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 North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

William Chen (NPI 1720408495)

Field	Value
Entity Type	Individual
Organization	William Chen
Address	100 Brewster Blvd
City	Camp Lejeune
State	NC
ZIP	28547
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	April 22, 2014

Payer Source	Total Paid
Medicare	$32K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	450	$50	$24.4K
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	110	$60	$6K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	20	$100	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

William Chen — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	577	600	120	$80	$24.1K
99348	21	430	60	$50	$5.6K
99342	2	40	30	$50	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carlos Myers	VA	Podiatrist	$150.8K	$0
Thomas Tran	VA	Podiatrist	$122.7K	$510

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vincent Champion	NC	Diagnostic Radiology Physician	$406.6K	$166.9K
Brent Lacey	NC	Gastroenterology Physician	$243.5K	$0
Sawsan Ghurani	NC	Psychiatry Physician	$191.4K	$0
Eric Gessler	NC	Otolaryngology Physician	$185.4K	$0
Marcel Macgilvray	NC	Diagnostic Radiology Physician	$78.4K	$0
Nathaniel Rial	AA (Armed Forces Americas)	Internal Medicine Physician	$69K	$0
Drew Geller	NC	Internal Medicine Physician	$39.7K	$0
Stella Hayes	NC	Family Medicine Physician	$30.5K	$0
Claire Esposito	NC	Anesthesiology Physician	$19.4K	$0
James Hines	NC	Certified Registered Nurse Anesthetist	$17.2K	$0

William Chen — Billing Profile & Reimbursement Data

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William Chen — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References