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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoseph Pham
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    Joseph Pham — Billing Profile & Reimbursement Data

    NPI 1891727814 · Tacoma, WA · Ophthalmology Physician

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    Joseph Pham is a ophthalmology physician provider located in Tacoma, Washington. This profile covers 18 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
    OrganizationJoseph Pham
    Address3602 S 19th Street
    CityTacoma
    StateWA
    ZIP98405
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 7, 2006

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

    Payer SourceTotal Paid
    Medicare$332.2K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,140$60$66.4K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…1,000$60$60.8K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…520$90$45.3K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…660$40$28.2K
    66183The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma.30$790$26.2K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…710$30$17.8K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…40$420$16.8K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.20$660$15.1K
    92020The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…660$20$12.5K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…30$330$9.9K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698426446050$560$97.5K
    66991234040$1,470$63.1K
    65820122020$1,120$37K
    6618321020$1,530$33.6K
    6682116826050$230$20.4K
    9201482790110$80$16.8K
    992145,09010,860100$80$13.6K
    92012922070$70$12.9K
    9213422370070$30$7.6K
    99213349,69060$60$6.5K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brenda Myers PowellWARetina Specialist (Ophthalmology) Physician$2.2M$0
    Rahul MandigaWARetina Specialist (Ophthalmology) Physician$1.9M$1.3K
    Benjamin ReissWARetina Specialist (Ophthalmology) Physician$1.9M$0
    Pnw Eye PLLCWAAmbulatory Surgical Clinic/Center$1M$85.4K
    Minhee ChoNVOphthalmology Physician$326.6K$0
    Niraj PatelWAOphthalmology Physician$269.6K$0
    Hoon JungWAOphthalmology Physician$247.1K$0
    Victor ChiuWAOphthalmology Physician$217.3K$0
    Minh TrinhWARetina Specialist (Ophthalmology) Physician$74.3K$0
    Vanessa FranklinWAOptometrist$34K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Multicare Health SystemWAGeneral Acute Care Hospital$0$162.2M
    Multicare Health SystemWAChildren's Hospital$0$108.4M
    Franciscan Medical GroupWAFamily Medicine Physician$0$92.6M
    Multicare Health SystemWAFamily Medicine Physician$0$75M
    Franciscan Health SystemWAGeneral Acute Care Hospital$0$44.6M
    Multicare Health SystemWAPediatrics Physician$0$29.4M
    Western Psychological And Counseling Services LLCWAClinical Psychologist$0$20.8M
    Sound Health Medical SupplyWACustomized Equipment (DME)$0$20.7M
    Tra-minw P SWARadiology Clinic/Center$0$14.5M
    Advanced Lifeline ServicesWASNF/Subacute Care Certified Respiratory Therapist$0$12.5M

    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. Washington Distribution
    Joseph Pham — 5 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington