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    v1.0.28
    OpenPayerNPI Medicare & MedicaidIl-gyu Cho
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    Il-gyu Cho — Billing Profile & Reimbursement Data

    NPI 1659781581 · Apo, AP · Child & Adolescent Psychiatry Physician

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    Il-gyu Cho is a child & adolescent psychiatry physician provider located in Apo, Armed Forces Pacific. This profile covers 1 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. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationIl-gyu Cho
    AddressBrian D. Allgood Army Community Hospital (bdaach)
    CityApo
    StateAP (Armed Forces Pacific)
    ZIP96271
    TaxonomyChild & Adolescent Psychiatry Physician
    NPI EnumeratedApril 30, 2014

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

    Payer SourceTotal Paid
    Medicare$2.8K
    Medicaid$0

    Key Findings

    This provider is enumerated as a Child & Adolescent Psychiatry Physician based in APO, AP and has an NPI registered on 2014-04-30 (~12 years ago), indicating over a decade of formal enrollment in Medicare billing. The tenure suggests an established enrollment record despite limited billing activity to public payers.

    Medicare revenue for this provider is very small in absolute terms: total Medicare revenue is $2.8K drawn from 34 claims with an average paid per claim of $81. These figures indicate a low-volume Medicare footprint rather than a high-throughput clinical operation.

    Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and a single code, 99214, accounts for 100.0% of reported Medicare dollars. This concentration means the provider's Medicare earnings are effectively dependent on office/outpatient established-patient E/M visits represented by 99214.

    The primary service line reflected in Medicare billing is outpatient evaluation and management for established patients — 99214, described as a moderate-complexity office visit often involving 30 minutes or more of total time. This code mix is consistent with a practice focused on direct clinical follow-up and management visits rather than procedure-driven or facility-based services.

    Payer mix is effectively single-payer in the public programs: Medicare shows $2.8K in lifetime revenue while Medicaid shows none (no Medicaid billing on file). The absence of Medicaid claims combined with the small Medicare total suggests minimal engagement with public payers overall, possibly indicating a practice oriented toward commercial, self-pay, or non-billed patient services.

    Competitive standing on the reported code is modest: 99214 ranks #382002 of 479517 providers nationally (20th percentile) and is labeled as "typical, unremarkable volume for this code." This places the provider well below national leaders and aligns with a low-to-moderate Medicare presence rather than a dominant role.

    Because Medicare revenue is limited and concentrated in one E/M code, business risk is concentrated: any changes to reimbursement, coding guidance, or patient mix affecting 99214 would materially affect the provider's Medicare revenue. For analysts, this pattern signals limited public-payer exposure but also vulnerability to shifts in outpatient E/M valuation or utilization policies.

    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.

    1 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…30$80$2.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214122060$80$9.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Il-gyu Cho, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scott ArnoldALInternal Medicine Physician$148K$0
    David PantingFLPsychiatry Physician$81.9K$20.8K

    Nearby Providers

    Other providers in the same ZIP code as Il-gyu Cho, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joon ParkAP (Armed Forces Pacific)Dentist$0$623.9K
    Seong Cho-juAP (Armed Forces Pacific)Clinical Social Worker$0$195K
    Dennis ChungAP (Armed Forces Pacific)General Practice Dentistry$0$51.7K
    Hannah ChoiAP (Armed Forces Pacific)Family Medicine Physician$7.6K$38.6K
    Sang-wahn KooAP (Armed Forces Pacific)Psychiatry Physician$6.9K$0
    Doris NievesAP (Armed Forces Pacific)Physical Therapist$4.2K$0
    Timothy GockeAP (Armed Forces Pacific)Internal Medicine Physician$3.2K$0
    Steve HuynhAP (Armed Forces Pacific)Optometrist$0$1.8K
    Hyun ShimAP (Armed Forces Pacific)Clinical Social Worker$1K$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. Armed Forces Pacific Distribution
    Il-gyu Cho — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Pacific