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 Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan 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. Michigan (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.

Denise Kim (NPI 1073820759)

Field	Value
Entity Type	Individual
Organization	Denise Kim
Address	1000 Wall Street
City	Ann Arbor
State	MI
ZIP	48105
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 1, 2010

Payer Source	Total Paid
Medicare	$12K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
67950	Canthoplasty (median or lateral) is often referred to as a corner eye lift or eye tendon surgery. The ophthalmologist uses this technique to strengthen the lateral canthal tendon or orbicularis…	20	$230	$3.7K
99214	The 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…	40	$80	$3.3K
99213	The 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…	50	$50	$2.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$100	$1.8K
92081	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for a limited…	40	$10	$420
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	90	$1	$170

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Denise Kim — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10,834	15,470	80	$80	$11.4K
99213	8,254	14,810	60	$60	$6.6K
99215	3,405	4,420	30	$110	$6K
67950	3	10	20	$220	$4.3K
92285	35	110	40	$10	$1.1K
92081	16	40	30	$20	$950

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manjool Shah	MI	Ophthalmology Physician	$128.9K	$21K
Hakan Demirci	MI	Ophthalmology Physician	$107.9K	$0
Nambi Nallasamy	MI	Ophthalmology Physician	$101.2K	$0
Victor Elner	MI	Ophthalmology Physician	$95K	$0
Ariane Kaplan	MI	Ophthalmology Physician	$90.8K	$0
Brittany Simmons	MI	Ophthalmology Physician	$24K	$0
Nita Valikodath	MI	Ophthalmology Physician	$11K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Micholdings, Inc.	MI	Adult Mental Health Clinic/Center	$0	$38.1M
Iha Health Services Corporation	MI	Urgent Care Clinic/Center	$0	$9.1M
Regents Of The University Of Michigan	MI	Ophthalmology Physician	$0	$5.9M
Cascade Hemophilia Consortium	MI	Specialty Pharmacy	$5.1M	$0
Christopher Conrady	MI	Ophthalmology Physician	$818.6K	$0
Yu Cheng Zhao	MI	Ophthalmology Physician	$618.5K	$0
Brett Malbin	MI	Ophthalmology Physician	$477.6K	$0
Nicholas Behunin	MI	Ophthalmology Physician	$309.1K	$0
Ross Halpern	MI	Psychologist	$296.7K	$0
Christopher Hood	MI	Ophthalmology Physician	$222.4K	$0

Denise Kim — Billing Profile & Reimbursement Data

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Denise Kim — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References