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    OpenPayerNPI Medicare & MedicaidKori Elkins
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    Kori Elkins — Billing Profile & Reimbursement Data

    NPI 1265691141 · Portsmouth, VA · Retina Specialist (Ophthalmology) Physician

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    Kori Elkins is a retina specialist (ophthalmology) physician provider located in Portsmouth, Virginia. This profile covers 19 Medicare and 1 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
    OrganizationKori Elkins
    Address3235 Academy Ave
    CityPortsmouth
    StateVA
    ZIP23703
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 5, 2008

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

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$670

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,030$690$715.5K
    J2777Injection, faricimab‑svoa, 0.1 mg10,500$30$304.5K
    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…1,630$90$142.2K
    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.1,550$90$137.9K
    J3490Unclassified drugs60$1,770$109.6K
    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.3,130$30$90.7K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg530$120$63K
    J9035Injection, bevacizumab, 10 mg790$50$42.4K
    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…390$90$36.8K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg180$160$28.9K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017847801,400$690$1.1M
    J2777366013,200$30$517.1K
    6702831901,000$90$107.1K
    J27811020560$120$86.6K
    J73121520240$160$42.5K
    9201436870170$80$32.8K
    67108192020$1,180$23.5K
    992142,73512,890140$80$21K
    J34905011060$280$20.5K
    J9035960170$50$19.9K

    Showing 1–10 of 19

    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.

    1 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…10$50$680

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    1 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…427450300$60$89.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virginia Eye Consultants IncVAOphthalmology Physician$0$8.3M
    John O'keefeVAOphthalmology Physician$4.8M$0
    Juan AstrucVAOphthalmology Physician$4.7M$0
    Rohit AdyanthayaVAOphthalmology Physician$4.1M$0
    Bryan SchwentVAOphthalmology Physician$3.7M$0
    Thomas JenkinsVAOphthalmology Physician$2.8M$0
    Meadows Healthcare LLCNVRetina Specialist (Ophthalmology) Physician$0$2.8M
    David SalibVAOphthalmology Physician$2.5M$0
    Evan BergerVARetina Specialist (Ophthalmology) Physician$2M$0
    Ali TabassianVAOphthalmology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Humanity Healthcare Services, LLCVAHome Health Agency$0$16.8M
    Pediatric Dental Care Of Tidewater PCVAPediatric Dentistry$0$11.6M
    Mark PavilackVAOphthalmology Physician$504.7K$0
    Roger NewsomVAOphthalmic Plastic and Reconstructive Surgery Physician$492K$0
    Leonard RappaportVAOphthalmology Physician$433.5K$0
    John EdmondsVAOphthalmology Physician$415.5K$0
    Amaresh VangaVANephrology Physician$219.6K$0
    Krunal PatelVANephrology Physician$216.3K$0
    D'wayne TupperVAPrimary Podiatric Medicine Podiatrist$193.3K$4.8K
    Eric GoldbergVAClinical Neurophysiology Physician$146.7K$18.9K

    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. Virginia Distribution
    Kori Elkins — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Kori Elkins — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia