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    OpenPayerNPI Medicare & MedicaidKyle Alliman
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    Kyle Alliman — Billing Profile & Reimbursement Data

    NPI 1437360351 · West Des Moines, IA · Ophthalmology Physician

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    Kyle Alliman is a ophthalmology physician provider located in West Des Moines, Iowa. This profile covers 22 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
    OrganizationKyle Alliman
    Address6200 Westown Pkwy
    CityWest Des Moines
    StateIA
    ZIP50266
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 24, 2007

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

    Payer SourceTotal Paid
    Medicare$8.7M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer on record: lifetime Medicare revenue is $8.7M and there is no Medicaid billing on file, so all uncovered claims activity in the dataset is Medicare-derived. That concentration means the practice’s revenue and utilization profile should be evaluated primarily through the lens of Medicare reimbursement and drug-pricing dynamics.

    Revenue is highly concentrated in three injectable ophthalmology drugs: J2777, J0178, and J2778 together account for 89.9% of the provider’s Medicare revenue, with individual shares of 57.9%, 20.4%, and 11.6% respectively. This concentration indicates the provider’s financial performance is driven overwhelmingly by high-volume intravitreal biologic administration rather than by general office visits or minor procedures.

    The mix of top codes and code descriptions shows a retina-focused, injection-centric operation: J2777 (faricimab), J0178 (aflibercept), and J2778 (ranibizumab) dominate revenue while high volumes of 67028 (injection into the vitreous chamber) and 92134 (computerized retinal imaging) demonstrate routine, procedure-driven management of retinal disease. The presence of 92134 (5.5K claims, $153.1K revenue) alongside thousands of injection claims is consistent with a practice that pairs frequent imaging with biologic therapy.

    For several high-revenue items the provider is a national outlier: J2777 ranks #4 of 2039 providers nationally (100th percentile; extreme outlier), 67028 ranks #14 of 4255 providers (100th percentile; extreme outlier), 92134 ranks #24 of 26868 providers (100th percentile; extreme outlier), and 99213 likewise appears as an extreme outlier by percentile. These rankings signal a dominant national footprint for administration of faricimab and high throughput for injection visits and retinal imaging compared with peers.

    Not all leading drug codes show the same competitive intensity: J2778 ranks #33 of 1208 providers (97th percentile; notably above typical national volume) indicating a substantially above-average presence for ranibizumab, while J0178 ranks #289 of 3204 providers (91th percentile; typical, unremarkable volume) suggesting more typical national participation for aflibercept. This uneven ranking across biologics hints at programmatic preference or local formulary/contracting effects that favor faricimab at this location.

    Although most revenue is tied to injections and imaging, the provider also bills surgical retina codes (for example 67042 with 47 claims and $38.5K revenue and 67028 with 4.5K claims and $391.8K revenue), indicating capacity to deliver both office-based intravitreal therapy and some operative retinal procedures. These surgical and procedure codes represent a minority of Medicare revenue but demonstrate clinical breadth beyond routine injections.

    Dependence on high-dollar drug administration creates payer and reimbursement sensitivity: with no Medicaid billing on file and nearly all revenue coming from Medicare, the practice’s topline is exposed to changes in Medicare drug payment policy, coverage decisions, or utilization management for intravitreal biologics like those billed under J2777/J0178/J2778. Absence of a Medicaid revenue stream means there is no immediate state-program revenue diversification recorded here.

    The provider’s NPI was enumerated on 2007-05-24 (~19 years ago), indicating an established billing history to Medicare; that tenure combined with sustained, high-volume billing for injections and retinal imaging supports the interpretation of a mature, retina-focused practice rather than a newer or low-volume office.

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg174,000$30$5M
    J0178Injection, aflibercept, 1 mg2,580$690$1.8M
    J2778Injection, ranibizumab, 0.1 mg5,670$180$1M
    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.4,500$90$391.8K
    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.5,470$30$153.1K
    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…1,510$60$87.3K
    J3590Unclassified biologics330$150$48.6K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg290$160$45.3K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…50$820$38.5K
    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…430$80$36K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J277712043,140$30$1.7M
    J0178540640$690$760.2K
    J2778120780$180$259.9K
    67028160420$80$80.6K
    J7312110200$160$32.9K
    6704242020$900$28.8K
    J3590730140$100$26.7K
    92014117500200$70$19.8K
    6703661020$740$15.5K
    67108162020$830$15K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wolfe Clinic IncIAOphthalmology Physician$0$18.2M
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Paul BoekeIAOphthalmology Physician$7.1M$0
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Robert BehrensIAMedical Oncology Physician$5.2M$0
    Matthew McknightIAFoot & Ankle Surgery Podiatrist$4.7M$23.5K
    James SingerIARetina Specialist (Ophthalmology) Physician$4.1M$0
    Christopher HaupertIARetina Specialist (Ophthalmology) Physician$3.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iowa Physicians Clinic Medical FoundationIAGeneral Practice Physician$0$102.7M
    Link AssociatesIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$83.3M
    Iowa Family Services, IncIACommunity/Behavioral Health Agency$0$9.9M
    Revell-warrington Dental PCIAPediatric Dentistry$0$9.2M
    CsaIACommunity/Behavioral Health Agency$0$8.8M
    City Of West Des MoinesIALand Ambulance$726.2K$5.1M
    Wolfe Surgery Center, LLCIAAmbulatory Surgical Clinic/Center$4.1M$1.3M
    Iowa Home Care, LLCIAHome Health Agency$0$5.4M
    The Iowa Clinic PCIAFamily Medicine Physician$0$5.4M
    Divine Touch Of Iowa LLCIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$4.8M

    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. Iowa Distribution
    Kyle Alliman — 6 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa