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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAnthony Kim
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    Anthony Kim — Billing Profile & Reimbursement Data

    NPI 1205890381 · Middlebury, CT · Urology Physician

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    Anthony Kim is a urology physician provider located in Middlebury, Connecticut. This profile covers 15 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
    OrganizationAnthony Kim
    Address1579 Straits Tpke
    CityMiddlebury
    StateCT
    ZIP06762
    TaxonomyUrology Physician
    NPI EnumeratedApril 14, 2006

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

    Payer SourceTotal Paid
    Medicare$210.9K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…810$100$76.6K
    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…390$70$25.7K
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…440$50$19.8K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…90$190$16.2K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg120$140$16.1K
    99204The provider sees a new 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 provider…90$130$10.8K
    J9155Injection, degarelix, 1 mg3,520$1$10.6K
    52648Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with…20$570$9.7K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.720$10$6.5K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$360$6.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92172030150$130$20.2K
    99214796,48090$90$14.2K
    520003911070$170$11.7K
    J91553103,920$1$11.6K
    992134026,44070$60$8.1K
    5264811010$570$7.9K
    52356143020$350$6.3K
    992041932,66030$120$4.6K
    994432619020$90$4.5K
    992221,3201,70030$100$4.3K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bristol Hospital IncorporatedCTGeneral Acute Care Hospital$0$68.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Trinity Health Of New England Provider Network Organization IncCTInternal Medicine Physician$0$42M
    Franklin Medical Group, PCCTInternal Medicine Physician$0$13.5M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Bristol Hospital Multi Specialty Group, IncCTGeneral Practice Physician$0$7.5M
    Lisa HautCTFamily Nurse Practitioner$0$1.6M
    Bristol Hospital Multi-specialty Group, Inc.CTPsychiatry Physician$0$1.3M
    Robert SmithCTSpecialist$33.8K$1.1M
    Yuyang ZhangMDDiagnostic Radiology Physician$920.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lincare IncCTDurable Medical Equipment & Medical Supplies$0$14.6M
    J & L Medical Services, LLCCTDurable Medical Equipment & Medical Supplies$0$2M
    Naugatuck Valley Cardiovascular AssociatesCTCardiovascular Disease Physician$0$1.5M
    Healthy Children Pediatrics, LLCCTPediatrics Physician$0$1.3M
    George AntonopoulosCTCardiovascular Disease Physician$632.7K$0
    Robert KennonCTOrthopaedic Surgery Physician$264K$0
    York MoyCTUrology Physician$257.8K$0
    Sagar PhatakCTUrology Physician$242.6K$0
    John KeggiCTOrthopaedic Surgery Physician$231.2K$0
    Pooia FattahiCTNeurological Surgery Physician$186.8K$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. Connecticut Distribution
    Anthony Kim — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut