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

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

Brian Kim (NPI 1881655496)

Field	Value
Entity Type	Individual
Organization	Brian Kim
Address	111 Colchester Ave
City	Burlington
State	VT
ZIP	05401
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicare	$488.3K
Medicaid	$0

Key Findings

Practice profile and service mix are concentrated in retinal care and intravitreal pharmacotherapy: the top Medicare codes billed are J0178 ($308.7K, 63.1%), 67028 ($117.2K, 24.0%), and 92134 ($38.2K, 7.8%), reflecting a workflow built around drug injections into the vitreous chamber and posterior-segment retinal imaging. The code mix (high-volume drug administration plus diagnostic retinal imaging) is typical of a retina-focused ophthalmology practice providing ongoing intravitreal therapy and monitoring.

Medicare revenue is tightly concentrated: the precomputed top-3 Medicare codes by revenue account for 94.9% of this provider's total Medicare revenue. That concentration concentrates financial exposure on a small set of services and implies that changes to reimbursement or utilization for anti-VEGF injections or retinal imaging would materially affect overall revenue.

This provider is effectively single-payer in the datasets available: Total Medicare revenue is $488.3K while Total Medicaid revenue is none (no Medicaid billing on file). The absence of Medicaid billing means payer risk and contracting leverage are largely tied to Medicare reimbursement and referral patterns rather than a mixed Medicare/Medicaid payer mix.

J0178 (aflibercept) generates the largest share of Medicare dollars ($308.7K, 63.1%) but the provider ranks #2023 of 3204 (37th percentile; typical, unremarkable volume for this code) nationally, indicating that although J0178 dominates this provider’s revenue, their national standing on this specific drug is modest rather than dominant. This pattern can reflect higher per‑claim unit pricing or supply of this drug relative to overall injection volume rather than exceptionally high national volume for aflibercept.

67028 (intravitreal injection) accounts for $117.2K (24.0%) and ranks #695 of 4255 providers nationally (84th percentile; typical, unremarkable volume for this code), signaling relatively active procedural throughput for intravitreal injections compared with peers. That percentile suggests the provider is an above-average injector regionally or nationally despite the code label describing the volume as "typical, unremarkable."

92134 (retinal imaging) makes up $38.2K (7.8%) of Medicare revenue and ranks #1131 of 26868 providers nationally (96th percentile; notably above typical national volume for this code), which is a strong outlier on retinal diagnostic imaging throughput. High relative volume for 92134 indicates substantial imaging-based monitoring activity that likely supports the frequent injection schedule implied by the other top codes.

Low utilization of alternative injectable agents and E/M mix: J9035 (bevacizumab) appears only for $2.3K (0.5%) and ranks #1501 of 1852 (18th percentile; typical, unremarkable volume for this code), suggesting limited use of bevacizumab in this panel compared with aflibercept. Office evaluation code 99213 generates $18.8K (3.8%) and ranks #36628 of 457151 (92th percentile; typical, unremarkable volume for this code), indicating routine office visit volume consistent with ongoing management of chronic retinal conditions.

Provider tenure is long-standing: NPI enumerated 2006-03-31 (~20 years ago), which suggests an established practice with consistent presence in billing data. Coupled with the concentrated Medicare revenue stream and high retinal imaging percentile, the profile is of a stable, retina-focused ophthalmologist with sustained Medicare activity concentrated in a few high-yield procedure/drug codes.

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	450	$690	$308.7K
67028	The 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.	1,610	$70	$117.2K
92134	The 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.	1,910	$20	$38.2K
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…	420	$50	$18.8K
J9035	Injection, bevacizumab, 10 mg	50	$50	$2.3K
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…	20	$60	$1.2K
99203	The provider sees a new 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 provider…	20	$60	$1.1K
92235	The 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…	30	$30	$810
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	40	$10	$570
92201	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	20	$20	$270

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Brian Kim — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	4	10	740	$690	$730.2K
67028	2	10	1,220	$80	$90.1K
J9035	5	10	250	$50	$17.5K
92235	4	10	30	$90	$13.1K
99214	862	960	90	$70	$10.6K
99213	62	910	80	$50	$6.7K
92134	1	90	50	$20	$4.3K
99203	227	310	30	$60	$2.7K
92250	37	70	50	$20	$2.3K
92201	6	10	50	$20	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
University Of Vermont Medical Center Inc	VT	Internal Medicine Physician	$0	$17.6M
Northeastern Vermont Regional Hospital, Inc	VT	Primary Care Clinic/Center	$0	$2.8M
James Stafford	TX	Radiation Oncology Physician	$1.5M	$0
University Of Vermont Medical Center Inc	VT	General Acute Care Hospital	$0	$780.5K
Paul Unger	VT	Hematology & Oncology Physician	$744.6K	$0
University Of Vermont Health Network Specialty Care Transport, LLC	VT	Land Ambulance	$144K	$510.7K
Carlos Torres	TX	Anatomic Pathology & Clinical Pathology Physician	$580.7K	$0
Glenn Goldman	VT	MOHS-Micrographic Surgery Physician	$454.5K	$0
University Of Vermont Medical Center	VT	General Practice Dentistry	$0	$433.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard Center Inc	VT	Developmentally Disabled Services Day Training Agency	$0	$332.2M
Howard Center Inc	VT	Adolescent and Children Mental Health Clinic/Center	$0	$130.1M
Vermont Department Of Mental Health	VT	Adult Mental Health Clinic/Center	$0	$105.1M
Community Health Centers Of Burlington Inc	VT	Federally Qualified Health Center (FQHC)	$0	$39.8M
Howard Center Inc	VT	Methadone Clinic	$517.9K	$35M
Howard Center Inc	VT	State or Local Public Health Clinic/Center	$0	$23.4M
Transition Ii	VT	Case Manager/Care Coordinator	$0	$17.3M
The Dental Center At Community Health Center Of Burlington	VT	Dental Clinic/Center	$0	$6.7M
City Of Burlington Vermont	VT	Land Ambulance	$677.2K	$4.3M
Spectrum, Inc.	VT	Addiction (Substance Use Disorder) Counselor	$0	$2.4M

Brian 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

Nearby Providers

Frequently Asked Questions

References