Physician

Donald Kim, MD

According to 2025 Medicare claims, Donald Kim, MD (NPI: 1548209000) practices colorectal surgery (formerly proctology) in the Grand Rapids-Wyoming-Kentwood, MI market, with the plurality of this provider's patient population coming from Ottawa, MI. This provider's primary affiliated billing organization is SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI: 1235188673; TIN: 381358164) and primary practice location at 49506-2921. Kim is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Kim's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 141 traditional Medicare patients, billed 404 HCPCS/CPT codes, and received $53,651 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 568 prescription claims across 304 beneficiaries totaling $18,954 in drug costs, led by Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg). DME data shows 179 claims. Open Payments data shows 4 records totaling $169. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $99,632 to $53,651. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $27,692 and ending at $18,954. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	259	506	$99,632
2016	257	454	$76,344
2017	236	532	$88,587
2018	244	649	$77,914
2019	215	518	$104,583
2020	157	405	$64,724
2021	152	490	$59,974
2022	152	540	$75,479
2023	168	523	$66,978
2024	141	404	$53,651

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	358	576	$27,692
2016	320	490	$24,399
2017	314	488	$20,338
2018	248	418	$373,428
2019	283	513	$263,706
2020	279	516	$20,897
2021	266	512	$53,844
2022	311	602	$26,220
2023	363	638	$21,883
2024	304	568	$18,954

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	57	377	$28,704
2016	24	276	$19,205
2017	40	271	$22,479
2018	40	259	$23,191
2019	54	234	$23,144
2020	39	270	$24,632
2021	N/R	204	$19,305
2022	42	195	$23,045
2023	15	163	$21,774
2024	12	179	$23,858

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$258
45380	Biopsy of large bowel using a flexible endoscope	13	13	$117
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$110
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	25	25	$48
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	35	35	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Peg 3350-Electrolyte	Sodium Chloride/Nahco3/Kcl/Peg	166	169	$4,079
Sutab	Sod Sulf/Pot Chloride/Mag Sulf	20	53	$3,100
Diphenoxylate-Atropine	Diphenoxylate Hcl/Atropine	52	1,179	$2,099
Loperamide	Loperamide Hcl	28	1,013	$1,655
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	55	467	$354

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	12	33	$6,925
A4407	Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each	N	N/R	16	$6,523
A4409	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each	N	N/R	18	$3,606
A4425	Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each	N	N/R	15	$2,414
A5063	Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each	N	N/R	15	$1,418

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$169	INTUITIVE SURGICAL, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Donald Kim, MD?

Tedicare shows public-source Medicare data for Donald Kim, MD (NPI 1548209000), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Donald Kim, MD have ACO affiliation data?

Donald Kim, MD is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Donald Kim, MD?

Donald Kim, MD is linked to SPECTRUM HEALTH PRIMARY CARE PARTNERS (billing NPI 1235188673) in the available physician profile data.

Does Donald Kim, MD have Open Payments data?

Donald Kim, MD has 4 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.