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    OpenPayerNPI Medicare & MedicaidZhiming Yang
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    Zhiming Yang — Billing Profile & Reimbursement Data

    NPI 1992051437 · Allentown, PA · Anatomic Pathology Physician

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    Zhiming Yang is a anatomic pathology physician provider located in Allentown, Pennsylvania. This profile covers 36 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
    OrganizationZhiming Yang
    Address794 Roble Rd
    CityAllentown
    StatePA
    ZIP18109
    TaxonomyAnatomic Pathology Physician
    NPI EnumeratedAugust 2, 2012

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

    Payer SourceTotal Paid
    Medicare$4.5M
    Medicaid$0

    Key Findings

    This provider reports $4.5M in lifetime Medicare revenue and has no Medicaid billing on file, so Medicare entirely dominates the observable payer mix for this NPI. The absence of Medicaid activity means the provider should be treated as effectively single-payer (Medicare) for competitive and utilization analysis at this taxononomy level.

    Revenue is highly concentrated: the precomputed top-three Medicare codes account for 55.6% of this provider’s Medicare revenue, driven by 87798 ($1.5M, 34.3%), 88121 ($698.5K, 16.0%), and G0416 ($231.6K, 5.3%). This concentration suggests a small number of services produce the bulk of billed dollars and should be the focus for reimbursement or contract-review efforts.

    The code mix and volumes indicate an anatomic pathology practice with a heavy molecular/infectious-testing footprint and substantial cytopathology/surgical-pathology activity. High-volume amplified nucleic acid probe testing codes such as 87798 (44.1K claims), 87150 (6.7K claims), and a cluster of NAAT codes (e.g., 87556, 87640, 87651, 87653 each with multiple-thousand claim counts) point to a laboratory workflow optimized for large-scale molecular infectious-agent testing, while cytology and biopsy codes like 88121 (1.9K claims) and G0416 (762 claims) reflect pathologist-level interpretation work.

    This provider is a national high-performer in several narrow services: 88121 ranks #1 of 104 providers nationally (100th percentile; labeled an "extreme outlier"), 88112 ranks #16 of 4868 (100th percentile; "extreme outlier"), G0416 ranks #15 of 2465 (99th percentile; "extreme outlier"), and 88344 ranks #24 of 1880 (99th percentile; "extreme outlier"). At the same time, some high-revenue codes like 87798 (rank #42 of 1319, 97th percentile; labeled "typical, unremarkable volume") and 88341 (rank #166 of 10274, 98th percentile; "typical, unremarkable volume") are closer to nationally typical volumes, indicating dominance in a few niche services rather than across all pathology CPTs.

    Several codes are flagged as notable but not uniformly extreme: 87556 ranks #3 of 85 (98th percentile; "notably above typical national volume") and 87651 ranks #23 of 3530 (99th percentile; "extreme outlier"), showing unusually high activity for specific infectious-disease assays. These labels indicate statistical outlier status for discrete tests rather than a blanket outlier profile across the entire code set, which has implications for benchmarking and peer comparisons.

    The provider’s revenue profile mixes very high-volume, low-average-paid tests with fewer, higher-paid interpretive services. Examples include high-claim, lower-paid lines such as 87798 ($34 avg paid/claim, 44.1K claims) and 87086 ($8 avg paid/claim, 8K claims) contrasted with higher-paid per-claim services like 88121 ($361 avg paid/claim) and 88120 ($502 avg paid/claim), suggesting a business model combining throughput-based laboratory testing with higher-value pathology interpretation.

    Operational tenure is well-established: the NPI was enumerated on 2012-08-02 (~14 years ago), indicating the provider has been active long enough to build stable referral and testing volumes. That longevity, combined with the pattern of repetitive high-volume molecular testing, supports the interpretation of sustained specialized lab operations rather than a transient or new market entrant.

    The lack of any Medicaid billing on file limits assessment of in-state payer positioning and suggests the provider either does not contract with Medicaid, bills Medicaid under a different NPI/entity, or focuses on markets and services primarily reimbursed by Medicare and other payers. For analysts focused on state Medicaid networks or dual-eligible patient flows, this provider will not appear in Medicaid utilization datasets, and competitive insights should rely on Medicare-dominant metrics instead.

    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…44,130$30$1.5M
    88121The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for computer assisted morphometric analysis, looking at the…1,940$360$698.5K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method760$300$231.6K
    87150The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…6,670$30$226.8K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…4,070$50$219.6K
    87556The lab analyst performs a test for Mycobacterium tuberculosis using amplified nucleic acid probe technique. Mycobacteria tuberculosis are sometimes called acid fast bacteria because of the special…3,460$40$141.7K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…1,670$70$120.4K
    87563he lab analyst performs a test on a patient specimen such as blood, for Mycoplasma genitalium antigen detection using amplified nucleic acid probe technique.3,460$30$117.6K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.3,460$30$117.5K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.3,460$30$117.5K

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    877986401,250$30$1.1M
    871504107,730$30$1M
    87481720940$30$574.2K
    875562103,460$40$229.9K
    8812111030$350$210K
    87653620360$30$175.8K
    875633101,340$30$116K
    8752941080$30$96.6K
    87500830110$30$94.4K
    87640630140$30$60.4K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Frederick Ferris Thompson HospitalNYGeneral Acute Care Hospital$0$23.8M
    Ann AndersonNYClinical Pathology/Laboratory Medicine Physician$5.2M$0
    Iftikhar AhmadNYDiagnostic Radiology Physician$3.8M$650.3K
    Yousef TadrosILAnatomic Pathology & Clinical Pathology Physician$4.4M$0
    Michael NagarPAAnatomic Pathology & Clinical Pathology Physician$3.8M$0
    Ari IsaacsonNCVascular & Interventional Radiology Physician$2.8M$0
    Aqeel HaidarNCAnatomic Pathology & Clinical Pathology Physician$1.6M$0
    Michael LamboPARadiation Oncology Physician$1.1M$0
    Michael ShriverOHDiagnostic Radiology Physician$1.1M$0
    Katrina KroghCAAnatomic Pathology & Clinical Pathology Physician$1.1M$9.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health Network Laboratories, LLCPAClinical Medical Laboratory$12.5M$47.5M
    Bayada Home Health Care, Inc.PAHome Health Agency$0$23.3M
    Haven HousePAAdult Mental Health Clinic/Center$0$10.6M
    Gong FengPAAnatomic Pathology & Clinical Pathology Physician$95.2K$0
    Winfred FerolinPAPhysical Therapist$86.4K$0
    Chau NguyenPAFamily Medicine Physician$46.3K$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. Pennsylvania Distribution
    Zhiming Yang — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania