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    OpenPayerNPI Medicare & MedicaidYan Chen
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    Yan Chen — Billing Profile & Reimbursement Data

    NPI 1659455160 · Sandusky, OH · Anatomic Pathology & Clinical Pathology Physician

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    Yan Chen is a anatomic pathology & clinical pathology physician provider located in Sandusky, Ohio. This profile covers 8 Medicare and 69 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
    OrganizationYan Chen
    Address1111 Hayes Ave
    CitySandusky
    StateOH
    ZIP44870
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedOctober 24, 2006

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

    Payer SourceTotal Paid
    Medicaid$66.7K
    Medicare$7.9K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…190$20$4.5K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…70$20$1.4K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…30$30$780
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$50$740
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…30$10$230
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.10$20$220
    88311The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations.20$10$140
    88300The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…30$1$80

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830561560470$40$39.2K
    8834151440200$30$8K
    8834253460100$40$5.6K
    883075037080$60$5.3K
    850602215040$20$1.2K
    883044836050$10$1.1K
    883114326050$10$570
    88300715020$1$110

    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.

    69 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,360$10$6.8K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.250$20$5.5K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.250$20$5.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,720$1$5.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.190$20$4.7K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…120$30$3.5K
    87430The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.310$10$2.4K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.600$1$2.4K
    87088The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification.370$10$2.2K
    87400The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.330$10$2K

    Showing 1–10 of 69

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    69 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…3050220$30$675.9K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.2833402,260$30$398.2K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.2042708,700$10$353.7K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…106120580$50$273K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…2282402,610$10$239.7K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.1682201,080$20$214.4K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.1672201,050$20$202.4K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…219260760$20$187.3K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…2753401,220$30$186.7K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.2282801,450$10$178.3K

    Showing 1–10 of 69

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Holzer Hospital FoundationOHRural Acute Care Hospital$0$121.3M
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Zhenqiang GaoILAnatomic Pathology & Clinical Pathology Physician$67.5K$19.5M
    Holzer Medical Center JacksonOHCritical Access Hospital$0$16.1M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Chad DefrainILAnatomic Pathology & Clinical Pathology Physician$42.1K$5M
    Maurice SchuetzILAnatomic Pathology & Clinical Pathology Physician$85.7K$1.1M
    Elena SamoilovaKYAnatomic Pathology & Clinical Pathology Physician$110.7K$974.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Firelands Regional Medical CenterOHGeneral Acute Care Hospital$0$37.5M
    Cambridge Home Health Care, Inc.OHHome Health Agency$0$19.4M
    Firelands Regional Medical CenterOHMulti-Specialty Clinic/Center$0$17.5M
    Northern Ohio Medical Specialists LLCOHInternal Medicine Physician$0$16.4M
    Stein Hospice Services, IncOHCommunity Based Hospice Care Agency$0$11.1M
    Erie County Office Of AuditorOHFederally Qualified Health Center (FQHC)$0$7.5M
    Erie County Office Of AuditorOHSubstance Use Disorder Rehabilitation Hospital Unit$0$7M
    Family Health Services Of Erie CountyOHFederally Qualified Health Center (FQHC)$0$6.9M
    Brian MurphyOHHematology & Oncology Physician$2.8M$0
    Sandusky City Office Of TreasurerOHLand Ambulance$345.9K$1.1M

    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. Ohio Distribution
    Yan Chen — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Yan Chen — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio