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    David Kilpatrick — Billing Profile & Reimbursement Data

    NPI 1225449317 · Denham Springs, LA · Retina Specialist (Ophthalmology) Physician

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    David Kilpatrick is a retina specialist (ophthalmology) physician provider located in Denham Springs, Louisiana. This profile covers 10 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Kilpatrick
    Address303 Veterans Blvd
    CityDenham Springs
    StateLA
    ZIP70726
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 12, 2014

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

    Payer SourceTotal Paid
    Medicare$264.5K
    Medicaid$31.3K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg210$650$140K
    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…340$90$30.1K
    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…200$120$23.1K
    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.230$90$20.8K
    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.490$30$13.6K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$860$12.9K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.20$640$10.3K
    J9035Injection, bevacizumab, 10 mg160$60$8.9K
    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,…160$30$4.2K
    76512The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures.10$30$440

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01783450300$680$371.5K
    670285270410$80$44.3K
    67042142020$1,110$26.6K
    92014136470170$80$23.9K
    67036101020$950$23.7K
    J90351940130$50$10.8K
    921345436070$20$7.4K
    99204483,19030$110$4.8K
    922509934070$20$3.7K
    76512354030$30$1.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…310$60$18.7K
    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.470$20$8K
    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…50$90$4.3K
    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,…10$30$480

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Louisiana median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…4636601,070$60$129.3K
    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…8321,170160$80$102.7K
    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.69130490$10$19.4K
    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,…197210200$20$17.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Alabama Health Services Foundation, PCALPediatrics Physician$0$79.6M
    University Of Alabama Health Services Foundation, PC.ALMulti-Specialty Clinic/Center$0$77.1M
    University Of Alabama Health Services Foundation PCALClinic/Center$0$18.6M
    University Of Alabama Ophthalmology Services FoundationALOphthalmology Physician$0$6.9M
    Joel HerringUTRetina Specialist (Ophthalmology) Physician$5.6M$23.7K
    James BrownMSRetina Specialist (Ophthalmology) Physician$5.4M$8.9K
    Michael BorneMSRetina Specialist (Ophthalmology) Physician$4.5M$1.8K
    Jay GloverTNRetina Specialist (Ophthalmology) Physician$2.9M$0
    Mississippi Retina Associates,pllcMSRetina Specialist (Ophthalmology) Physician$0$2.8M
    University Of Alabama At BirminghamALGeneral Acute Care Hospital$0$2.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Accent's Attendant Care IncLACase Management Agency$0$12.7M
    Pedicons, Inc.LASpecialist$0$12M
    Pediatrust, LLCLAMedically Fragile Infants and Children Day Care$0$9.8M
    Joseph A. Yale, Dds, LLCLAPediatric Dentistry$0$8.7M
    Complete Personal Care Services LLCLAIn Home Supportive Care Agency$0$6.3M
    Spectrum Rehab Services, Inc.LAMental Health Clinic/Center (Including Community Mental Health Center)$0$5.6M
    Tender Kare Transport LLCLANon-emergency Medical Transport (VAN)$0$5.1M
    Jordan BurnhamLAOphthalmology Physician$408.8K$99.3K
    Michael HoganLAFamily Nurse Practitioner$191.4K$0
    Megan FisherLAOptometrist$116.5K$24.8K

    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. Louisiana Distribution
    David Kilpatrick — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana
    Medicaid Revenue by Year vs. Louisiana Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    David Kilpatrick — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana