Kim, Duke

Kim, Duke was paid $12K by Medicaid between Jan 2018 and Aug 2023, across 7 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 59% of everything it billed.

33Billing provider infoKIM, DUKE
MISSION VIEJO, CA 92691

33aNPI1780690636assigned 07/31/2006

33bProvider typeAllergy Physician

28Total paid$12K

24GClaims382

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Allergy Physician providers in California

Rank by total paid#39 of 56

Median peer was paid$150K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	297	$8K
2020	35	$1K
2022	24	$2K
2023	26	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	59%	169	169	$7K
96156		22%	44	39	$3K
92551		6.2%	64	64	$742.40
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	5.2%	12	12	$628.85
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.1%	17	13	$368.66
G9920	Screening performed and negative	3.0%	12	12	$358.00
99173		1.7%	64	64	$209.76

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.