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    OpenPayerNPI Medicare & MedicaidJohn-paul Pham
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    John-paul Pham — Billing Profile & Reimbursement Data

    NPI 1841491503 · Jacksonville, FL · Interventional Cardiology Physician

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    John-paul Pham is a interventional cardiology physician provider located in Jacksonville, Florida. This profile covers 18 Medicare and 4 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
    OrganizationJohn-paul Pham
    Address8075 Gate Pkwy W Ste 302
    CityJacksonville
    StateFL
    ZIP32216
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedMay 30, 2007

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

    Payer SourceTotal Paid
    Medicare$271.1K
    Medicaid$440

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,180$60$73.1K
    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…510$140$68.4K
    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…340$90$31.9K
    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…370$80$30.7K
    93355The provider uses an ultrasound transducer inserted through an endoscope into the esophagus to examine the heart’s valves and chambers and guide transcatheter procedures on the heart and great…150$170$25.1K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…240$70$15.9K
    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$160$8.1K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…40$200$8.1K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…40$60$2.5K
    93312In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…30$80$2K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    784529181,33070$250$25.3K
    933069442,220190$100$25.2K
    992148,01032,760140$90$25K
    992331,7119,970100$90$20.1K
    9923254413,090120$60$17.5K
    9345833868040$260$13.9K
    9922313211,11060$130$12.5K
    992051,1984,82030$160$6.6K
    9335516030$170$5.6K
    9944261397020$60$3.5K

    Showing 1–10 of 18

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…110$1$340
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.150$0$0
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…640$0$0
    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…20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,4721,500470$30$87.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…9951,980660$20$74.4K
    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…8591,460190$70$58.6K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.438640640$1$22.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with John-paul Pham, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sacred Heart Health System, Inc.FLGeneral Acute Care Hospital$0$38.5M
    Saint Thomas Rutherford HospitalTNGeneral Acute Care Hospital$0$16.2M
    Ascension Sacred Heart Emerald CoastFLGeneral Acute Care Hospital$0$11.9M
    St Vincents Ambulatory Care IncFLNeurological Surgery Physician$0$10.4M
    Saint Thomas River Park Hospital, LLCTNGeneral Acute Care Hospital$0$8.4M
    Saint Thomas West HospitalTNGeneral Acute Care Hospital$0$7.1M
    Saint Thomas Highlands Hospital, LLCTNGeneral Acute Care Hospital$0$3.3M
    Raguveer MurthyFLInterventional Cardiology Physician$1.2M$0
    The Surgery Center Of Jacksonville LLCFLAmbulatory Surgical Clinic/Center$1M$0
    Junaid AhmedFLCardiovascular Disease Physician$328.1K$512.8K

    Nearby Providers

    Other providers in the same ZIP code as John-paul Pham, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Rehabilitation Hospital, Inc.FLRehabilitation Hospital$0$40.8M
    All Care Home Nursing Services, LLCFLHome Health Agency$0$39.7M
    Family First Homecare, LLCFLNursing Care Agency$0$26.9M
    Memorial Healthcare Group IncFLGeneral Acute Care Hospital$0$19.4M
    Daniel Memorial, Inc.FLCommunity/Behavioral Health Agency$0$16.6M
    Ellis-moore CoroporationFLPediatric Skilled Nursing Facility$0$9M
    Total Renal Care IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.8M
    Social Care Services, LLCFLMental Health Clinic/Center (Including Community Mental Health Center)$0$7.5M
    Ameripro Ems Of Florida, LLCFLLand Ambulance$4.4M$2.2M
    Ace Biomedical Labs, LLCFLClinical Medical Laboratory$5.7M$222.4K

    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. Florida Distribution
    John-paul Pham — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    John-paul Pham — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida