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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Kim
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    Michael Kim — Billing Profile & Reimbursement Data

    NPI 1437198678 · Los Alamitos, CA · Plastic Surgery within the Head & Neck (Otolaryngology) Physician

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    Michael Kim is a plastic surgery within the head & neck (otolaryngology) physician provider located in Los Alamitos, California. This profile covers 27 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
    OrganizationMichael Kim
    Address3801 Katella Ave
    CityLos Alamitos
    StateCA
    ZIP90720
    TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
    NPI EnumeratedJune 5, 2006

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

    Payer SourceTotal Paid
    Medicare$1.1M
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.1,660$180$293.3K
    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…2,160$110$237.9K
    31298The provider passes an endoscope into the nasal cavity of the patient through which he passes a balloon–tipped catheter and dilates the ostium (opening) of the frontal and sphenoid sinuses.30$4,280$107K
    31295The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…40$2,110$92.9K
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…500$180$91.2K
    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…530$160$83.3K
    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…340$140$47.5K
    99205The provider sees a new 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 provider…160$190$29.4K
    31297The provider passes an endoscope through the nasal cavity of the patient to bring about dilation of the ostium, or opening, of the sphenoid sinus.10$2,090$25.1K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.70$350$23.7K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    31298183030$4,060$162.4K
    31295134030$1,930$79.1K
    3129741010$1,960$29.4K
    9923310,30711,530120$100$26.2K
    9921420737,970120$90$23.2K
    31231354070$100$20.1K
    31579212070$150$16.9K
    9580010010040$110$15K
    9921542515,36050$130$14.4K
    312371811040$280$14.3K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Long Beach Memorial MedicalCAGeneral Acute Care Hospital$0$47.8M
    Healthcare Partners Affiliates Medical GroupCAInternal Medicine Physician$0$37.7M
    Leo PolosajianCAClinical Cardiac Electrophysiology Physician$6M$1.6M
    Rajiv RathodCAOphthalmology Physician$4.3M$670.6K
    Timothy YouCAOphthalmology Physician$4.5M$115.9K
    Esther KimCARetina Specialist (Ophthalmology) Physician$4.2M$15.7K
    John HwangCARetina Specialist (Ophthalmology) Physician$1.9M$1.7M
    Charles EifrigCARetina Specialist (Ophthalmology) Physician$2.6M$885K
    Kent SmallCAOphthalmology Physician$3.4M$3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Matthew LuxenbergCASpecialist$2.2M$0
    Michael TabibianCADermatology Physician$1.7M$0
    Ramandeep BrarCACardiovascular Disease Physician$1.5M$56.6K
    Fernando MendozaCACardiovascular Disease Physician$1.1M$0
    Bruce VannattaCAInterventional Cardiology Physician$812.7K$0
    Omid VahdatCAInterventional Cardiology Physician$730.1K$0
    Michael RadonichCASpecialist$699.7K$0
    Adrian ShandlingCACardiovascular Disease Physician$693.6K$0
    Los Alamitos Surgery Center L PCAAmbulatory Surgical Clinic/Center$656.7K$0
    Jack RubinCAInternal Medicine Physician$620.2K$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. California Distribution
    Michael Kim — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California