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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRachel Chen
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    Rachel Chen — Billing Profile & Reimbursement Data

    NPI 1558740605 · Aurora, CO · Retina Specialist (Ophthalmology) Physician

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    Rachel Chen is a retina specialist (ophthalmology) physician provider located in Aurora, Colorado. This profile covers 16 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
    OrganizationRachel Chen
    Address12605 E 16th Ave
    CityAurora
    StateCO
    ZIP80045
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 22, 2015

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

    Payer SourceTotal Paid
    Medicare$1M
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg710$690$490.6K
    J2777Injection, faricimab‑svoa, 0.1 mg5,460$30$158.3K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…1,290$110$138.9K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.580$110$62.4K
    J2778Injection, ranibizumab, 0.1 mg300$190$55.5K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.1,470$40$52.9K
    99204The 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…190$130$24.9K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…110$120$13K
    92202The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…860$10$12K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…360$20$7.6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01783060740$690$618.3K
    J277727408,910$30$456.1K
    J27781920600$180$199.7K
    670284280670$100$73.3K
    J79993850230$70$21.5K
    920143670100$80$15.2K
    9223595050$110$12.2K
    921342944060$30$7.8K
    9201218021050$60$6.8K
    99204383,67030$110$4.7K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Physicians IncorporatedCOInternal Medicine Physician$0$190.8M
    Children's Hospital ColoradoCOChildren's Hospital$0$114.9M
    Uch-mhsCOGeneral Acute Care Hospital$0$69M
    University Of Colorado Hospital AuthorityCOGeneral Acute Care Hospital$0$58.1M
    Johns Hopkins UniversityMDEmergency Medicine Physician$0$21.1M
    The Retina Group Of Washington, PLLCMDOphthalmology Physician$0$19.5M
    Children's Hospital ColoradoCOChildren's Hospital$0$17.8M
    University Physicians IncorporatedCOPediatrics Physician$0$7.8M
    Children's Hospital ColoradoCOChildren's Hospital$0$7.3M
    University Physicians IncorporatedCOClinical Medical Laboratory$0$6.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLCCOProsthetic/Orthotic Supplier$0$7.3M
    Children's Optical, LLCCOPediatric Optometrist$0$6.4M
    Rmchs ManagementCOPediatric Dentistry$0$4.4M
    University Physicians IncorporatedCOClinical Medical Laboratory$271.4K$3.4M
    Marisa LauCOOphthalmology Physician$2M$0
    Jorge Monge UrreaCOHematology & Oncology Physician$1.9M$18.9K
    University Physicians IncorporatedCOClinical Medical Laboratory$509.9K$886.9K
    Jeffrey OlsonCOOphthalmology Physician$983.2K$0
    Signal Diagnostics LLCCOClinical Medical Laboratory$976K$0
    Ali ShahabiCOCytopathology Physician$859.7K$0

    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. Colorado Distribution
    Rachel Chen — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado