Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Utah (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Andy Tran (NPI 1669624458)

Field	Value
Entity Type	Individual
Organization	Andy Tran
Address	1020 S Main St
City	Salt Lake City
State	UT
ZIP	84101
Taxonomy	Clinical Social Worker
NPI Enumerated	October 13, 2008

Payer Source	Total Paid
Medicaid	$427.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	1,740	$80	$145.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	730	$140	$100.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	160	$450	$72.8K
T1013	Sign language or oral interpretive services, per 15 minutes	1,330	$40	$50.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	350	$70	$22.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	90	$230	$21.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	350	$40	$13.6K
T2002	Non-emergency transportation; per diem	310	$1	$630

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Andy Tran — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	24	60	760	$70	$1.1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	182	370	690	$140	$704.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	65	140	160	$220	$374.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	23	50	90	$190	$136.4K
T1013	Sign language or oral interpretive services, per 15 minutes	2	10	1,110	$30	$64.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	37	170	80	$100	$35.2K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	24	60	180	$30	$30.6K
T2002	Non-emergency transportation; per diem	4	10	1,700	$1	$15.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wasatch Homeless Health Care, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$7.9M
Trisha Fambro	UT	Family Nurse Practitioner	$29.6K	$0
William Asper	UT	Clinical Social Worker	$23K	$0
Majd Ibrahim	UT	Cardiovascular Disease Physician	$16.4K	$0
Isabella Tcaciuc	UT	Psychiatry Physician	$12.5K	$0

Andy Tran — Billing Profile & Reimbursement Data

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Andy Tran — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References