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    OpenPayerNPI Medicare & MedicaidPhong Le
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    Phong Le — Billing Profile & Reimbursement Data

    NPI 1568673812 · Milford, DE · Pain Medicine (Anesthesiology) Physician

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    Phong Le is a pain medicine (anesthesiology) physician provider located in Milford, Delaware. This profile covers 9 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
    OrganizationPhong Le
    Address1197 Airport Rd
    CityMilford
    StateDE
    ZIP19963
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedMay 25, 2007

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

    Payer SourceTotal Paid
    Medicare$80.2K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…270$100$26.2K
    96130The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…220$90$19.6K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…80$190$14.1K
    96138A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.240$30$6.1K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.80$60$4.9K
    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…30$130$3.4K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).30$110$2.9K
    62370The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…40$70$2.4K
    64484This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…20$40$670

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    644832940170$220$62.4K
    G04821320100$190$33K
    992146181,830150$80$25.5K
    96130110220$90$19.6K
    803071720200$60$16.4K
    96138920190$20$11.4K
    9920457495030$110$6.5K
    64484253090$60$5.5K
    6237021050$70$3.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Interventional Pain Spine LLCDEInterventional Pain Medicine Physician$0$17.6M
    Chee WooDEPain Medicine Physician$913.5K$140
    Thomas WhiteTXInterventional Pain Medicine Physician$561.5K$0
    Venkatesh SundararajanPAPain Medicine Physician$498.5K$0
    Terence DuffyDEPain Medicine (Physical Medicine & Rehabilitation) Physician$477K$0
    Maryum RafiqueDEPhysical Medicine & Rehabilitation Physician$437.2K$0
    Raza PashaTXOtolaryngology Physician$387K$600
    Philip KimPAPain Medicine Physician$385.9K$300
    Justin WinasPAPain Medicine Physician$325.9K$8.6K
    Manny LaiDEPain Medicine Physician$288.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$39.5M
    Banyan Delaware LLCDESubstance Abuse Rehabilitation Facility$0$30.9M
    Bayada Home Health Care, Inc.DEHome Health Agency$0$28.5M
    Epic Health Services (de), LLCDEHome Health Agency$0$19.3M
    Delaware Pediatric DentistryDEPediatric Dentistry$0$18.1M
    Kent-sussex IndustriesDEDevelopmentally Disabled Services Day Training Agency$0$11.7M
    Nurses 'n Kids Of Milford, Inc.DEMedically Fragile Infants and Children Day Care$0$9.5M
    Prn Staffers IncDEHome Health Agency$0$7.6M
    People's Place Ii, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$4.9M
    Bayhealth Medical Center, Inc.DEClinic/Center$0$3.7M

    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. Delaware Distribution
    Phong Le — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware