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

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

Kwanghee Kim (NPI 1851621064)

Field	Value
Entity Type	Individual
Organization	Kwanghee Kim
Address	3300 Providence Dr
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 11, 2010

Payer Source	Total Paid
Medicare	$405K
Medicaid	$0

Key Findings

This provider’s Medicare volume is concentrated in office-based evaluation and management: 99214 alone accounts for $284.8K in revenue, representing 70.3% of the provider's total Medicare revenue. The precomputed top-3 codes together account for 83.0% of Medicare revenue, indicating the practice’s financial footprint is dominated by a small set of outpatient E/M and related services rather than a broad mix of procedures or ancillary services.

Overall scale and payer mix are effectively single-payer Medicare: lifetime Medicare revenue is $405K and Medicaid is none (no Medicaid billing on file), so this entity operates without any reported Medicaid billing activity. Analysts should treat this profile as Medicare-dependent when modeling payer risk or network participation because there is no in-state Medicaid contribution to offset Medicare concentration.

The service mix suggests a primary care/internal medicine practice that also administers in-office infusions/injections. High revenue from 99214 and notable billing for J0897 (Injection, denosumab, $29.2K, 7.2% of Medicare revenue) plus routine vaccine codes (90677 $12.4K and 90694 $9.6K) point to longitudinal outpatient management of chronic conditions with on-site administration of medications and vaccines.

Competitive standing for the dominant E/M code is extraordinary: 99214 ranks #379 of 479517 providers nationally and is labeled an "extreme outlier, far above typical national volume for this code," indicating this provider sees substantially higher-than-typical volumes for mid/upper-level established-patient visits. By contrast, other high-revenue codes such as J0897 (rank #7074 of 10057, 28th percentile) and 99213 (rank #61089 of 457151, 87th percentile) are characterized as typical or unremarkable, so dominance is concentrated specifically around 99214.

The coding mix includes care-transition and complex-care management activity alongside office visits: 99496 ($9.7K, 2.4%) and 99495 ($3.7K, 0.9%) appear in the top codes, signaling that the provider bills transitional care management services in addition to outpatient visits. This combination suggests that the practice manages post-discharge follow-up and higher-complexity transitions, which can be a differentiator for value-based or care-coordination arrangements.

From a specialty/operational perspective, the presence of procedural codes such as 20610 (joint injection, $1.6K) and multiple vaccine administration codes (G0008, G0009, 90677, 90694) indicates in-office procedural capability beyond pure cognitive work. Coupled with the primary reliance on 99214 visits, the practice appears to operate as a full-scope outpatient internal medicine clinic providing both chronic disease management and minor in-office procedures.

Tenure on file is long enough to evaluate trend stability: NPI enumerated on 2010-01-11 (~16 years ago), which provides a multi-year history for benchmarking and suggests the reported billing pattern is not from a brand-new enrollment spike. Analysts should consider multi-year comparisons to determine whether the 99214 concentration is a persistent business model or a more recent shift.

Revenue concentration exposes payer and operational risk if patient mix or referral patterns change: with 70.3% of Medicare revenue from 99214 and top-3 codes totaling 83.0%, any disruption to established-patient visit volume would have an outsized impact on total Medicare revenue. This concentration makes the provider sensitive to payment policy changes or competitive encroachment targeting routine E/M services.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,740	$100	$284.8K
J0897	Injection, denosumab, 1 mg	1,620	$20	$29.2K
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…	300	$80	$22.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	$160	$14.9K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	50	$230	$12.4K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	40	$280	$9.7K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	130	$80	$9.6K
G0008	Administration of influenza virus vaccine	140	$40	$5.3K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	20	$200	$3.7K
99204	The 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…	30	$110	$3.6K

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

Claims Volume vs. Alaska Distribution

Kwanghee Kim — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	22	30	2,700	$20	$82.7K
99214	2	1,210	90	$100	$16.2K
G0439	35	140	50	$150	$10.3K
90677	13	80	30	$270	$10.1K
99213	110	1,290	70	$70	$8.5K
90694	8	60	50	$70	$6.5K
99204	196	460	30	$140	$6.1K
99496	2	10	20	$220	$4.9K
G0008	33	140	40	$30	$4.4K
99495	11	20	20	$180	$4.2K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Washington	AK	Psychiatry Physician	$0	$12.7M
Providence Health & Services- Washington	AK	Critical Care Medicine (Internal Medicine) Physician	$0	$10.6M
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$2.8M
Nadine Baker	AK	Psychologist	$523.2K	$0
Lina Bautista	AK	Child & Adolescent Psychiatry Physician	$0	$495K
Monica Wright	AK	Family Medicine Physician	$288.7K	$0
Nicholas Van Lith	AK	Family Medicine Physician	$257K	$0
Cynthia Mcginty	AK	Nurse Practitioner	$247.9K	$0
Daniel Tieva	AK	Family Medicine Physician	$240.5K	$0
M Jacqueline Tarsitano	AK	Internal Medicine Physician	$238.3K	$0

Kwanghee Kim — 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

Frequently Asked Questions

References