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    OpenPayerNPI Medicare & MedicaidPauline Hong
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    Pauline Hong — Billing Profile & Reimbursement Data

    NPI 1780653063 · Reno, NV · Ophthalmology Physician

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    Pauline Hong is a ophthalmology physician provider located in Reno, Nevada. This profile covers 13 Medicare and 5 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
    OrganizationPauline Hong
    Address950 Ryland St
    CityReno
    StateNV
    ZIP89502
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 17, 2006

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

    Payer SourceTotal Paid
    Medicaid$95.9K
    Medicare$61.7K

    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
    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…240$60$14.9K
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…250$50$11.3K
    67311The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…20$440$6.6K
    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…50$90$4.7K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…100$50$4.5K
    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…40$110$4.2K
    67314A strabismus repair is performed to realign the eye muscle.  The physician has to either perform a recession (weakening) or resection (strengthening) of the muscles in order to correct the patient's…10$340$3.8K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…40$90$3K
    99212The 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,…60$40$2.6K
    67331In this add–on procedure, the provider performs strabismus surgery on a patient who has had an eye injury or previously undergone an eye procedure but not involving the extraocular muscles. This…10$210$2.5K

    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
    992142,5763,610110$80$19K
    9201423829090$80$15.2K
    992136943,50080$60$10K
    9213416419070$30$9.1K
    6731111020$440$6.6K
    992048862,01030$110$5.8K
    920834917050$40$5.1K
    992037581,38030$70$3.8K
    6731411010$340$3.7K
    9206012040$40$3.6K

    Showing 1–10 of 13

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…170$190$31.3K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…330$80$27.5K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…160$120$18.8K
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…210$70$13.8K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.220$20$4.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nevada median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…83060$60$64K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…185330240$60$55.1K
    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…28178090$100$46.6K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…1240170$30$22.8K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.191360280$10$14.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arshad KhananiNVOphthalmology Physician$6.5M$17.6K
    Plecha Durant Stanko Johnson & Cohen A Professional CorporationNVOphthalmology Physician$0$2.6M
    Michael StankoNVOphthalmology Physician$690.5K$0
    Kevin GamettNVOphthalmology Physician$615.6K$0
    Aigerim SaulebayevaMNOphthalmology Physician$169.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Renown Regional Medical CenterNVGeneral Acute Care Hospital$0$63.7M
    Reno Sparks Indian ColonyNVClinic/Center$390$47.4M
    Regional Emergency Medical Services AuthorityNVAmbulance$8.2M$26.1M
    Medtrans Behavioral Nevada Casal, PLLCNVCommunity/Behavioral Health Agency$0$26.4M
    Consumer Direct Services For Nevada, LLCNVPersonal Care Attendant$0$23.3M
    Brown, Calvanese, Cameron LtdNVEmergency Medicine Physician$0$19.7M
    Washoe County School DistrictNVLocal Education Agency (LEA)$0$16.5M
    Community Care Services LLCNVInternal Medicine Physician$0$15.1M
    Medical Services Of Nevada IncNVIn Home Supportive Care Agency$0$12.7M
    Community Health AllianceNVFederally Qualified Health Center (FQHC)$0$7M

    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. Nevada Distribution
    Pauline Hong — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Pauline Hong — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada