Loading...
NPI 1043233513 · Jersey City, NJ · Cardiovascular Disease Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Merwin Richard is a cardiovascular disease physician provider located in Jersey City, New Jersey. This profile covers 30 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Merwin Richard |
| Address | 550 Newark Ave |
| City | Jersey City |
| State | NJ |
| ZIP | 07306 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | July 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1M |
| Medicaid | $231.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37229 | N/A | 40 | $8,200 | $352.4K |
| 37225 | N/A | 30 | $4,190 | $138.2K |
| 36465 | In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,… | 60 | $1,210 | $70.1K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 290 | $220 | $65.2K |
| 99213 | The 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… | 600 | $80 | $46.4K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 260 | $170 | $45K |
| 37252 | In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their… | 50 | $910 | $42.7K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 280 | $150 | $40.9K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 100 | $410 | $40.4K |
| 36247 | Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under… | 40 | $1,060 | $40.1K |
Showing 1–10 of 30
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 37229 | 14 | 30 | 30 | $6,870 | $370.7K |
| 37225 | 11 | 30 | 30 | $5,350 | $176.7K |
| 36465 | 16 | 40 | 30 | $1,210 | $107.3K |
| 37252 | 22 | 50 | 50 | $830 | $59.6K |
| 93306 | 377 | 990 | 220 | $100 | $25.8K |
| 99214 | 3,780 | 13,640 | 130 | $90 | $23.6K |
| 37253 | 18 | 40 | 80 | $150 | $21.8K |
| 78452 | 182 | 650 | 60 | $240 | $19.9K |
| 36247 | 4 | 40 | 20 | $570 | $13.8K |
| 99213 | 949 | 14,090 | 100 | $70 | $13.1K |
Showing 1–10 of 30
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 1,720 | $30 | $44.7K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 670 | $60 | $39.8K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 620 | $50 | $31.1K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 600 | $50 | $30.8K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 870 | $30 | $28.8K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 580 | $40 | $21.3K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 220 | $80 | $17K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 220 | $40 | $7.8K |
| 93978 | The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess… | 130 | $30 | $4K |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 160 | $20 | $3.3K |
Showing 1–10 of 18
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 156 | 330 | 650 | $200 | $465.1K |
| 99213 | The 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… | 1,623 | 4,450 | 740 | $40 | $229.8K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 70 | 130 | 360 | $220 | $226.3K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,601 | 3,790 | 580 | $60 | $204K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 88 | 230 | 300 | $90 | $103.3K |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 26 | 50 | 160 | $50 | $53.9K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 427 | 580 | 390 | $20 | $46.2K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 33 | 50 | 560 | $30 | $41.4K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 35 | 140 | 100 | $70 | $41.4K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 18 | 80 | 120 | $60 | $38.1K |
Showing 1–10 of 18
Other providers in the same ZIP code as Merwin Richard, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Best Home Care, Inc | NJ | Home Health Agency | $0 | $122.8M |
| Hudson Hospital Opco LLC | NJ | General Acute Care Hospital | $0 | $52.6M |
| Nj Golden Home Care | NJ | Home Health Agency | $0 | $30.5M |
| Saleem Mahmood | NJ | Internal Medicine Physician | $520.4K | $856.8K |
| Ariz Mehta | NJ | Interventional Pain Medicine Physician | $1.2M | $173.2K |
| Mallik Patel | NJ | Family Medicine Physician | $1.2M | $0 |
| Ashraf Raslan | NJ | Student in an Organized Health Care Education/Training Program | $1.1M | $0 |
| Mariem Abedullah | NJ | Family Nurse Practitioner | $672.2K | $0 |
| Anthony Panariello | NJ | Ophthalmology Physician | $594.2K | $0 |
| Atef Mousa | NJ | Internal Medicine Physician | $529.6K | $3.4K |
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.