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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKimberly Licciardi
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    Kimberly Licciardi — Billing Profile & Reimbursement Data

    NPI 1104976885 · Manchester, NH · Ophthalmology Physician

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    Kimberly Licciardi is a ophthalmology physician provider located in Manchester, New Hampshire. This profile covers 14 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
    OrganizationKimberly Licciardi
    Address764 2nd St
    CityManchester
    StateNH
    ZIP03102
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 12, 2007

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

    Payer SourceTotal Paid
    Medicare$331.8K
    Medicaid$0

    Key Findings

    Clinical/service mix is concentrated in cataract surgery and office-based ophthalmology: the provider’s top Medicare procedures include 66984 (cataract extraction with IOL) and 66821 (YAG posterior capsulotomy), and the portfolio also includes E/M codes 99214 and 99213. This combination of high-volume surgical codes plus moderate-to-high office visit volume indicates an operating model built around elective cataract surgery with pre- and post-operative clinic management rather than subspecialty inpatient care.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 63.4% of the provider’s total Medicare revenue, driven by 66984 ($104K, 31.4% of Medicare revenue), 99214 ($58.6K, 17.7%), and 66821 ($47.7K, 14.4%). This concentration means a majority of Medicare dollars flow from cataract surgery and related office visits, making these codes critical to revenue stability.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $331.8K and there is no Medicaid billing on file. The absence of Medicaid activity indicates the clinician’s Medicare exposure is central to financial performance and suggests limited participation in state Medicaid networks or low Medicaid patient volume.

    Competitive standing on key services is mixed: for the principal surgical code 66984 the provider ranks #4786 of 15965 (70th percentile) and is described as typical, unremarkable volume, while for 66821 the ranking is #1044 of 10087 (90th percentile) also labeled typical, unremarkable. These ranks indicate solid community-level surgical activity but not dominance among national cataract surgery providers.

    Some outpatient management and diagnostic procedures are above typical national volume: 99214 ranks #28373 of 479517 (94th percentile) and is labeled notably above typical national volume, and 92133 (OCT imaging) ranks #572 of 24968 (98th percentile) also labeled notably above typical national volume. High percentiles on 99214 and 92133 suggest the practice emphasizes moderately complex office visits and imaging-driven management, supporting a high-touch medical ophthalmology workflow alongside surgery.

    Other services show routine or modest positioning: codes such as 92014 (comprehensive established exam) and 65855 (trabeculoplasty) fall in the 84th and 83th percentiles respectively and are characterized as typical, unremarkable volume, while several diagnostic imaging codes (e.g., 92136 at the 54th percentile) are near median national activity. This pattern reinforces a mixed surgical/medical practice profile with some specialty diagnostic capacity but no broad outlier behavior across most codes.

    Tenure and practice stability: the provider’s NPI was enumerated 2007-01-12 (~19 years ago), indicating long-standing enrollment in Medicare. Combined with the concentrated Medicare revenue of $331.8K and the dominant role of cataract-related codes, this tenure supports the view of an established community ophthalmologist whose economic model depends on elective cataract procedures and associated follow-up care.

    Implications for payers and contracting: given the absence of Medicaid billing and the reliance on a few high-revenue Medicare codes, payers assessing network value should view this provider as a Medicare-focused cataract surgeon with strong office-management and imaging utilization (notably high 99214 and 92133 activity). Contracting or referral decisions should account for the provider’s limited Medicaid footprint and revenue sensitivity to cataract surgery volumes.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…240$440$104K
    99214The 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…670$90$58.6K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.180$260$47.7K
    92014An 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…470$90$40.7K
    99213The 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…450$60$28.7K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…530$30$13.7K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.70$190$13.6K
    92083The 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 an extended…260$50$11.6K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…150$30$5K
    92134The 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.120$30$3.4K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669842960220$310$144.6K
    9201438210170$80$21.2K
    6682134060$250$19.4K
    99214893,150110$80$13.2K
    6585543040$170$8K
    992131252,90070$50$6.9K
    921362850200$30$6K
    921344617060$30$5.2K
    9200417218040$90$5K
    992041,1191,34030$100$4.6K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elliot Professional ServicesNHInternal Medicine Physician$0$12.8M
    Maxwell EliaNHOphthalmology Physician$2.3M$0
    Ahad FazelatNHOphthalmology Physician$2.1M$0
    Paul DegregorioNHRetina Specialist (Ophthalmology) Physician$1.9M$0
    Anthony CorrentiNHOphthalmology Physician$1.5M$0
    Gina DivenutiNHHematology & Oncology Physician$1M$0
    Pareen MehtaCADiagnostic Radiology Physician$1M$0
    Frederick BriccettiNHHematology & Oncology Physician$861.3K$0
    Nancy Efferson-bonacheaNHOphthalmology Physician$790.7K$0
    Walter OsiasCADiagnostic Radiology Physician$759.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moore Center Services, Inc.NHEarly Intervention Provider Agency$0$373.9M
    Catholic Medical CenterNHGeneral Acute Care Hospital$0$19.8M
    Manchester School DistrictNHLocal Education Agency (LEA)$0$4M
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$3.1M
    Metro Treatment Of New Hampshire LPNHMethadone Clinic$148.8K$1.6M
    Home For Butterflies, LLCNHIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$1.4M
    Nh Eye Associates PLLCNHOphthalmology Physician$0$739K
    Catholic Medical CenterNHCardiovascular Disease Physician$0$489.4K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$480.4K
    Catholic Medical CenterNHGeneral Acute Care Hospital$0$472.3K

    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. New Hampshire Distribution
    Kimberly Licciardi — 4 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire