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    OpenPayerNPI Medicare & MedicaidKaren Ng
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    Karen Ng — Billing Profile & Reimbursement Data

    NPI 1508859109 · Providence, RI · Family Medicine Physician

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    Karen Ng is a family medicine physician provider located in Providence, Rhode Island. This profile covers 2 Medicare and 42 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
    OrganizationKaren Ng
    Address31 Atwood St
    CityProvidence
    StateRI
    ZIP02909
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 30, 2005

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

    Payer SourceTotal Paid
    Medicaid$889.2K
    Medicare$430

    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
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…30$10$330
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…30$1$100

    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
    830367019030$10$1.2K
    82962114030$1$110

    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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…6,670$50$360.2K
    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…2,390$70$160K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…830$80$62.5K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.540$90$46.8K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…650$60$36.8K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.3,270$10$29.4K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.400$70$29.2K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…450$60$25.8K
    99051The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.870$20$19.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…630$30$19.5K

    Showing 1–10 of 42

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    42 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1421,730220$70$75.2K
    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…562,050300$50$72.3K
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…1150110$60$42K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…32190160$90$39.1K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…40160160$80$39K
    92587Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…3440160$60$33.2K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.43190110$90$32K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…21210100$20$31.6K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.2414090$90$29.2K
    G0467Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…306070$70$26.5K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Providence Community Health Centers, Inc.RIFederally Qualified Health Center (FQHC)$0$13.4M
    The Providence Community Health Centers, Inc.RIFederally Qualified Health Center (FQHC)$0$8.3M
    Erica KnarrRIDentist$0$3.5M
    Raj PandeRIDentist$0$2.1M
    Steven LoweRIDentist$0$1.7M
    Emily WhiteRIObstetrics & Gynecology Physician$0$1.6M
    Beth ToolanRIPediatrics Physician$0$1.3M
    Jennifer SunderlandRIAdvanced Practice Midwife$0$1.3M
    Altug KoymenRIObstetrics & Gynecology Physician$0$1.2M
    Boris SkurkovichRIPediatrics Physician$0$1.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Cove Center, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$58.7M
    Groden Center, Inc.RICommunity/Behavioral Health Agency$0$6.6M
    Easter Seals Rhode IslandRIChild Intellectual and/or Developmental Disabilities Respite Care$0$6.5M
    Groden Center, Inc.RICommunity/Behavioral Health Agency$0$4.4M
    Groden Center, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$3.3M
    Codac IncRIMethadone Clinic$206.4K$2.7M
    Upward Health Solutions Rhode Island LLCRICase Management Agency$0$2M
    Easter Seals Rhode IslandRIDevelopmentally Disabled Services Day Training Agency$0$1.7M
    Jessica WaughRIBehavior Analyst$0$1.6M
    Lonice ThomasRIPediatrics Physician$0$1.1M

    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. Rhode Island Distribution
    Karen Ng — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Karen Ng — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island