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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Kenneth Ares (NPI 1598372088)

Field	Value
Entity Type	Individual
Organization	Kenneth Ares
Address	8430 W Lake Mead Blvd
City	Las Vegas
State	NV
ZIP	89128
Taxonomy	Nurse Practitioner
NPI Enumerated	September 28, 2020

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $1.2M while there is no Medicaid billing on file, so payer mix is single-payer Medicare in practice and Medicare revenue represents the entirety of reported public-payer activity. That concentration means Medicaid-facing network or state-level analyses will not find claims history for this NPI.

Revenue is highly concentrated in a small set of home-based and care-transition services: the precomputed top 3 Medicare codes by revenue account for 59.4% of this provider's total Medicare revenue, led by 99350 ($344.5K, 29.6%), 99497 ($211.1K, 18.1%), and 99496 ($135.8K, 11.7%). This concentration indicates the business is dominated by a few high-volume service lines rather than a broad mix of low-revenue office visits.

The code mix and descriptions point to a home-based, post-acute and chronic-care practice model: high revenue and volumes for 99350, 99344, and 99349 (home/residence visits), plus strong billing for transition-of-care codes 99496 and 99495, suggest the provider delivers home visits and structured post-discharge follow-up. Complementary codes such as G0180/G0181 (home health certification and supervision), G0506 and 99491 (chronic care management), and G0439 (annual wellness visits) reinforce a care-management and home-health coordination focus.

This provider is a national outlier on several of its top revenue codes, implying a dominant or highly atypical national footprint for those services: 99350 ranks #18 of 7304 providers (100th percentile; extreme outlier), 99497 ranks #3 of 27157 providers (100th percentile; extreme outlier), and 99496 ranks #5 of 15461 providers (100th percentile; extreme outlier). Several other care-management or education codes also appear far above typical national volume (for example, 99491 ranks #13 of 1258, 99th percentile; extreme outlier and G0506 ranks #17 of 1791, 99th percentile).

Certain supportive services and education are prominent and nationally high-volume for this provider, indicating a comprehensive home-based care offering: G0108 (diabetes self-management training) generated $24.5K and ranks #21 of 1168 (98th percentile; extreme outlier), and 90836 (psychotherapy add-on) generated $47.5K and ranks #32 of 1961 (98th percentile; extreme outlier). These items suggest integration of behavioral health and chronic disease education into routine encounters rather than narrow procedural practice.

The provider also bills a mix of supervisory and certification home-health codes at scale, which aligns with oversight of home health agency patients: G0180 has 966 claims for $33.8K and ranks #28 of 18863 (100th percentile; extreme outlier), while G0181 appears with 522 claims for $36K and ranks #127 of 1990 (94th percentile; typical, unremarkable). This pattern supports a model that both conducts home visits and documents/coordinates home health plans of care.

Procedural and office E/M volumes are comparatively minor components of the profile, indicating these are not primary revenue drivers for this NPI: 11042 and 11045 (debridement codes) and office visits like 99214/99204 appear in the top-25 but contribute single-digit percentages of Medicare revenue and rank at or below typical national volumes. For payers or networks assessing capability, this suggests the practice is less focused on routine clinic-based procedures and more on home-based, longitudinal care.

Tenure is recent but established: the NPI was enumerated on 2020-09-28 (~6 years ago), so the provider has a multi-year Medicare billing history sufficient to establish these concentrated, high-percentile patterns. For contracting and utilization review, the combination of short tenure and extreme national-ranking volumes on a small set of home-care and care-management codes may warrant focused operational and clinical validation rather than broad-based assumptions about diversified service lines.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	2,800	$120	$344.5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	3,840	$60	$211.1K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	730	$190	$135.8K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	1,670	$60	$95.3K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	820	$100	$78.2K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	820	$60	$47.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	400	$110	$43.8K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…	520	$70	$36K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	970	$40	$33.8K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	780	$40	$31.9K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Kenneth Ares — 12 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99350	1	100	100	$120	$33.9K
99491	1	10	150	$60	$27.9K
G0181	12	60	150	$80	$24.9K
99349	65	150	100	$80	$23.3K
99214	2,013	3,610	110	$80	$19K
11042	43	120	120	$70	$11.6K
90836	1	20	70	$60	$10.3K
G0439	9	720	40	$120	$9.6K
99497	1	400	60	$60	$7.6K
99496	1	140	20	$190	$6.9K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jayson Bautista	NV	Family Nurse Practitioner	$514.6K	$0
Truong Nguyen	NV	Family Nurse Practitioner	$92.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Mountainview Hospital, Inc.	NV	General Acute Care Hospital	$0	$32.1M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$22.9M
Ellis Bandt Birkin Kollins & Wong PLLC	NV	Diagnostic Radiology Physician	$0	$18.1M
Nevada Acute Medical Services-scherr 1 PC	NV	Hospitalist Physician	$0	$13.5M
Renal Care Group Las Vegas, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.4M
Laboratory Medicine Consultants Ltd	NV	Clinical Medical Laboratory	$1.9M	$9.2M
Cybt, Inc	NV	In Home Supportive Care Agency	$0	$11.1M
Kan-di-ki LLC	NV	Clinical Medical Laboratory	$5M	$3.6M
Southwest Rehabilitation Physicians & Farhang Associates PLLC	NV	Pain Medicine Physician	$0	$7.1M
New Century Rehabilitation LLC	NV	Physical Therapist	$0	$6.9M

Kenneth Ares — 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