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    OpenPayerNPI Medicare & MedicaidClint Kellogg
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    Clint Kellogg — Billing Profile & Reimbursement Data

    NPI 1477998839 · Columbia, MO · Retina Specialist (Ophthalmology) Physician

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    Clint Kellogg is a retina specialist (ophthalmology) physician provider located in Columbia, Missouri. This profile covers 18 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
    OrganizationClint Kellogg
    Address3600 Amron Ct
    CityColumbia
    StateMO
    ZIP65202
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 30, 2013

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    This provider’s Medicare business is highly concentrated in intravitreal anti-VEGF therapy: J0178 (aflibercept) accounts for $1.9M in revenue and 70.6% of Medicare revenue with 2.8K claims, and the top three Medicare codes together account for 90.5% of total Medicare revenue. The heavy weighting to J0178, supplemented by J2777 (faricimab) and 67028 (vitreous injection), indicates a service line organized around high-volume medical retina injections rather than diversified outpatient procedures.

    J0178’s national placement (#219 of 3204; 93th percentile) is described as notably above typical national volume, signaling that this clinician is a major dispenser of aflibercept relative to peers. By contrast, J2777 ($426.3K; 14.7K claims) ranks #729 of 2039 (64th percentile) and 67028 ($119.6K; 1.4K claims) ranks #854 of 4255 (80th percentile), both characterized as typical or unremarkable volumes—so dominance is concentrated specifically in aflibercept.

    Clinical operations appear oriented to frequent follow-up and diagnostic imaging that support injection-based retina care: 92012 (intermediate established eye exam) has 1.5K claims and $84K revenue and ranks #181 of 17177 (99th percentile; extreme outlier), and 92134 (retinal imaging/OCT) has 2.3K claims and $60.9K revenue and ranks #760 of 26868 (97th percentile; extreme outlier). These two extreme outlier designations, alongside the injection codes, point to a high-throughput retina clinic model with repeated visits and imaging to manage chronic retinal conditions.

    Despite the injection and diagnostic intensity, surgical retina activity is limited: 67108 ($10.6K; 13 claims) ranks #508 of 706 (20th percentile) and 67041 ($9.9K; 12 claims) ranks #379 of 461 (8th percentile), both noted as typical or unremarkable volumes and low percentiles. This split suggests the provider predominantly manages medical retina (intravitreal therapy and imaging) rather than performing a substantial volume of vitreoretinal surgeries.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue totals $2.7M while there is no Medicaid billing on file, so the practice has no recorded Medicaid revenue and appears to operate almost entirely within the Medicare population. This concentration on Medicare may shape contracting exposure and risk segmentation, as the provider lacks a Medicaid panel footprint.

    Several non-procedural E/M and new-patient codes are unusually high relative to peers: 99204 ($27.8K) ranks #1936 of 227068 (99th percentile; extreme outlier), indicating above-typical volume of moderate-complexity new-patient visits, while lower-level established visit codes such as 99213 and 99214 are present at small absolute volumes and low national ranks. The mix implies the practice handles a steady stream of new or complex consults paired with high-frequency established-patient follow-ups tied to injection therapy.

    Tenure and stability are evident in enrollment data: the NPI was enumerated on 2013-04-30 (~13 years ago), which supports an established local presence in Columbia, MO and provides a multi-year claims footprint for assessing longitudinal utilization trends. Analysts should treat observed code concentration and outlier status in the context of a long-standing outpatient retina practice.

    From a competitive standpoint, the provider is a significant national-level participant for aflibercept delivery (J0178 notably above typical national volume) and an extreme outlier in routine retinal imaging and intermediate established exams (92012, 92134). For payers evaluating network adequacy or utilization, this profile identifies the clinician as a high-volume medical retina resource for Medicare beneficiaries but not a broad Medicaid or surgical retina resource.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,810$690$1.9M
    J2777Injection, faricimab‑svoa, 0.1 mg14,700$30$426.3K
    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.1,440$80$119.6K
    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…1,470$60$84K
    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.2,340$30$60.9K
    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…660$80$49.8K
    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…270$100$27.8K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…10$820$10.6K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…10$820$9.9K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…50$90$4.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178260820$690$683.3K
    J2777185011,730$30$388.9K
    670281180600$90$69.7K
    J3590233080$160$19K
    67108132010$1,060$18K
    9201459730120$80$18K
    6704161010$1,080$17.3K
    992148,4068,960100$80$13.9K
    92012233070$60$8.8K
    992137,6568,73070$50$7K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mari KeithahnMOOphthalmology Physician$4.3M$231.7K
    Wayne DavisMOOphthalmology Physician$2.4M$0
    Jerry BlairMOOphthalmology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alternative Community Training, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$71.5M
    Sisters Supportive Living, Inc.MODevelopmentally Disabled Services Day Training Agency$0$45.4M
    State Of MissouriMODevelopmentally Disabled Services Day Training Agency$0$27.5M
    Drd Management, IncMOSubstance Use Disorder Rehabilitation Clinic/Center$45.1K$6.5K
    Thomas AndrewsMOGeriatric Medicine (Family Medicine) Physician$31.2K$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. Missouri Distribution
    Clint Kellogg — 4 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri