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

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

Kiley Kirksey (NPI 1083875629)

Field	Value
Entity Type	Individual
Organization	Kiley Kirksey
Address	3330 Ptarmigan Ln
City	Helena
State	MT
ZIP	59602
Taxonomy	Family Medicine Physician
NPI Enumerated	June 17, 2008

Payer Source	Total Paid
Medicare	$98.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	370	$130	$46.7K
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…	470	$70	$34K
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…	360	$40	$14.6K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	20	$110	$1.8K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	10	$130	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Kiley Kirksey — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	151	1,810	100	$70	$12.4K
G0439	13	370	90	$90	$10.7K
99213	142	1,730	90	$50	$7.2K
G0402	47	60	10	$150	$2.3K
99495	62	100	20	$80	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Peter's Health	MT	Family Medicine Physician	$0	$5.2M
St. Peter's Health	MT	General Acute Care Hospital	$0	$4.2M
St Peters Community Hospital	MT	Multi-Specialty Clinic/Center	$0	$2.6M
St. Peter's Hospital	MT	Ambulance	$0	$1.6M
St Peter's Medical Group North	MT	Family Medicine Physician	$0	$1.5M
St. Peter's Health	MT	Oxygen Equipment & Supplies (DME)	$0	$1.4M
Sheila Manhas	CA	Neurology Physician	$1.4M	$0
St. Peter's Health	MT	Radiology Clinic/Center	$13.3K	$849.9K
St. Peter's Health	MT	Radiology Clinic/Center	$1.3K	$623.3K
Mohammed Jaloudi	RI	Medical Oncology Physician	$398.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spring Meadow Resources, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$20.2M
Intermountain Deaconess Home For Children	MT	Psychologist	$0	$1.7M
Masonic Home Of Montana, Inc.	MT	Assisted Living Facility	$0	$1.5M
Roots Rehab	MT	Occupational Therapist	$0	$1.3M
Montana Kids Dental LLC	MT	Pediatric Dentistry	$0	$1.3M
First Words Speech And Language Clinic	MT	Speech-Language Pathologist	$0	$845.3K
Lincare Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$836.8K
Intermountain Sbs	MT	Community/Behavioral Health Agency	$0	$606.1K
Montana Telepsych Solutions Inc.	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$440.6K
Eric Thomas	MT	Internal Medicine Physician	$379.7K	$0

Kiley Kirksey — Billing Profile & Reimbursement Data

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Kiley Kirksey — 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