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

    NPI 1043357916 · Fayetteville, TN · Family Medicine Physician

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    Richard Cline is a family medicine physician provider located in Fayetteville, Tennessee. This profile covers 10 Medicare and 12 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)

    FieldValue
    Entity TypeIndividual
    OrganizationRichard Cline
    Address108 Medical Center Blvd
    CityFayetteville
    StateTN
    ZIP37334
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJanuary 31, 2007

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

    Payer SourceTotal Paid
    Medicaid$231.6K
    Medicare$42.5K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…320$90$27.1K
    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…100$60$5.7K
    98926The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.100$30$3K
    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…40$60$2K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…20$80$1.6K
    96372A 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…100$10$1K
    98925The provider performs controlled manual pressure in one or two body regions to treat somatic and nonsomatic disorders.30$20$750
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg140$10$710
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…20$30$580
    J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg20$1$20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,51411,370120$80$16.6K
    992323,1413,990100$60$11.4K
    992134,62811,03080$50$8K
    992391,0931,28070$80$6.9K
    98925210150$20$2.9K
    9892611070$30$2.3K
    7708057667050$20$1.9K
    J0702184410120$1$1.2K
    963728263,23050$10$850
    J342049452060$1$90

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…3,650$40$149.7K
    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…1,130$40$39.7K
    96372A 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…1,470$10$17.7K
    98926The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.700$20$16.1K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg160$20$2.7K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.190$10$2.1K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.60$40$2.1K
    S0020Injection, bupivicaine hydrochloride, 30 ml490$1$1.5K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.160$10$1.1K
    98925The provider performs controlled manual pressure in one or two body regions to treat somatic and nonsomatic disorders.50$10$740

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.5406101,220$40$206K
    99214The 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…7403,760610$40$202.3K
    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…1,5804,050620$30$183.9K
    96372A 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…3371,270470$10$19.2K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.33290080$10$9.9K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg3980160$10$6.2K
    98926The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.11080$20$6.1K
    3008FNo Summary found for this code765830600$1$3.1K
    98925The provider performs controlled manual pressure in one or two body regions to treat somatic and nonsomatic disorders.21050$10$2.8K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.15250060$1$870

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ephraim GammadaTNInternal Medicine Physician$521.1K$0
    Ty WebbTNFamily Medicine Physician$347.8K$3.4K
    Thomas EvansTNInternal Medicine Physician$295.1K$0
    James McgeeTNInternal Medicine Physician$213.5K$2.1K
    Michael CarterTNFamily Medicine Physician$207.4K$0
    Philip NanneyTNFamily Medicine Physician$180.2K$0
    Kathy KeeTNFamily Nurse Practitioner$114.4K$0
    Bruce PendleyTNFamily Medicine Physician$86.1K$0
    Melissa HoltTNFamily Nurse Practitioner$23.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lincoln Medical CenterTNRural Acute Care Hospital$0$4.9M
    Hh Health System - Lincoln IncTNLand Ambulance$505.1K$316.2K
    Paul SainTNFamily Medicine Physician$73.9K$90.6K
    William JonesTNFamily Medicine Physician$118.1K$0
    Michael LoiaconoTNFamily Medicine Physician$83.5K$0
    Walter BennettTNFamily Nurse Practitioner$78.2K$0
    Kelly YoungTNFamily Nurse Practitioner$15.2K$0
    John ComptonTNCertified Registered Nurse Anesthetist$13.6K$0

    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. Tennessee Distribution
    Richard Cline — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Richard Cline — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee