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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAndrew Ly
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    Andrew Ly — Billing Profile & Reimbursement Data

    NPI 1801093554 · Newport Beach, CA · Neurology Physician

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    Andrew Ly is a neurology physician provider located in Newport Beach, California. This profile covers 16 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
    OrganizationAndrew Ly
    Address1 Hoag Dr
    CityNewport Beach
    StateCA
    ZIP92663
    TaxonomyNeurology Physician
    NPI EnumeratedJune 27, 2007

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

    Payer SourceTotal Paid
    Medicare$251.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96133The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…950$80$79.8K
    96139A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.1,080$30$34.5K
    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…180$140$24.6K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…170$110$18.4K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…230$70$15.2K
    96116A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…160$80$12.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…120$100$12.2K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…70$170$11.8K
    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…70$140$10.1K
    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$180$8.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9581622136040$280$48.9K
    G04536170730$30$26.3K
    992335,73511,530120$100$26.2K
    992913,2037,22060$180$18.6K
    961339190150$80$17.9K
    992152,43515,36050$130$14.4K
    957208210060$170$13.9K
    9588627355070$80$12.5K
    992234,31313,19050$140$11.3K
    961325336060$100$9.6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph SedrakTXMOHS-Micrographic Surgery Physician$4.4M$0
    John HwangCARetina Specialist (Ophthalmology) Physician$1.9M$1.7M
    Charles EifrigCARetina Specialist (Ophthalmology) Physician$2.6M$885K
    Kourosh DastgheibCAOphthalmology Physician$210.8K$3.1M
    Tien NguyenCADermatology Physician$447.5K$2.2M
    Desmond McguireCARetina Specialist (Ophthalmology) Physician$1.4M$1.1M
    Hema RamkumarCARetina Specialist (Ophthalmology) Physician$2M$54.9K
    Vivian LaquerCADermatology Physician$94.8K$1.7M
    Tiffany VoCAPhysician Assistant$1.6M$0
    Andrew BreithauptCAMOHS-Micrographic Surgery Physician$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newport Bay Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1.8M$242.6K
    David NabiCAVascular Surgery Physician$1.4M$0
    Ryan KleinCAInternal Medicine Physician$1.3M$0
    Hoag Outpatient Centers, LLCCAAmbulatory Surgical Clinic/Center$1.2M$0
    Howard MangoCAAudiologist$1M$148K
    Rafael PenunuriCAInternal Medicine Physician$1.1M$0
    Melissa SmithCAPlastic Surgery Physician$754.8K$255K
    Newport Beach Endoscopy Center, LLCCAAmbulatory Surgical Clinic/Center$967.7K$0
    George SiegelCAOccupational Therapist$891.6K$0
    Christopher O'carrollCANeurology Physician$655.3K$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
    Andrew Ly — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California