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NPI 1427051994 · Santa Ana, CA · Ophthalmology Physician
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Sanford Chen is a ophthalmology physician provider located in Santa Ana, California. This profile covers 19 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 | Sanford Chen |
| Address | 1200 N Tustin Ave |
| City | Santa Ana |
| State | CA |
| ZIP | 92705 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | May 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.8M |
| Medicaid | $190 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 2,150 | $690 | $1.5M |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 13,020 | $30 | $377.6K |
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 1,600 | $100 | $155.2K |
| 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… | 1,440 | $100 | $145.6K |
| J3490 | Unclassified drugs | 70 | $1,980 | $132.5K |
| 99215 | The 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… | 780 | $140 | $108.8K |
| J2778 | Injection, ranibizumab, 0.1 mg | 510 | $190 | $94.7K |
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 2,350 | $30 | $77.6K |
| 92201 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 2,420 | $20 | $48.4K |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 330 | $120 | $39.6K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 34 | 310 | 570 | $690 | $647.1K |
| J2777 | 84 | 200 | 10,740 | $30 | $459.5K |
| J2778 | 74 | 130 | 700 | $180 | $196K |
| J2781 | 44 | 60 | 480 | $120 | $95.7K |
| 67028 | 61 | 470 | 420 | $100 | $71.8K |
| J3490 | 181 | 320 | 80 | $190 | $49.2K |
| J7312 | 20 | 40 | 240 | $160 | $40.5K |
| J7999 | 177 | 240 | 130 | $140 | $34.9K |
| 92014 | 88 | 2,890 | 110 | $100 | $28.7K |
| 99214 | 32,662 | 37,970 | 120 | $90 | $23.2K |
Showing 1–10 of 19
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 |
|---|---|---|---|---|
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 40 | $1 | $160 |
| 92201 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 20 | $1 | $20 |
| 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… | 20 | $1 | $20 |
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 |
|---|---|---|---|---|---|---|
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 576 | 700 | 420 | $20 | $60.3K |
| 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… | 2,274 | 2,460 | 430 | $30 | $48.3K |
| 92201 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 129 | 150 | 230 | $10 | $11K |
Other providers in the same ZIP code as Sanford Chen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Tustin Aba Services For Kids LLC | CA | Behavior Analyst | $0 | $23.2M |
| Equaltox, LLC | CA | Clinical Medical Laboratory | $1.5M | $7.3M |
| Newport Labs Inc | CA | Clinical Medical Laboratory | $413.1K | $4.6M |
| Rajiv Rathod | CA | Ophthalmology Physician | $4.3M | $670.6K |
| Timothy You | CA | Ophthalmology Physician | $4.5M | $115.9K |
| Esther Kim | CA | Retina Specialist (Ophthalmology) Physician | $4.2M | $15.7K |
| First Rate Lab LLC | CA | Clinical Medical Laboratory | $3M | $951.1K |
| Desmond Mcguire | CA | Retina Specialist (Ophthalmology) Physician | $1.4M | $1.1M |
| Illuminate Diagnostics Inc | CA | Clinical Medical Laboratory | $1.5M | $940.8K |
| Virgil Hernandez | CA | Foot & Ankle Surgery Podiatrist | $1.7M | $0 |
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