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

    NPI 1023070356 · Oklahoma City, OK · Urology Physician

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    Richard Herlihy is a urology physician provider located in Oklahoma City, Oklahoma. This profile covers 21 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 Herlihy
    Address4140 W Memorial Rd
    CityOklahoma City
    StateOK
    ZIP73120
    TaxonomyUrology Physician
    NPI EnumeratedApril 3, 2006

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

    Payer SourceTotal Paid
    Medicare$251.3K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,380$60$77.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,010$60$57.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…280$90$25.8K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…100$180$18.1K
    52648Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with…30$480$14.9K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg100$130$12.7K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$400$8.9K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…30$210$7K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…90$80$6.5K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…40$80$3.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    52224210100$510$52K
    J92174060130$130$20.7K
    99232471,77090$60$14K
    50590133020$420$11.4K
    5264822020$510$9.8K
    99213905,45080$50$8.7K
    5228111030$180$6.7K
    99222211,13030$90$4.6K
    5235251020$210$4.2K
    5231034020$210$4K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William GoadOKRadiation Oncology Physician$139.7K$0
    George LawOKUrology Physician$132.7K$0
    Gregory JiaOKUrology Physician$128.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Clinic Oklahoma CommunitiesOKFamily Medicine Physician$0$45.4M
    Mercy Hospital Oklahoma City, IncOKGeneral Acute Care Hospital$0$14.2M
    Osu Center For Health SciencesOKClinic/Center$0$11.6M
    The Perinatal Center, PLLCOKMaternal & Fetal Medicine Physician$0$7.6M
    Oklahoma Spine Surgery CenterOKAmbulatory Surgical Clinic/Center$6.8M$708.6K
    Childrens Eye Care P L L COKOphthalmology Physician$0$5.8M
    Marquis Labs, LLCOKClinical Medical Laboratory$718.2K$4.8M
    Beacon Pointe, LLCOKCommunity/Behavioral Health Agency$0$3.5M
    Ohh Physicians, LLCOKCardiovascular Disease Physician$0$3.4M
    Caring Home Health Agency IncOKHome Health Agency$0$2.8M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oklahoma Distribution
    Richard Herlihy — 4 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma