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    OpenPayerNPI Medicare & MedicaidRichard Ethridge
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    Richard Ethridge — Billing Profile & Reimbursement Data

    NPI 1013108299 · Fort Collins, CO · Plastic and Reconstructive Surgery Physician

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    Richard Ethridge is a plastic and reconstructive surgery physician provider located in Fort Collins, Colorado. This profile covers 18 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
    OrganizationRichard Ethridge
    Address1100 Poudre River Dr Unit A
    CityFort Collins
    StateCO
    ZIP80524
    TaxonomyPlastic and Reconstructive Surgery Physician
    NPI EnumeratedAugust 5, 2007

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

    Payer SourceTotal Paid
    Medicare$545.8K
    Medicaid$0

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…290$370$105.7K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.110$820$92.3K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…140$620$88.7K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.90$610$55K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…70$760$51.7K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.110$330$37.2K
    14021The provider repairs lesions in the patient’s scalp, arms, or legs by using the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2.50$700$32.7K
    14020The provider repairs the defects in the patient’s scalp, arms, and/or legs by using healthy tissues from an adjacent site. This code represents services for defects of 10 cm2 or less.30$570$18.1K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…300$60$16.7K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.10$900$12.6K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1402131060$660$37.7K
    1404011020$600$20.5K
    1526012020$790$19.6K
    1313236070$230$18.3K
    1404112020$750$17.9K
    14301192020$780$16.3K
    1406014020$590$15.3K
    1402011020$550$13.1K
    1312147040$250$12.4K
    13101164020$290$8.6K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Etan MarksFLDermatopathology (Pathology) Physician$2.7M$0
    Kyle MillsNCAnatomic Pathology & Clinical Pathology Physician$883.8K$0
    Andrew KalajianCOProcedural Dermatology Physician$762.2K$0
    Daniel CallaghanCODermatology Physician$604.4K$0
    Stephanie LiuNDDermatopathology (Pathology) Physician$581.5K$0
    Bryan SofenMIMOHS-Micrographic Surgery Physician$498.2K$0
    Kim HiattAZDermatopathology (Pathology) Physician$367.1K$0
    Afton CobbWYMOHS-Micrographic Surgery Physician$357.5K$0
    Robin BurgerFLDermatopathology (Pathology) Physician$347.2K$0
    Carl DemidovichCODermatology Physician$346.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Front Range Clinic Inc.COFamily Medicine Physician$0$43.3M
    Salud Family HealthCOFederal Public Health Clinic/Center$0$24.4M
    Poudre Valley Health Care Inc.COGeneral Acute Care Hospital$0$19.9M
    Emergency Physicians Of The Rockies, PCCOEmergency Medicine Physician$0$13M
    Chill, LLCCOCommunity/Behavioral Health Agency$0$11.7M
    Ability In Motion, LLCCOCommunity/Behavioral Health Agency$0$8.3M
    Summitstone Health PartnersCOMental Health Clinic/Center (Including Community Mental Health Center)$0$6.8M
    Poudre Valley Health Care,incCOClinic/Center$0$6.7M
    Poudre Valley Health Care, IncCOMedical Specialty Clinic/Center$0$3.9M
    Fort Collins Kids DentistryCOPediatric Dentistry$0$3.5M

    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. Colorado Distribution
    Richard Ethridge — 7 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado