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    OpenPayerNPI Medicare & MedicaidKeith Holley
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    Keith Holley — Billing Profile & Reimbursement Data

    NPI 1386616183 · Nampa, ID · Adult Reconstructive Orthopaedic Surgery Physician

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    Keith Holley is a adult reconstructive orthopaedic surgery physician provider located in Nampa, Idaho. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKeith Holley
    Address4424 E Flamingo Ave
    CityNampa
    StateID
    ZIP83687
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedFebruary 6, 2006

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

    Payer SourceTotal Paid
    Medicare$74.1K
    Medicaid$0

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…40$920$32.1K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…30$920$24.8K
    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…90$80$7.1K
    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…40$100$3.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$130$2.4K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…100$20$1.6K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.70$20$1K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.50$10$700
    99213The 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…10$50$610

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274474411030$640$25.1K
    27130408030$510$16.5K
    992141,3422,69090$70$10.4K
    9921560181040$100$6.5K
    992132,7302,77070$50$5.7K
    992044691,18030$100$4.2K
    735023320040$10$920
    735644415040$20$910
    735625216040$10$760

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nicholas KalayehNVInterventional Cardiology Physician$573.7K$88.4K
    Saint Alphonsus Specialty Services IncIDTrauma Surgery Physician$0$608.2K
    Lindsay SalesIDTherapeutic Radiology Physician$175.1K$0
    Kevin KavanaughWAInterventional Cardiology Physician$134.4K$0
    David OakesWYClinical Cardiac Electrophysiology Physician$125.4K$0
    Jesse DotyTNOrthopaedic Surgery Physician$99.2K$0
    Dawn KingIDUrology Physician$94.5K$0
    Andrew StithCOOrthopaedic Foot and Ankle Surgery Physician$71.1K$0
    Matthew GriffinCAOrthopaedic Surgery Physician$61.2K$0
    James MeserowNDMaternal & Fetal Medicine Physician$0$60K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Clinics, Inc.IDFederally Qualified Health Center (FQHC)$0$37.7M
    Rescare Washington IncIDNursing Care Agency$0$8.2M
    Assisting Hands Home Care - Boise, LLCIDHome Health Agency$0$7.6M
    Idaho Pediatric DentistryIDPediatric Dentistry$0$4.9M
    Unbefuddled, LLCIDCase Management Agency$0$4.6M
    Saint Alphonsus Medical Center Nampa, Inc.IDGeneral Acute Care Hospital$0$3.7M
    Best Homecare And Staffing LLCIDHome Health Agency$0$2.6M
    Advanced Services LLCIDDevelopmentally Disabled Services Day Training Agency$0$2.6M
    Norco, Inc.IDOxygen Equipment & Supplies (DME)$0$2.4M
    St Lukes West LtdIDGeneral Acute Care Hospital$0$1.9M

    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. Idaho Distribution
    Keith Holley — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho