Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. West Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Dan Nguyen (NPI 1851895098)

Field	Value
Entity Type	Individual
Organization	Dan Nguyen
Address	Spring Mills Medical Office
City	Martinsburg
State	WV
ZIP	25404
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	March 21, 2018

Payer Source	Total Paid
Medicare	$41.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	250	$90	$23K
99213	The 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…	130	$70	$8.4K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	50	$80	$4K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	20	$170	$3.8K
99204	The 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…	20	$100	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Dan Nguyen — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	551	2,740	100	$70	$11.8K
95886	20	30	80	$60	$7.8K
99213	1,015	2,860	80	$50	$7.5K
95911	11	20	30	$130	$5.9K
99204	779	1,220	30	$100	$4.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson Memorial Hospital	WV	Critical Access Hospital	$0	$21.6M
Reynolds Memorial Hospital, Inc	WV	Emergency Medical Services (Emergency Medicine) Physician	$0	$11.4M
City Hospital, Inc.	WV	Internal Medicine Physician	$0	$1.9M
Jefferson Memorial Hospital	WV	Internal Medicine Physician	$0	$941.1K
Edward Kiggundu	WV	Radiation Oncology Physician	$835.2K	$0
Michael Depalma	VA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$247K	$0
Salahadin Gharad	KY	Cardiovascular Disease Physician	$225.6K	$0
Cathy Funk	WV	Internal Medicine Physician	$175.6K	$0
Vivek Padha	WV	Vascular & Interventional Radiology Physician	$165.4K	$0
Edward Lam	VA	Physical Medicine & Rehabilitation Physician	$156.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Martinsburg Institute Inc	WV	Methadone Clinic	$155.3K	$11.4M
Stonebrook Community Services LLC	WV	Developmentally Disabled Services Day Training Agency	$0	$11.1M
Board Of Child Care, Wv	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$5.3M
Shenandoah Valley Medical System, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$5M
Berkeley Co Comm On Aging	WV	Homemaker	$0	$2.1M
Benjamin Krepps	WV	Pain Medicine (Anesthesiology) Physician	$174K	$0
Carrie Chase	WV	Family Nurse Practitioner	$162.7K	$0
Joseph Jurand	WV	Psychiatry Physician	$128.8K	$0
Miranda Albaugh	WV	Family Medicine Physician	$125.5K	$0
West Virginia Cvs Pharmacy LLC	WV	Pharmacy	$100.8K	$0

Dan Nguyen — Billing Profile & Reimbursement Data

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Dan Nguyen — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References