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 West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Edward Kiggundu (NPI 1316933492)

Field	Value
Entity Type	Individual
Organization	Edward Kiggundu
Address	2000 Foundation Way
City	Martinsburg
State	WV
ZIP	25401
Taxonomy	Radiation Oncology Physician
NPI Enumerated	September 23, 2005

Payer Source	Total Paid
Medicare	$835.2K
Medicaid	$0

Key Findings

This provider is operating squarely as a radiation oncology practice focused on external beam and advanced delivery techniques: the top revenue codes are G6015 (intensity modulated treatment delivery), 77014, and 77301 (IMRT planning/delivery), and the broader code mix includes planning, dosimetry, stereoscopic x‑ray guidance (G6002), and ongoing medical physics consultation (77336). That pattern of codes indicates the operation is organized around high‑throughput radiation delivery with in‑house planning and physics support rather than primary care or ambulatory medical management services.

Revenue is highly concentrated in a small set of delivery codes: total Medicare revenue is $835.2K and the precomputed top 3 Medicare codes (G6015, 77014, 77301) account for 68.2% of that Medicare revenue. Specifically, G6015 accounts for $376.2K (45.0%), 77014 for $119.2K (14.3%), and 77301 for $74.1K (8.9%), so the business is materially dependent on a few high‑volume treatment codes.

Payer mix is effectively single‑payer Medicare: the record shows Total Medicare revenue of $835.2K and “none below” for Medicaid, i.e., no Medicaid billing on file. This lack of Medicaid activity means reimbursement and patient mix sensitivity will track mostly to Medicare policy and local referral patterns rather than to state Medicaid dynamics.

On competitive standing, the provider shows above‑median national placement for several delivery codes but is not an extreme outlier. G6015 ranks #162 of 1429 providers (89th percentile; typical, unremarkable volume for this code) and 77014 ranks #312 of 4303 providers (93th percentile; typical, unremarkable volume for this code), indicating this clinician performs these services at a higher volume than most peers but within the usual utilization range rather than as a statistical outlier.

Additional delivery and planning codes also sit in upper percentiles, supporting a consistent service volume across the care pathway: 77427 ranks #475 of 4720 (90th percentile; typical, unremarkable volume), 77336 ranks #206 of 1488 (86th percentile; typical, unremarkable volume), and G6002 ranks #462 of 2280 (80th percentile; typical, unremarkable volume). This spread—high national percentiles across both treatment delivery and physics/planning codes—suggests the provider maintains steady throughput across multiple operational areas of radiation therapy.

Operational throughput is evident in session counts: G6015 shows 1.5K claims and 77014 shows 1.4K claims, with other session/support codes showing hundreds of claims (e.g., G6002 462 claims, 77336 413 claims). The mix of large claim counts for per‑session delivery codes plus non‑session planning/physics codes implies a practice structured around repeated treatment courses rather than one‑time consultative visits.

Tenure is long and may reflect an established referral base: the NPI was enumerated 2005-09-23 (~21 years ago). That length of service supports the interpretation that current volumes are driven by an established radiation oncology practice rather than a recent entrant building case load.

Concentration also signals financial sensitivity and potential business opportunity: because 68.2% of Medicare revenue is tied to the top three codes, reimbursement changes or shifts in referral patterns for IMRT and session‑level delivery could materially affect revenue. Likewise, the absence of Medicaid billing represents both a concentration risk and a potential growth opportunity for payer diversification if the provider or affiliated groups chose to pursue Medicaid contracts.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	1,550	$240	$376.2K
77014	N/A	1,400	$90	$119.2K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	60	$1,280	$74.1K
G6012	Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev	370	$160	$59.2K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	360	$140	$52.1K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	410	$60	$24.4K
G6002	Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	460	$50	$24K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	60	$330	$19.3K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	180	$90	$15.6K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	40	$310	$12.8K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Edward Kiggundu — 1 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	2	10	1,140	$250	$332K
G6012	2	10	330	$160	$59.8K
77014	5	20	640	$50	$46.3K
77427	4	20	170	$150	$31K
77301	5	20	40	$640	$30.5K
77336	2	10	340	$60	$22.4K
77300	10	20	190	$40	$14.7K
77338	6	20	50	$230	$11.5K
77334	7	20	160	$60	$8.9K
77263	4	20	60	$130	$8.4K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Virginia University Medical Corporation	WV	Family Medicine Physician	$0	$162.1M
Inderjit Mehmi	CA	Hematology & Oncology Physician	$2.3M	$0
City Hospital, Inc.	WV	Internal Medicine Physician	$0	$1.9M
Randall J. Hill, M.d., P.L.L.C.	WV	Specialist	$0	$1.9M
E. Ronald Salvitti, M.d., Inc.	PA	Ambulatory Surgical Clinic/Center	$986.7K	$20.9K
David Weber	PA	Specialist	$292.8K	$498.8K
Vladimir Ioffe	MD	Radiation Oncology Physician	$746.8K	$0
Manoj Jain	MD	Radiation Oncology Physician	$695.5K	$0
Matthew Oliverio	PA	Otolaryngology Physician	$175.2K	$514.5K
Ehab Youssef	MI	Diagnostic Radiology Physician	$613.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shenandoah Valley Medical System, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$61M
City Hospital, Inc	WV	General Acute Care Hospital	$0	$41.1M
Eastern Panhandle Mental Health Center (waiver)	WV	Community/Behavioral Health Agency	$0	$28.8M
Stepping Stones Cottages, LLC	WV	Counseling Psychologist	$0	$26.6M
University Healthcare Physicians, Inc.	WV	Family Medicine Physician	$0	$17.5M
American Family Matters LLC	WV	Community/Behavioral Health Agency	$0	$16.9M
Berkeley County Emergency Ambulance Authority	WV	Land Ambulance	$864.6K	$5.6M
Eastern Panhandle Mental Health (rehab)	WV	Community/Behavioral Health Agency	$0	$5.7M
City Of Martinsburg	WV	Land Ambulance	$222.2K	$2.7M
Lance Pittman	WV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.3M

Edward Kiggundu — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References