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

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

Antuan Kiley (NPI 1619140050)

Field	Value
Entity Type	Individual
Organization	Antuan Kiley
Address	1711 W Temple St
City	Los Angeles
State	CA
ZIP	90026
Taxonomy	Internal Medicine Physician
NPI Enumerated	April 7, 2008

Payer Source	Total Paid
Medicare	$343K
Medicaid	$0

Key Findings

This provider’s Medicare revenue is modest in absolute scale at $343K and there is no Medicaid billing on file, making the practice effectively single-payer (Medicare) in the available claims data. Analysts should treat Medicaid as absent when modeling payer mix or Medicaid risk for this NPI.

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 41.8% of total Medicare revenue, driven by 99213 ($64.8K, 18.9%), 99214 ($42.8K, 12.5%), and 93880 ($35.8K, 10.4%). This indicates a small set of services generate a large share of payments and should be prioritized in any utilization or revenue-normalization analysis.

The code mix combines high-volume E/M visits and a heavy roster of diagnostic vascular and abdominal imaging (notably 93880, 93925, 93970, 93886, 93924, 76700 and 93923), which suggests the operation functions as an internal medicine practice with substantial in-office vascular/ultrasound diagnostic capacity rather than a pure primary-care panel alone. These imaging codes (for example 76700 and multiple 93xxx vascular CPTs) point to a service line centered on noninvasive vascular and abdominal ultrasound testing.

Competitive standing is mixed by code: the provider ranks at the high end nationally for office E/M volume on 99213 (ranks #9617 of 457151 providers nationally, 98th percentile; notably above typical national volume for this code), indicating unusually high throughput of established-patient visits. Several imaging codes also show strong relative volume — for example 93924 ranks #27 of 722 (96th percentile; notably above typical national volume) and 76700 ranks #296 of 12347 (98th percentile; notably above typical national volume) — signaling market strength in specific diagnostic procedures.

Other commonly billed codes sit in upper-but-not-extreme percentiles: 99214 is at the 85th percentile (typical, unremarkable volume for this code), and 93880 is at the 93rd percentile (typical, unremarkable volume for this code). These placements imply the provider is a consistent, above-average performer on a range of vascular and E/M services but only dominant for a subset of tests.

Several CPTs are statistical outliers in the sense of being described as "notably above typical national volume": beyond 99213 and 76700, codes like 76775 (ranks #170 of 6648, 97th percentile; notably above typical national volume) and 99203 (ranks #8142 of 161519, 95th percentile; notably above typical national volume) further mark the practice as unusually active in specific ultrasound and new-patient visit activity compared with national peers. These flagged labels indicate focused high-volume activity rather than broad-based high volume across all services.

Given the NPI was enumerated on 2008-04-07 (~18 years ago), the provider shows long tenure in the Medicare program, which supports interpreting the observed coding mix as established practice patterns rather than ephemeral billing fluctuations. Longitudinal analyses should be feasible and may reveal whether the imaging-heavy mix is stable over time.

For payer strategy and network planning, the absence of any Medicaid billing on file is material: the provider will not contribute Medicaid service capacity in-network based on available claims, while offering concentrated Medicare-era vascular/ultrasound capacity. Contracting or referral decisions should weigh strong Medicare imaging volume and high percentiles on specific vascular tests against the lack of Medicaid engagement.

Medicare: Complete Services Breakdown

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

16 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…	840	$80	$64.8K
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…	390	$110	$42.8K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	220	$160	$35.8K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	190	$180	$35.3K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	190	$140	$27.5K
93886	The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…	130	$200	$26.7K
93924	The provider assesses blood flow in the arteries of the legs before and after exercise using various techniques, such as bidirectional Doppler waveform analysis, or volume plethysmography, and…	180	$150	$26.7K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	230	$100	$24.3K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	180	$120	$20.9K
99203	The provider sees a new 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 provider…	160	$90	$13.3K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Antuan Kiley — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93886	1	110	90	$210	$31.2K
99214	3	37,970	120	$90	$23.2K
93924	1	80	60	$130	$15.4K
93925	1	1,250	40	$180	$15.4K
99213	1	34,660	80	$70	$13.2K
93880	1	2,230	40	$130	$10.7K
93923	1	410	40	$100	$10.3K
93970	1	2,290	40	$100	$8.4K
36415	2	4,540	80	$10	$7.4K
99204	1	19,360	40	$120	$7.2K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Park	CA	Internal Medicine Physician	$31.7M	$0
Johnson Lee	CA	Plastic Surgery Physician	$22.5M	$0
James Michail	CA	Geriatric Medicine (Family Medicine) Physician	$20.4M	$86.8K
Jack Azad	CA	General Practice Physician	$17.2M	$0
Amiel Moshfegh	CA	Vascular & Interventional Radiology Physician	$7.6M	$0
Millicent Rovelo	CA	Plastic Surgery Physician	$6.1M	$0
David Boyer	CA	Ophthalmology Physician	$5.6M	$3.4K
Homayoun Tabandeh	CA	Ophthalmology Physician	$5.1M	$6.8K
Humberto Villalvazo	OR	Family Medicine Physician	$4.3M	$0
Jonathan Eskenazi	CA	Neurology Physician	$2.9M	$407.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Rojo	CA	Physician Assistant	$732.3K	$1K
Bogard Chang	CA	Optometrist	$78.5K	$632.9K
Justin Keller	CA	Acute Care Nurse Practitioner	$191.3K	$0
Martin Schwartz	CA	Diagnostic Radiology Physician	$161.9K	$5.7K
Nune Stepanyan	CA	Registered Nurse	$45.5K	$0
Timothy Hatcher	CA	Certified Registered Nurse Anesthetist	$15.9K	$0

Antuan Kiley — 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