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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCuong Ha
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    Cuong Ha — Billing Profile & Reimbursement Data

    NPI 1962499061 · Gainesville, VA · Specialist

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    Cuong Ha is a specialist provider located in Gainesville, Virginia. This profile covers 33 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationCuong Ha
    Address7051 Heathcote Village Way
    CityGainesville
    StateVA
    ZIP20155
    TaxonomySpecialist
    NPI EnumeratedOctober 4, 2005

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

    Payer SourceTotal Paid
    Medicare$839K
    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…1,770$70$122.3K
    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…1,150$90$98.6K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…220$370$80.7K
    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…1,380$60$79.9K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.200$340$67.9K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.2,100$30$65.1K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…9,300$10$46.5K
    99204The provider sees a new 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 provider…270$110$29.7K
    13152The physician performs closure of a wound/laceration for at least one of the following anatomic areas: eyelids, nose, ears, lips. The repair performed is of a complex nature, which involves more than…60$390$25.1K
    11302The provider shaves off a single epidermal or dermal lesion of 1.1 to 2.0 cm in diameter from the skin of the trunk, arms, or legs.250$90$23.5K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305248250760$40$55.8K
    9921430512,890140$80$21K
    1313247050$240$18.6K
    171101530120$80$13.7K
    11102179480140$60$13.1K
    1312117040$260$12.8K
    170003580210$40$12.4K
    992137412,44090$60$10K
    170043925040$120$9.5K
    1310144020$280$8K

    Showing 1–10 of 33

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pamco Care LLCVACommunity/Behavioral Health Agency$0$12.8M
    Cornerstone Missions, Inc.VACommunity/Behavioral Health Agency$0$8.9M
    Robert MarshVAHematology & Oncology Physician$1.6M$120
    Tejas SureshVAHematology & Oncology Physician$1.6M$0
    Sanjeev AggarwalVARadiation Oncology Physician$1.4M$0
    Moira SuttonVARadiation Oncology Physician$921.5K$0
    Kurt MaggioVADermatology Physician$467K$0
    Soonyou KwonVAMOHS-Micrographic Surgery Physician$370.1K$0
    Vipul ParikhVAInternal Medicine Physician$363.8K$0
    Alok GuptaVAInternal Medicine Physician$294.7K$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. Virginia Distribution
    Cuong Ha — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia