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    Allen Tham — Billing Profile & Reimbursement Data

    NPI 1578715801 · Fullerton, CA · Orthopaedic Hand Surgery Physician

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    Allen Tham is a orthopaedic hand surgery physician provider located in Fullerton, California. This profile covers 13 Medicare and 4 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)

    FieldValue
    Entity TypeIndividual
    OrganizationAllen Tham
    Address2141 N Harbor Blvd
    CityFullerton
    StateCA
    ZIP92835
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedOctober 17, 2008

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

    Payer SourceTotal Paid
    Medicare$85K
    Medicaid$1K

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…200$130$25.7K
    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…200$70$13.9K
    25600The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at…30$310$9.9K
    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…90$100$8.5K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.180$40$7.2K
    99203The provider sees a new 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 provider…80$90$7.1K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…20$330$6.9K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…20$170$2.5K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…40$40$1.6K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.20$20$510

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921421,89737,970120$90$23.2K
    6472113524020$510$17.7K
    2605519722030$360$13.8K
    992139,19734,66080$70$13.2K
    9920475919,36040$120$7.2K
    2560022010$300$5K
    992032,79712,74030$80$4.6K
    205508679030$40$3.3K
    2060015450030$40$1.8K
    731301,0511,72030$20$1.2K

    Showing 1–10 of 13

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…10$80$1K
    3074FNo Summary found for this code10$0$0
    3078FNo Summary found for this code10$0$0
    H0049Alcohol and/or drug screening10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…565630130$60$47K
    H0049Alcohol and/or drug screening621640280$1$5.3K
    3074FNo Summary found for this code2,8563,010450$1$360
    3078FNo Summary found for this code2,9823,040460$1$230

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tien NguyenCADermatology Physician$447.5K$2.2M
    Brian KimCAOphthalmology Physician$2.6M$8.9K
    Vivian LaquerCADermatology Physician$94.8K$1.7M
    Farah AwadallaCADermatology Physician$1.4M$320K
    Kenneth MartinezCANeurology Physician$1.6M$7.8K
    Sonia DhootCAOphthalmology Physician$1.5M$0
    Michael TruongCAEndocrinology, Diabetes & Metabolism Physician$1.2M$0
    Lynne HungCAClinical Cardiac Electrophysiology Physician$1.1M$0
    George ShahinianCAPulmonary Disease Physician$976.4K$2.2K
    Esrafil AbediCAOtolaryngology/Facial Plastic Surgery Physician$101.1K$806.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ash PirouzCARetina Specialist (Ophthalmology) Physician$3.1M$1.3M
    Sean AdreanCARetina Specialist (Ophthalmology) Physician$3.1M$163.9K
    Hema RamkumarCARetina Specialist (Ophthalmology) Physician$2M$54.9K
    Kevin JacksonCAMedical Physician Assistant$884.3K$0
    Lutfi SayyurCAHospitalist Physician$829.4K$0
    Wei KwokCAPain Medicine (Anesthesiology) Physician$181.2K$580.8K
    Fullerton Surgical Center, LPCAAmbulatory Surgical Clinic/Center$616.4K$0
    Phillip HoCAPsychiatric/Mental Health Nurse Practitioner$579.9K$0
    William BaughCADermatology Physician$489.8K$0
    Preferred Sleep SolutionsCASleep Disorder Diagnostic Clinic/Center$167.9K$301.8K

    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. California Distribution
    Allen Tham — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Allen Tham — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California