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    OpenPayerNPI Medicare & MedicaidYuanbin Chen
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    Yuanbin Chen — Billing Profile & Reimbursement Data

    NPI 1467627653 · Orlando, FL · Medical Oncology Physician

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    Yuanbin Chen is a medical oncology physician provider located in Orlando, Florida. This profile covers 60 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
    OrganizationYuanbin Chen
    Address1400 S Orange Ave
    CityOrlando
    StateFL
    ZIP32806
    TaxonomyMedical Oncology Physician
    NPI EnumeratedApril 28, 2008

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    This provider is a medical oncology physician in Orlando, FL with long-established Medicare participation — the NPI was enumerated 2008-04-28 (~18 years ago), indicating nearly two decades of billing history and likely sustained practice operations. That tenure supports interpretation of the reported billing mix as a stable clinical pattern rather than a transient or new specialty shift.

    Medicare is the sole payer in the dataset for this provider: total Medicare revenue is $2.7M while there is no Medicaid billing on file, so the practice is effectively single-payer in the available claims universe and any Medicaid-related market exposure or risk is not observable.

    Revenue is highly concentrated in a small set of high-cost oncology drugs and immunotherapies: the precomputed top three Medicare codes by revenue account for 74.2% of total Medicare revenue, signifying that a few injectable oncology agents drive most of the practice’s Medicare income. Clinically, that concentration is consistent with an infusion-based oncology practice focused on systemic anticancer therapy rather than primarily office-based E/M visits.

    The top individual revenue driver is J9299 (nivolumab 1 mg), which generated $779.8K and represents 29.4% of the provider’s Medicare revenue; the provider ranks #59 of 505 nationally for this code (88th percentile), indicating a solid but not dominant national position and typical volume relative to peers for this drug. Similarly, J9228 (ipilimumab 1 mg) produced $637.5K (24.0% of Medicare revenue) and ranks #6 of 12 nationally (55th percentile), a modest national presence with typical volume language in the benchmark notes.

    A third high-revenue oncology drug, J9271 (pembrolizumab 1 mg), contributed $551.6K (20.8% of Medicare revenue) and the provider ranks #865 of 1841 nationally (53th percentile), again described as a typical, unremarkable volume. Together these three immuno-oncology agents form the core of the practice’s billings and indicate ongoing delivery of checkpoint inhibitor therapies.

    Beyond drug administration, procedural and E/M activity is present but comparatively small: chemotherapy administration add-on and infusion codes such as 96413 ($56.4K, 2.1% of Medicare revenue) rank notably above typical national volume (95th percentile), while standard E/M codes like 99214 and 99213 together account for only ~1.6% of Medicare revenue, suggesting the practice emphasizes drug delivery/infusions over high-volume outpatient visit billing.

    There are select areas of unusually high procedural volume relative to national peers: 96413 is explicitly flagged as "notably above typical national volume" (95th percentile), suggesting the provider administers chemotherapy infusions at a higher-than-typical rate for peers. Conversely, many other codes (multiple J-codes and E/M codes) are described as "typical, unremarkable volume," indicating that aside from certain infusion administration counts, the provider’s mix aligns with common oncology practice patterns.

    Lab and ancillary services are supportive but not major revenue sources: panels and common lab codes (80053, 84443, 85025) each contribute small amounts (<0.3% of Medicare revenue) and generally rank high in percentiles (around the 90th percentile), implying that while labs are frequently ordered, they are a standard complement to the infusion-centered care model rather than a primary revenue stream.

    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.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9299Injection, nivolumab, 1 mg32,490$20$779.8K
    J9228Injection, ipilimumab, 1 mg4,900$130$637.5K
    J9271Injection, pembrolizumab, 1 mg12,830$40$551.6K
    J9304Injection, pemetrexed (pemfexy), 10 mg5,160$60$314.6K
    J1930Injection, lanreotide, 1 mg3,840$40$165.1K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…610$90$56.4K
    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…290$90$26.7K
    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…260$60$15.8K
    M0010Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services170$80$12.9K
    99215The 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…80$130$9.9K

    Showing 1–10 of 60

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 60 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    60 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271821016,100$40$802.7K
    J929917015,580$20$423.9K
    J93041102,660$60$147.6K
    J34901818070$280$87.5K
    964133730200$100$26.1K
    992142,07332,760140$90$25K
    80053251,430170$10$21.3K
    84443231,210130$20$20.9K
    992331,6629,970100$90$20.1K
    8202413060$40$14.4K

    Showing 1–10 of 60

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orlando Health, Inc.FLGeneral Acute Care Hospital$0$105.5M
    Cancer & Hematology Centers Of Western Mi, P.C.MISpecialist$0$59.5M
    Orlando Health Medical Group IncFLInternal Medicine Physician$0$57.6M
    Spectrum Health UnitedMIGeneral Acute Care Hospital$0$20.9M
    South Lake Hospital, Inc.FLGeneral Acute Care Hospital$0$16.9M
    Orlando Health Central, Inc.FLGeneral Acute Care Hospital$0$12.5M
    Orlando Physicians Network IncFLInternal Medicine Physician$0$9.4M
    Spectrum Health UnitedMIRural Health Clinic/Center$0$6.6M
    Amarilis TorresFLRheumatology Physician$1.7M$0
    Adli YakanMIMedical Oncology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergency Physicians Of Central Florida LLPFLEmergency Medicine Physician$0$50M
    Nemours Children's Health, Downtown Orlando, Specialty CareFLMulti-Specialty Clinic/Center$0$44.4M
    Dva Renal Healthcare IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$14.5M
    Elia MavrofridesFLOphthalmology Physician$6.2M$240
    Samuel HoustonFLOphthalmology Physician$4.2M$39.3K
    Matthew CunninghamFLOphthalmology Physician$4M$1.8K
    Eric FeinsteinFLOphthalmology Physician$3.4M$1.5K
    Jaya KumarFLOphthalmology Physician$3.4M$3K
    John RandolphFLOphthalmology Physician$3M$0
    Gokul KumarFLOphthalmology Physician$3M$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. Florida Distribution
    Yuanbin Chen — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida