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NPI 1548333552 · New York, NY · Pulmonary Disease Physician
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Thomas Chan is a pulmonary disease physician provider located in New York, New York. This profile covers 14 Medicare and 23 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 | Thomas Chan |
| Address | 198 Canal Street |
| City | New York |
| State | NY |
| ZIP | 10013 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | November 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $661.7K |
| Medicare | $82.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 310 | $110 | $34.7K |
| 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… | 100 | $160 | $16.5K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 1,970 | $1 | $7.9K |
| 94664 | The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the… | 270 | $20 | $4.3K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 70 | $50 | $3.6K |
| 94728 | The provider performs pulmonary function testing (PFT) using sound waves to check airway resistance. | 90 | $40 | $3.4K |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 70 | $40 | $2.8K |
| 95012 | The provider performs a test involving nitric oxide exhaled by a patient into a nitric oxide monitoring system. The test helps with checking the level of inflammation in the airways of a patient who… | 140 | $20 | $2.5K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 70 | $40 | $2.5K |
| 94375 | The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to… | 60 | $30 | $1.9K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 5,533 | 30,450 | 90 | $100 | $19K |
| 95004 | 118 | 300 | 1,360 | $1 | $10.4K |
| 99215 | 1,565 | 8,280 | 40 | $140 | $10.1K |
| 94729 | 319 | 680 | 70 | $40 | $4.8K |
| 94727 | 129 | 310 | 50 | $40 | $4K |
| 94375 | 50 | 100 | 60 | $20 | $3.5K |
| 94060 | 280 | 740 | 50 | $30 | $3.1K |
| G0008 | 5,511 | 7,140 | 50 | $30 | $2.8K |
| 93000 | 3,916 | 6,620 | 60 | $10 | $2.2K |
| 95012 | 16 | 90 | 40 | $20 | $2.2K |
Showing 1–10 of 14
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.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 9,540 | $30 | $314.8K |
| 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… | 2,540 | $40 | $94.1K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 900 | $50 | $47.5K |
| 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,… | 2,900 | $10 | $37.7K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 2,370 | $10 | $28.5K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 2,350 | $10 | $28.1K |
| 94728 | The provider performs pulmonary function testing (PFT) using sound waves to check airway resistance. | 2,740 | $10 | $24.7K |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 2,320 | $10 | $20.9K |
| 95012 | The provider performs a test involving nitric oxide exhaled by a patient into a nitric oxide monitoring system. The test helps with checking the level of inflammation in the airways of a patient who… | 4,450 | $1 | $17.8K |
| 94664 | The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the… | 4,350 | $1 | $17.4K |
Showing 1–10 of 23
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
23 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 11,754 | 19,110 | 360 | $70 | $321K |
| 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… | 538 | 16,550 | 220 | $90 | $186.8K |
| 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,… | 713 | 5,420 | 210 | $70 | $154.3K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 91 | 410 | 150 | $190 | $151.6K |
| 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… | 123 | 2,050 | 90 | $140 | $121.2K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 773 | 1,660 | 160 | $20 | $106.1K |
| 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… | 3,176 | 3,820 | 100 | $130 | $99.7K |
| 95117 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit. | 215 | 270 | 1,130 | $10 | $57K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 4,351 | 5,090 | 450 | $10 | $35.9K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 534 | 1,510 | 230 | $10 | $28.7K |
Showing 1–10 of 23
Other providers in the same ZIP code as Thomas Chan, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Chinese-american Planning Council Home Attendant Program, Inc. | NY | Home Health Agency | $0 | $541.6M |
| Adj Fi Inc. | NY | Home Health Agency | $0 | $165.5M |
| Wengs Group Ny Inc | NY | Home Health Agency | $0 | $144.7M |
| Chinatown True Care Medical PLLC | NY | Internal Medicine Physician | $0 | $94.9M |
| Healthy Care Ny Inc | NY | Home Health Agency | $0 | $91.2M |
| Charles B. Wang Community Health Center, Inc. | NY | Federally Qualified Health Center (FQHC) | $0 | $77.3M |
| Lh Wellbeing Care Inc | NY | Health Maintenance Organization | $0 | $76.2M |
| Infinicare Inc. | NY | Home Health Agency | $0 | $70.4M |
| Infinicare Inc. | NY | Home Health Agency | $0 | $61.9M |
| Excelsior Integrated Medical Group, PLLC | NY | Specialist | $0 | $57.7M |
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