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    OpenPayerNPI Medicare & MedicaidKinley Beck
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    Kinley Beck — Billing Profile & Reimbursement Data

    NPI 1770840365 · Portsmouth, NH · Retina Specialist (Ophthalmology) Physician

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    Kinley Beck is a retina specialist (ophthalmology) physician provider located in Portsmouth, New Hampshire. This profile covers 14 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
    OrganizationKinley Beck
    Address155 Borthwick Ave Ste 200e
    CityPortsmouth
    StateNH
    ZIP03801
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 19, 2012

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

    Payer SourceTotal Paid
    Medicare$4.2M
    Medicaid$0

    Key Findings

    This provider’s billed Medicare revenue totals $4.2M while there is no Medicaid billing on file, making the practice effectively single‑payer with Medicare as the dominant source of public reimbursement. The absence of any Medicaid claims limits analysis of dual‑payer mix and suggests exposure to Medicare policy and reimbursement changes.

    Revenue is highly concentrated in a small number of biologic injection codes: the precomputed top three Medicare codes account for 85.2% of Medicare revenue, led by J0178 ($2.1M, 49.4%), followed by J2777 ($1.2M, 27.9%), and J3590 ($334.6K, 7.9%). This concentration indicates the practice’s financial performance depends heavily on a few high‑revenue biologic products.

    The code mix and descriptions point to an office‑based retina practice focused on intravitreal biologic therapy and image‑guided management: high revenues from J0178 and J2777 (aflibercept and faricimab injections) together with substantial utilization of 67028 (2.1K claims, $196.2K) and retinal imaging 92134 (3.9K claims, $115.8K) indicate frequent intravitreal injections supported by OCT imaging and separate injection procedures. These patterns are consistent with routine, high‑volume medical retina care (e.g., wet AMD, DME) rather than primarily surgical retina.

    On national competitive standing, J0178 ranks #170 of 3204 providers (95th percentile; notably above typical national volume), signaling a strong national‑level presence for aflibercept administration. J2777 ranks #164 of 2039 providers (92th percentile) and is characterized as typical/unremarkable volume despite the high percentile, indicating the provider delivers faricimab at high absolute volume but within expected peer patterns; J3590 ranks #207 of 631 (67th percentile; typical).

    Several utilization metrics are statistical outliers relative to national peers: 99213 appears as an extreme outlier (2.2K claims, $145.3K revenue, 3.4%; rank #578 of 457151, 100th percentile), and 92134 is also an extreme outlier (3.9K claims, $115.8K revenue, 2.7%; rank #155 of 26868, 99th percentile). These elevated office visit and OCT imaging volumes are consistent with a high‑throughput injection practice model that pairs frequent visits and imaging with biologic therapy.

    Procedural surgical codes are present but represent a small portion of activity and revenue, suggesting limited surgical retina volume: 67036 (22 claims, $14.4K, 0.3%; rank #307 of 832, 60th percentile) and 67108 (13 claims, $11.5K, 0.3%; rank #508 of 706, 20th percentile). The overall mix implies the practice is primarily medical retina/injection‑driven rather than surgery‑focused.

    The provider has an established NPI (enumerated 2012-04-19 (~14 years ago)), which together with sustained, high volumes of injection and imaging codes suggests an experienced, stable retina clinician operating a mature outpatient injection service. Longevity in the NPI record aligns with the high utilization and revenue concentrations observed.

    From an operational and payer‑risk perspective, reliance on a few high‑revenue biologic codes creates sensitivity to utilization shifts or reimbursement changes for those products—J0178 alone represents $2.1M and 49.4% of Medicare revenue. The lack of Medicaid billing on file further concentrates payer exposure to Medicare policy and market dynamics rather than a diversified public payer base.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg3,070$680$2.1M
    J2777Injection, faricimab‑svoa, 0.1 mg40,680$30$1.2M
    J3590Unclassified biologics170$2,030$334.6K
    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.2,130$90$196.2K
    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…2,240$70$145.3K
    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.3,860$30$115.8K
    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…1,090$90$95.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.250$90$22.1K
    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…190$90$17.9K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.20$660$14.4K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J277721013,440$30$563.5K
    J0178110590$680$549.1K
    J3590110100$2,040$202.3K
    67028120600$90$67K
    920143210170$80$21.2K
    6703611020$980$17.6K
    992149913,150110$80$13.2K
    6710811010$860$11.2K
    J90351010150$50$10.6K
    92012267060$60$8.2K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Androscoggin Valley Hospital, Inc.NHCritical Access Hospital$0$8.3M
    Andre WitkinMARetina Specialist (Ophthalmology) Physician$2.9M$0
    Anthony CorrentiNHOphthalmology Physician$1.5M$0
    Eliot FoleyNHRetina Specialist (Ophthalmology) Physician$935.8K$0
    Eyesight Ophthalmic Services PLLCNHOphthalmology Physician$0$762.4K
    Dana GraichenMEOphthalmology Physician$649.6K$0
    Jason SzelogNHOphthalmology Physician$541.5K$0
    John MckenzieCAClinical Cardiac Electrophysiology Physician$464.1K$38.2K
    Timothy SullivanNHOphthalmology Physician$471.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Region Viii, One Sky Community Services Inc.NHCase Management Agency$0$192.2M
    Novocure Inc.NHDurable Medical Equipment & Medical Supplies$0$113.1M
    Seacoast Mental Health Center, Inc.NHMental Health Clinic/Center (Including Community Mental Health Center)$0$74.2M
    Hca Health Services Of New Hampshire IncNHGeneral Acute Care Hospital$0$18.8M
    Pmc Medical Group, LLCNHGeneral Practice Physician$392K$11.2M
    Greater Seacoast Community HealthNHFederally Qualified Health Center (FQHC)$0$6.6M
    Portsmouth School DepartmentNHLocal Education Agency (LEA)$0$2.6M
    Preferred Home Health Care And Nursing ServicesNHDurable Medical Equipment & Medical Supplies$0$2.3M
    Watterworth Orthodontics, PANHOrthodontics and Dentofacial Orthopedics Dentistry$0$2.3M
    Granite PathwaysNHCommunity/Behavioral Health Agency$0$2.1M

    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. New Hampshire Distribution
    Kinley Beck — 7 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire