Medicare Enrolled

Dr. Shih Yin Kao, M.D.

Ophthalmology · Lagrange, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
CLARK-HOLDER CLINIC, P.A., Lagrange, GA 30240
7068828831
Registered in NPPES since 2006
NPI: 1205871233 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Kao from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Kao

Dr. Shih Yin Kao is an ophthalmology specialist in Lagrange, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Kao performed 3,419 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Kao received a total of $2,668 from 16 pharmaceutical and/or device companies across 43 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kao is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 26% volume in GA $2,668 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
3,419
Medicare services
Top 26% in GA for ophthalmology
Not available
Unique patients (not deduplicated)
$80
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
747 $26 $123
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
652 $90 $450
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
380 $73 $405
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
299 $28 $133
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
280 $63 $316
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
207 $28 $142
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
197 $373 $2,218
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
134 $56 $291
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
122 $110 $582
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
117 $25 $122
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
106 $40 $207
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
76 $264 $1,751
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
26 $81 $477
Eye photography
Photographic imaging of the interior structures of the eye.
23 $17 $113
Visual field test, limited
A test that measures your side (peripheral) vision. This limited version assesses a restricted portion of your visual field.
22 $22 $109
Removal of excessive skin and fat of upper eyelid 17 $588 $4,585
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
14 $63 $405
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
5.8% high complexity
12.2% medium
82.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,668
Total received (2018-2024)
Avg $381/year across 7 years
Top 39% in GA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
43
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$339
2023
$224
2022
$161
2021
$154
2020
$73
2019
$1,399
2018
$319

Payments by company (2024)

Alcon Vision LLC
$217
Heidelberg Engineering, Inc.
$94
Glaukos Corporation
$16
NEW WORLD MEDICAL,INC.
$12
Top 3 companies account for 96.5% of 2024 payments
All-time payments by company (2018-2024) ›
Johnson & Johnson Surgical Vision, Inc.
$1,594
Alcon Vision LLC
$437
Heidelberg Engineering, Inc.
$94
Glaukos Corporation
$79
Sight Sciences, Inc.
$76
Horizon Therapeutics plc
$70
Allergan Inc.
$56
Shire North American Group Inc
$56
Allergan, Inc.
$53
NovaBay Pharmaceuticals, Inc.
$44
Thea Pharma Inc.
$28
Bausch & Lomb, a division of Bausch Health US, LLC
$20
Carl Zeiss Meditec AG
$19
Novartis Pharmaceuticals Corporation
$15
Akorn, Inc.
$13
NEW WORLD MEDICAL,INC.
$12
Top 3 companies account for 79.7% of all-time payments
Associated products mentioned in payments ›
Avenova · Centurion · Clareon · DUREZOL · DURYSTA · ENVISTA · Kahook Dual Blade · LUMIGAN · LenSx · None Specified · OMNI(R) SURGICAL SYSTEM (US) · Spectralis · TECNIS IOL · TEPEZZA · TearCare SmartLid · Tecnis 1-piece IOL · Tecnis IOL · Tecnis Toric 1-piece IOL · Tecnis iTec Preloaded Delivery System · VUITY · XIIDRA · iStent Trabecular Micro-Bypass System Model iS3 · iStent inject W
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for an ophthalmology specialist in Lagrange?
Compare ophthalmologists in the Lagrange area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists in nearby ZIP areas
3
County median income
$54,905
Nearest hospital to ZIP centroid (approximate)
WELLSTAR WEST GEORGIA MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Kao is a clinical cardiology specialist, with above-average Medicare volume (top 26% in GA), with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Kao experienced with retinal photography (fundus photo)?
Based on Medicare claims data, Dr. Kao performed 747 retinal photography (fundus photo) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Kao receive payments from pharmaceutical companies?
Yes. Dr. Kao received a total of $2,668 from 16 companies across 43 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kao's costs compare to other ophthalmologists in Lagrange?
Dr. Kao's average Medicare payment per service is $80. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kao) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →