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NPI 1518313659 · Falls Church, VA · Internal Medicine Physician
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Dan Pham is a internal medicine physician provider located in Falls Church, Virginia. This profile covers 38 Medicare and 64 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Dan Pham |
| Address | 107 Park Pl |
| City | Falls Church |
| State | VA |
| ZIP | 22046 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | May 8, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $402.4K |
| Medicaid | $162.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
38 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 1,510 | $60 | $82.8K |
| 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… | 580 | $110 | $63.5K |
| 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… | 860 | $70 | $55.6K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 240 | $180 | $42.8K |
| 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… | 340 | $80 | $25.5K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 330 | $40 | $14.1K |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 280 | $50 | $13.3K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 60 | $220 | $12.2K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 40 | $280 | $10.2K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 220 | $50 | $10.2K |
Showing 1–10 of 38
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
38 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 1,521 | 12,890 | 140 | $80 | $21K |
| 99490 | 24 | 510 | 130 | $50 | $15.5K |
| 91320 | 623 | 910 | 70 | $130 | $15K |
| G0439 | 1,910 | 2,960 | 80 | $120 | $14.7K |
| 99454 | 103 | 210 | 220 | $40 | $13.6K |
| 99457 | 80 | 220 | 220 | $40 | $10.3K |
| 99213 | 294 | 12,440 | 90 | $60 | $10K |
| 99223 | 3,330 | 3,660 | 40 | $130 | $9.2K |
| 90677 | 368 | 1,850 | 20 | $280 | $8K |
| 99204 | 27 | 6,850 | 40 | $110 | $5.9K |
Showing 1–10 of 38
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
64 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,730 | $30 | $53.7K |
| 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… | 770 | $40 | $34K |
| 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… | 340 | $50 | $18.1K |
| H0001 | Alcohol and/or drug assessment | 420 | $20 | $8.8K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 70 | $80 | $5.5K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 1,040 | $1 | $4.2K |
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 40 | $80 | $3.4K |
| 99212 | The 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,… | 130 | $20 | $2.8K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 210 | $10 | $2.5K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 410 | $10 | $2.1K |
Showing 1–10 of 64
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
64 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 96366 | The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease. | 67 | 80 | 1,510 | $220 | $512K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 97 | 110 | 2,780 | $110 | $471.1K |
| 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… | 1,417 | 3,520 | 370 | $70 | $280.7K |
| 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… | 1,007 | 4,010 | 290 | $50 | $199.8K |
| 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… | 287 | 970 | 100 | $100 | $87.1K |
| 99203 | The provider sees a new 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 provider… | 694 | 1,000 | 100 | $70 | $81.1K |
| 99212 | The 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,… | 503 | 980 | 140 | $70 | $70.9K |
| J3490 | Unclassified drugs | 107 | 130 | 2,850 | $1 | $56.6K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 90 | 120 | 180 | $20 | $35.7K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 40 | 90 | 40 | $100 | $34.2K |
Showing 1–10 of 64
Other providers in the same ZIP code as Dan Pham, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Capital Home Care LLC | VA | In Home Supportive Care Agency | $0 | $30.3M |
| Allay Home Care LLC | VA | Home Health Agency | $0 | $11.7M |
| Bg Healthcare Services Inc | VA | Home Health Agency | $0 | $11M |
| Vl Home Health Care, LLC | VA | Home Health Agency | $0 | $7.9M |
| A2z Home Health Care LLC | VA | In Home Supportive Care Agency | $0 | $7.7M |
| Navera Ahmed | VA | Rheumatology Physician | $659.7K | $0 |
| Christopher Wyckoff | VA | Pulmonary Disease Physician | $183.7K | $0 |
| Andrew Buscemi | VA | Family Medicine Physician | $178.2K | $0 |
| Christopher Luk | VA | Family Medicine Physician | $175.6K | $0 |
| Firoozeh Shahidi | VA | Endocrinology, Diabetes & Metabolism Physician | $134.3K | $0 |
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