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    OpenPayerNPI Medicare & MedicaidNicholas Bai
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    Nicholas Bai — Billing Profile & Reimbursement Data

    NPI 1861748154 · San Diego, CA · Physician Assistant

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    Nicholas Bai is a physician assistant provider located in San Diego, California. This profile covers 8 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationNicholas Bai
    Address4746 Zion Ave
    CitySan Diego
    StateCA
    ZIP92120
    TaxonomyPhysician Assistant
    NPI EnumeratedJuly 24, 2012

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

    Payer SourceTotal Paid
    Medicare$6M
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4248Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)4,300$810$3.5M
    Q4253Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)2,900$520$1.5M
    Q4259Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure)730$790$576K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…1,540$170$258.7K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.870$90$76.4K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.480$80$36.4K
    11046The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…390$50$20.4K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…200$30$5.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42534103,110$670$2.3M
    Q42592102,290$780$1.8M
    Q4248110810$810$905.4K
    1104314370120$170$52.1K
    1104661160270$50$24.2K
    1527112170110$110$18.6K
    11042341,030100$80$18.1K
    1104584210170$30$10.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern California Permanente Medical GroupCAHealth Maintenance Organization$0$42.8M
    Bernard MichlinCAInternal Medicine Physician$1.1M$363K
    Fred ShahanCADermatology Physician$1.3M$0
    Oleg GavrilyukCAPhysical Medicine & Rehabilitation Physician$366.1K$1K
    Scott LearyCANeurological Surgery Physician$282.4K$0
    Jeannine ShivelyCAPhysician Assistant$250K$0
    James BatesCAOrthopaedic Surgery Physician$155.2K$0
    Herman SkorobogatyCASurgery Physician$110.4K$0
    Larry EmdurCAPulmonary Disease Physician$63.7K$0
    William LoCAAnesthesiology Physician$59.6K$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.

    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
    Nicholas Bai — 3 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California