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    OpenPayerNPI Medicare & MedicaidJohnstone Kim
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    Johnstone Kim — Billing Profile & Reimbursement Data

    NPI 1982880605 · Dublin, OH · Retina Specialist (Ophthalmology) Physician

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    Johnstone Kim is a retina specialist (ophthalmology) physician provider located in Dublin, Ohio. This profile covers 19 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
    OrganizationJohnstone Kim
    Address6655 Post Rd
    CityDublin
    StateOH
    ZIP43016
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJanuary 11, 2008

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the sole payer presence of note: total Medicare revenue is $2M and Medicaid billing is none on file, making the practice effectively Medicare‑centric. The NPI was enumerated 2008-01-11 (~18 years ago), indicating an established practice tenure that likely supports sustained referral and treatment patterns.

    Revenue is highly concentrated in a small set of drugs and procedures: the precomputed top three Medicare codes account for 87.3% of this provider’s Medicare revenue. Those top contributors are J0178 ($1.2M, 59.7% of Medicare revenue), J2777 ($400.2K, 20.0%), and 67028 ($151.7K, 7.6%), showing dependence on intravitreal drug therapy and related injection services.

    The code mix matches a retina-focused, procedure-driven practice: dominant use of intravitreal drug codes J0178 (1.7K claims) and J2777 (13.8K claims) together with the injection procedure 67028 (1.7K claims) points to a high-volume anti-VEGF/faricimab injection service line. Significant retinal imaging (92134, 2.3K claims) accompanies those treatment codes, consistent with frequent diagnostic monitoring in retinal disease management.

    On competitive standing for the top drug and injection codes, the provider is a solid but not dominant national participant: J0178 ranks #667 of 3204 providers nationally (79th percentile; typical, unremarkable volume for this code) and J2777 ranks #759 of 2039 providers nationally (63th percentile; typical, unremarkable volume for this code). The injection procedure 67028 ranks #594 of 4255 providers nationally (86th percentile; typical, unremarkable volume for this code), indicating somewhat above-average procedural volume but still within the typical range nationally.

    Certain diagnostic and visit codes are statistical outliers relative to peers. 92134 (retinal imaging) ranks #802 of 26868 providers nationally (97th percentile; extreme outlier), signaling exceptionally high imaging utilization for this specialty, and J3590 (unclassified biologics) ranks #41 of 631 providers nationally (94th percentile; notably above typical national volume), suggesting elevated use of miscellaneous biologic products in addition to named agents.

    High‑complexity new patient E/M is unusually frequent: 99204 (218 claims, $24.6K revenue) ranks #3740 of 227068 providers nationally (98th percentile; extreme outlier). Although 99204 represents a small share of total Medicare revenue (1.2%), its elevated percentile rank indicates the practice receives a disproportionate number of high‑complexity new patient evaluations compared with national ophthalmology peers.

    Surgical retina activity is limited: vitrectomy and related surgery codes 67042, 67041, and 67036 each have very low claim counts (13, 12, and 12 claims respectively) with modest revenue shares (0.6%, 0.5%, 0.4%) and low national ranks (13th, 8th, and 7th percentiles respectively). This pattern suggests the provider’s operation emphasizes office‑based injections and diagnostics over higher-volume surgical interventions.

    Payer and contracting implications follow directly from the data: with $2M in Medicare revenue, no Medicaid billing on file, and a revenue base concentrated (87.3%) in a few injection and diagnostic codes, the provider’s value to payers will be driven by access to intravitreal drug administration and retinal imaging capacity. For network or utilization management discussions, focus on drug utilization, injection throughput, and imaging frequency rather than on surgical volume or Medicaid coverage expansion.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,750$680$1.2M
    J2777Injection, faricimab‑svoa, 0.1 mg13,800$30$400.2K
    67028The 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.1,710$90$151.7K
    92134The 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.2,280$30$68.5K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…490$90$43.7K
    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…420$90$37.4K
    J3590Unclassified biologics700$50$32K
    99204The 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…220$110$24.6K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…10$880$11.4K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…10$880$10.5K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017826100840$680$729K
    J277724709,480$30$353.3K
    6702812150470$90$64K
    J359011100200$100$30K
    67042445020$960$29.7K
    67041112020$1,180$23.5K
    67036385020$870$21K
    920141061,390100$70$12.9K
    992141,71320,010100$70$11.7K
    9201214533050$60$8K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dallin AndersenWAOphthalmology Physician$3.4M$0
    Louis ChorichOHRetina Specialist (Ophthalmology) Physician$2.2M$0
    Sugat PatelOHRetina Specialist (Ophthalmology) Physician$1.7M$0
    Dominic BuzzaccoOHRetina Specialist (Ophthalmology) Physician$1.7M$0
    Vishal ParikhOHRetina Specialist (Ophthalmology) Physician$1.5M$0
    Lisa BorkowskiOHOphthalmology Physician$1.3M$0
    Dino KlisovicOHRetina Specialist (Ophthalmology) Physician$1.2M$0
    Bryan StrelowVARetina Specialist (Ophthalmology) Physician$10.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of America HoldingsOHClinical Medical Laboratory$56.9M$617M
    Ohiohealth Urgent Care LLCOHUrgent Care Clinic/Center$0$13.4M
    Ohiohealth CorporationOHGeneral Acute Care Hospital$0$11.8M
    Patricia BornhorstOHSports Medicine (Physical Medicine & Rehabilitation) Physician$966.2K$0
    Osu Wexner Medical Center Ambulatory Surgery CenterOHAmbulatory Surgical Clinic/Center$623.6K$240.4K
    Washington TownshipOHAmbulance$269K$486.9K
    Central Ohio Endoscopy Center, LLCOHEndoscopy Clinic/Center$719.7K$0
    Sharon ThorntonOHMOHS-Micrographic Surgery Physician$453.7K$0
    Pallavy ReddyOHEndocrinology, Diabetes & Metabolism Physician$351.6K$0
    Mahmoud HoumsseOHClinical Cardiac Electrophysiology Physician$170.7K$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. Ohio Distribution
    Johnstone Kim — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio