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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLay-hwa Lou
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    Lay-hwa Lou — Billing Profile & Reimbursement Data

    NPI 1477667285 · Fremont, CA · Internal Medicine Physician

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    Lay-hwa Lou is a internal medicine physician provider located in Fremont, California. This profile covers 19 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
    OrganizationLay-hwa Lou
    Address2333 Mowry Ave
    CityFremont
    StateCA
    ZIP94538
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 18, 2006

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

    Payer SourceTotal Paid
    Medicare$148K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,020$90$94.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit140$150$21.7K
    99442N/A110$70$7.1K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit30$190$5.2K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…100$30$2.9K
    77075In this procedure, the provider performs a series of X–rays imaging all the bones of the body to evaluate the spread of cancer or to detect any other abnormality.30$70$2.3K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment10$190$2.1K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…40$50$2K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…110$20$1.7K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…30$50$1.7K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    82306248490100$30$44.2K
    84443324620120$20$39.4K
    80061334700110$10$35.3K
    80053449950110$10$30.1K
    992141,53737,970120$90$23.2K
    8415333033090$20$22.5K
    850256451,210150$10$17.2K
    G04391,5147,80060$130$11.9K
    8204324035050$10$8.7K
    830364881,94050$10$7.6K

    Showing 1–10 of 19

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lay-hwa Lou, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thuy VoCAFamily Nurse Practitioner$4.4M$0
    Ashit JainCACardiovascular Disease Physician$2.1M$0
    Rajesh SuriCACardiovascular Disease Physician$1.8M$0
    Rao SunkavallyCAUrology Physician$268.1K$947.9K
    David SotoCAVascular & Interventional Radiology Physician$1.1M$0
    Hanh BuiCACardiovascular Disease Physician$795.6K$5.4K
    Zulfiqar AliCAInternal Medicine Physician$93.3K$615.6K
    Alok BhattacharyaCANeurology Physician$192K$23.8K
    Thirupathi ReddyCAInternal Medicine Physician$200.6K$0
    Khoi LamCAEmergency Medicine Physician$191.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Lay-hwa Lou, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bay Area Community HealthCAFederally Qualified Health Center (FQHC)$0$164.6M
    Bay Area Community HealthCAFederally Qualified Health Center (FQHC)$0$60M
    Bay Area Community HealthCAFederally Qualified Health Center (FQHC)$0$39M
    Washington Township Hospital DistrictCAGeneral Acute Care Hospital$0$28.1M
    Fremont Ambulatory Surgery Center, LPCAAmbulatory Surgical Clinic/Center$1.9M$7.1M
    Arbor Vita CorporationCAClinical Medical Laboratory$787.7K$6.3M
    Puneet ChandakCANuclear Medicine Physician$3.1M$0
    Claude BurdickCAAnatomic Pathology & Clinical Pathology Physician$2.7M$0
    Li-min HuCAPediatrics Physician$2.1M$0
    Washington Outpatient Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1.1M$660.9K

    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
    Lay-hwa Lou — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California