology & Oncology Physician | $1.3M | $0 |
| Reema Batra | CA | Hematology & Oncology Physician | $1.2M | $1.5K |
| Nassir Azimi | CA | Cardiovascular Disease Physician | $1.1M | $0 |
| Hassan Kafri | CA | Cardiovascular Disease Physician | $945.1K | $6.5K |
| Arudi Prabhakar | CA | Specialist | $845.6K | $0 |
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