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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Kim Chen PLLC (NPI 1881078418)

Kim Chen PLLC is a gastroenterology physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Kim Chen PLLC
Address	8530 W. Sunset Rd
City	Las Vegas
State	NV
ZIP	89113
Taxonomy	Gastroenterology Physician
NPI Enumerated	July 14, 2015

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4,030	$80	$338.8K
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…	3,180	$110	$334.1K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,870	$170	$313.8K
99203	The 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…	3,590	$80	$301.8K
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…	3,440	$70	$254.5K
99223	The 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…	2,350	$100	$230.4K
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…	4,100	$50	$221.2K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	1,070	$190	$197.2K
99233	The 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…	3,670	$50	$165.2K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	110	$220	$23.9K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Kim Chen PLLC — 3 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	The 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…	78	470	380	$70	$281.2K
99223	The 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…	49	430	180	$130	$158K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	6	40	130	$200	$139.6K
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…	276	2,250	290	$60	$138K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	6	30	80	$220	$123.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	5	80	160	$140	$122.2K
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…	279	2,480	330	$50	$107.6K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	15	20	180	$190	$96.5K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	52	90	200	$20	$71.6K
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…	19	780	90	$100	$46.6K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicole Bachmann	MD	Family Nurse Practitioner	$997.5K	$0
David Shih	NV	Gastroenterology Physician	$291.6K	$11.3K
Gary Chen	NV	Gastroenterology Physician	$109.4K	$123.6K
Alice Kim	NV	Psychiatric/Mental Health Nurse Practitioner	$231.7K	$0
Andrew Kim	NV	Gastroenterology Physician	$191.1K	$19.1K
Syed Abdul Basit	NV	Gastroenterology Physician	$184.3K	$420
Vijay Jayaraman	NV	Gastroenterology Physician	$178K	$0
Matthew Glover	NV	Gastroenterology Physician	$171.4K	$640
Christian Stone	NV	Gastroenterology Physician	$103.7K	$37.7K
Tarek Ammar	NV	Gastroenterology Physician	$123.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Inc	NV	Ambulance	$5.1M	$47.2M
Fielden Hanson Isaacs Miyada Robison Yeh Ltd	NV	Anesthesiology Physician	$0	$13.9M
Dignity Health	NV	General Acute Care Hospital	$0	$8M
Vituity - Nevada Koury & Partners PLLC	NV	Emergency Medicine Physician	$0	$6.7M
Center For Wellness And Pain Care Of Las Vegas Inc	NV	Pain Medicine (Anesthesiology) Physician	$0	$6.5M
Independent Life LLC	NV	Home Health Agency	$0	$5.4M
Bess Chang	NV	Neurology Physician	$5.2M	$0
Fresenius Medical Care Spring Valley, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.2M
Doctor's Health Network, Inc.	NV	Endocrinology, Diabetes & Metabolism Physician	$0	$4.5M
Childrens Urology Associates, LLC	NV	Pediatric Urology Physician	$0	$2.7M

Kim Chen PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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