Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Ohio (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Hang Pham (NPI 1972920296)

Field	Value
Entity Type	Individual
Organization	Hang Pham
Address	24075 Commerce Park
City	Beachwood
State	OH
ZIP	44122
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 25, 2014

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

Practice is concentrated in retinal medical treatments driven by intravitreal drug administration: J0178 (injection, aflibercept) accounts for $1.6M and 59.8% of the provider's Medicare revenue, and J2777 (injection, faricimab) contributes $495.9K and 18.9% of Medicare revenue; the inclusion of 67028 (vitreous chamber injection) at $119.6K (4.6%) reinforces an operational focus on frequent intravitreal procedures and medical retina care.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 83.3% of this provider's total Medicare revenue, against a lifetime Medicare revenue of $2.6M. This level of concentration signals material business risk or dependence on a small set of high-cost retinal therapies and injections for most Medicare income.

Payer mix is effectively single-payer: there is no Medicaid billing on file (none below), so Medicare ($2.6M) is the sole public-payer revenue source visible here. The absence of Medicaid activity means the provider’s public-revenue exposure and competitive comparisons should be interpreted primarily through a Medicare lens.

Competitive standing on high-revenue drugs is above median but not dominant: J0178 ranks #408 of 3204 (87th percentile; typical, unremarkable volume) and J2777 ranks #637 of 2039 (69th percentile; typical, unremarkable volume). These percentiles indicate stronger-than-average national presence for anti-VEGF/retinal drug administration but still within a typical range rather than indicating market dominance.

Diagnostic imaging is a clear strength relative to peers: 92134 (computerized retinal imaging) shows 2.2K claims, $60.9K revenue (2.3%) and ranks #885 of 26868 (97th percentile; notably above typical national volume). The notably above-typical ranking for 92134 suggests the practice performs retinal imaging at a much higher rate than most ophthalmology peers, supporting the clinical focus on retina disease management and follow-up.

Some outpatient E/M and new-patient activity is unusually high: 99204 has 154 claims and $17.1K revenue (0.7%) and ranks #9941 of 227068 (96th percentile; notably above typical national volume), while 99214 and other E/M codes show typical volumes. The elevated 99204 percentile may reflect a disproportionate share of longer new-patient consultations or referral evaluations compared with the average ophthalmologist.

Tenure and overall scale: the provider’s NPI was enumerated 2014-03-25 (~12 years ago), and lifetime Medicare revenue is $2.6M, placing this clinician in a mid-size Medicare revenue footprint for an ophthalmology physician. Aside from the two codes flagged as notably above typical (92134 and 99204), most billed codes (including J0178, J2777, 67028 and others) are described as “typical, unremarkable volume,” indicating an operational profile that is specialized but not unusually outlying across the broader CPT mix.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,270	$690	$1.6M
J2777	Injection, faricimab‑svoa, 0.1 mg	17,100	$30	$495.9K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1,340	$90	$119.6K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	620	$120	$73.8K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	2,170	$30	$60.9K
J3490	Unclassified drugs	30	$1,770	$54.8K
92014	An 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…	640	$80	$52.4K
92012	For 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…	660	$60	$39.5K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	260	$150	$38.1K
J3590	Unclassified biologics	80	$440	$34K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Hang Pham — 4 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	13	100	840	$680	$729K
J2777	18	70	9,480	$30	$353.3K
J2781	13	20	1,040	$120	$152.4K
J3490	46	50	100	$560	$73.1K
67028	31	150	470	$90	$64K
J7312	10	20	240	$160	$41.7K
J3590	77	100	200	$100	$30K
67042	35	50	20	$960	$29.7K
67108	14	30	20	$1,020	$26.5K
92014	60	1,390	100	$70	$12.9K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Cincinnati Physicians Company, LLC	OH	Family Medicine Physician	$0	$65.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
West Chester Hospital LLC	OH	General Acute Care Hospital	$0	$19.5M
Retina Associates Of Cleveland, Inc.	OH	Retina Specialist (Ophthalmology) Physician	$0	$11.2M
Kettering Independent Medical Group Inc	OH	Orthopaedic Surgery Physician	$0	$8.4M
Scott Pendergast	OH	Retina Specialist (Ophthalmology) Physician	$6M	$0
David Miller	OH	Retina Specialist (Ophthalmology) Physician	$4.8M	$0
James Osher	OH	Ophthalmology Physician	$3.7M	$0
Llewelyn Rao	OH	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Bruce Buerk	OH	Retina Specialist (Ophthalmology) Physician	$3.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Primary Care Practices Inc	OH	Internal Medicine Physician	$0	$78.7M
Pearl's Hope, LLC	OH	Home Health Agency	$0	$47.8M
Health Care Bridge, Inc	OH	Home Health Agency	$0	$32.3M
Cleveland Clinic Health System - East Region	OH	General Acute Care Hospital	$0	$31.5M
Altimate Care LLC	OH	Home Health Agency	$0	$24M
Signature Health, Inc	OH	Federally Qualified Health Center (FQHC)	$0	$23M
University Hospitals Ahuja Medical Center, Inc	OH	General Acute Care Hospital	$0	$21.1M
Shaker Clinic, LLC	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.5M
Psychological & Behavioral Consultants, LLC	OH	Psychiatry Physician	$0	$14.9M
Northeast Home Health Services	OH	Home Health Agency	$0	$11.9M

Hang Pham — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References