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    OpenPayerNPI Medicare & MedicaidLeo Kan
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    Leo Kan — Billing Profile & Reimbursement Data

    NPI 1447338926 · Placentia, CA · Ophthalmology Physician

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    Leo Kan is a ophthalmology physician provider located in Placentia, California. This profile covers 2 Medicare and 14 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)

    FieldValue
    Entity TypeIndividual
    OrganizationLeo Kan
    Address377 E Chapman Ave
    CityPlacentia
    StateCA
    ZIP92870
    TaxonomyOphthalmology Physician
    NPI EnumeratedNovember 1, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$432.2K
    Medicaid$28.8K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An 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…2,990$110$319.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.870$130$113K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9201492,890110$100$28.7K
    92004141,95050$110$9.7K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…630$40$23.3K
    92014An 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…2,190$1$4.4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.670$1$2K
    92012For 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…30$1$30
    1036FN/A1,460$0$0
    1123FNo Summary found for this code310$0$0
    2022FThe ophthalmology or optometry provider performs a dilated retinal eye exam in a diabetic patient with evidence of diabetic retinopathy. He interprets the findings and documents them in the patient’s…360$0$0
    3072FThe provider reports this code, if any previous examination within the last 12 months shows that there is no evidence of retinopathy or low risk of retinopathy. An automated result is not necessary.30$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications200$0$0
    G9744Patient not eligible due to active diagnosis of hypertension330$0$0

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    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

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…4361,000440$30$72K
    92012For 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…861990370$30$61.1K
    92014An 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…5152,460430$30$48.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.9822,420410$30$37K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications466920220$1$1.3K
    G9974Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity172020$1$510
    1123FNo Summary found for this code66220110$1$270
    G9903Patient screened for tobacco use and identified as a tobacco non-user169280170$1$220
    2022FThe ophthalmology or optometry provider performs a dilated retinal eye exam in a diabetic patient with evidence of diabetic retinopathy. He interprets the findings and documents them in the patient’s…4518080$1$210
    1036FN/A3711,240390$1$150

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reedley Community HospitalCARural Health Clinic/Center$0$138.4M
    Providence Medical FoundationCAFamily Medicine Physician$0$52.6M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Reedley Community HospitalCARural Health Clinic/Center$0$38.6M
    Reedley Community HospitalCARural Health Clinic/Center$0$24.1M
    Reedley Community HospitalCARural Health Clinic/Center$0$22.7M
    Adventist Health DelanoCAGeneral Acute Care Hospital$0$22.3M
    Inder SinghCAInterventional Cardiology Physician$4.7M$0
    Humberto VillalvazoORFamily Medicine Physician$4.3M$0
    Hanumandla ReddyCASpecialist$3.8M$8.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Choice Mobile Radiology Service LLCCAPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$2.1M$3.2M
    Andy HsiCAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Alexi YarashevichCAFamily Nurse Practitioner$331.1K$0
    John MarshburnCAOphthalmology Physician$308.8K$0
    First Choice Mobile Radiology Service LLCCADiagnostic Ultrasound Physician$213.2K$66.5K
    John GambolCAUndersea and Hyperbaric Medicine (Emergency Medicine) Physician$190.1K$2K
    Melanie ReedCAPodiatrist$34.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Leo Kan — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Leo Kan — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California