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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Chen
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    David Chen — Billing Profile & Reimbursement Data

    NPI 1760630057 · Santa Monica, CA · Surgery Physician

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    David Chen is a surgery physician provider located in Santa Monica, California. This profile covers 13 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Chen
    Address1304 15th St Ste 102
    CitySanta Monica
    StateCA
    ZIP90404
    TaxonomySurgery Physician
    NPI EnumeratedAugust 29, 2008

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

    Payer SourceTotal Paid
    Medicare$141.3K
    Medicaid$0

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    15734The provider develops a muscle, myocutaneous, or fasciocutaneous flap obtained from the trunk (the area between the neck and the waist) and places it over a defect on the patient's body.50$980$47.2K
    43281The provider performs repair of a paraesophageal hernia, where the stomach slides up next to the esophagus, using laparoscopy. He may also perform fundoplasty, wrapping part of the stomach around the…10$1,320$15.9K
    99204The provider sees a new 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 provider…100$130$12.1K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.30$400$10.8K
    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…100$100$10.3K
    64772The provider severs or removes other spinal nerves that are not identified in other codes within CPT®.30$290$9.9K
    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…50$190$8.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$150$7K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.20$410$6.2K
    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…30$150$4.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1573462030$880$34.3K
    9921420,22037,970120$90$23.2K
    14001293020$590$17.6K
    43281254010$980$16.6K
    496504920020$660$15.7K
    495055611020$740$14.8K
    9921510,42815,36050$130$14.4K
    9921328,82034,66080$70$13.2K
    992236,35513,19050$140$11.3K
    20680288020$520$10.9K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Zev WainbergCAHematology & Oncology Physician$457K$0
    John ShenCAHematology & Oncology Physician$451.5K$0
    Sidharth AnandCAHematology & Oncology Physician$352.2K$0
    Lee RosenCASpecialist$315.9K$0
    Wanxing Chai-hoCAHematology & Oncology Physician$179.8K$0
    Michael YehCASurgery Physician$146.9K$0
    Gregory SenofskyCASurgical Oncology Physician$101K$0
    Masha LivhitsCASurgery Physician$81.6K$130
    Carlie ThompsonCASurgical Oncology Physician$70.5K$0
    David K ImagawaCASurgery Physician$59.5K$3.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jamie Kate AdocCAFamily Nurse Practitioner$4.7M$0
    Sean FischerCAHematology & Oncology Physician$3.2M$0
    Omid HamidCAHematology & Oncology Physician$2.7M$0
    Thomas HanscomCAOphthalmology Physician$2.4M$0
    Dalia ArtalCADiagnostic Radiology Physician$2M$0
    Jesse MillsCAUrology Physician$1.9M$0
    Lisa ChaikenCARadiation Oncology Physician$1.6M$0
    Joshua FriedlanderCADiagnostic Radiology Physician$1.4M$0
    Robert KrasnyCAVascular & Interventional Radiology Physician$1.3M$0
    George GrifkaCACardiovascular Disease Physician$868.5K$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. California Distribution
    David Chen — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California