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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Virgil Kenneda (NPI 1891874715)

Virgil Kenneda is a anesthesiology physician provider located in West Columbia, South Carolina. This profile covers 35 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Virgil Kenneda
Address	2720 Sunset Blvd
City	West Columbia
State	SC
ZIP	29169
Taxonomy	Anesthesiology Physician
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicare	$81.1K
Medicaid	$0

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00567	The provider performs anesthesia services for a patient undergoing a coronary artery bypass graft procedure. The procedure requires a pump oxygenator to take on the work of the heart and lungs.	40	$320	$12.4K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	60	$130	$7K
00541	The provider performs anesthesia services for a patient undergoing a procedure involving opening the chest wall and using one lung ventilation.	20	$220	$5.2K
00670	The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…	20	$230	$4.5K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	110	$30	$3.6K
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	30	$150	$3.6K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	60	$70	$3.6K
93503	The provider performs Swan–Ganz® catheterization for the direct assessment of pressure in the pulmonary artery, right atrium, right ventricle, as well as the wedge pressure of the left atrium…	50	$70	$3.1K
00910	The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…	50	$60	$2.8K
93312	In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…	30	$80	$2.8K

Showing 1–10 of 35

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00567	2	50	10	$380	$6.5K
00670	58	160	20	$240	$4.8K
01844	38	50	30	$90	$4.3K
00541	2	10	10	$250	$4K
01402	14	380	20	$140	$3.3K
00811	634	740	20	$70	$3.2K
64450	65	90	30	$30	$2.9K
93312	63	190	30	$80	$2.9K
00731	182	850	20	$70	$2.6K
01214	22	170	20	$140	$2.6K

Virgil Kenneda — Billing Profile & Reimbursement Data

Sign up for Virgil Kenneda — Billing Profile & Reimbursement Data policy alerts

Virgil Kenneda — Billing Profile & Reimbursement Data

Sign up for Virgil Kenneda — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References