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    OpenPayerNPI Medicare & MedicaidHyun Kim
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    Hyun Kim — Billing Profile & Reimbursement Data

    NPI 1457349771 · Colorado Springs, CO · Hematology & Oncology Physician

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    Hyun Kim is a hematology & oncology physician provider located in Colorado Springs, Colorado. This profile covers 63 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
    OrganizationHyun Kim
    Address2312 N Nevada Ave Ste 400
    CityColorado Springs
    StateCO
    ZIP80907
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedOctober 11, 2005

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer Medicare: lifetime Medicare revenue is $1.3M and there is no Medicaid billing on file, so Medicaid does not appear in the payer mix for this NPI. That concentrated payer exposure means revenue trends will be driven primarily by Medicare policy and utilization shifts.

    Revenue is highly concentrated in a small set of oncology drugs and imaging: the top three Medicare codes account for 71.5% of total Medicare revenue; J9271 generates $589.1K (47.1% of Medicare revenue), J9144 generates $218.9K (17.5%), and 78815 generates $86K (6.9%). This concentration indicates the practice derives most of its Medicare dollars from a few high‑value oncology services.

    The code mix shows an infusion‑based oncology practice focused on immunotherapy and monoclonal antibody treatments: J9271 (pembrolizumab) and J9144 (daratumumab) are the two largest revenue drivers, and multiple chemotherapy administration codes (96413, 96401, 96365, 96367) are present. Presence of diagnostic radiopharmaceutical codes such as A9595 and PET/CT codes (78815, 78816) further supports a cancer‑diagnosis and treatment workflow that pairs systemic therapy with advanced imaging.

    Competitive standing on the primary drug code is modest rather than dominant: J9271 ranks #786 of 1841 providers nationally (57th percentile), described in the file as "typical, unremarkable volume for this code," while J9144 ranks #445 of 615 (26th percentile) and is likewise labeled typical. These ranks suggest the provider is an active local participant in high‑cost immunotherapy administration but is not a top national center for these agents.

    The provider uses specialized diagnostic imaging but at modest national standing: 78815 (PET/CT) ranks #2784 of 6566 providers (57th percentile) and A9595 (piflufolastat F‑18) ranks #375 of 528 providers (29th percentile), both noted as "typical, unremarkable volume for this code." This pattern indicates access to advanced imaging (including PSMA‑targeted PET) but not at volumes consistent with a regional imaging leader.

    Clinic visit and ancillary service volumes are meaningful and relatively elevated: 99214 (325 claims, $29.3K) ranks #91343 of 479517 providers (81st percentile) and common lab/phlebotomy codes like 85025 (449 claims) and 36415 (468 claims) sit at the 84th and 88th percentiles respectively. Those higher percentiles, described in the file as typical for the codes, point to a steady outpatient visit schedule with onsite lab services supporting ongoing oncology care.

    Tenure is long: the NPI was enumerated 2005-10-11 (~21 years ago), indicating an established practice likely supported by a sustained referral network and familiarity with Medicare processes. Long enumeration combined with the observed code mix suggests operational stability rather than a newly launched infusion center.

    Operational sensitivity is high due to drug‑revenue dependence: with 71.5% of Medicare revenue coming from the top three codes, the provider’s financial performance is concentrated in a few high‑cost oncology drugs and related imaging. Given the ranks for those codes are generally described as "typical, unremarkable volume for this code," the practice appears to operate at customary national utilization levels but remains vulnerable to changes in utilization patterns or reimbursement for those specific codes.

    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.

    63 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg13,700$40$589.1K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj5,760$40$218.9K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…70$1,210$86K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie140$530$73.6K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg2,010$30$66.3K
    J0897Injection, denosumab, 1 mg2,520$20$45.4K
    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…330$90$29.3K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…250$100$26.3K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…10$1,230$15.9K
    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…110$140$15K

    Showing 1–10 of 63

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 63 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    63 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271114010,700$40$520.5K
    J914420207,560$40$354.8K
    A95951820220$540$141.1K
    J156820302,240$30$101.5K
    J0897731402,580$20$68.8K
    788154812060$540$58.9K
    J088111107,670$1$23.4K
    J3490416050$290$23.1K
    9641347140130$100$19.7K
    78816354020$480$18.4K

    Showing 1–10 of 63

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nauman MoazzamCOHematology & Oncology Physician$3.6M$0
    Robert RifkinCOHematology & Oncology Physician$3.3M$0
    Ioana HinshawCOHematology & Oncology Physician$2.7M$0
    John BurkeCOHematology & Oncology Physician$2.6M$0
    Patrick EulittCOMedical Oncology Physician$2.4M$0
    Patrick RichardCORadiation Oncology Physician$1.9M$0
    Christopher BentonCOHematology & Oncology Physician$1.8M$0
    Paul DecarolisCOHematology & Oncology Physician$1.6M$0
    Maurice MarkusCOHematology & Oncology Physician$1.6M$0
    Sujatha NallapareddyCOHematology & Oncology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Physicians Home CareCOIn Home Supportive Care Agency$0$247.9M
    A Circle Of Care Colorado, LLC.COIn Home Supportive Care Agency$0$101.8M
    Goodwill Of ColoradoCOHome Health Agency$0$33.3M
    Stellar Care And Services, LLCCOChild Intellectual and/or Developmental Disabilities Respite Care$0$31M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$25.2M
    American Medical Response Of Colorado IncCOAmbulance$3.4M$21.6M
    Special Kids Special FamiliesCODevelopmentally Disabled Services Day Training Agency$0$24.8M
    Lucas IncCORespite Care$0$23.6M
    Achieve Whole Recovery, PCCOSpecialist$0$22.7M
    Loving Care Agency, Inc.COIn Home Supportive Care Agency$0$18.2M

    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. Colorado Distribution
    Hyun Kim — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado