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    OpenPayerNPI Medicare & MedicaidPatrick Richard
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    Patrick Richard — Billing Profile & Reimbursement Data

    NPI 1134418890 · Boulder, CO · Radiation Oncology Physician

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    Patrick Richard is a radiation oncology physician provider located in Boulder, Colorado. This profile covers 33 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
    OrganizationPatrick Richard
    Address4715 Arapahoe Ave
    CityBoulder
    StateCO
    ZIP80303
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedApril 4, 2011

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    This provider is a radiation oncology physician in Boulder, CO, with an NPI enumerated on 2011-04-04 (~15 years ago), indicating long-term Medicare participation and continuity in practice over roughly a decade and a half. Tenure at this level suggests established referral pathways and sustained clinical activity in radiation oncology services within the market.

    Lifetime Medicare revenue for this provider is $1.9M and there is no Medicaid billing on file, so the practice is effectively single-payer in the public programs dataset — Medicare constitutes the entirety of reported public payer revenue and there is no Medicaid footprint to assess payer diversification or low-income population exposure.

    Revenue concentration is notable: the precomputed top 3 Medicare codes account for 58.6% of this provider’s total Medicare revenue, indicating that a small set of services drives the majority of Medicare reimbursements and likely represents the core service line and referral focus for the practice.

    The code mix is consistent with an advanced radiation oncology practice focused on image-guided diagnostics and high-complexity radiotherapy. High-revenue codes include G6015 (IMRT treatment delivery), 78815 (PET/CT imaging), and A9595 (Piflufolastat f-18 diagnostic agent), which together form the top three revenue drivers; this mix implies the practice both performs or bills for advanced treatment delivery (IMRT) and high-value molecular imaging used to stage and plan therapy.

    Competitive standing across individual codes is generally modest to strong but not dominant nationwide: G6015 revenue ranks #189 of 1429 (87th percentile) indicating above-typical national volume for that delivery code, while 78815 ranks #455 of 6566 (93rd percentile) showing a relatively high national presence for PET/CT imaging. A9595 ranks #97 of 528 (82nd percentile), also above typical national volume; overall these percentiles indicate the provider is a meaningful, above-typical participant for several high-value oncology services but not a national outlier dominating the specialty.

    Most other listed CPT/HCPCS codes show typical, unremarkable national volumes by their percentile labels, with a few exceptions: 71260 (CT thorax with contrast) is marked as notably above typical national volume (97th percentile), which may reflect elevated diagnostic CT use in this practice relative to peers. Conversely, A9587 (Ga-68 DOTATATE) ranks in the 9th percentile among a small group of providers, meaning the provider bills little of that specific agent relative to peers who use it more frequently, suggesting limited activity in certain neuroendocrine imaging.

    Operationally, the mix of high counts for imaging codes (e.g., 78815 with 347 claims) alongside substantial IMRT delivery (G6015 with 1.4K claims) and related treatment planning codes (77301, 77373, 77338) suggests an integrated workflow: patients are staged with advanced PET/CT, undergo sophisticated planning/dosimetry, and receive IMRT or stereotactic treatments. This pattern is consistent with a practice that combines diagnostic imaging and high-complexity radiation therapy rather than a low-acuity or consult-only role.

    From a payer/contracting perspective, the absence of Medicaid billing limits assessment of commercial or safety-net exposure and may influence negotiations or risk attribution if a payer set expects dual-payer coverage; the provider’s public revenue base is concentrated in Medicare at $1.9M, which should be treated as the primary benchmark for utilization and rate comparisons.

    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,430$300$426.4K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…350$1,220$422.6K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie500$490$246.5K
    77014N/A1,390$100$135.8K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…80$1,520$126K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…90$840$75.3K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…50$1,220$58.6K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.300$180$54.8K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…330$150$49.9K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…90$380$35.3K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015410370$300$234K
    A9595220220$540$141.1K
    78815712060$540$58.9K
    A9587510290$120$48.9K
    7737311050$830$43.9K
    770141080490$50$32.9K
    G6013810160$200$31.4K
    7730186040$540$28K
    774271180130$150$27.3K
    G6012310120$200$21.9K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nauman MoazzamCOHematology & Oncology Physician$3.6M$0
    Robert RifkinCOHematology & Oncology Physician$3.3M$0
    Ioana HinshawCOHematology & Oncology Physician$2.7M$0
    John BurkeCOHematology & Oncology Physician$2.6M$0
    Patrick EulittCOMedical Oncology Physician$2.4M$0
    Christopher BentonCOHematology & Oncology Physician$1.8M$0
    Paul DecarolisCOHematology & Oncology Physician$1.6M$0
    Maurice MarkusCOHematology & Oncology Physician$1.6M$0
    Sujatha NallapareddyCOHematology & Oncology Physician$1.4M$0
    Manojkumar BupathiCOHematology & Oncology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Boulder Community HealthCOGeneral Acute Care Hospital$0$7.8M
    Geeta Lalchandani-lalwaniCOOphthalmology Physician$1.5M$0
    Austin PooleCOHematology & Oncology Physician$1.1M$0
    Gregory BrittCOHematology & Oncology Physician$1.1M$0
    Dario PasalicCORadiation Oncology Physician$956.3K$0
    David AndorskyCOHematology & Oncology Physician$890K$0
    Leslie BusbyCOHematology & Oncology Physician$863.7K$0
    Vlad MateiCORetina Specialist (Ophthalmology) Physician$791.9K$0
    Jenny FoxCOHematology & Oncology Physician$476.5K$0
    Mark SitarikCOHematology & Oncology Physician$468.8K$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. Colorado Distribution
    Patrick Richard — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado