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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKenneth Houchin
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    Kenneth Houchin — Billing Profile & Reimbursement Data

    NPI 1720047699 · Elko, NV · Ophthalmology Physician

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    Kenneth Houchin is a ophthalmology physician provider located in Elko, Nevada. This profile covers 11 Medicare and 16 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)

    FieldValue
    Entity TypeIndividual
    OrganizationKenneth Houchin
    Address875 14th St
    CityElko
    StateNV
    ZIP89801
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 20, 2006

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

    Payer SourceTotal Paid
    Medicaid$466.6K
    Medicare$133.3K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…610$60$38.6K
    99214The 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…280$90$25.8K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…270$90$22.9K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…360$50$16.7K
    99204The 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…110$110$11.8K
    99205The 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…40$170$6.6K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…160$30$4.3K
    95930The provider performs visual evoked potential testing that measures the electrical activity of the brain in response to a visual stimulus; however, this test is not used for VEP for glaucoma.…50$50$2.3K
    92020The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…90$20$1.7K
    99215The 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…10$140$1.6K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148883,610110$80$19K
    920146229090$80$15.2K
    9921577079040$120$12.2K
    9201259070$60$10.6K
    9213410619070$30$9.1K
    9920516145030$150$6.9K
    992042212,01030$110$5.8K
    920831317050$40$5.1K
    921333416050$20$2.9K
    92020104030$20$2.8K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…2,020$90$175.6K
    V2020Frames, purchases1,250$70$86.4K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens680$70$45.8K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…870$40$33K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal860$30$25K
    99204The 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…180$120$22.3K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.1,460$10$20.4K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…190$70$13.6K
    V2784Lens, polycarbonate or equal, any index, per lens250$40$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…130$60$7.6K

    Showing 1–10 of 16

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…4112,250290$60$138K
    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…1,6972,480330$50$107.6K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…175330240$60$55.1K
    V2020Frames, purchases80320360$30$53.8K
    99204The 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…26978090$100$46.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.286340180$60$36.5K
    99215The 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…23836090$70$28.2K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal66210340$20$26.7K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens64200290$30$24.4K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…1740170$30$22.8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nelson LopezNVOphthalmology Physician$0$2.9M
    Irene VooNVOphthalmology Physician$2.7M$0
    Green Valley Surgery Center LLCNVAmbulatory Surgical Clinic/Center$2.3M$363.3K
    Nicholas DzeboloCAInterventional Cardiology Physician$2.2M$170
    Stonecreek Surgery Center LLCNVAmbulatory Surgical Clinic/Center$977K$622.9K
    Cheryl LeeWAOphthalmology Physician$1.5M$0
    Julie Park-changNVOptometrist$8.4K$1.3M
    Las Vegas East Ophthalmology Asc LLCNVAmbulatory Surgical Clinic/Center$1.2M$94K
    Jason WickensNVOphthalmology Physician$1.2M$9.1K
    Charles CalvoNVRetina Specialist (Ophthalmology) Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dhhs Ihs Phoenix AreaNVFederal Public Health Clinic/Center$0$15.8M
    Nevada Health Centers IncNVFederally Qualified Health Center (FQHC)$0$8.7M
    Vitality UnlimitedNVCommunity/Behavioral Health Agency$0$6.6M
    Phc-elko IncNVRural Acute Care Hospital$0$6.5M
    Elko CountyNVLand Ambulance$458.1K$2.7M
    Vitality UnlimitedNVSubstance Abuse Rehabilitation Facility$0$2.9M
    Crum,stefanko And Jones LtdNVEmergency Medicine Physician$0$2.8M
    Sg Optical LLCNVOptometrist$0$1.9M
    Samuel MooreNVPhysical Therapist$315.8K$68.3K
    Andrew GeislerNVNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician$220.8K$0

    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. Nevada Distribution
    Kenneth Houchin — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Kenneth Houchin — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada