Physician

Susan Kim, MD

According to 2025 Medicare claims, Susan Kim, MD (NPI: 1578720983) practices rheumatology in the Allentown-Bethlehem-Easton, PA-NJ market, with the plurality of this provider's patient population coming from Lehigh, PA. This provider's primary affiliated billing organization is LEHIGH VALLEY PHYSICIAN GROUP (NPI: 1184799694; TIN: 232700908) and primary practice location at 18104-9108. Kim is affiliated with the Lehigh Valley Health Network Accountable Care Organization, LLC (ACO ID: A2735), participating under the MSSP model.

Kim's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 598 traditional Medicare patients, billed 75,778 HCPCS/CPT codes, and received $619,168 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,409 prescription claims across 410 beneficiaries totaling $2,428,465 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 6 records totaling $619. 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 moved sharply higher in recent years, from $51,322 to $619,168. Similarly, Part D prescription costs have moved sharply higher in recent years, from $328,453 to $2,428,465. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$459K$918K2015 Medicare payment: $51,322 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $105,604 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $120,507 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $118,759 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $186,529 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $290,016 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $524,733 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $899,005 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $918,281 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $619,168 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152131,786$51,322
20162919,742$105,604
201733810,942$120,507
20184067,564$118,759
201935519,027$186,529
202037830,881$290,016
202144764,499$524,733
2022679110,756$899,005
2023713117,209$918,281
202459875,778$619,168

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.2M$2.4M2015 Drug cost: $328,453 (USD; Tot_Drug_Cst)2016 Drug cost: $603,006 (USD; Tot_Drug_Cst)2017 Drug cost: $721,707 (USD; Tot_Drug_Cst)2018 Drug cost: $761,722 (USD; Tot_Drug_Cst)2019 Drug cost: $822,513 (USD; Tot_Drug_Cst)2020 Drug cost: $1,242,765 (USD; Tot_Drug_Cst)2021 Drug cost: $1,685,626 (USD; Tot_Drug_Cst)2022 Drug cost: $1,796,559 (USD; Tot_Drug_Cst)2023 Drug cost: $2,190,602 (USD; Tot_Drug_Cst)2024 Drug cost: $2,428,465 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151941,125$328,453
20162631,716$603,006
20173091,904$721,707
20183121,763$761,722
20192621,420$822,513
20202801,664$1,242,765
20213091,785$1,685,626
20223512,035$1,796,559
20233802,278$2,190,602
20244102,409$2,428,465

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more334504$66
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6268$48
J0897Injection, denosumab, 1 mg1147,680$20
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's232283$12
96372Injection of drug or substance under skin or into muscle139190$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab712,156$590,615
Xeljanz XrTofacitinib Citrate591,770$330,037
EnbrelEtanercept401,120$291,343
Enbrel SureclickEtanercept28896$237,349
RinvoqUpadacitinib21690$143,811

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.6$619Amgen Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Susan Kim, MD?

Tedicare shows public-source Medicare data for Susan Kim, MD (NPI 1578720983), 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 Susan Kim, MD have ACO affiliation data?

Susan Kim, MD is shown with ACO affiliation data for Lehigh Valley Health Network Accountable Care Organization, LLC (MSSP, ACO ID A2735).

What billing organization is linked to Susan Kim, MD?

Susan Kim, MD is linked to LEHIGH VALLEY PHYSICIAN GROUP (billing NPI 1184799694) in the available physician profile data.

Does Susan Kim, MD have Open Payments data?

Susan Kim, MD has 6 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.