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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Tran
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    Michael Tran — Billing Profile & Reimbursement Data

    NPI 1952513830 · Anderson, SC · Psychiatry Physician

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    Michael Tran is a psychiatry physician provider located in Anderson, South Carolina. This profile covers 7 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
    OrganizationMichael Tran
    Address200 Mcgee Road
    CityAnderson
    StateSC
    ZIP29625
    TaxonomyPsychiatry Physician
    NPI EnumeratedMay 4, 2007

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

    Payer SourceTotal Paid
    Medicare$23.7K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…100$100$10.1K
    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…90$80$7.6K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…30$70$2.2K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.10$110$1.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…150$10$1.2K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.60$10$780
    J1631Injection, haloperidol decanoate, per 50 mg110$10$540

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,9517,860160$80$23.2K
    90837169240160$90$17.5K
    90834608080$60$7.1K
    9079114617020$110$4K
    9921110636030$10$880
    963722271,62050$10$880
    J1631410100$1$530

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$65.9M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$61.9M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$47.7M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$40.9M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$40.5M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$40M
    South Carolina Department Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$36M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$32M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$30.2M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$29.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anderson County Disabilities And Special Needs BoardSCPublic Health or Welfare Agency$0$24.1M
    Anderson School District FiveSCSchool Counselor$0$6M
    Southwest Carolina Treatment Center, LLCSCMethadone Clinic$174.1K$3.1M
    Anderson Oconee Behavioral Health ServicesSCCommunity/Behavioral Health Agency$0$2.4M
    State Of South CarolinaSCPublic Health or Welfare Agency$0$1.8M
    David BudhooSCInternal Medicine Physician$362.7K$0
    Ernest MartinSCForensic Psychiatry Physician$177.8K$3.9K
    Kyle NelsonSCFamily Medicine Physician$152.8K$0
    Jaclyn PetermannSCOccupational Therapist$72.1K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Michael Tran — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina