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    OpenPayerNPI Medicare & MedicaidKevin Kirk
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    Kevin Kirk — Billing Profile & Reimbursement Data

    NPI 1750791182 · Richfield, UT · Ophthalmology Physician

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    Kevin Kirk is a ophthalmology physician provider located in Richfield, Utah. This profile covers 18 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
    OrganizationKevin Kirk
    Address41 S 100 E Ste J
    CityRichfield
    StateUT
    ZIP84701
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 7, 2014

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

    Payer SourceTotal Paid
    Medicare$557.5K
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue is concentrated in a very small set of services: the precomputed top 3 Medicare codes account for 70.4% of total Medicare revenue, with J0178 (aflibercept injection) alone representing $293.5K (52.6% of Medicare revenue). That concentration suggests that a majority of billing dollars flow from intravitreal pharmacologic therapy rather than from broad primary-care ophthalmology services.

    Clinical/service-line mix is retina- and procedure-forward. High-volume use of J0178 (426 claims, $689 avg paid/claim, $293.5K revenue) alongside J9035 (270 claims, $55 avg paid/claim, $14.9K revenue) and 67028 (363 claims, $94 avg paid/claim, $34.1K revenue) indicates routine intravitreal injections and isolated vitreous injections, while meaningful cataract procedure billing (66984: 121 claims, $397 avg paid/claim, $48K revenue) shows the practice also performs surgical cataract care.

    Payer mix is effectively single-payer on file: lifetime Medicare revenue is $557.5K and there is no Medicaid billing on file. This provider should be considered Medicare-centric for any payer strategy or network analysis because Medicaid contributes no observed revenue on the dataset.

    Competitive standing on the practice’s top revenue driver is modest nationally. J0178 ranks #2072 of 3204 providers nationally (35th percentile) and is described in the source as "typical, unremarkable volume for this code," so while aflibercept injections dominate this provider’s revenue, the provider is not a high-volume national outlier for that specific drug.

    Diagnostics and imaging activity is relatively strong versus peers, supporting the retinal-service interpretation: 92134 (OCT imaging) shows 1.1K claims and $31.3K revenue and ranks #2011 of 26868 providers (93th percentile) with the descriptor "typical, unremarkable volume for this code." High OCT volume paired with injection codes is consistent with ongoing retina disease management (e.g., AMD or diabetic macular edema) requiring frequent imaging and follow-up. 92014 and 92004 comprehensive visit codes also appear with notable revenue (92014: 648 claims, $51.2K; 92004: 146 claims, $13.6K), and each ranks in the upper percentiles (92014: 89th, 92004: 91th) while still labeled "typical, unremarkable volume for this code," indicating steady office-based exam throughput.

    Surgical profile includes routine cataract care plus some minor oculoplastic procedures. Cataract extraction with IOL insertion (66984) contributes $48K (121 claims) and capsulotomy (66821) adds $19.9K (65 claims), and the presence of 15823 (upper eyelid blepharoplasty, 20 claims, $12.4K) shows ancillary eyelid surgery capacity. These procedure codes together demonstrate a mixed surgical/medical ophthalmology practice rather than a purely clinic-based injection center.

    Billing pattern contains some low-activity diagnostic and E/M codes relative to national counts, which may reflect coding focus on procedures and injections. For example, 99213 is reported at 13 claims for $819 and ranks #441675 of 457151 providers (2th percentile) with the available descriptor "typical, unremarkable volume for this code," indicating comparatively low low-complexity E/M billing, while higher-level ophthalmology exam codes (92014 and 92004) are relatively more prominent. This reinforces the interpretation of the provider operating a procedure-heavy, retina-and-cataract-focused practice rather than a high-volume general medical E/M clinic.

    The provider has an established enrollment history but modest lifetime Medicare revenue, which frames expectations for scale and strategic interactions: NPI was enumerated on 2014-05-07 (~12 years ago) and lifetime Medicare revenue is $557.5K. Taken together, the tenure suggests a stable practice history while the revenue level points to a modestly sized operation whose financial profile is dominated by a small number of high-revenue services.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg430$690$293.5K
    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…650$80$51.2K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…120$400$48K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.360$90$34.1K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.1,120$30$31.3K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.70$310$19.9K
    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…280$60$16.6K
    J9035Injection, bevacizumab, 10 mg270$60$14.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.150$90$13.6K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…20$620$12.4K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782340620$690$683.2K
    669845815090$520$80.3K
    670283060440$90$61.7K
    66982455030$620$22.2K
    15823192030$470$21.9K
    J9035310110$50$17.5K
    9201421330140$70$16.6K
    668213210040$230$13.1K
    992142,6354,08080$80$11.6K
    921341925070$30$7.6K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ron LordUTOphthalmology Physician$3.2M$0
    Joshua CarlsonUTRetina Specialist (Ophthalmology) Physician$2.6M$0
    Gunnison Valley HospitalUTCritical Access Hospital$0$1.5M
    Retina Associates Of Southern UtahUTOphthalmology Physician$0$646.4K
    Gunnison Valley HospitalUTHome Health Agency$0$602.7K
    Robert PearsonUTOtolaryngology Physician$254.8K$80.8K
    Toby PaulsonUTCardiovascular Disease Physician$175.5K$5.8K
    Viliami VakautakakalaUTFoot & Ankle Surgery Podiatrist$165.1K$0
    Ben RobinsonUTPediatric Orthopaedic Surgery Physician$120.4K$0
    Brian KirkUTOphthalmology Physician$116.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$3.9M
    County Of SevierUTLand Ambulance$408.6K$1.7M
    Richfield Surgery Center, LLCUTAmbulatory Surgical Clinic/Center$1.6M$34.1K
    Central Utah Public Health DepartmentUTPublic Health or Welfare Agency$135.1K$1.3M
    Mountain Utah Family MedicineUTRural Health Clinic/Center$0$1.1M
    Ihc Health Services IncUTFamily Medicine Physician$0$1.1M
    Richfield Kids Dental, PLLCUTPediatric Dentistry$0$576.7K
    Ihc Health Services IncUTMulti-Specialty Clinic/Center$0$505.5K
    Sevier School DistrictUTLocal Education Agency (LEA)$0$370.6K
    Sealtiel TinajeroUTMOHS-Micrographic Surgery Physician$338.8K$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. Utah Distribution
    Kevin Kirk — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah