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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJay Kirkham
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    Jay Kirkham — Billing Profile & Reimbursement Data

    NPI 1225319130 · Columbia, SC · Critical Care Medicine (Internal Medicine) Physician

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    Jay Kirkham is a critical care medicine (internal medicine) physician provider located in Columbia, South Carolina. 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
    OrganizationJay Kirkham
    Address14 Richland Medical Park Dr Ste 320
    CityColumbia
    StateSC
    ZIP29203
    TaxonomyCritical Care Medicine (Internal Medicine) Physician
    NPI EnumeratedSeptember 6, 2011

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

    Payer SourceTotal Paid
    Medicare$76.9K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…70$180$12.1K
    31629The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique.80$130$10.1K
    G0508Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth60$170$10.1K
    G0509Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth60$160$9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$100$8.4K
    31627In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy.80$80$6.8K
    31652The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…50$130$6K
    31626In addition to normal bronchoscopic examination, the provider places one or more markers to create a reference point for future treatment/surgery.40$90$3.7K
    31653The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…20$200$3.5K
    31628The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance.80$40$3.1K

    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
    992338171,77080$90$10.7K
    G050811060$170$10.1K
    992913251,16040$160$9.9K
    G050911060$160$9K
    3165351020$170$3.9K
    3162912020$120$3.4K
    3165212020$130$2.6K
    3162611020$90$2.4K
    99292425020$80$2.4K
    3162711020$70$2.1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health Medical Group-midlandsSCMulti-Specialty Clinic/Center$0$77.6M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$28.1M
    Kennedy Medical Group Practice, P.C.NJFamily Medicine Physician$0$12.9M
    Prisma Health TuomeySCEmergency Medicine Physician$0$6.8M
    Prisma Health Medical Group-midlandsSCFamily Medicine Physician$0$3.6M
    John GorechladNJSurgical Critical Care Physician$372.1K$0
    James HarropPANeurological Surgery Physician$364.4K$0
    Kyle FreemanIADiagnostic Radiology Physician$332.5K$0
    Heemesh SethAZCritical Care Medicine (Internal Medicine) Physician$320.3K$0
    Viswanathan IyerPANephrology Physician$302.8K$5K

    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. South Carolina Distribution
    Jay Kirkham — 5 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina