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

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

Chau Pham (NPI 1881659381)

Field	Value
Entity Type	Individual
Organization	Chau Pham
Address	8325 Whitley Rd
City	Watauga
State	TX
ZIP	76148
Taxonomy	Family Medicine Physician
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicare	$126.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

17 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…	560	$90	$49.9K
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…	480	$70	$31.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	$130	$14.7K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	160	$30	$5.4K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	80	$60	$5K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	110	$40	$4.6K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	20	$220	$3.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	330	$10	$2.7K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	120	$20	$2.2K
G0444	Annual depression screening, 5 to 15 minutes	120	$20	$2.2K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Chau Pham — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,858	32,500	110	$80	$17.6K
G0439	1,751	7,110	60	$120	$10.6K
99213	1,750	29,790	70	$60	$8.4K
98926	15	40	60	$30	$6.8K
99496	612	950	20	$190	$6.1K
98927	7	20	60	$40	$5.7K
99204	15,091	16,380	30	$110	$5.6K
99497	662	2,400	40	$60	$4.8K
36415	1,270	6,270	100	$10	$4.5K
G0008	4,292	7,860	50	$30	$2.3K

Showing 1–10 of 17

Chau Pham — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References