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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Richard Atwell (NPI 1164542676)

Field	Value
Entity Type	Individual
Organization	Richard Atwell
Address	912 E High St
City	Charlottesville
State	VA
ZIP	22902
Taxonomy	Nurse Practitioner
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicare	$55.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	310	$60	$19.2K
J1955	Injection, levocarnitine, per 1 gm	770	$20	$18.4K
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…	770	$10	$7.7K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	20	$150	$3.6K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	330	$10	$3K
97016	In this procedure, the provider applies the vasopneumatic device to an extremity for the purpose of reducing edema, or swelling.	330	$10	$2K
J3411	Injection, thiamine hcl, 100 mg	770	$1	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Richard Atwell — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1955	1	10	560	$30	$14.4K
99213	1,922	12,440	90	$60	$10K
99205	916	1,620	30	$150	$5.7K
G0283	123	500	150	$10	$1.7K
97016	36	260	120	$10	$1.3K
96372	9	1,380	60	$10	$1.1K
J3411	1	10	350	$1	$810

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zachary Young	HI	Chiropractor	$14K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of The Piedmont, Inc.	VA	Speech/Language/Hearing Specialist/Technologist	$0	$29M
Saferide Medical Transport LLC	VA	Non-emergency Medical Transport (VAN)	$0	$6.8M
Pediatric Associates Of Charlottesville	VA	Pediatrics Physician	$0	$6.1M
County Of Albemarle	VA	Land Ambulance	$1.5M	$1.3M
John Hendrix	VA	MOHS-Micrographic Surgery Physician	$574.5K	$0
Jennifer Tromberg	VA	MOHS-Micrographic Surgery Physician	$422.4K	$0
Hina Qureshi	VA	Anatomic Pathology & Clinical Pathology Physician	$405.8K	$0
Christopher Scott	VA	Dermatology Physician	$250.5K	$0
Wegmans Food Markets, Inc.	VA	Pharmacy	$198.7K	$0
Emily Christman	VA	Gastroenterology Physician	$176.5K	$0

Richard Atwell — Billing Profile & Reimbursement Data

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Richard Atwell — 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