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    OpenPayerNPI Medicare & MedicaidKomal Desai
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    Komal Desai — Billing Profile & Reimbursement Data

    NPI 1841298916 · Kansas City, MO · Ophthalmology Physician

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    Komal Desai is a ophthalmology physician provider located in Kansas City, Missouri. This profile covers 18 Medicare and 6 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
    OrganizationKomal Desai
    Address4320 Wornall Rd
    CityKansas City
    StateMO
    ZIP64111
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 12, 2005

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

    Payer SourceTotal Paid
    Medicare$156.7K
    Medicaid$4.2K

    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
    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…130$400$50.8K
    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…540$80$42K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…110$100$10.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.40$250$9.9K
    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$70$8.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.70$90$6.6K
    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…100$50$4.7K
    76512The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures.130$40$4.6K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…180$20$3.9K
    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…80$50$3.4K

    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
    6698413242050$390$74K
    6682113822050$210$21.2K
    9201496730120$80$18K
    992147,1718,960100$80$13.9K
    9201213033070$60$8.8K
    992132,5398,73070$50$7K
    9213424757060$30$6.8K
    9223594050$100$6.6K
    9213675180140$30$5.1K
    992043,8104,36030$100$4.8K

    Showing 1–10 of 18

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.20$100$1.4K
    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…40$40$1.3K
    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…10$40$520
    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.100$10$480
    V2020Frames, purchases10$40$420
    S0580Polycarbonate lens (list this code in addition to the basic code for the lens)20$10$130

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,5874,310300$60$110.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.470530140$70$33.4K
    V2020Frames, purchases473490330$30$24.6K
    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…111120120$40$23.9K
    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.491650430$10$7.2K
    S0580Polycarbonate lens (list this code in addition to the basic code for the lens)61060$10$2.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Children's Mercy HospitalMOChildren's Hospital$0$221M
    University Health PhysiciansMOInternal Medicine Physician$0$102.8M
    The Children's Mercy HospitalMOPediatrics Physician$0$53.6M
    The Children's Mercy HospitalMODurable Medical Equipment & Medical Supplies$0$28.3M
    The Children's Mercy HospitalKSChildren's Hospital$0$22.3M
    The Children's Mercy HospitalMOAmbulance$0$13.4M
    Children's Mercy-community Choice PediatricsMOPediatrics Physician$0$9M
    David DyerKSOphthalmology Physician$7.5M$0
    Children's Mercy-cockerell And Mcintosh Pediatrics, IncMOPediatrics Physician$0$6.3M
    University Of Kansas Hospital AuthorityKSMulti-Specialty Clinic/Center$0$3.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Whole Person, Inc.MOIn Home Supportive Care Agency$0$203.1M
    Community Choice, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$19.6M
    St Lukes Hospital Of Kansas CityMOGeneral Acute Care Hospital$0$18.7M
    United Seating And Mobility LLCMODurable Medical Equipment & Medical Supplies$0$8.8M
    Midwest Home Health Care, Inc.MOHomemaker$0$4.3M
    Kalista EngelmanMORheumatology Physician$1.7M$0
    Julian MagadanMORheumatology Physician$1.7M$0
    Tina ShahMORheumatology Physician$1.6M$0
    Kent HustonMORheumatology Physician$1.5M$0
    Michael CassellMORetina Specialist (Ophthalmology) Physician$1.5M$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. Missouri Distribution
    Komal Desai — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Komal Desai — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri