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 Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific 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. Armed Forces Pacific (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.

Jeremy Rich (NPI 1124224100)

Field	Value
Entity Type	Individual
Organization	Jeremy Rich
Address	Baach, 121 Csh
City	Apo
State	AP (Armed Forces Pacific)
ZIP	96205
Taxonomy	Otolaryngology Physician
NPI Enumerated	June 26, 2007

Payer Source	Total Paid
Medicare	$44K
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $44K and there is no Medicaid billing on file, so payer mix is overwhelmingly Medicare with no recorded Medicaid activity. The NPI was enumerated on 2007-06-26 (~19 years ago), indicating an established enrollment history despite modest lifetime Medicare receipts.

Revenue is concentrated in a small set of services: the precomputed measure shows the top 3 Medicare codes by revenue account for 53.8% of this provider's total Medicare revenue. Those top three codes are 99203 ($8.8K, 19.9%), 99213 ($7.7K, 17.5%), and 31231 ($7.2K, 16.5%), so just a few E/M and diagnostic endoscopy codes drive the majority of billed Medicare dollars.

The code mix is consistent with outpatient otolaryngology practice: high counts of E/M visits (99203 with 111 claims and 99213 with 120 claims) alongside airway/nasal diagnostic procedures (31231 with 57 claims and 31575 with 69 claims). This pattern suggests the provider’s operations center on clinic-based evaluations and endoscopic diagnostics rather than high volumes of surgical or inpatient ENT procedures.

Clinical throughput appears modest in absolute scale: total Medicare revenue of $44K and single-digit-to-low-double-digit claim counts for most procedures (for example, 31231: 57 claims; 31575: 69 claims; 99204: 52 claims) indicate a relatively small Medicare patient panel or limited Medicare-facing practice hours. The presence of minor procedures such as 69433 (11 claims, $1.3K) and 69210 (36 claims, $1.1K) further supports a primarily ambulatory, office-based scope.

National competitive standing by code is mixed but generally not dominant. For example, 99203 ranks #16456 of 161519 providers (90th percentile) and is characterized in the dataset as a "typical, unremarkable volume for this code," while 99213 ranks #161659 of 457151 (64th percentile) and is also labeled "typical, unremarkable volume for this code;" 31231 ranks #2900 of 6206 (53th percentile) and likewise is described as "typical, unremarkable volume for this code." These rankings indicate the provider is not a major national outlier for its top services but does appear above-average on some individual codes by percentile rank.

The practice shows limited procedural breadth in Medicare billing: beyond the top diagnostic and E/M codes, revenues drop quickly (for example 99214: $3.9K, 8.8%; 69433: $1.3K, 2.9%), which points to a focused set of clinic-based services rather than a broad procedural/surgical portfolio. Given the small absolute revenue base, the provider likely operates at a modest scale within the Medicare market.

Statistical characterizations supplied with the claims reinforce a lack of outlier behavior: most listed codes carry the plain-English label "typical, unremarkable volume for this code," including the high-revenue E/M and endoscopy codes. Even codes with low national rank (e.g., 69433 at rank #752 of 798, labeled "typical, unremarkable volume for this code") are consistent with occasional procedural billing rather than unusual activity.

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99203	The 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…	110	$80	$8.8K
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…	120	$60	$7.7K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	60	$130	$7.2K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	70	$90	$6.3K
99204	The provider sees a new 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 provider…	50	$120	$6.1K
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…	40	$90	$3.9K
69433	The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.	10	$110	$1.3K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	40	$30	$1.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$40	$1.1K
99202	The 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…	20	$40	$590

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. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Pacific Distribution

Jeremy Rich — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11	20	60	$80	$9.1K
31231	1	10	60	$130	$7.2K
31575	1	10	70	$90	$6.3K
99213	2	10	30	$50	$4.2K
99204	2	10	30	$100	$3.5K
99203	1	10	20	$60	$2.6K
69433	1	10	10	$110	$1.3K
69210	1	10	40	$30	$1.1K
99212	1	10	20	$40	$960
99202	1	10	20	$40	$590

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Central Ohio Family Care Center, Inc	OH	Specialist	$0	$15.3M
Genesis Medical Group LLC	OH	General Practice Physician	$0	$15.2M
Levent Akduman	MO	Ophthalmology Physician	$3.1M	$1.4M
Phu Tran	FL	Hematology & Oncology Physician	$1.2M	$10.9K
Shaun Bhatty	OH	Clinical Cardiac Electrophysiology Physician	$341.6K	$0
Benjamin Martin	OH	Urology Physician	$299.7K	$0
Grant Chow	OH	Clinical Cardiac Electrophysiology Physician	$242.2K	$0
Muhammad Abdel Migeed	MI	Clinical Cardiac Electrophysiology Physician	$220.8K	$400
Isaac Mitchell	FL	Sports Medicine (Orthopaedic Surgery) Physician	$219.9K	$0
Antony Roberts	OH	Diagnostic Radiology Physician	$210.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Britton Birtcher	AP (Armed Forces Pacific)	Dentist	$0	$285.8K
Jiyoon Kim	AP (Armed Forces Pacific)	Diagnostic Radiology Physician	$191.9K	$0
Adam Ash	AP (Armed Forces Pacific)	Emergency Medicine Physician	$104.2K	$23.7K
Daniel Martens	—	Physician Assistant	$18.8K	$0
Christopher Metcalf	AP (Armed Forces Pacific)	Physician Assistant	$17.6K	$0
Harry Aubin	AP (Armed Forces Pacific)	Surgery Physician	$13K	$0
Beatriz Meza-valencia	AP (Armed Forces Pacific)	Pediatrics Physician	$0	$3K
Yanghoe Koo	AP (Armed Forces Pacific)	General Practice Dentistry	$0	$470

Jeremy Rich — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References