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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Chen
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    Eric Chen — Billing Profile & Reimbursement Data

    NPI 1841672276 · Louisville, KY · Neurological Surgery Physician

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    Eric Chen is a neurological surgery physician provider located in Louisville, Kentucky. This profile covers 11 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
    OrganizationEric Chen
    Address3900 Kresge Way Ste 51
    CityLouisville
    StateKY
    ZIP40207
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedJune 22, 2015

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

    Payer SourceTotal Paid
    Medicare$54.4K
    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.

    11 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…90$110$9.7K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…10$680$8.8K
    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…110$60$7K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…40$180$6.7K
    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…80$80$6.4K
    99203The provider sees a new 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 provider…50$80$4.1K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.20$150$3.7K
    61783In this add on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…20$170$3.3K
    61781In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…10$180$2.3K
    69990Use this code in addition to the code for a primary procedure when the provider uses an operating microscope to facilitate microsurgical techniques involving cutting or suturing.10$160$1.8K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,2807,230110$70$14.1K
    63047334020$520$11.5K
    992132,8087,25080$50$7.7K
    22853186030$160$4.8K
    992043523,20030$100$4.8K
    61783193020$180$4.4K
    63048132030$120$4.1K
    6178131010$180$3.8K
    992036322,38030$70$2.9K
    6999051020$140$2.3K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Health Medical Group IncKYUrgent Care Clinic/Center$0$26.7M
    Bapineedu GondiINCardiovascular Disease Physician$488.9K$0
    Natalie LaneINFamily Nurse Practitioner$367.5K$0
    Tracy EicherOHNeurology Physician$350.1K$0
    Matthew KeithKYInterventional Cardiology Physician$348K$0
    Srinivasarao ManchikalapudiINInterventional Cardiology Physician$329.1K$0
    Shanker ChandiramaniKYCardiovascular Disease Physician$327.3K$0
    Martin CerdaAZCardiovascular Disease Physician$319.3K$0
    William VanciseOHRadiation Oncology Physician$317.7K$0
    John MandrolaKYClinical Cardiac Electrophysiology Physician$308.6K$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. Kentucky Distribution
    Eric Chen — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky