Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Benjamin Richter (NPI 1053658377)

Field	Value
Entity Type	Individual
Organization	Benjamin Richter
Address	515 Ne Glen Oak Ave
City	Peoria
State	IL
ZIP	61637
Taxonomy	Clinical Neuropsychologist
NPI Enumerated	January 7, 2013

Payer Source	Total Paid
Medicare	$20.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	90	$80	$7.6K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	110	$60	$6.6K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	100	$60	$6.1K
98968	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	20	$20	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Benjamin Richter — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96133	67	120	120	$70	$12.5K
96132	27	140	50	$100	$6K
96116	13	70	50	$70	$5K
98968	4	10	70	$20	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Medical Center	IL	Home Health Agency	$0	$11.3M
Saint Francis Medical Center	IL	General Acute Care Hospital	$0	$7.3M
Luke Xie	IL	Family Medicine Physician	$41.9K	$2.9M
Darren Sigal	CA	Medical Oncology Physician	$2.9M	$0
Kamal Kishore	IL	Ophthalmology Physician	$1.4M	$1M
Matthew Gorman	IL	Internal Medicine Physician	$44.9K	$1.1M
William Dunn	IL	Radiation Oncology Physician	$1.1M	$0
Chittaranjan Reddy	IL	Ophthalmology Physician	$696.6K	$79K
Michael Xu	CA	Neurology Physician	$42.7K	$621.8K
Huan Giap	SC	Radiation Oncology Physician	$626.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manuel Doria	IL	Anatomic Pathology & Clinical Pathology Physician	$117.7K	$2.3M
Janeen Buonaccorsi	IL	Anatomic Pathology & Clinical Pathology Physician	$88.5K	$2.1M
Galen Kessler	IL	Anatomic Pathology & Clinical Pathology Physician	$106K	$2M
Hamid Zia	IL	Anatomic Pathology & Clinical Pathology Physician	$67.6K	$1.8M
Jennifer Roberts	IL	Emergency Medicine Physician	$52.2K	$692.5K
Blake Cohen	IL	Diagnostic Radiology Physician	$100.7K	$523.9K
Kyle Bertrand	IL	Diagnostic Radiology Physician	$94.8K	$393.5K
Kelly Skender	IL	Critical Care Pediatric Nurse Practitioner	$483.2K	$0
Jane Maksimovic	IL	Diagnostic Radiology Physician	$103.5K	$375.4K
Thanasis Bavelis	IL	Diagnostic Radiology Physician	$107.3K	$317.3K

Benjamin Richter — Billing Profile & Reimbursement Data

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Benjamin Richter — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References