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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSean Cao
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    Sean Cao — Billing Profile & Reimbursement Data

    NPI 1558360966 · Fountain Valley, CA · Surgery Physician

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    Sean Cao is a surgery physician provider located in Fountain Valley, California. This profile covers 6 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
    OrganizationSean Cao
    Address9940 Talbert Ave
    CityFountain Valley
    StateCA
    ZIP92708
    TaxonomySurgery Physician
    NPI EnumeratedJuly 18, 2005

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

    Payer SourceTotal Paid
    Medicare$61.9K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    47120The provider performs a hepatectomy, or the surgical resection of a portion of the liver. She also partially resects a lobe of the liver. The provider performs this procedure for the treatment of…20$1,890$30.2K
    47100The provider performs an excisional liver biopsy, in which she takes out a wedge shaped section of liver tissue with a needle or surgical knife. The provider commonly performs this service to…20$390$8.2K
    47300In this procedure, the provider incises and drains the cyst or abscess from the liver. He then creates a sort of pouch from the cyst or abscess walls so it can continue to drain.10$590$7.1K
    99205The provider sees a new 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 provider…40$170$6.8K
    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…40$140$5.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$140$4.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4712011020$1,890$30.2K
    992158,91815,36050$130$14.4K
    992238,18213,19050$140$11.3K
    992052,9368,36030$170$7.2K
    4730011010$590$7.1K
    4710011020$430$6.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John HwangCARetina Specialist (Ophthalmology) Physician$1.9M$1.7M
    Charles EifrigCARetina Specialist (Ophthalmology) Physician$2.6M$885K
    Chiwai ChanCAInterventional Pain Medicine Physician$857.1K$2.3M
    Randall NguyenCAOphthalmology Physician$2.9M$118.3K
    Tien NguyenCADermatology Physician$447.5K$2.2M
    Michael RohCAOphthalmology Physician$1.6M$956.2K
    Desmond McguireCARetina Specialist (Ophthalmology) Physician$1.4M$1.1M
    Abdulkareem SharafCACardiovascular Disease Physician$1.2M$1.2M
    Son DuongCAVascular Surgery Physician$1.2M$1.1M
    Paul KimCARadiation Oncology Physician$1.6M$540.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lab Genomics, LLCCAClinical Medical Laboratory$292.5K$11M
    John SaitoCAPediatric Pulmonology Physician$468.7K$6.5M
    Chih-tao HouCAFamily Nurse Practitioner$3.8M$0
    Orange County Diagnostic Radiology, Inc.CASpecialist$1.2M$1.6M
    Steven LeCACardiovascular Disease Physician$1.2M$584.3K
    Medizen Advanced Imaging IncCADiagnostic Ultrasound Physician$465.2K$1.3M
    Harpreet SinghCASpecialist$903.2K$728.8K
    Bachar KurdiCAEndocrinology, Diabetes & Metabolism Physician$1M$593.6K
    Fountain Valley Regional Sleep Center, LLCCASleep Disorder Diagnostic Clinic/Center$240K$1.3M
    Tuan NguyenCAInterventional Cardiology Physician$1.3M$233.5K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Sean Cao — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California