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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDominique Pham
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    Dominique Pham — Billing Profile & Reimbursement Data

    NPI 1891776662 · West Roxbury, MA · Internal Medicine Physician

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    Dominique Pham is a internal medicine physician provider located in West Roxbury, Massachusetts. This profile covers 14 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
    OrganizationDominique Pham
    Address1996 Centre St
    CityWest Roxbury
    StateMA
    ZIP02132
    TaxonomyInternal Medicine Physician
    NPI EnumeratedNovember 9, 2005

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

    Payer SourceTotal Paid
    Medicare$243.3K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,590$100$152.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit390$140$55.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,000$10$8K
    G0008Administration of influenza virus vaccine150$30$5.2K
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…150$30$4.7K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment30$180$4.7K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…460$10$4.6K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$180$3.2K
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…560$1$1.7K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.40$30$1.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144515,410110$80$15.6K
    G0439463,35070$120$11.9K
    36415492,130110$10$4.6K
    G043824355020$160$3.8K
    G00086653,49040$30$3.5K
    6921019643030$30$3.3K
    G04021639010$170$2.6K
    930002032,03030$10$1.6K
    9075634020$30$1.3K
    9637226949060$10$1.1K

    Showing 1–10 of 14

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vilaj Lajwa LLCMAAdult Day Care Clinic/Center$0$15.6M
    Awakening Excellence LLCMAAdult Day Care Clinic/Center$0$10.5M
    Cvs Pharmacy IncMAPharmacy$282.9K$0
    Michael LowneyMAFamily Medicine Physician$49.4K$116.4K
    Daniel WollinMAUrology Physician$91.4K$0
    Qin HuangMAAnatomic Pathology Physician$78.4K$3K
    Adrienne UlrichMAAudiologist$15.1K$0
    Barbara BaxterMAMedical Physician Assistant$15.1K$0
    Jessica RobinsonMAAudiologist-Hearing Aid Fitter$5.1K$0
    Peter BekkerMAAnesthesiology Physician$4.9K$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. Massachusetts Distribution
    Dominique Pham — 7 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts