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    OpenPayerNPI Medicare & MedicaidKuang Chang
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    Kuang Chang — Billing Profile & Reimbursement Data

    NPI 1952567505 · Athens, GA · Hematology & Oncology Physician

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    Kuang Chang is a hematology & oncology physician provider located in Athens, Georgia. This profile covers 74 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
    OrganizationKuang Chang
    Address3320 Old Jefferson Rd Bldg 800
    CityAthens
    StateGA
    ZIP30607
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedAugust 4, 2008

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: total Medicare revenue is $1.8M and there is no Medicaid billing on file. The absence of Medicaid claims indicates the provider’s Medicare business dominates revenue and patient-facing activity documented in public claims data.

    Revenue is highly concentrated in a small set of therapies — the precomputed top‑3 Medicare codes account for 76.7% of this provider’s Medicare revenue. Those top contributors are A9607 (37.0% of Medicare revenue), J9271 (32.0%), and 99214 (7.7%), so a few high‑value services drive the majority of reported Medicare receipts.

    The code mix aligns with Hematology & Oncology practice patterns: A9607 (Lutetium lu 177 vipivotide tetraxetan) and J9271 (pembrolizumab) indicate use of advanced oncologic therapeutics, while 99214 dominance reflects substantial ongoing outpatient management and evaluation and management visits. This combination suggests an operation focused on specialty drug administration plus frequent office‑based follow‑up.

    Competitive standing varies by service line. For the radioligand A9607 the provider ranks #41 of 44 nationally (7th percentile), indicating a modest presence among the small national cohort billing that code; for pembrolizumab J9271 the provider ranks #732 of 1841 (60th percentile), a typical national volume; by contrast, 99214 is an extreme outlier, ranking #3450 of 479517 providers nationally (99th percentile), which indicates unusually high E/M volume relative to national peers.

    Operational throughput is evident in claim volumes and drug administration codes: A9607 shows 2.6K claims with $249 avg paid/claim and $647.9K revenue, J9271 shows 14.4K claims with $39 avg paid/claim and $561.6K revenue, and supporting infusion/injectable codes such as J1568 (2.8K claims, $90.9K revenue) and J0897 (4.8K claims, $81.6K revenue) reflect an infusion‑centric workflow. These counts and payments underscore reliance on frequent drug administrations as a core revenue and activity driver.

    Tenure and stability are notable: the NPI was enumerated on 2008-08-04 (~18 years ago), indicating an established billing history in Medicare data. That longevity, combined with concentrated specialty revenue, suggests an entrenched specialty practice rather than a recent entrant.

    From a payer or network perspective, the combination of concentrated high‑value oncology therapeutics (A9607, J9271) and an extreme outlier level of 99214 visits warrants attention for utilization and network placement. Because top three codes account for 76.7% of Medicare revenue and there is no Medicaid activity, the provider represents a specialized Medicare revenue stream with limited apparent engagement in Medicaid populations.

    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.

    74 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie2,600$250$647.9K
    J9271Injection, pembrolizumab, 1 mg14,400$40$561.6K
    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…1,520$90$135.5K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg2,840$30$90.9K
    J0897Injection, denosumab, 1 mg4,800$20$81.6K
    J1437Injection, ferric derisomaltose, 10 mg2,500$20$37.5K
    J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg110$320$34K
    J3111Injection, romosozumab-aqqg, 1 mg4,730$10$33.1K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…300$90$27.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,280$10$10.2K

    Showing 1–10 of 74

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 74 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    74 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A96073106,090$250$1.6M
    J9271214015,200$40$767.3K
    J3111222012,810$10$172.9K
    J15683103,700$30$113.3K
    J0897862902,460$20$90.2K
    J143719302,850$20$56.4K
    J088520303,970$10$26.6K
    J145452080$330$25.9K
    9641345160170$90$20.3K
    J3490245050$320$19.8K

    Showing 1–10 of 74

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Petros NikolinakosGAHematology & Oncology Physician$4.6M$0
    University Cancer & Blood Center LLCGAHematology & Oncology Physician$0$3.2M
    Julian DavisCAHematology & Oncology Physician$2.7M$0
    Charles BodineGAHematology & Oncology Physician$2.3M$0
    Gustavo WestinFLMedical Oncology Physician$2M$0
    John CanzanoCAOphthalmology Physician$2M$0
    James SplichalGAHematology & Oncology Physician$1.9M$0
    Jeffrey ThomasGAHematology & Oncology Physician$1.7M$0
    Cynthia ShepherdGAHematology & Oncology Physician$1.6M$0
    Barry CharnickFLNuclear Radiology Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mohan IyerGARetina Specialist (Ophthalmology) Physician$1.6M$0
    Victor CopelandGARetina Specialist (Ophthalmology) Physician$1.5M$0
    Athens Eye Surgery Center,llcGAAmbulatory Surgical Clinic/Center$1.2M$0
    Frederick FlyntGAHematology & Oncology Physician$1M$0
    Athens Radiology Associates PCGADiagnostic Radiology Physician$0$863K
    Tzu-chuan HuangGAHematology & Oncology Physician$469.2K$0
    Jeffrey WilliamsGAGastroenterology Physician$385.8K$0
    Athens Gastroenterology Endoscopy Center IncGAEndoscopy Clinic/Center$375.9K$0
    Walter SamsGAOphthalmology Physician$358.3K$0
    Emory PattersonGAOphthalmology Physician$326.1K$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.

    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. Georgia Distribution
    Kuang Chang — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia