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    OpenPayerNPI Medicare & MedicaidByunghee Kim
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    Byunghee Kim — Billing Profile & Reimbursement Data

    NPI 1568807212 · Louisville, KY · Foot & Ankle Surgery Podiatrist

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    Byunghee Kim is a foot & ankle surgery podiatrist provider located in Louisville, Kentucky. This profile covers 19 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
    OrganizationByunghee Kim
    Address1915 Bishop Ln
    CityLouisville
    StateKY
    ZIP40218
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedMay 8, 2013

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

    Payer SourceTotal Paid
    Medicare$3.9M
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is concentrated in a narrow set of skin-substitute and wound-care procedures: total Medicare revenue is $3.9M and the precomputed top 3 Medicare codes account for 97.2% of that revenue. The two dominant line items are Q4164 (2.1K claims, $1049 avg paid/claim, $2.2M revenue, 57.3% of Medicare revenue) and Q4259 (2K claims, $786 avg paid/claim, $1.5M revenue, 39.3% of Medicare revenue), with 15275 contributing only $23.6K (0.6%).

    The code mix and descriptions indicate an operation focused on advanced wound care and skin-substitute implantation consistent with Foot & Ankle Surgery Podiatry. Both Q4164 and Q4259 are add-on skin-substitute products used to cover wounds, and the high claim counts (2.1K and 2K) suggest sustained procedural throughput centered on biologic graft use rather than primarily office-based chronic care management.

    The provider is effectively single-payer in scope: Medicare accounts for $3.9M in lifetime revenue while there is no Medicaid billing on file. This absence of Medicaid activity means payer risk and volume are heavily dependent on Medicare enrollment and reimbursement patterns rather than a diversified public-payer mix.

    Competitive standing varies by code: Q4259 ranks #2 of 11 providers nationally (90th percentile) and therefore represents a relatively prominent national position for that specific skin-substitute product, while Q4164 ranks #3 of 7 providers nationally (67th percentile) and is described as typical, unremarkable volume. The third top code 15275 ranks #64 of 888 providers nationally (93th percentile) and is likewise labeled typical, indicating stronger-than-average national placement for some skin-substitute applications despite the overall narrow service mix.

    Although revenue is concentrated in a few high-dollar procedural codes, the provider also bills routine wound debridement and E/M codes at modest dollar volumes: for example, 11042 shows 204 claims with $110 avg paid/claim for $22.4K (0.6% of Medicare revenue), 97597 shows 232 claims with $87 avg paid/claim for $20.2K (0.5%), and 99213 shows 135 claims with $73 avg paid/claim for $9.9K (0.3%). These secondary codes are characterized in the data as typical, unremarkable volume, underscoring that they are supportive services rather than primary revenue drivers.

    The provider’s national percentile ranks contain mixed signals about outlier behavior: several low-ranked codes (for example, 11043 at rank #2018 of 2062 with a 1th percentile label, and 28005 at rank #36 of 39 with a 3th percentile label) are still described as typical, unremarkable volume. In practice, this means certain procedures are rare in the peer set but are not flagged by the provided descriptors as unusually high or atypical relative to national patterns.

    Operationally, this profile suggests a specialized, procedure-heavy practice model centered on skin substitutes and wound procedures in the lower extremity; the NPI was enumerated on 2013-05-08 (~13 years ago), indicating a long enough tenure to establish consistent Medicare procedural patterns but also a concentrated revenue footprint that could be sensitive to changes in Medicare coverage or pricing for Q4164 and Q4259. Analysts should view future reimbursement or utilization shifts for those two codes as having outsized impact on this provider’s Medicare revenue.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4164Helicoll, per square centimeter (add-on, list separately in addition to primary procedure)2,140$1,050$2.2M
    Q4259Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure)1,950$790$1.5M
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…170$140$23.6K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.200$110$22.4K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…230$90$20.2K
    29581The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…100$100$10.5K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.80$130$10.3K
    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…140$70$9.9K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.100$60$6.1K
    28005In this procedure, the provider incises the bone cortex, the superficial part of the bone, to treat an infection in a bone of the foot.10$460$5.5K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q41641102,140$1,050$2.2M
    Q42591101,950$790$1.5M
    992146,8127,230110$70$14.1K
    11043364050$140$13.8K
    11721106160260$30$13K
    1527531070$100$12.1K
    992322,6022,860100$60$11.6K
    1527151080$90$10.9K
    2958152070$70$9.6K
    110423217080$60$8.6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Louis ChangCAOphthalmology Physician$2.2M$5.9M
    Nosheen KhanNYPodiatrist$7.7M$0
    Alok BansalCAOphthalmology Physician$3M$4.7M
    Sarju PatelCAUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician$7.5M$0
    Carlos Medina MendezCARetina Specialist (Ophthalmology) Physician$6M$0
    Inder SinghCAInterventional Cardiology Physician$4.7M$0
    Robert WendelCARetina Specialist (Ophthalmology) Physician$4.7M$0
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    James JoyeCAInterventional Cardiology Physician$4.5M$0
    Cameron PoleCAOphthalmology Physician$4.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Freedom Senior Share, LLCKYAdult Day Care Clinic/Center$0$142.4M
    Keystone Services, Inc DbaKYAdult Companion$0$55.5M
    Breaking Barriers Of Ky LLCKYCommunity/Behavioral Health Agency$0$15.3M
    Alternative Services For IndividualsKYAdult Mental Health Clinic/Center$0$12.3M
    Osting Individual And Family Services IncKYCommunity/Behavioral Health Agency$0$9.6M
    Bluegrass Counseling AssociatesKYClinical Social Worker$0$9.4M
    Kentucky Case Management, LLCKYCase Management Agency$0$9.3M
    Meeting Challenges LLCKYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$7.4M
    Active Day Ky, Inc.KYDevelopmental Disabilities Clinic/Center$0$6.1M
    Board Of Education Of Jefferson County KentuckyKYLocal Education Agency (LEA)$0$4.9M

    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. Kentucky Distribution
    Byunghee Kim — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky