Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

David Kim (NPI 1245356971)

Field	Value
Entity Type	Individual
Organization	David Kim
Address	239 Taunton Blvd Ste A2
City	Medford
State	NJ
ZIP	08055
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicare	$143.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	950	$70	$68.5K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	1,280	$30	$38.5K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	680	$50	$32.7K
99204	The 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…	40	$130	$4.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

David Kim — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	339	14,090	100	$70	$13.1K
99204	3,458	7,160	40	$130	$6.5K
20550	2	420	40	$50	$3.5K
20553	3	130	30	$50	$3.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oaks Integrated Care	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$21.6M
Carl Hyder	NJ	Ophthalmology Physician	$1.1M	$1.6K
Gabriella Gutman	NJ	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$320.3K	$0
David High	NJ	Dermatology Physician	$179.2K	$0
Joseph Dwyer	NJ	Orthopaedic Hand Surgery Physician	$165.4K	$0
Anthony Albert-puleo	NJ	Family Medicine Physician	$155.2K	$6.9K
Angela Frates	NJ	Gastroenterology Physician	$160.3K	$0
Christopher Haydel	NJ	Orthopaedic Surgery Physician	$156.6K	$0
Raymond Ropiak	NJ	Orthopaedic Surgery Physician	$156.1K	$0
Terry Fazio	NJ	Nurse Practitioner	$139.2K	$0

David Kim — Billing Profile & Reimbursement Data

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David Kim — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References