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    OpenPayerNPI Medicare & MedicaidNancy Kim
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    Nancy Kim — Billing Profile & Reimbursement Data

    NPI 1396809885 · Medford, MA · Ophthalmology Physician

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    Nancy Kim is a ophthalmology physician provider located in Medford, Massachusetts. This profile covers 20 Medicare and 3 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
    OrganizationNancy Kim
    Address26 City Hall Mall
    CityMedford
    StateMA
    ZIP02155
    TaxonomyOphthalmology Physician
    NPI EnumeratedDecember 20, 2006

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

    Payer SourceTotal Paid
    Medicare$186.1K
    Medicaid$4K

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67900The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…50$540$26K
    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…250$100$24.7K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…40$630$23.2K
    67903The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove an obstruction to a patient’s vision. He accesses the…50$390$20.3K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.40$420$17.7K
    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…210$70$14.3K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…40$280$10.6K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.50$230$10.4K
    99203The provider sees a new 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 provider…120$80$9K
    68810The provider probes the nasolacrimal duct to identify a possible obstruction or stricture; he may or may not irrigate the duct.30$180$5.4K

    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

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1144031030$70$26.8K
    15823134030$610$24.8K
    14060125030$600$19.7K
    992143,61915,410110$80$15.6K
    67840133030$200$13.7K
    6790311020$410$11.2K
    6791722020$460$11.1K
    1144131020$100$10.7K
    6790011020$480$10.6K
    992155,7656,36040$120$8.9K

    Showing 1–10 of 20

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99203The provider sees a new 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 provider…20$130$1.9K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.50$30$1.2K
    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$70$860

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…5,1205,300230$60$164.5K
    99203The provider sees a new 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 provider…812990100$80$75.6K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.2940170$20$10.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atrius Health, Inc.MAInternal Medicine Physician$0$14.5M
    Corey WesterfeldMAOphthalmology Physician$1.2M$0
    Mehnaz KhanMAOphthalmology Physician$871.2K$37.7K
    Stephen LyleMAAnatomic Pathology Physician$852.2K$40.3K
    Kavitha ReddyMADermatology Physician$868K$0
    David MeenanMAInternal Medicine Physician$40.4K$808.1K
    John LazorMAOtolaryngology Physician$280.9K$501.9K
    Robert LancasterMAVascular Surgery Physician$720.8K$0
    Karen Jeng-millerMAOphthalmology Physician$698.7K$0
    Rachel GrossMARheumatology Physician$612.6K$8.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Innovive Health Of Massachusetts LLCMAHome Health Agency$0$364.6M
    Melrosewakefield Healthcare, Inc.MAGeneral Acute Care Hospital$0$37.8M
    Medford AdhcMAAdult Day Care Clinic/Center$0$10.4M
    Dcs Mental Health, IncMAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.5M
    Medford Surgery Center LLCMAAmbulatory Surgical Clinic/Center$470.6K$0
    Laurence ConwayMACardiovascular Disease Physician$461.8K$480
    Michael StevensMAFamily Medicine Physician$318.6K$0
    David SamenukMACardiovascular Disease Physician$303K$0
    Dan SeligmanMAPodiatrist$234.1K$19.5K
    Tara HamiltonMAEndocrinology, Diabetes & Metabolism Physician$179.7K$0

    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. Massachusetts Distribution
    Nancy Kim — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Nancy Kim — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts