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    OpenPayerNPI Medicare & MedicaidEnoch Nam
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    Enoch Nam — Billing Profile & Reimbursement Data

    NPI 1578799037 · Walnut Creek, CA · Cornea and External Diseases Specialist Physician

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    Enoch Nam is a cornea and external diseases specialist physician provider located in Walnut Creek, California. This profile covers 17 Medicare and 1 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
    OrganizationEnoch Nam
    Address2700 Ygnacio Valley Rd Ste 150
    CityWalnut Creek
    StateCA
    ZIP94598
    TaxonomyCornea and External Diseases Specialist Physician
    NPI EnumeratedJune 10, 2009

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

    Payer SourceTotal Paid
    Medicare$324.5K
    Medicaid$690

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…230$480$110.1K
    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…810$80$62.4K
    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…430$110$46K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.60$330$18.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.130$140$18.2K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…340$40$12K
    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…130$90$11.8K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…20$670$10.7K
    92025The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.270$30$7.9K
    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…40$150$6.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669842821,25090$690$122.8K
    6698242951030$800$32K
    920142,0062,890110$100$28.7K
    992146,26537,970120$90$23.2K
    6682136595040$270$18.4K
    992131,53434,66080$70$13.2K
    921341,0202,15090$30$12.6K
    920043401,95050$110$9.7K
    992048,35719,36040$120$7.2K
    920838661,96070$50$7K

    Showing 1–10 of 17

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…10$50$690

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…5,0075,590180$50$62.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stanford Health CareCAGeneral Acute Care Hospital$0$264.9M
    Seventh-day Adventists Loma Linda University Medical CenterCAGeneral Acute Care Hospital$0$253.4M
    Faculty Physicians And Surgeons Of LlusmCAPediatrics Physician$0$66.4M
    Faculty Physicians And Surgeons Of LlusmCASurgery Physician$0$54.9M
    Stanford Health CareCAGeneral Acute Care Hospital$0$46.2M
    John Muir Physician NetworkCAGeneral Practice Physician$0$27.1M
    Khosrow MehranyCASpecialist$7.7M$0
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    Michael ShermanCAHematology & Oncology Physician$3.9M$0
    Clement ChowCAOphthalmology Physician$3.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bhpn, LLCCACase Management Agency$0$350.7M
    Easterseals Northern CaliforniaCABehavior Analyst$0$50.1M
    John Muir HealthCAGeneral Acute Care Hospital$0$32.4M
    Bay Area Retina AssociatesCARetina Specialist (Ophthalmology) Physician$0$30.4M
    Aspen Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$5.7M$2M
    Sequoia Surgical Center LPCAAmbulatory Surgical Clinic/Center$2.6M$3.8M
    Min-wei LeeCADermatology Physician$390.1K$5.1M
    Rajiv NagesettyCAVascular Surgery Physician$3.6M$0
    Patrick GonzalesCAVascular & Interventional Radiology Physician$2.7M$0
    Tushar RanchodCARetina Specialist (Ophthalmology) Physician$2.6M$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. California Distribution
    Enoch Nam — 1 of 17 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 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Enoch Nam — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California