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    Toan Tran — Billing Profile & Reimbursement Data

    NPI 1720160336 · Westminster, CA · Internal Medicine Physician

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    Toan Tran is a internal medicine physician provider located in Westminster, California. This profile covers 10 Medicare and 32 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
    OrganizationToan Tran
    Address7631 Wyoming St
    CityWestminster
    StateCA
    ZIP92683
    TaxonomyInternal Medicine Physician
    NPI EnumeratedOctober 20, 2006

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

    Payer SourceTotal Paid
    Medicare$98.3K
    Medicaid$38.3K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…460$70$33.2K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…490$40$21.6K
    J0897Injection, denosumab, 1 mg840$20$16K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…40$210$8.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$140$7.3K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…70$70$5.1K
    G0406Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth110$30$3.5K
    G0008Administration of influenza virus vaccine70$30$2.1K
    G0009Administration of pneumococcal vaccine20$30$410
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…20$10$230

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08979511,0303,060$20$91.4K
    994903061,060210$50$25.8K
    9948312123040$210$18.3K
    992133,65834,66080$70$13.2K
    G04394,1227,80060$130$11.9K
    906621,3805,08040$70$4.3K
    G00083,8369,80050$30$3K
    G040621050$30$2.2K
    930004,9256,54040$10$1.6K
    G00094,0685,38020$30$850

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…8,560$1$8.6K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…240$40$8.5K
    90658This code represents a trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage.320$20$7K
    96156The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…150$20$3.6K
    G0406Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth220$10$3.1K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…80$30$2.3K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…80$10$920
    90656This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage.30$20$670
    96151N/A230$1$460
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.20$10$150

    Showing 1–10 of 32

    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

    32 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…1,3774,230210$110$135K
    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…2,23214,520760$10$122.8K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…1,4551,980110$160$66.3K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.9331,610640$1$53.5K
    96156The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…9321,420400$30$52.1K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…464640320$20$32.8K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…1,3502,390550$1$28.7K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes116840450$1$10.3K
    G0442Annual alcohol misuse screening, 5 to 15 minutes494740250$10$10.2K
    96151N/A258560190$10$7.8K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles EifrigCARetina Specialist (Ophthalmology) Physician$2.6M$885K
    Chiwai ChanCAInterventional Pain Medicine Physician$857.1K$2.3M
    Randall NguyenCAOphthalmology Physician$2.9M$118.3K
    Michael RohCAOphthalmology Physician$1.6M$956.2K
    Desmond McguireCARetina Specialist (Ophthalmology) Physician$1.4M$1.1M
    Abdulkareem SharafCACardiovascular Disease Physician$1.2M$1.2M
    Son DuongCAVascular Surgery Physician$1.2M$1.1M
    Paul KimCARadiation Oncology Physician$1.6M$540.1K
    Yasser SalemCASurgery Physician$170.6K$1.8M
    Steven LeCACardiovascular Disease Physician$1.2M$584.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Serendipity Hearing IncCAHearing Aid Equipment$0$43.7M
    Dan LeCACardiovascular Disease Physician$1.5M$35K
    James TranCACardiovascular Disease Physician$848.7K$630.6K
    Cuong-dung DoCAOphthalmology Physician$840.8K$612.7K
    Dean NgoCAInternal Medicine Physician$549.3K$837.7K
    Long DangCAGastroenterology Physician$468.8K$902.9K
    Tung NguyenCACardiovascular Disease Physician$607.2K$539.5K
    Khanh DuongCAPodiatrist$1M$0
    Triet NguyenCAOphthalmology Physician$320K$671.1K
    Khaled ChanCAInternal Medicine Physician$686.8K$249.6K

    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
    Toan Tran — 0 of 10 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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Toan Tran — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California