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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKenneth York
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    Kenneth York — Billing Profile & Reimbursement Data

    NPI 1396819983 · Glendora, CA · Ophthalmology Physician

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    Kenneth York is a ophthalmology physician provider located in Glendora, California. This profile covers 15 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
    OrganizationKenneth York
    Address210 S Grand Ave
    CityGlendora
    StateCA
    ZIP91741
    TaxonomyOphthalmology Physician
    NPI EnumeratedNovember 17, 2006

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

    Payer SourceTotal Paid
    Medicare$248.2K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…1,450$70$107.2K
    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…280$100$29.3K
    67820The provider removes deviated or abnormal eyelashes, a condition known as trichiasis. He uses forceps to extract the unwanted lashes that cause eye irritation.1,120$20$25.8K
    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.720$30$24.5K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…270$60$15K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…360$30$11.3K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…20$430$9.4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.70$120$8K
    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.70$90$6.4K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.20$300$5.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669841,1341,25090$690$122.8K
    67028397470420$100$71.8K
    920148492,890110$100$28.7K
    92012471,620150$70$23.6K
    6682177095040$270$18.4K
    921343022,15090$30$12.6K
    920047161,95050$110$9.7K
    920832881,96070$50$7K
    92136741920100$30$4.8K
    921331971,93080$30$4.1K

    Showing 1–10 of 15

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moustapha AbidaliCAPulmonary Disease Physician$518.5K$0
    Jaspreet AhujaCAPulmonary Disease Physician$448.3K$0
    Naji KandalaftCAInterventional Cardiology Physician$429.4K$430
    Rohinder SandhuCAPulmonary Disease Physician$412.4K$1.5K
    Artin AlexandrianCAPsychiatric/Mental Health Nurse Practitioner$395.1K$0
    Alexander KassarCAPulmonary Disease Physician$393.3K$0
    Owais ZaidiCAPulmonary Disease Physician$376.5K$3.1K
    Neil DohertyCACardiovascular Disease Physician$249K$0
    Matthew ClaysonCAFoot & Ankle Surgery Podiatrist$103.1K$0
    Kurt MelstromCAColon & Rectal Surgery Physician$24.4K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Kenneth York — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California