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NPI 1609008804 · Madison, WI · Family Medicine Physician
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David Kwon is a family medicine physician provider located in Madison, Wisconsin. This profile covers 12 Medicare and 2 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 | David Kwon |
| Address | 675 W Washington Ave |
| City | Madison |
| State | WI |
| ZIP | 53703 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | August 20, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $14.2K |
| Medicaid | $2.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 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… | 70 | $90 | $5.8K |
| 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… | 80 | $60 | $4.5K |
| 98927 | The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders. | 50 | $40 | $2.2K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 20 | $20 | $260 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 30 | $10 | $240 |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 20 | $10 | $240 |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 30 | $10 | $220 |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 20 | $10 | $190 |
| 87077 | The lab analyst performs additional tests on a presumptively identified aerobic isolate to definitively, which means more specifically, identify the organism, such as to the level of species. | 20 | $10 | $140 |
| 87186 | The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the… | 20 | $10 | $130 |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87186 | 13 | 20 | 30 | $10 | $11.4K |
| 87077 | 12 | 20 | 40 | $10 | $10.4K |
| 99214 | 5,312 | 9,800 | 80 | $70 | $9.2K |
| 80053 | 332 | 450 | 40 | $10 | $6.3K |
| 87086 | 23 | 60 | 20 | $10 | $6.1K |
| 99213 | 3,639 | 9,380 | 60 | $50 | $4.7K |
| 98927 | 7 | 10 | 70 | $40 | $4.3K |
| 85025 | 496 | 870 | 30 | $10 | $2.4K |
| 36415 | 1,710 | 2,300 | 70 | $10 | $2.3K |
| 85379 | 19 | 20 | 20 | $10 | $1000 |
Showing 1–10 of 12
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 80 | $30 | $2.6K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,131 | 1,760 | 250 | $40 | $173.2K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 40 | 60 | 90 | $1 | $760 |
Other providers in the same ZIP code as David Kwon, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| City Of Madison | WI | Land Ambulance | $2M | $8.3M |
| Madison Metropolitan School District | WI | Local Education Agency (LEA) | $0 | $4.1M |
| William Kemp | WI | Neurological Surgery Physician | $396.1K | $0 |
| Matthew Witek | WI | Radiation Oncology Physician | $131.2K | $0 |
| Deborah Williams | WI | Internal Medicine Physician | $116.2K | $0 |
| George Leydon | WI | Family Medicine Physician | $72.9K | $0 |
| Peter Mason | WI | Cardiovascular Disease Physician | $66K | $0 |
| Sofia Masri | WI | Advanced Heart Failure and Transplant Cardiology Physician | $46.4K | $0 |
| Lisa Schmaltz | WI | Diagnostic Radiology Physician | $44.3K | $0 |
| Paul Estrada | WI | Gastroenterology Physician | $31.4K | $0 |
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