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    OpenPayerNPI Medicare & MedicaidJames Kim
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    James Kim — Billing Profile & Reimbursement Data

    NPI 1942381090 · Wyomissing, PA · Pulmonary Disease Physician

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    James Kim is a pulmonary disease physician provider located in Wyomissing, Pennsylvania. This profile covers 18 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
    OrganizationJames Kim
    Address2608 Keiser Blvd
    CityWyomissing
    StatePA
    ZIP19610
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedOctober 17, 2006

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

    Payer SourceTotal Paid
    Medicare$138.4K
    Medicaid$0

    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
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…430$90$40K
    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…400$90$34.5K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…170$140$22.8K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…120$170$20.5K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…40$90$3.6K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.100$30$3.2K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.30$80$2.4K
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…70$30$2.3K
    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…30$60$1.8K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…60$30$1.6K

    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

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,70623,230100$80$14.5K
    992333796,63070$90$12K
    992915553,80040$170$11.7K
    992234107,02040$130$7.8K
    9921317,34222,37070$60$7.7K
    958117515030$170$7.2K
    958105415030$140$5.7K
    992048,57110,29030$110$5K
    G0399669030$40$1.9K
    9472912445060$20$1.7K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sajjad ShahPAPulmonary Disease Physician$194.8K$0
    Pratap ReddyPASleep Medicine (Internal Medicine) Physician$171.4K$3.4K
    Alec PlattNYPulmonary Disease Physician$121.1K$30
    John ShapiroPAPulmonary Disease Physician$115.6K$2.8K
    Daron KahnPAPulmonary Disease Physician$55.6K$0
    Susan O'brienPAFamily Nurse Practitioner$41.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.PAHome Health Agency$0$18.5M
    Holcomb Associates, Inc.PACommunity/Behavioral Health Agency$0$11.1M
    Paragon Behavioral Health Services, LLCPACommunity/Behavioral Health Agency$0$10.8M
    Patient First Pennsylvania Medical Group PLLCPAFamily Medicine Physician$0$5.6M
    Barry MalloyPARetina Specialist (Ophthalmology) Physician$3.3M$1.8K
    Anastasia TrabandPARetina Specialist (Ophthalmology) Physician$3.1M$14K
    The Reading Hospital Surgicenter At Spring Ridge LLCPAAmbulatory Surgical Clinic/Center$330.9K$2.3M
    Saurin MehtaPASpecialist$2.6M$0
    Pennsylvania Eye & Ear SurgeryPAAmbulatory Surgical Clinic/Center$2.1M$252.9K
    Jeremy AikeyPAOphthalmology Physician$2.3M$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. Pennsylvania Distribution
    James Kim — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania