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

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

Samuel Koo (NPI 1467626374)

Field	Value
Entity Type	Individual
Organization	Samuel Koo
Address	901 Boren Ave
City	Seattle
State	WA
ZIP	98104
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	April 22, 2008

Payer Source	Total Paid
Medicare	$130.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	30	$1,160	$39.4K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	30	$920	$30.3K
73222	In this diagnostic procedure, the provider performs a magnetic resonance imaging of any of the joints of the upper extremity, which can be the shoulder, elbow, wrist, or joints of the hand. The…	50	$230	$10.5K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	20	$420	$9.6K
99214	The 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…	90	$100	$9.4K
99213	The 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…	80	$70	$5.5K
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…	40	$140	$5K
73040	In this procedure, the provider performs imaging supervision and interpretation of a shoulder joint study. The provider injects contrast material and/or air into the patient’s shoulder joint and…	50	$100	$4.6K
99204	The 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…	40	$110	$4.3K
29823	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…	40	$120	$4.1K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Samuel Koo — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
29828	5	30	20	$1,240	$28.4K
29827	12	90	20	$1,130	$26.1K
23472	23	100	20	$770	$20.8K
99214	5,595	10,860	100	$80	$13.6K
99215	2,189	4,320	40	$120	$8.4K
29823	2	40	20	$350	$6.7K
99213	4,013	9,690	60	$60	$6.5K
73222	3	20	20	$190	$5.2K
99204	1,831	4,750	30	$110	$5.2K
73040	2	10	50	$70	$3.6K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$2.4M	$680
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.7M	$0
Proliance Surgeons Inc Ps	WA	Ambulatory Surgical Clinic/Center	$1.4M	$0
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.1M	$24.2K
The Retina Surgery Center LLC	WA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$830.4K	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$793.8K	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$617.8K	$0
Stacia Smith	WA	Orthopaedic Surgery Physician	$324.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harborview Medical Center	WA	General Acute Care Hospital	$0	$128.2M
Seattle-king County Dept Of Public Health	WA	Case Manager/Care Coordinator	$0	$74M
The Association Of University Physicians	WA	Anesthesiology Physician	$0	$66.3M
Seattle-king County Dept Of Public Health	WA	Dental Clinic/Center	$0	$62.9M
Bloodworks	WA	Community/Retail Pharmacy	$0	$56.8M
Swedish Health Services	WA	Internal Medicine Physician	$0	$21.1M
International Community Health Services	WA	Dentist	$0	$16M
Swedish Health Services	WA	Family Medicine Physician	$0	$11.1M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.2M
King County Finance	WA	State or Local Public Health Clinic/Center	$0	$5.7M

Samuel Koo — Billing Profile & Reimbursement Data

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Samuel Koo — 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