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    OpenPayerNPI Medicare & MedicaidJohn Nguyen
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    John Nguyen — Billing Profile & Reimbursement Data

    NPI 1457556003 · Morgantown, WV · Ophthalmic Plastic and Reconstructive Surgery Physician

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    John Nguyen is a ophthalmic plastic and reconstructive surgery physician provider located in Morgantown, West Virginia. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Nguyen
    Address1 Stadium Drive
    CityMorgantown
    StateWV
    ZIP26506
    TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
    NPI EnumeratedJune 15, 2007

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

    Payer SourceTotal Paid
    Medicare$80.6K
    Medicaid$0

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…40$560$20K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…180$70$12.7K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…120$90$10.9K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…30$330$10.4K
    67900The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…20$280$5.5K
    67966The provider excises damaged or diseased tissue of the eyelid that may include the edges of the lid, the lid’s inner plate, the membrane lining of the lid, or the corner where the lids come together.…10$460$5.1K
    67908The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…10$270$3.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…60$50$3K
    37609In this procedure, the provider incises in front of the ears to locate the temporal artery, and ligates the artery with a suture or clamp. He may also take a biopsy of the artery as an option. A…20$160$2.6K
    68815The provider probes the nasolacrimal duct to identify a possible obstruction or stricture; he may or may not irrigate the duct. He inserts a tube or stent to keep the nasolacrimal duct open.20$120$2.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1582321020$560$12.9K
    992147952,740100$70$11.8K
    6791711030$340$8.9K
    992131,6832,86080$50$7.5K
    6790011020$330$6K
    6796611010$460$5.1K
    99204541,22030$100$4.1K
    6790811010$270$3.2K
    9208314415040$40$2.9K
    9920375194030$60$2.8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Virginia University Medical CorporationWVFamily Medicine Physician$0$162.1M
    United Hospital Center, IncWVGeneral Acute Care Hospital$0$63.3M
    St Josephs Hospital Of Buckhannon IncWVCritical Access Hospital$0$41.8M
    United Hospital Center, Inc.WVInternal Medicine Physician$0$13.7M
    St Josephs Hospital Of BuckhannonWVInternal Medicine Physician$0$4.5M
    St. Joseph's Hospital Of Buckhannon, Inc.WVRural Health Clinic/Center$0$2.2M
    United Hospital CenterWVInternal Medicine Physician$0$1.5M
    St. Joseph's Hospital Of Buckhannon, Inc.WVRural Health Clinic/Center$0$1.1M
    Edward KiggunduWVRadiation Oncology Physician$835.2K$0
    David WeberPASpecialist$292.8K$498.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Virginia University Hospitals, IncWVGeneral Acute Care Hospital$0$124.1M
    West Virginia University Hospitals, Inc.WVSubstance Abuse Rehabilitation Facility$0$15.4M
    West Virginia University Dental CorporationWVDentist$0$5.9M
    West Virginia University Hospitals, IncWVEmergency Medicine Physician$0$3M
    Heather BooWVNeuroradiology Physician$596.8K$0
    Arijit ChakravartyWVNephrology Physician$281K$0
    Adeem AkbarWVNephrology Physician$162.7K$0
    Robert MarshWVNeurological Surgery Physician$152.1K$0
    Mark LisleWVDiagnostic Radiology Physician$150.1K$710
    Brian HamlinWVAdult Reconstructive Orthopaedic Surgery Physician$148.2K$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. West Virginia Distribution
    John Nguyen — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia