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    OpenPayerNPI Medicare & MedicaidBrian Chan-kai
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    Brian Chan-kai — Billing Profile & Reimbursement Data

    NPI 1578690566 · Portland, OR · Retina Specialist (Ophthalmology) Physician

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    Brian Chan-kai is a retina specialist (ophthalmology) physician provider located in Portland, Oregon. This profile covers 15 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
    OrganizationBrian Chan-kai
    Address10819 Se Stark St
    CityPortland
    StateOR
    ZIP97216
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedFebruary 27, 2007

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    Key Findings

    This provider reports $1.3M in total Medicare revenue and has no Medicaid billing on file, so the available billing footprint is effectively single‑payer Medicare. Analysts should treat utilization and revenue signals as Medicare-driven rather than a mixed‑payer profile when benchmarking or projecting volume.

    Revenue is highly concentrated in a small number of drug codes: the top three Medicare codes account for 74.1% of the provider's Medicare revenue. J0178 alone represents 53.7% of Medicare revenue ($714.1K from 1K claims at $686 avg paid/claim), followed by J2777 with $179.3K (13.5% from 6.2K claims at $29 avg paid/claim) and J3490 with $92K (6.9% from 54 claims at $1703 avg paid/claim).

    The code mix is consistent with a retina-focused, injection-centered practice: prominent intravitreal drug codes (J0178, J2777, J2781) plus procedure 67028 and high-volume retinal imaging 92134 indicate routine intravitreal injections with same-day or follow-up OCT imaging and E&M visits. Presence of J2781 (pegcetacoplan) and J7999 (compounded drug) further suggests treatment for macular disease and occasional use of compounded therapies.

    Although J0178 produces a majority of the provider's Medicare dollars, the provider's national rank for J0178 is #1250 of 3204 (61th percentile) and the code is labeled "typical, unremarkable volume," meaning that the practice’s dependence on aflibercept is material to its revenue mix but not indicative of unusually high national utilization for that drug. In other words, the provider is not a national outlier for aflibercept volume despite that drug driving most revenue.

    The practice shows clear areas of above‑peer activity in visit and imaging throughput: 99213 is ranked #11620 of 457151 (97th percentile, "notably above typical national volume") and 92134 is ranked #1609 of 26868 (94th percentile, "notably above typical national volume"). These rankings indicate higher-than-typical volumes of established-patient office visits and retinal OCT imaging relative to national peers, consistent with a high-frequency injection clinic model.

    Other drug codes show more modest national standing: J2777 ranks #1369 of 2039 (33th percentile, "typical, unremarkable volume") and J2781 ranks #354 of 490 (26th percentile, "typical, unremarkable volume"). Those percentiles suggest variable adoption or lower per‑provider volume for some newer agents relative to the broader national cohort.

    The provider's NPI was enumerated on 2007-02-27 (~19 years ago), reflecting long tenure in Medicare that supports sustained patient panels and recurring follow-up care typical of retina specialists. This tenure combined with high visit and imaging throughput suggests established referral relationships and ongoing management of chronic retinal disease.

    From an operational and financial perspective, dependence on a small set of injectable biologics (top three codes = 74.1% of Medicare revenue) paired with unusually high E&M and OCT volumes implies that changes in drug reimbursement, supply, or utilization for J0178 and J2777 could meaningfully impact practice revenue. Analysts should monitor those drug codes and associated visit/imaging volumes when assessing revenue risk or planning network engagement.

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,040$690$714.1K
    J2777Injection, faricimab‑svoa, 0.1 mg6,180$30$179.3K
    J3490Unclassified drugs50$1,700$92K
    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.870$100$88.3K
    J2778Injection, ranibizumab, 0.1 mg320$180$58.6K
    99213The 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…770$60$49.3K
    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.1,430$30$47K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg380$120$45K
    J7999Compounded drug, not otherwise classified320$70$23.7K
    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…180$90$16.2K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782260840$680$623.7K
    J2777293010,050$30$527.6K
    J27811010690$120$102.6K
    J27781320400$180$87.8K
    670282970580$90$72.3K
    J3490215040$640$42.9K
    J79992450270$70$23.4K
    92014194440110$80$16K
    992141,4806,07080$70$10.3K
    921342739080$30$8.1K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Brian Chan-kai, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eye Health Northwest, PCOROphthalmology Physician$0$15.7M
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    Charles WykoffTXOphthalmology Physician$6.2M$0
    Matthew BenzTXOphthalmology Physician$5.7M$0
    David BrownTXOphthalmology Physician$5.7M$0
    Tien WongTXOphthalmology Physician$4.5M$0
    Jay WangFLMedical Oncology Physician$4.5M$0
    Joseph SedrakTXMOHS-Micrographic Surgery Physician$4.4M$0
    Ankoor ShahTXOphthalmology Physician$3.7M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K

    Nearby Providers

    Other providers in the same ZIP code as Brian Chan-kai, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Byram Healthcare Centers, Inc.ORDurable Medical Equipment & Medical Supplies$0$123.8M
    Fora Health Inc.ORMental Health Clinic/Center (Including Community Mental Health Center)$0$54.4M
    Portland Adventist Medical CenterORGeneral Acute Care Hospital$0$41.8M
    Portland Adventist Medical CenterORFamily Medicine Physician$0$12.8M
    Portland Adventist Medical CenterORFamily Medicine Physician$0$5.8M
    Portland Adventist Medical CenterOREmergency Medical Services (Emergency Medicine) Physician$0$5M
    Cep America LLCOREmergency Medicine Physician$0$2.9M
    Diagnostic Radiologists PCORDiagnostic Radiology Physician$0$2.7M
    Jonathan YokenORRetina Specialist (Ophthalmology) Physician$1.5M$0
    Rsa - Portland, LLCOREnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.3M

    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. Oregon Distribution
    Brian Chan-kai — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon