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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKenneth Diddie
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    Kenneth Diddie — Billing Profile & Reimbursement Data

    NPI 1184684219 · Westlake Village, CA · Specialist

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    Kenneth Diddie is a specialist provider located in Westlake Village, California. This profile covers 8 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
    OrganizationKenneth Diddie
    Address1220 La Venta Dr
    CityWestlake Village
    StateCA
    ZIP91361
    TaxonomySpecialist
    NPI EnumeratedMarch 24, 2006

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

    Payer SourceTotal Paid
    Medicare$665.5K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.430$450$189.6K
    J0178Injection, aflibercept, 1 mg230$690$160.8K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,190$90$111.4K
    J7999Compounded drug, not otherwise classified1,050$70$70.6K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…870$70$61.5K
    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.1,620$40$56.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.90$120$10.5K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…130$30$4.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178224310570$690$647.1K
    6721045040$450$74.2K
    67028114470420$100$71.8K
    J799910240130$140$34.9K
    920121591,620150$70$23.6K
    921341562,15090$30$12.6K
    920045681,95050$110$9.7K
    922507182,17070$30$4.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Amiel MoshfeghCAVascular & Interventional Radiology Physician$7.6M$0
    Geoffrey TrenkleCAFacial Plastic Surgery Physician$517.4K$6.5M
    David BoyerCAOphthalmology Physician$5.6M$3.4K
    Kevin O'reillyCAPodiatrist$513.7K$4.7M
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K
    Victor GabrielianCANuclear Cardiology Physician$5M$0
    David KimCAOphthalmology Physician$3.5M$8.8K
    Jonathan EskenaziCANeurology Physician$2.9M$407.6K
    Sean FischerCAHematology & Oncology Physician$3.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thousand Oaks Pathology Associates Inc A Medical GroupCAClinical Medical Laboratory$2.1M$5M
    Beronica SimpsonCAFamily Nurse Practitioner$3.3M$0
    Ashraf NashedCACardiovascular Disease Physician$882K$1.3M
    Shahryar AshouriCAHematology & Oncology Physician$2.2M$0
    Synergy Surgical Center, LLCCAAmbulatory Surgical Clinic/Center$1.6M$0
    Bassam GhanemCAHematology & Oncology Physician$1.5M$0
    Bahareh BahadiniCAHematology & Oncology Physician$1M$0
    Dlv Vision Asc, LLCCAAmbulatory Surgical Clinic/Center$993.5K$0
    Michael BodnarCADermatology Physician$977.1K$0
    The Westlake Ophthalmology Asc, LLCCAAmbulatory Surgical Clinic/Center$883K$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. California Distribution
    Kenneth Diddie — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California