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

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

Raphael Nguyen (NPI 1386796845)

Field	Value
Entity Type	Individual
Organization	Raphael Nguyen
Address	7301 Mission Rd
City	Prairie Village
State	KS
ZIP	66208
Taxonomy	Podiatrist
NPI Enumerated	January 17, 2007

Payer Source	Total Paid
Medicare	$65.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	730	$30	$21K
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,…	570	$40	$21K
11055	The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.	190	$50	$9K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	160	$50	$8.4K
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	$5K
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.	40	$20	$660
11720	The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.	30	$20	$610

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kansas Distribution

Raphael Nguyen — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	29	70	520	$30	$24.1K
11056	24	50	150	$50	$13.4K
11720	28	30	200	$20	$9.9K
11055	9	50	90	$40	$5K
99212	4	1,050	30	$30	$2.1K
99211	78	180	40	$10	$1.5K
99202	9	200	20	$40	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maria Cosentino	KS	Foot Surgery Podiatrist	$285.7K	$0
Ann Hanon	MO	Foot & Ankle Surgery Podiatrist	$115.5K	$0
Patricia Christian	KS	Family Nurse Practitioner	$61.6K	$0
Douglas Brown	KS	Podiatrist	$30.4K	$330
Eileen Derks-wilson	KS	Family Nurse Practitioner	$29.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wineteer, Inc.	KS	Home Modifications Contractor	$0	$19.6M
Physicians' Surgery Center, LLC	KS	Ambulatory Surgical Clinic/Center	$2.4M	$0
Miranda Bishara	KS	Ophthalmology Physician	$413.6K	$0
Steven Unterman	KS	Ophthalmology Physician	$230.6K	$0
Riley Stowe	KS	Physician Assistant	$198K	$0
Joseph Parelman	KS	Ophthalmology Physician	$191.3K	$0
Hy-vee Inc	KS	Community/Retail Pharmacy	$171.3K	$0
Hope Hillyard	KS	Physical Therapist	$125.4K	$0
Kansas Cvs Pharmacy, L.L.C.	KS	Pharmacy	$112.8K	$0
Jason Sokol	KS	Ophthalmic Plastic and Reconstructive Surgery Physician	$104.2K	$0

Raphael Nguyen — Billing Profile & Reimbursement Data

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Raphael Nguyen — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References