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    OpenPayerNPI Medicare & MedicaidDahye Hong
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    Dahye Hong — Billing Profile & Reimbursement Data

    NPI 1811214844 · Washington, DC · Pediatric Gastroenterology Physician

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    Dahye Hong is a pediatric gastroenterology physician provider located in Washington, District of Columbia. This profile covers 2 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
    OrganizationDahye Hong
    Address4200 Wisconsin Ave, Nw
    CityWashington
    StateDC
    ZIP20016
    TaxonomyPediatric Gastroenterology Physician
    NPI EnumeratedApril 30, 2010

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

    Payer SourceTotal Paid
    Medicare$325.4K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is the dominant and effectively sole payer footprint: Total Medicare revenue is $325.4K while Total Medicaid revenue is none (no Medicaid billing on file). The precomputed top-3 concentration is very high — the top 3 Medicare codes account for 100.0% of the provider’s total Medicare revenue — indicating a narrow set of billed services drives nearly all reported revenue.

    Revenue is extremely concentrated in a single HCPCS code: J3380 accounts for $321.3K revenue (98.8% of this provider's total Medicare revenue), with 18.9K claims at $17 avg paid/claim. That single code’s dominance means changes in utilization, payer policy, or reimbursement for vedolizumab infusions would materially affect overall Medicare receipts.

    The code mix and descriptions point to an infusion-focused pediatric gastroenterology practice: J3380 (vedolizumab infusion) is the primary revenue driver and 96365 (initial IV infusion administration) also appears among billed services, suggesting the provider’s operations center on outpatient intravenous biologic therapy and associated infusion administration. This alignment is consistent with the provider taxonomy of Pediatric Gastroenterology Physician and indicates a specialized clinical service line rather than general outpatient visits.

    Competitive standing for the dominant service is above-average nationally but not an extreme outlier: J3380 ranks #87 of 620 providers nationally (86th percentile; typical, unremarkable volume for this code). This rank indicates the provider is a relatively high-volume national participant for vedolizumab infusions while still falling within the dataset’s definition of typical volume.

    By contrast, the routine infusion administration code 96365 is a modest national participant: it shows 63 claims with $60 avg paid/claim and $3.8K revenue (1.2% of this provider's total Medicare revenue) and ranks #5105 of 8873 providers nationally (42th percentile; typical, unremarkable volume for this code). That lower percentile suggests the provider performs fewer standalone infusion-administration-only billings relative to the broader national pool, consistent with most revenue coming through the drug-specific HCPCS.

    The absence of any Medicaid billing on file (none) makes this provider effectively single-payer (Medicare) in the available dataset, which has implications for payer mix risk and contract negotiations: revenue diversification is limited and the practice may be more sensitive to Medicare policy and reimbursement changes than peers with mixed Medicare/Medicaid footprints. Analysts should treat Medicaid-related market share or in-state competitive comparisons as not applicable based on the available billing.

    The provider’s NPI was enumerated on 2010-04-30 (~16 years ago), indicating a relatively long tenure in the active provider pool. Combined with a highly concentrated code mix dominated by a biologic infusion HCPCS, the profile suggests an established, specialized infusion-focused pediatric gastroenterology practice whose Medicare revenue performance hinges on continued high utilization of J3380 and the stability of infusion-site operations.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3380Injection, vedolizumab, intravenous, 1 mg18,900$20$321.3K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.60$60$3.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J33801109,600$20$183.8K
    9636512030$60$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medstar Medical Group Ii LLCMDGeneral Practice Physician$0$91.5M
    Medstar - Georgetown Medical Center, Inc.DCGeneral Acute Care Hospital$0$45.6M
    Mgmc, LLCDCGeneral Practice Physician$0$18.1M
    Howard HauptmanMDRheumatology Physician$2.9M$0
    Kelly OrwatSCInternal Medicine Physician$1.3M$0
    Stephen RonsonMDSpecialist$1.2M$0
    Prashanth RaoMDCardiovascular Disease Physician$1.1M$0
    Ankit MadanMDHematology & Oncology Physician$1M$580
    Medstar Georgetown Medical Center, IncDCInternal Medicine Physician$0$923.4K
    Atif RasheedTNEmergency Medicine Physician$832.9K$54.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lucy Webb Hayes National Training School For Deaconesses & MissionarieDCGeneral Acute Care Hospital$0$19.1M
    Jeffrey SteinbergDCFoot & Ankle Surgery Podiatrist$13.3M$0
    Friendship PlaceDCCase Management Agency$0$5.6M
    Wisconsin Ave Psychiatric Center IncDCPsychiatric Hospital$0$3.1M
    Iona Senior ServicesDCAdult Health Nurse Practitioner$0$1.1M
    Mary Ella CarterDCPlastic Surgery Physician$942.2K$0
    Jaydot LLCDCCase Management Agency$0$820.6K
    Edward TannerDCGynecologic Oncology Physician$786.3K$2.1K
    Brandi PageDCRadiation Oncology Physician$761K$0
    Joshua YamamotoDCCardiovascular Disease Physician$688.3K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. District of Columbia Distribution
    Dahye Hong — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia