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

Why is the Medicaid comparison limited to California 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. California (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.

Serendipity Hearing Inc (NPI 1760783344)

Field	Value
Entity Type	Organization
Organization	Serendipity Hearing Inc
Address	5555 Garden Grove Blvd
City	Westminister
State	CA
ZIP	92683
Taxonomy	Hearing Aid Equipment
NPI Enumerated	November 12, 2010

Payer Source	Total Paid
Medicaid	$43.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V5140	Binaural, behind the ear	13,650	$1,320	$18M
V5298	Hearing aid, not otherwise classified	11,850	$1,150	$13.6M
V5130	Binaural, in the ear	4,360	$1,380	$6M
V5221	Hearing aid, contralateral routing system, binaural, bte/bte	1,710	$1,340	$2.3M
V5010	Assessment for hearing aid	29,820	$50	$1.3M
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	22,770	$30	$706K
V5060	Hearing aid, monaural, behind the ear	720	$730	$527.8K
V5264	Ear mold/insert, not disposable, any type	8,290	$40	$331.5K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	7,650	$40	$305.8K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	7,140	$20	$150K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Serendipity Hearing Inc — 11 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V5221	Hearing aid, contralateral routing system, binaural, bte/bte	1	10	1,710	$1,340	$2.3M
V5140	Binaural, behind the ear	1	50	170	$1,310	$916.7K
V5298	Hearing aid, not otherwise classified	1	130	180	$1,180	$870.5K
V5130	Binaural, in the ear	1	10	110	$1,410	$757.8K
V5060	Hearing aid, monaural, behind the ear	1	10	60	$620	$102.3K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	11	770	130	$90	$64K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	1	340	360	$40	$47.5K
V5180	Hearing aid, cros, behind the ear	1	10	80	$530	$41.2K
V5014	Repair/modification of a hearing aid	37	70	460	$40	$39.9K
V5010	Assessment for hearing aid	1	80	210	$50	$38.5K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Serendipity Hearing Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dan Le	CA	Cardiovascular Disease Physician	$1.5M	$35K
James Tran	CA	Cardiovascular Disease Physician	$848.7K	$630.6K
Cuong-dung Do	CA	Ophthalmology Physician	$840.8K	$612.7K
Dean Ngo	CA	Internal Medicine Physician	$549.3K	$837.7K
Long Dang	CA	Gastroenterology Physician	$468.8K	$902.9K
Tung Nguyen	CA	Cardiovascular Disease Physician	$607.2K	$539.5K
Khanh Duong	CA	Podiatrist	$1M	$0
Triet Nguyen	CA	Ophthalmology Physician	$320K	$671.1K
Khaled Chan	CA	Internal Medicine Physician	$686.8K	$249.6K
Dinh Dinh	CA	Family Medicine Physician	$484.8K	$202.4K

Serendipity Hearing Inc — Billing Profile & Reimbursement Data

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Serendipity Hearing Inc — 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