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NPI 1306850433 · Edison, NJ · Specialist
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Stanley Kim is a specialist provider located in Edison, New Jersey. This profile covers 19 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Stanley Kim |
| Address | 34 Progress St # 36 |
| City | Edison |
| State | NJ |
| ZIP | 08820 |
| Taxonomy | Specialist |
| NPI Enumerated | July 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $361.2K |
| Medicaid | $27.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 1,280 | $100 | $130.6K |
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 250 | $310 | $75.9K |
| 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… | 520 | $70 | $35.5K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 180 | $150 | $26.5K |
| 90961 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the… | 100 | $250 | $24K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 280 | $70 | $19.3K |
| 90962 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 100 | $180 | $17.3K |
| 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… | 60 | $140 | $8.2K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 110 | $50 | $5.5K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 40 | $110 | $4.6K |
Showing 1–10 of 19
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 90960 | 61 | 240 | 160 | $300 | $52.2K |
| 99214 | 239 | 13,640 | 130 | $90 | $23.6K |
| 99232 | 1,828 | 6,220 | 120 | $70 | $18.4K |
| 90961 | 26 | 200 | 40 | $250 | $13.3K |
| 99213 | 1,239 | 14,090 | 100 | $70 | $13.1K |
| 99457 | 262 | 330 | 160 | $40 | $11.9K |
| G0439 | 517 | 3,370 | 70 | $120 | $11.5K |
| 99454 | 254 | 300 | 140 | $40 | $11.3K |
| 36415 | 1,732 | 2,200 | 110 | $10 | $11.1K |
| 90962 | 8 | 60 | 40 | $170 | $8.7K |
Showing 1–10 of 19
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 320 | $60 | $18.3K |
| 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… | 180 | $40 | $7.4K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 170 | $10 | $1.4K |
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 10 | $30 | $340 |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 3,153 | 4,450 | 740 | $40 | $229.8K |
| 99214 | The 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… | 2,262 | 3,790 | 580 | $60 | $204K |
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 79 | 80 | 960 | $50 | $76.4K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 116 | 240 | 150 | $1 | $1.5K |
Other providers in the same ZIP code as Stanley Kim, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hmh Hospitals Corporation | NJ | General Acute Care Hospital | $0 | $72.1M |
| Community Hospital Group Inc | NJ | General Acute Care Hospital | $0 | $71.5M |
| Sewa Adult Day Care LLC | NJ | Adult Care Home Facility | $0 | $26.3M |
| Nirvana Adult Day Care LLC | NJ | Adult Day Care Clinic/Center | $0 | $23.4M |
| Golden Era Medical Adult Day Care LLC | NJ | Adult Day Care Clinic/Center | $0 | $19.3M |
| Edison Adult Day Care Center, LLC | NJ | Adult Day Care Clinic/Center | $0 | $16.9M |
| Care Forever Adult Day Care Center LLC | NJ | Adult Day Care Clinic/Center | $0 | $13.6M |
| Rnj Services, Inc | NJ | Clinical Medical Laboratory | $5.8M | $7.5M |
| Avantic Medical Lab | NJ | Clinical Medical Laboratory | $604.6K | $5.7M |
| Q Answer Lab Inc | NJ | Clinical Medical Laboratory | $1.6M | $2.7M |
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