Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Utah (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Robert Kwun (NPI 1457338162)

Field	Value
Entity Type	Individual
Organization	Robert Kwun
Address	5169 Cottonwood St Ste 630
City	Salt Lake City
State	UT
ZIP	84107
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	December 23, 2005

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the sole payer presence on file: lifetime Medicare revenue is $2.3M and there is no Medicaid billing on file. That makes the practice effectively single‑payer (Medicare) in the available claims data and concentrates reimbursement exposure on Medicare fee schedules and beneficiary populations.

Revenue is highly concentrated in a small set of drug/injection codes: the top three Medicare codes (J2777, J0178, J3490) account for 77.1% of this provider’s total Medicare revenue. Those three codes individually generate $784.7K (J2777, 34.2%), $763K (J0178, 33.3%), and $220.6K (J3490, 9.6%) of Medicare revenue, respectively.

The code mix indicates a retina-focused, injection-driven practice: dominant revenue comes from intravitreal drug administrations (J2777 and J0178) alongside an entry for unclassified drugs (J3490), supported by retinal imaging (92134) and office exam codes (92014). Combined, the pattern is consistent with an outpatient retina specialist model centered on frequent anti‑VEGF and other intravitreal therapies plus diagnostic imaging.

Economics of the drug mix are split between high-volume/low-unit and lower-volume/high-unit activity: J2777 shows 27.1K claims at $29 avg paid/claim producing $784.7K, while J0178 shows 1.1K claims at $680 avg paid/claim producing $763K. This strategy results in similar revenue contributions from very different utilization and unit‑price dynamics, which could drive different operational priorities (high throughput clinic capacity versus management of high-value drug inventory).

Despite high absolute revenue from injectable drugs, the provider’s national competitive standing on those top drug codes is modest: J2777 ranks #342 of 2039 (83th percentile; typical, unremarkable volume for this code), J0178 ranks #1165 of 3204 (64th percentile; typical, unremarkable volume for this code), and J3490 ranks #558 of 2838 (80th percentile; typical, unremarkable volume for this code). In short, the provider is not a national outlier or dominant player on its principal revenue drugs.

The practice shows relatively high Medicare volume for office exams and retinal imaging compared with peers: 92014 generated $79.4K (3.5% of Medicare revenue) and ranks #2011 of 35415 (94th percentile; notably above typical national volume), and 92134 generated $39.8K (1.7% of Medicare revenue) and ranks #1770 of 26868 (93th percentile; notably above typical national volume). These elevated percentiles suggest above‑average diagnostic/visit throughput relative to national ophthalmology peers.

Clinical tenure is long-standing: the NPI was enumerated on 2005-12-23 (~21 years ago), indicating an established practice presence that aligns with the scale of lifetime Medicare billing reported. This longevity may correlate with steady referral patterns and an entrenched retinal service line.

Concentration in a few high-revenue codes plus the absence of Medicaid activity implies sensitivity to shifts in utilization or reimbursement for those specific retinal therapies: with 77.1% of Medicare revenue coming from the top three codes and no Medicaid offset, changes to payment policy, drug utilization guidance, or competitive drug uptake could materially affect practice revenue.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	27,060	$30	$784.7K
J0178	Injection, aflibercept, 1 mg	1,120	$680	$763K
J3490	Unclassified drugs	130	$1,700	$220.6K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	560	$230	$125.3K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	890	$120	$106.3K
67028	The 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.	1,100	$90	$102.9K
92014	An 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…	910	$90	$79.4K
J2778	Injection, ranibizumab, 0.1 mg	230	$180	$41.5K
92134	The 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.	1,280	$30	$39.8K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	140	$150	$21.3K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Robert Kwun — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	9	40	620	$690	$683.2K
J2777	9	20	13,140	$30	$523.9K
J2778	11	10	870	$180	$224.3K
J3490	8	30	80	$1,690	$199.5K
J2781	10	20	960	$120	$126.6K
Q5128	1	10	290	$220	$69.1K
67028	13	60	440	$90	$61.7K
J7312	9	10	340	$160	$52.7K
92014	7	330	140	$70	$16.6K
92134	16	250	70	$30	$7.6K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joel Herring	UT	Retina Specialist (Ophthalmology) Physician	$5.6M	$23.7K
Victoria Knudsen	UT	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Kirk Winward	UT	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
James Howard	UT	Retina Specialist (Ophthalmology) Physician	$2M	$0
Eric Brinton	UT	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Rick Nordgren	UT	Retina Specialist (Ophthalmology) Physician	$888.1K	$0
Gregory Brinton	UT	Retina Specialist (Ophthalmology) Physician	$673.5K	$0
Retina Associates Of Utah, PLLC	UT	Retina Specialist (Ophthalmology) Physician	$0	$653.5K
Rachael Jacoby	UT	Ophthalmology Physician	$137K	$0
James Kohler	UT	Ophthalmology Physician	$6.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Alpine Home Medical Equipment LLC	UT	Oxygen Equipment & Supplies (DME)	$0	$18.6M
Ddi Vantage	UT	Developmentally Disabled Services Day Training Agency	$0	$18.4M
Utah Emergency Physicians	UT	Emergency Medicine Physician	$0	$14.5M
Home Caregivers Partnership, LLC	UT	Home Health Agency	$0	$10.4M
Gcs Foundation	UT	Supports Brokerage Agency	$0	$6.2M
Ihc Health Services Inc	UT	Diagnostic Radiology Physician	$0	$6.1M
Project Reality	UT	Mental Health Counselor	$0	$5.1M
Caregiver Support Network, Inc	UT	Home Health Agency	$0	$5M

Robert Kwun — Billing Profile & Reimbursement Data

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Robert Kwun — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References