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NPI 1548234156 · Stony Brook, NY · Urology Physician
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Albert Kim is a urology physician provider located in Stony Brook, New York. This profile covers 31 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Albert Kim |
| Address | 2500 Nesconset Hwy Bldg 21a |
| City | Stony Brook |
| State | NY |
| ZIP | 11790 |
| Taxonomy | Urology Physician |
| NPI Enumerated | February 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1M |
| Medicaid | $32.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 2,750 | $110 | $302.3K |
| 76872 | The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues. | 1,190 | $130 | $152.1K |
| 76857 | A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,… | 3,300 | $50 | $148.6K |
| 76775 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the… | 2,600 | $50 | $132.5K |
| 76870 | The provider performs an ultrasound of the scrotal pouch that contains the male testicles to assess disorders of testes, the organs that produce sperm in males. | 630 | $100 | $61.5K |
| 99215 | The 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… | 360 | $160 | $55.6K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 230 | $230 | $52.4K |
| 99204 | The 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… | 210 | $150 | $30.8K |
| 99213 | The 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… | 290 | $80 | $23.9K |
| 99205 | The 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… | 90 | $190 | $16.6K |
Showing 1–10 of 31
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
31 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99490 | 987 | 1,210 | 150 | $50 | $21K |
| 50590 | 14 | 30 | 20 | $770 | $19.3K |
| 99214 | 25 | 30,450 | 90 | $100 | $19K |
| 52000 | 22 | 620 | 60 | $170 | $14.3K |
| 99213 | 5,078 | 31,440 | 80 | $70 | $12.1K |
| 88112 | 279 | 330 | 130 | $40 | $11.1K |
| 88342 | 731 | 850 | 100 | $50 | $10.3K |
| 99215 | 207 | 8,280 | 40 | $140 | $10.1K |
| 74178 | 226 | 690 | 30 | $180 | $8.3K |
| 74176 | 809 | 1,250 | 60 | $80 | $7.3K |
Showing 1–10 of 31
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 550 | $30 | $13.7K |
| 76857 | A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,… | 650 | $20 | $9.8K |
| 76775 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the… | 450 | $20 | $7.2K |
| 76872 | The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues. | 70 | $30 | $2.2K |
| 51798 | Providers perform this ultrasound to measure the volume of residual urine in the bladder. | 10 | $0 | $0 |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 70 | $0 | $0 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 5,694 | 16,550 | 220 | $90 | $186.8K |
| 76872 | The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues. | 43 | 60 | 190 | $70 | $55K |
| 76857 | A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,… | 45 | 200 | 80 | $40 | $25.7K |
| 76775 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the… | 64 | 250 | 120 | $40 | $21.3K |
| 51798 | Providers perform this ultrasound to measure the volume of residual urine in the bladder. | 284 | 300 | 190 | $20 | $16.8K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 1,019 | 1,450 | 290 | $1 | $8.5K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 1,400 | 1,600 | 50 | $10 | $1.2K |
Other providers in the same ZIP code as Albert Kim, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Janine Stiene | NY | Speech-Language Pathologist | $101.3K | $4.1M |
| Stony Brook Pathologists, University Faculty Practice Corporation | NY | Anatomic Pathology & Clinical Pathology Physician | $443.7K | $1.8M |
| Fangqin Li | NY | Family Medicine Physician | $232.1K | $963.6K |
| Theofanis Mitsinikos | NY | Endocrinology, Diabetes & Metabolism Physician | $662.8K | $0 |
| Dhaval Patel | NY | Interventional Cardiology Physician | $628.2K | $14.2K |
| Thuy Nguyen | NY | Plastic Surgery Physician | $637.3K | $0 |
| Claudio Martincic | NY | Nephrology Physician | $603.4K | $4.6K |
| Evan Jones | NY | MOHS-Micrographic Surgery Physician | $594.6K | $0 |
| Shafi Wani | NY | Specialist | $217.7K | $346K |
| Robert Mosca | NY | Physical Therapist | $331.3K | $0 |
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