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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Kingma
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    Douglas Kingma — Billing Profile & Reimbursement Data

    NPI 1003871815 · Franklin, TN · Hematology (Pathology) Physician

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    Douglas Kingma is a hematology (pathology) physician provider located in Franklin, Tennessee. This profile covers 44 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
    OrganizationDouglas Kingma
    Address448 Carothers Parkway
    CityFranklin
    StateTN
    ZIP37067
    TaxonomyHematology (Pathology) Physician
    NPI EnumeratedApril 18, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    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.

    44 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…18,510$20$296.1K
    81450The lab analyst performs a genomic sequence analysis panel to evaluate the patient specimen, such as blood or bone marrow, for DNA and possibly RNA alterations in five to 50 genes known to impact…280$740$209.9K
    88374The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides…830$170$141.3K
    81520The lab analyst performs the technical lab tests for mRNA gene expression profiling for 58 genes using hybrid capture and carries out an algorithmic analysis using patient data and the lab test…40$2,400$100.9K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…1,910$50$93.7K
    81206The lab analyst performs the technical lab test to evaluate the major breakpoint gene sequence BCR/ALB1 that occurs on chromosome 22 due to translocation, which involves breakage and reforming of an…420$160$67.5K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.760$60$46.5K
    88184The lab analyst performs the technical component of a flow cytometry procedure using a cell surface, cytoplasmic, or nuclear marker to characterize cells and aid clinicians in diagnosing patients…840$50$41.8K
    0250UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report code 0250U for…10$2,860$37.2K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…490$50$26.6K

    Showing 1–10 of 44

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 44 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    44 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    81479410180$930$692.4K
    0250U210130$2,840$366.9K
    81450310320$740$219.7K
    8152011040$2,370$94.9K
    88305137420500$30$55.1K
    88185230690$20$51.2K
    81206110290$160$39K
    88374520180$80$36.7K
    8818925050$60$12.6K
    8834254310120$50$11.6K

    Showing 1–10 of 44

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tennessee Oncology PLLCTNHematology & Oncology Physician$0$8.5M
    James GrayTNRadiation Oncology Physician$4.9M$0
    Mark WomackTNHematology & Oncology Physician$2.4M$0
    Bertrand AnzTNHematology & Oncology Physician$2.4M$0
    Dana ThompsonTNMedical Oncology Physician$2.2M$0
    Kent ShihTNHematology & Oncology Physician$2.2M$0
    Joshua MondscheinTNRadiation Oncology Physician$2.1M$0
    Derek HollandTNHematology & Oncology Physician$2M$0
    Josiah MagnussonFLNuclear Medicine Physician$1.8M$0
    William DonnellanTNHematology & Oncology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health Connect America, IncTNCommunity/Behavioral Health Agency$0$285.6M
    Capitol City Residential Healthcare Tn LLCTNDevelopmentally Disabled Services Day Training Agency$0$29.4M
    Summit Bhc New Jersey, LLCTNSubstance Abuse Rehabilitation Facility$0$21.9M
    Miller HelpersTNIn Home Supportive Care Agency$0$15.3M
    Results-ast Jv, LLCTNPhysical Therapist$0$6.9M
    Williamson County Hospital DistrictTNGeneral Acute Care Hospital$0$4.8M
    Skin Solutions Dermatology & Skin Cancer Surgery, P.C.TNSpecialist$0$4.4M
    Dr. Mark Lynn & Associates, PLLCTNOptometrist$0$3.2M
    Ambulatory Surgery Center Of Cool Springs LLCTNAmbulatory Surgical Clinic/Center$2.5M$0
    Chase EscottTNRadiation Oncology Physician$1.3M$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. Tennessee Distribution
    Douglas Kingma — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee