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    OpenPayerNPI Medicare & MedicaidWilliam Kirk
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    William Kirk — Billing Profile & Reimbursement Data

    NPI 1972595270 · Lebanon, KY · Internal Medicine Physician

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    William Kirk is a internal medicine physician provider located in Lebanon, Kentucky. This profile covers 35 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
    OrganizationWilliam Kirk
    Address312 W High St
    CityLebanon
    StateKY
    ZIP40033
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 22, 2005

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

    Payer SourceTotal Paid
    Medicare$185.1K
    Medicaid$3.3K

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…770$70$57.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit280$120$34.1K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…250$80$19.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…110$120$13.4K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…260$50$11.8K
    99496The 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…30$200$5.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.630$10$5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…110$30$3.8K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$160$3.6K
    90694This 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…40$80$3.1K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538523025050$250$20.2K
    93306314330240$60$16K
    992142167,230110$70$14.1K
    9949095290170$30$11.9K
    G010512114030$230$9.3K
    G0439611,57060$110$9.3K
    992134,2867,25080$50$7.7K
    2061024564080$40$6.6K
    992151801,44030$110$6.3K
    994972133040$60$4.9K

    Showing 1–10 of 35

    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
    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…100$10$1.3K
    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…120$10$700
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…300$1$600
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…130$1$520
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…20$1$50
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.10$1$10

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky 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…2,6233,3401,020$30$296K
    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…1,8802,460580$40$245K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…176280370$40$68.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.699730710$1$57.8K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…430450430$10$26.8K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…83150380$10$25.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brian SmithKYFamily Medicine Physician$192.9K$3.2M
    Sayuri CheruvuINMedical Oncology Physician$934.1K$0
    Derinbhai PatelTXInternal Medicine Physician$666.3K$0
    Leann NitzILFamily Nurse Practitioner$524.8K$71.9K
    Stefanie SpaldingKYNurse Practitioner$494.8K$0
    David ZetterKYGeneral Practice Physician$330.5K$112.4K
    Harshul PatelKYInternal Medicine Physician$385.8K$15K
    Fay BembryTNPsychiatric/Mental Health Nurse Practitioner$207K$57.1K
    Zaman ShahALInternal Medicine Physician$262.5K$0
    Abhishek KapilaKYInternal Medicine Physician$258.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mmhh, LLCKYAdult Day Care Clinic/Center$0$41.5M
    Spring View Hospital LLCKYRural Acute Care Hospital$0$23.4M
    HopeKYCommunity/Behavioral Health Agency$0$6.3M
    Marion County County TreasurerKYLand Ambulance$331.4K$447.5K
    Air Evac Ems, Inc.KYAir Ambulance$262.7K$31.5K
    Jared MalanKYFoot & Ankle Surgery Podiatrist$77.2K$3K
    Sarah CoulterKYSkilled Nursing Facility$53.3K$0
    Kelly DeatleyKYFamily Medicine Physician$46K$0
    David GeorgeKYInternal Medicine Physician$45.6K$0
    Michelle LeathersKYFamily Medicine Physician$23.4K$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. Kentucky Distribution
    William Kirk — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    William Kirk — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky